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07-1377 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Td!t44.4" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:0,7.,00001317r7, Property Address: 78740 SAGUARO DR APN: 646-312-027-77 -000000- Application description: WALL/FENCE Property.Zoning: MEDIUM DENSITY RES Application valuation: 2000 Applicant: - Architect or Engineer: Owner: CASTELLANOS GERRARDO F 78740 SAGUARO DRIVE LA QUINTA, CA 92253 Contractor: Owner VOICE (760) :777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/07/07 ' LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affiim under penalty of perjury that am licensed under, provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the.following declarations: Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation,. as provided License.Class: License'No.: for. by Section 3700 of the Labor Code, for the performance of the work for which this permit is. .. - issued.. Date,` -'. Contractor: _ I have and will maintain workers' compensation insurance, as:required by Section 3700 of the Labor _ Code, for the performance of the: work, for which this permit is issued. My workers'.compensation ' OWNER -BUILDER DECLARATION :insurance carrier and policy number are: I hereby affirm under penalty of perjury that I'am exempt from -the Contractor's ;State License Law for the . Carrier Policy Number following reason:(Sec. 7031.5. Business and Professions Code: Any city or,countythat requires a permit to I certify that,, in the performance. of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance,. also requires the applicant for the person in any manner so as to Become subject to the workers' compensation laws of California, ' per to file a. signed statement that. he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of.Section License Law (Chapter 9(commencing with Section 7000f of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. ' that lie or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �' - any applicant fora Permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( I, as owner of the property, or my employees with'wages;as their sole compensation, will do the work, and D A -RE:TO the structure is not intended or'offered for. sale (Sec. 7044, Business and Professions Code: The WARNING: FAI SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors'. State License Law does-norapply;to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL P•ENALTIES'AND.:CIVIL FINES UP TO ONE •HUNDRED THOUSAND , - -and who doesthe work himself or herselfthiougfi his or her own employees, 'provided that the ` DOLLARS ($100,000) IN ADDITION TO THE COST -OF COMPENSATION, DAMAGES AS PROVIDED•FOR IN ' improvements are not intended or offered.,for sale. If, however,, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' . one year of completion, the owner. builder will have the burden' of proving that he or she did not build or - _ - improve for the.purpose of sale.).APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,'.Business and Professions Code: The Contractors'. State License Law does not'apply to an owner of conditions and restrictions set forth on'this application. property who builds or improves thereon, 'and. who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for. pursuani-to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason '- the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents andemployees for any act or. omission related to the work being CONSTRUCTION LENDING AGENCY ' I hereby affirm under penalty of perjury that [here is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT performed under or following issuance of this permit. - 2. Any permit issued as a result of this application becomes null and void if.work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all cityhand c -my ordinances and tate laws relating to building construction, and hereby authorize representatives of thi unty to enter upon a above-mentioned propertfor inspection purposes. ate -$-7 ignature (Applicant or Agent LQPERAHT Application Number . . . . . 07-00001377 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 2000 Expiration Date 11/03/07 ` Qty Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 HND BLDG 501-2,000 30.00 _, ._.. Special Notes and Comments', >;.:>, ,, R 80 L.F. 6.' GARDEN WALL,. =CITY STANDARD rk AT, SIDE P/L. Fee summary. Charged..".'- Paid Credited. Due' " Permit Fee Total 45.00 00 00 45.`00 Plafi =Check Total .00 0.0 .,00. : •... 00 _ Grand Total 45.00`' .00 00 45.00 s: F LQPERAHT Bin # City of La Quinta Building 8t Safety Division Permit # P.O Boz 1504;, 7,' 1 95. Calle.Tampico La Quetta; CA� 92253: (760) 777-7012 J . Building;PerMit-App1i6tio.n and .Tracking Sheet Project Address: Owner's Name:: A. P. Number: Address:c A v :Legal Description: City; ST, Zip: CC492 ,n q Contractor: .Telephone: _ Address: " Project Description: K City, ST, Zip:... F `3 Telephone: • , . , State Lic. # : City. Lic. #: Arch., Engr., Designer: Address: City; ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #:+` Project'type (circle one): New Add'n Iter Repair Demo 7. Name of Contact Person: Sq. Ft : Q` #Stories: #Units: Telephone # of Contact Person: ,. Estimated Value ofProjecf: APPLICANT: DO.NOTAWRITEwBELOW THIS LINE #' 'Submittal Req'd Recd TRACHING . PERMIT.FEES Plan Sets Plan Checksubmitted . Item Amount Structural Calcs. Reviewed, ready foncorrection's Plan Check Deposit Truss Calcs Called Contact Person Plan Check Balance Energy Calcs: Plans picked up Construction Flood plain,plan . Plans resubmitted Mechanical Grading. plan Review,,ready [or ;correctionsfissue Electrical Subcontactor List Called Contact Person.Plumbing Grant Deed Plans picked up S.M.I. . H.O.A. Approval Plans resubmitted 'Grading IN HOUSEc- 3 d-Review,_ready for corrections/issye Developer Impact Fee Planning Approval Called Contact Person A.I.P:P. Pub. Wks. Appr 'Date of permit issue School Fees tea, Total Permit Fees j 16Q 7111 ................ . . Z._ it a..i.. +7$[495 C LLE.TA'MPIC'O Y LA QUINTA, dALIFORNIA-.92253 \ d�;ELEPHONE (760 777-7012.,FAX,(760)t777=7011 iOWNER/BUILDER INFORMATION Dear Property Owner: .. An application for a building permit has been,submitted'in your name listing yourself as the builder of the property improvements specified. For your protecnon`iyou should be awarehat as ' TOwner/Builderyou are tex " hesponsible party of record on such a ,. ;. permit. Building permits are not required•,to be'signed by property'ownersunless they are personally performing their own work. If your"work is being performedby someone otherthan youcself,'you may protect yourself from possible liability. if that person applies -,for the 'proper permit in his `or her name.= Contractors' are required by law to: be licensed andibonded by the State'of California' and to: have a business license from the City '•or County. They are.also' required by 'law 'to put their license "number'on alt permits for which they apply. F If you plan to 'do your own work, with the exception of various trades that•you plan to subcontract, you should be aware of -the following information for your;beneFt an"d protection: If you employ or otherwise engage.,any,persons, other than your immediate family, and tfie wok (including materials and other costs) is $200.00 or more; for'the'entire project and, such ,pe'rsons are not licensed as contractors or subcontractors, then you may be an employer. k If you are an employer, you must register with -the State -and Federal Govern Imentas an.employer and you are subject to several obligations `include State .. and Federal income tax •withholding', federal social e�security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you. if you do not carryout theseobligations,warid these risks a" a especially serious with respect to worker's compensation Insurance ' For more specific information about yourobligations under Federal Law, contact the Inter'na1 Revenue Service (and, if you wish, the U.S. Small Business Adriiinistiaiion). -For more specific information aboutyouc obligations under State Law,, contact the Department of Benefit. Payments.aind`ihe Division of Industrial Accidents.. If the structure is intended for sale,' property', owners who aff,not licensed contracts are allowed to perform their a> . •.► work personally or through'their own eipployees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons•„profe'ssing to be.�coniractors is to secure an "Owner/Builder” building permit, erroneously implying that h'e property owner is'prov►dirig his+orghecs.own ylabor and material personally. Building permits are not required to be§igned by propertyowners*unless t0i f%kre.performing their own work personally. Information about licensed;`contractors may be obtained' by contacting the Contractors -•State License Board in your community or at 1020 N. Street, Sacramento;' California 9.5814: 4 ''.. , ,• Please complete and return the, enclosed owner builder verification' form so that we can cont# m that you are aware of these matters. The building permit°,will notbe issued until'the Verification;is returned: Very truly yours, i 9 • t CITY OF LA QUINTA DEPT. OF BUILDING.AND SAFETY 78-495 Calle Tampico r. La Quinta, CA 92253 r " (760) 777-7012 FAX: 760) 777-7011 , (a OWNER'S SIGNATURE/DATE PROPERTY ADDRESS off- 137:. -?F. 3 PERMIT NUMBER(S)., �• ...e^,,4'a,��:rari,�u�s'sna„av,,:.syaM�,t.•:t Ff _��..d:�..+•��r.�i„i•.� .� _...,. ,