06-2024 (BLCK)��-Illllllr
tip'
'41
IT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002024
Property Address: 52585 AVENIDA JUAREZ
APN: 773 -244 -017 -ST -000000-
Application description: WALL/FENCE
Property Zoning: COVE RESIDENTIAL
Application valuation: 700
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that 1 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 Class: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor'the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
hr she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
a licant is permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
r, 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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.):
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. , B.&P.C. for this reason
{Owner _
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:'
ORRANTIA VIANKA
52-585 AVENIDA JUAREZ
LA QUINTA, CA 92253
---------------------------------
Contractor:
Owner
Date: 5/15/06
---------------7-------------------------------
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.
/
Ike 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
��ftsurance carrier and policy numberjace---�,
//j-i'1'certify that, in the pert rmance the work for 'ch this permit is issued, I shall not employ any
(� -� person in any man r so as become sub' to he workers' compensation laws of California,
and agree that, if 1 howl ecome subje o t e orkers' compens tion provisions of Section
700 of the Labor , I, I sha o co with those prov' i s.
LDatdlApplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CUUE, IN I EHEST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any a ission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application beta as null an void if work is not commenced
within 180 days from date of issuance of such pe it, or cess ion of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state th t the ove informati n' orr t. - I agree to comply with all
city and county ordinances and state laws relating t ui ng constru i , nd her y authorize re es tatives
of this county
ytttoifeenntter upon the above-mentioned pr p yy ffoorriinsp i, rpose
Date: Signature (Applicant -or Ager •�
Application Number . . . . . 06-00002024
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 19.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 700
Expiration Date 11/11/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 2.0000 HND BLDG
501-2,000
4.00
----------------------------------------------------------------------------
Special Notes and Comments
REBUILD 28 LF 6 WALL PER CITY STANDARD.
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 19.00
----------
.00
----------
.00
19.00
Plan Check -Total .00
.00
.00
.00
Grand Total 19.00
.00
.00
19.00
S'a
LQPERMIT
Bin #
City of LaQ uinta
Building & Safety Division
P.O. Box 1504, 78=495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 52-585 Avenida Juarez
Owner's Name:
A. P. Number:
Address: 52-585 Avenida Juarez
Legal Description:
Contractor: owner/builder
Address:
City, ST, Zip: La 'Quinta, CA 92253
Telephone:
Project Description: rebuild existing block wall
City, ST, Zip:
2g S
Telephone:
«
State Lie. # : City Lie. #:
Arch., Engn, Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:Sq.
Construction Type: Occupancy:
Project type (circle one): New Add'n , Alter Repair Demo
Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
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
2°" Review, ready for correctionsrssue
Electrical
Subcontactor.List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval:
Plans resubmitted
Grading
•
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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 include 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 Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the strucluie is intended for sale, property owners who are not licensed cont'r'acts ire' 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 "OwnerBuilder" 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 53
(760) 7-7012
FAX: 760) 777-70
OWNER'S SIGNATURE/DATE
PROPER/TY ADDRESS
PERMIT NUMBER(S)
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CITY OF LA QU1 T --ryry
BUILDING & SAFETY DLPA�IE.' TIV&NT' 4
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INSPECTION REQUE` IN3
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777-7153 ta..; i,5
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Owner VIANKA ORRANTIA 6
Contractor OWNER BUILDER
i
Permit Number 06-2024
POST ON JOB IN CONSPICUOU =Ply
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 52-585 AVENIDA JUAREZ
REBUILD 28 LF 6 WALL PER CITY STANDARD
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING /WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
OKAY TO WRAP
ROUGH M
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM . "
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS),
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING