The URL can be used to link to this page

0105-319 (RER)LICENSED CONTRACTOR DECLARATION Ckereby 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. Lice nse # 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). ( Vam exempt under Section B&P.C. for�thi'is reason Bate '9' ° i f Signature of Owner A -A,_ � IT'..� r- — WORKER'S COMPENSAT'ON 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: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with �tfiose1provisi,ons.� ate: e- - I b o 1 Applicant -7 •fit '% "` Warning: Failure to secure Workers' Compensation coverage is unlawful and ,:shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees.to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct.' I agree to. comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the abovii r?iehtioned property fp n'$pection purposes. r.sgnature (Owner/Agent) d a '��aµ�r ,� Date BUILDING PERMIT - " PERMTN DATE VALUATION LOT 01(6:31.9 TRACT JOB SITE APN ADDRESS78- m T A MUM OWNER CONTRACTOR / DESIGNER / ENGINEER R.MM4 ROt?R.TOUE7 019k MM / AUTLYNal 737,0 SAKU ADMI E LA. QVINUA C.A,. 92253 03U, USE"OF PERMIT Ss&y�M)=WJ/L (%NM CC+'AP?i1•UXT THIRD BAY OF GARAGE INTO 8t- NUS R00Wd.,s4..UNDRY ROOM 9 BONUS ROOM ap Rev "HM11A CO.W, OF COM�'�.flTDOW 6,246XV PM4rf Mr SUMAARY PLW C1011K PER 101-000-439-318 Maks MECHA +iii IAL We �' 101-0421=0. $'��►.6�Y OTTMO MOTION V99 • 101-01X441- $142 J�U.N - 1 2001 CITY OF LA QUINTA FINAA'CE DEPT LEW PRE -PAD FF" $0.00 TT,.3rfiJ4 PERIM; FEES DM NOM RECEIPT DATE BY / DATE FINALED INSPECTOR t Gr f 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 _ Framing / >✓ Q G Insulation (9 �. ,� / [[[ F.A.U. Compressor Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath (//fig/� �/ • Final BLOCKWALL APPROVALS Final POOLS = SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I 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 Desert Sands Unified School District r 47-950 Dune Palms Road Notice: La Quinta, CA 9225 . 3 Document Cannot Be Duplicated awt.W 760-771-8515 , Date 5/31/01 No. 22069 CERTIFICATE OF COMPLIANCE APN # 604-162-017 Jurisdiction La Quinta Owner Name Ruben Rodriguez Permit # 0105-319 No. 78-785 Street Sanita Drive city La Quinta Zip 92253 Log # Study Area Tract # Lot # Square Footage 180 ii. Type of Development Residential Addition . No. of Units 1 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: Residential -Addition 500 Sq Feet or Less EXEMPT This certifiesthat school facility fees imposed pursuant to , Government Code 53080 in the amount of , 0.00 X 180 or $ 0.00 the property listed above and that building permits and/or Certificates of Occupancy, for this square footage in this proposed project may now be issued Fees Paid By. N/A - Ruben Rodriguez'.: Telephone Name 6h'tli'e`check By Dr. Doris Wilson Superintendent Fee collected /exempted by Annette Barlow Exempt $0=00 :..:.�� • � Check No. , Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district• copy for all waivers. Embossed Original.- Building Dept./Applicant ` Copy - Applicant/Receipt Copy - Accounting ' _ -- i' J OWNER/BUILDER ;INFORMATION . Dear Property Owner: An application for a buildirig 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-/Buil"der you are theresponsible 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 bylaw to be licensed and -bonded?by`•the Staie-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 hof 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. There may be financial tisk&fot you if you .do not Carty out these obligations, and -these risks are especially serious with respect to .worker's; co'mpensation,insurance. For more specific information about your -obligations unde'iTederal Law, contact:the Internal Revenue Service (and, if you wish,'the U.S. Small Busine's`s Adminstiatioin). For more.specific ibformation about°your obligations under State Law, contact the Department of: Benefit IPayments,and the-Division•of Industiia[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�license&contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing'to' be contraciors -is to, secure an"~Owner/Builder" .building permit, erroneously implying 'that the; property' owner "is proyidtng liis, or het' own 'labor•andmaterial 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'Contractois' State License Board in your community of at 10-20N.. Street, Sacramento, California. 95814. Please complete -and return the enclosed owner-builder-veiifieationform so that we can confirm that you are aware of these matters. The building per will not be issued until th'e'verification is returned. Very truly yours, �..�.=..=e.--__GI-T;Y.-OF=L-A•QUINTA - - -- �- - . - '�_ .��-�� .�- • _ _-�.��__ - s� _�� ,z-��_,� �.�:� ->_ � � � � DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La:Quinta, CA 92253 (760)777-7012 F GY17 7-701.1 WNER'S SIG ATURE/ TE' PROPERTY ADDRESS roc . iG all. filo D3.94 QlpNO CGHKO u VLA 1 o r TO 402;gK> 14 CA'I.,�rt�CiS®?��r car IA4 %Tl .r .ko � "l- %1molfl tri r�i �rxi",' 00.8 inn ��fra� IL q44uuoe7 PZ u, v i CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED,. FOR CONSTRUCTION Ap _ DAT BY SERV. X3110101 M,830 017Y.63TAIJ10 0A OV .J +A WIFI.JO 3TIZ 80[ 3H-1 VO alfWJON ?I 0l OT ]lrUJiAI YWZ313441 ZA 0111Tgi'.°, 1 931"I HT1°01, 3H i 3VAH OT '�1 I� 3 T 3?;191 Tp V . 1 BONUS ` ;;�' ��P.:-,:�' " �• � � lam, T-. 4f � �• D�- /J� 4f n� A�` ��vtAl �.� -GAR AGE '4 '797-- u- '7XTr.Oi u A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB FARD ARE NOT ON A SCHEDULED THE SITE OR INSPECTION. .NO EXCEPTIONS! CONSTRUCTION FOURS October 1st - April 30 Monday - Friday: 7:00 a.m. to 5:30 p.m. Saturday: 8:00 a.m. to 5:00 p.m. Sunday: None Government Code Holidays: None May 1st - September 30th Monday - Friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:00 a.m. to 5:00 pan. Sunday: None Government Ce-,'- "AN ADEQUATELY SIZED DEBRIS CONTAINER IS REQUIRED ON THE 10B SITE DURING All PHASES OF CONSTRUCTION AND MUST BE EMPTIED AS NECESSARY FAILURE TO DO SO MAY CAUSE THE CITY TO HAVE THE CONTAINER DUMPED AT THE EXPENSE OF THE OWNER/ CONTRACTOR." Additions of less than 1,000'square feet meet.,the Dual Glazed ` `;'Skylightsand Dual -Glazed requirements of package D for the applicableS j.Greenhouse Windows climate zone with the following exceptions walls meet .only the mandatory, insulation level, of„R 13 Duat glazed skylights:or dual -glazed greenhouse in a -wood frame; ,glass ,area 'is limited to -the windows -are-. as though: they have the U- percentag '.e. allowed by :the`'package plus any ;valuerequired--for prescriptive compliance. glass removed because of 'the* addition. Duahglaied . • skylights ..and dual -glazed Additions of 1,000 square fe.'et or more meet all of • greenhouse.: , windows `should be included in the requirements of package. D. compliance,:calculat16hs as a fenestration product with.' a'U-value equivalent 'to the Package D requirement-for-Ahe appropriate climate zone (or 0:75 for additions.of less than 500 square feet). . 1. This.approach approach does not allow credit for -.,glass "removed.:Compliance with the requirements for additions,of less than-500-square':feet is allowed, in which case credit for glazing removed is allowed. 2. Meet the 'component prescriptive requirement for Package D (see Chapter 3) and all mandatory requirements: 3. "Heavy Mass” and "Light Mass" walls may meet V %a Package D requirements for mass wall insulation instead of R=13 -.(see Chapter 3). 4. For addition and alteration compliance only, • dual glazed greenhouse windows and dual -glazed skylights are assumed -to meet this requirement. 5. The Package D1enestration area plus the'area of any glazing removed because of the addition. 6. All applicable mandatory measures must te,:met (see Chapter'2). 7. No electric resistance space heating may be installed.. Additions and Alterations July 1, 1999 7-7 Table..7-1: Prescriptive Compliance`of Additions - Summary of Section"152(a)1 Requirements of`the..Standards >,500 but COMPONENT < 100 ftz(') - < 500 ft2 <1000 ft2 >1;00.0 ft2 Insulation Ceiling R-19 Package Package.: Package Wall' R-13 R-13 R-13 Package Floor Widatory.5 Package Package Package Fenestration Max. U -Value` 0.75 0.75 Package ` Package % of CFA < 5,0 ft2 Pkg.. + Removed5 .. Pk g; + Removed Package Shading N/A Package 'Package Package Space Heating' Mandatory6 Package Package., Package &Cooling (No electric) (No.electric) (No,0e6th6) (No electric) Water Heating5 Replacement N/A N/A N/A N/A Increase See Table 7-2 See Table 7-2 See Table 7-2 See Table 7-2 1. This.approach approach does not allow credit for -.,glass "removed.:Compliance with the requirements for additions,of less than-500-square':feet is allowed, in which case credit for glazing removed is allowed. 2. Meet the 'component prescriptive requirement for Package D (see Chapter 3) and all mandatory requirements: 3. "Heavy Mass” and "Light Mass" walls may meet V %a Package D requirements for mass wall insulation instead of R=13 -.(see Chapter 3). 4. For addition and alteration compliance only, • dual glazed greenhouse windows and dual -glazed skylights are assumed -to meet this requirement. 5. The Package D1enestration area plus the'area of any glazing removed because of the addition. 6. All applicable mandatory measures must te,:met (see Chapter'2). 7. No electric resistance space heating may be installed.. Additions and Alterations July 1, 1999 7-7