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0011-271 (DEMO)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () m exempt under Section .k: ; B&P C. for this reason. ate �/ Signature of --Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of .the •following declarations.- ( eclarations:(. ) I have and .will maintain a certificate .of consent to self -insure for workers' compensation, as provided for by Section 3700 of .the Labor Code, for the performance of the work for which this permit is issued. ( ) 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 insurance carrier & policy no. are: Carrier .� Policy No.� (This section need not be.completed if the permit valuation is for $100.00.or less). I certify that in the performance of the work for which this permit is issued, I 'shall not employ any person in any manner so as to become subject to the workersfcompensation laws of California, and agree that if I should become subject to the workers' compensation, provisions of Section 3700 of the Labor Cod , I shall forthwith comply with those provisions.— pp ig rovisionspplic Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and.civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's. fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person.at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construct on, Zand hereby authorize representatives of this City to enter upon the abo ve-mentioned property for inspection purposes VSignature (Owner/Agenf) °--Y` - 'Date BUILDING PERMIT PERMIT Jt DATE VALUATION LOT 0011 -271, TRACT -p gy8-tai-v/ 22 �;{{��yy��,�pt• ��... /♦y+yn+ p ly JOB SITE JAPN ADDRESS , 79-750 ".6,�i',t IZO .Q:i$IVE 646-312-026 OWNER CONTRACTOR / DESIGNER / ENGINEER M14 &s J.:1�/Li' ).3F�, 14 OWNER,:03tSi2`d..,i M, . 784M OAGUARO LA QVIILV rA CA 92253 l) m. ( SLA 2120 ' USE OF PERMIT DEMOLISH L++2p�.e�"O'NIRY WALL AT NOR41 PROPEISRTY UNE ZrhMWATM COUT OF (CO2WL INt7(.;° 1.001 0.00 raw 1)%.79 iubM& DEMOLITIUN FEE 000 Vs.,00 bi't%S•�1.'CYd`AL CO1+d GUMON AND 1-Ie�:�.�4ttAhh����Cy�:°���JE�OXyy�� 5.f�l00 ••pp��y���o LUS `� 1 RECEIPT DATE I r BY DAT Fl NAILED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION I DATE I INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck - Exhaust,Fans 0. K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: I,a>v OffzCgs of - CR!$TE,. PIPPIN & GOLDS . 73-550,ALESSANDRO DRIVE l ROBERT L. PIPPIN-ROBERTLPIPPIN®AOL.COM: ;SUI'TE 200. <TELEPHONE: (760) 862-1111 MICHAEL A. CRISTE PALM DESERT, CA 92260 :@ FACSIMILE: (760) 776-4197 . IRWIN L. GOLDS E-MAIL: CPGCA@aol.com JEFFREY S. FLASHMAN July 5,, 2000 Mr. & Mrs. Jack.Nelson 78=707 Saguaro,Dr. La Quinta, CA 92553 Re: Ms. Susan Jeffries Dear Mr. & Mrs. Nelson: I have. been retained by. Ms. Jeffries to respond to your letter of June, -26, 2000. In the first instance, let me say, neither Ms. Jeffiri_es nor myself understand the natureof.your complaint against her. It appears that a:block wall was built on your:property by the prior owner of Ms. Jeffries' property. The person who :built the wall "inay have trespassed upon your property, and, you may indeed have some type of achoh-against,that person `. M§.`I ffri6s did not build. the .wall on your property, did •not purchase`the. wall. when .she .purchased herproperty, and .neither the wall nor your problem with the wall`is of any concern to her Since the offending wall Is"on your property,.you are certainly atkliberty to remove the wall at your convenience and at�your ex''brise..For her:part; Ms Jeffries.lias.no. objection to your removal of the wall. Should you remove.thewall,, Ms Jeffries; may, as Is her legal right; build a new wall on her property.. If you ' elect to remove •the wall, you .may .want to contact. me .to make appropriate arrangements to come onto W. Jeffries' property to�facilrtate the,reinoval of the wall. Please lett me know if that is your, intent. Thank you for your, atterition:to this matter. If you would:like to discuss this matter further, please feel free to contact' me k your convenience ;Vei ' ay Yo s� obe of Cri In &Golds RLP/lcf cc: Susan Jeffries r1p2\jeffries.101.wpd OWNER /.BUILDER INFORMATION, Dear Property Owner: An applicatiomfor a building permit has. been submitted in your name listing yourself as the ,builder of the property improvements specified. For your protection you should be aware that'as.' `Owner/:Builder you.aie^ihe responsible party of record on such a permit. Building permits are not ;req'uired to,be signed by,:property owners unl'ess'ahey,are `personally performing their own work. If your'work is being performe& by someone other'than yourself, you may protect yourself from possible liability if that person applies for the *proper permiC in,his or her name. Contractors are required by law to -be licensed and bonded by the State of California and:to have a business license from the City or County. They„aie-also.required by, law'to.put their license number on all permits for which they apply. If you plan to do your own work;,with: the exception of variuus trades that you plan to subcontract, you should be aware of the -following information.for,your benefit and;protection: If you employ or otherwise engage any persons -other, than your imniediate`family, and. the`work (including materials and other costs) is $200.00 or-more.fdf the entire project,*,and such persons are not licensed as'contractors or subcontractors, then you may be' an employer. If you are an employer, you must register with the: Siate and Federal Government as:an employer,and you are subject to several obligations including'State and Federal 'income tax :withholding, federal” social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation -insurance. For more specific information about.your obligations under Federal Law;,contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration): For morespecific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for; sale, property owners who.are,not,licensed coniraciors are; allowed to perform their work personally or through their own employees, without a licensed.contractor or 'subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing;to be contractors is'to.secure .an "Owner/ Builder" building permit, erroneously implying that; the property owner,is providing his ,or. her,o wn labor and material personally. Building permits are not required to be signed :by. prop eriy owners` -unless they .are -performing their own work personally. Information about licensed contractors may.be_obtained by.contacting the Contractors' State License Board in your community or at 1020N. Street, Sacramento, California 95814. Please complete and return the,enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issueduntil.the"verification is returned Very truly yours, CITY OF LA QUINTA DEPT. OF,BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760)777-7012 FAX 760) 77 OI1� 6i qy OWAR'S SIGNATURE/DAT-E PROPERTY ADDRESS PERMIT NUMBER(s)