The URL can be used to link to this page

0305-083 (RER)LICENSED CONTRACTOR DECLARATION I.hereby affirm under penalty of perjury that I am licensed under provisions of Chaqter 9 (commencing with Section 7000) of Division 3 of the Business avid 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,j� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). a 4 O I am exempt under Section B&P.0 lfor,this, eason Date '^3 t•' 3 Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) 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: Cartier Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). (yr) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation Provisibris of Section 3700 of the Labor Code, I shall forthwith comply with those..provisions. -,,Date: > c _, Applicant— Warning: pplicant 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 construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspect'i'on purposes. Signature (Owner/Agent) 0«�' ~ * Date ZA 62;> PERMIT # BUILDING PERMIT., DATE VALUATION LOT TRACT ' J A • JOB ADDRESS 4-g 721 NA VNIMIr ',F.E APN OWNER CONTRACTOR / DESIGNER / EN (NEER Say,gX a 1„W)EP E 48-72.1 LA.QrJINTA, a& 922.S; USE OF PERMIT AIJU Tlil A'Nti S�ts141y: VALLI.A'i IUM 1.+s ESIBUD ID CONY OF C0X'SqriZ'C-1113PT 14A,ZCTRICAL, W.FZ " ,; 101.00""W-tf' 60 fz17.G(f , S`. Bora A9;3'1'iati FFE MID 101400-24.1-000 so J ..._ L8193 FRE-iz,flM,TIMM MAY 0 8 2003 ` c E. 1�:.��:.�ci CITY OF LA QUINTA FINANCE nEPT. RECEIPT DATE7 u BYE • DATE FINALED INSPECTOR ell. 1=111111 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR + BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts 'Forms & Footings Ducts / Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing V 1 Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final .. $ Final BLOCKWALL APPROVALS Steel POOLS - SPAS 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: Spare Bedroom Remodel for the SLEZAK RESIDENCE 48-721 San Vicente, La Quinta, CA 92253 Owner/Builder: Rex and Jacqline Slezak (760)771-3992 Basic Description: The remodel will involve the removal of the existing walk in closet to allow for more usable living space. A new closet/storage area will be created, by reclaiming a finished attic space to be accessed by a half turn staircase. To allow for code height requirements for the stairway as well as additional light a 4' x 8' skylight will be installed directly over the landing/closet entrance. Detailed Description: The existing 66"x 78" walk in closet will be eliminated by removing the two non bearing walls which define it to soffit level. The light switch and the one receptacle existing in these walls will be relocated to the nearest adjoining walls. On the opposite wall a 32"x 48"x 94" storage area will be constructed to accommodate a landing for the new half turn staircase. 2x 6's with 16"centers topped by '/4" plywood will be used on in the ceiling for adequate support. The interior will be accessed by a 2'x 80" louvered bi-fold door. The landing will be enciused by a 36" high railing consisting of 1.5" steel railing with 1" steel balusters a maximum of 4" apart. This railing will be anchored not only to the landing floor but also to the 6"x 6" support beam at the closet entrance. The new "Salter" half turn 12 gauge steel staircase uses a footprint 36"x 67" with 11 treads with 8.5" rise. Each tread will have a flake board cover to accommodate carpeting. The 1.5" aluminum handrail with end caps is positioned to allow for 1.5" clearance from all adjoining walls. All balusters are I" rounded steel, 36" high and a maximum of 4" apart. The existing wall separating the closet from the bedroom will be opened up to allow for an adequate entrance as well as some design interest. Two 6"x 6" beams one on either side of the closet opening plus 2 sets of 2, 2x6 trimmers at either wall will support the 6"x 6" headers, one accommodating a 36" span to the right of the entrance, the other a 54" span to the left. These spans will be enclosed with 36" high railings consisting of 1.5" steel railings and 1" steel balusters a maximum of 4" apart anchored the 6"x 6" beams. Above the landing and back into the closet area a 4'x 8' double insulated skylight will be installed in the roof. As well as allowing for extra light and some architectural interest, it will provide for the 6'6" headroom required for the winding stairway landing and closet entrance. The new closet area ceiling light switch will be moved to the wall beside the opening and hooked up to another 3 way switch by the bedroom entrance. n BUILDING ,& SAFETY DEPT APPROVED' , FOR CONSTRUCTION BY i• - _....._...._._.-,. O'er 00- L__. c rn U4 n BUILDING ,& SAFETY DEPT APPROVED' , FOR CONSTRUCTION BY i• - _....._...._._.-,. O'er a \ t Q� Lu t'J W .m C r-- � J vJ up j '►1 CITY !F I o Quit l..�.._. C0N TTRUCTORI TION y LU cr- Q6 wAdo 2 Ar Vx � F �( x Ld Vj ITS , ...� CITY ®F ,L.A QUINTA x BUILDING & SAFETY DEPT. •13, `i APPROVCD r4 FORCONSTRUCTION DAA BY Gll 1% Ski N i& LR CITY OF LA QUI; -A BUILDING & SAFEID-� DE -PT. APPROV9D FORCONSTRUCTION; DATE O cl uj —c lu t� ci 07- (Y) C Q- �A q C-6 0 cp J�� N i& LR CITY OF LA QUI; -A BUILDING & SAFEID-� DE -PT. APPROV9D FORCONSTRUCTION; DATE . -ci A Lu -II tL+ (y) G � C4 r 2 1 � U) V �j _._ r.: .. •.v:s.; tlr .T� y. `f - - 1,0$ CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION 'DATE BY SOCA and U$E Code ackages :.Includ g Pe: pes;gned for Applications regulated by:ahe NacroJlinal Burldan Code or the Uniform Building Code. Also recomrne:nded fog A 30°.,start treads stairs that will be used by small children. {B) 3 to:4 balusters per tread (maximum spacing of 4"):. Please cheek with our local building it r ecto> for the drrnen- (C) A 60° platform Thais will;provide a rninirrluln of 6 6" head- room sional requirements in your area before plagi.ng your order. D 1 m. alutnmum:h drail with end caps. The smallest stair available to still maintain the building code is (. E 1 platform. 5' diameter. Salter Industries manufactures Code Stair Packages f ) p in 5', 5'6" and 6" diameter. Code Stair Packages.:also include (F) Center column, base".plate and top cap. extra balustrades for a maximum spacing of 4' . (G.) 40" tall column extension (not shown): of n"mmon ad lie perfect stai.t :for b.alcony.and d'e ores not requtre: a pia. tforrri: 1 treads adjust from 9.0" to 1021' 2 treadsadjust from 9T/2" to 11 VA applications. Note: the 'half tuen S 6 , p B (A). Center Column, base, pi. a Calof.ca (B) 1" O.D steel baluster's. B1JILDING & SAFE7Y (C) Adjustable steel treads DEPT. L?). 1'f�" OD. vinyl handrails . APPROVED (. [ (E) Pla#o`rm �a' in.g, 7/0" O;p and PF?Ua+WISTRUCTI (F) 38' tall column exte.nsi nn. (G) 18o° wood: balcony br cker4tr�ti own). BY N0 TEhalf=.turn does not:requlre=a platform. 'Note Alf models Include (,4) Hardware for'the.nstallafon (Bj Installation .instructions. -67 6 7 4 5 B � 9 I 10 12� SPECIAL 6'6" ` OWNER/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 protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, 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 and bonded 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 all permits for which they apply. 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 benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the'work (including materials and other costs) is $200.00 or more for 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 State, 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. J' - There may be financial risks Tfor you if you do not carry oui 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 more specific 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 contractors 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 own labor and material personally. Building permits are not required to be signed by property 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 1020 N. 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 issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253, FAX 777--X FAX: (76077_7 7 OWNER'S SIGNAGE/DATEE PROPERTY ADDRESS 0305- d�3 PERMIT NUMBER(s)