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14-0406 (RPL)u P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number_7'n14_-000004.0,6 Property Address: 53440—AVENIDA JUAREZ APN: 774-071-010-15 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL- ESIDENTIAL-Application Applicationvaluation: 9000 Tityl �� VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/10/14 Owner: ,1 ALEXANDER WILLIE J 53440 AVENIDA JUAREZ LA QUINTA, CA 92253 --------------------------------- Applicant: , Architect or Engineer: LICENSED CONTRACTOR'S 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 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 applicant for 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 that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a 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 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: ThJh'i' nt,actors' State License Law does not apply to an owner of property who builds or improves thereon,ho contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State Li ns1. (_) I am exempt under Sec. , P.&Cs reason Date: 71"'l L/ '( Owner: -/ /V( 7 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 4� Contractor: + �j Owner r' CITY OF! -A 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 and policy number are: Carrier Policy Number _ 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 those provisions. 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 CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT r.:IMPT- 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'--6ch 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 act or omission related to the work being performed under or following issuance of this /o' 't. 2. Any permit issued as a result of this applicatioomes null and void if work is not commenced within 180 days from date of issuance of sucmit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thatthe information is correct. I agree to comply with all ,,City -and county ordinances and state laws relating to uil istruction, and hereby authorize representatives _of_this county to entgr upon the above-mentioned pr pe yon purposes. i, LQPERMIT Application Number 14-00000406 Permit . . POOL 2013 Additional desc . Permit Fee . . . . 178.75 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 10/07/14 Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA --------------------------------------------------------------------=------- 178.75 .Permit . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . 47.19 Plan Check Fee .00 Issue Date . . Valuation . . . . 9000 Expiration Date 10/07/14 Qty Unit Charge Per Extension 1.00 .47.1900 LS MISC WALL, FIRST 100 LF ---------------------------------------------------- 47.19 ------------------------ Special Notes and Comments POOL AT FRONT YARD W/WROUGHT IRON ENCLOSURE [JOHN HACKER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE OR BLOCK WALLS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. April 9, 2014 3:50:31 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, POOL 97.24. PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 225.94 .00 .00 225.94 Plan Check Total .00 .00 .00 .00 Other Fee Total 158.30 .00 .00 158.30 Grand Total 384.24 .00 .00 384.24 CITY OF LA QUINTA SUB-CONTRACTOR LIST JOB ADDRESS 53yt�b Q_ '`tyF )U14�f(S _ PERMIT NUMBER OWNER f _ . _ _ -BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work in a stoppage of work and/or the voidance. on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result ' . For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. . rn permit. of build P P;:.>:.:;.;:.;:.; .;:<.:<;.::<::>:.::::....;::>::>:<::::>:: ......... .. lass f t nn �r��u..yy •:!.i:Y::i4i: ................................................ Contractor ....................................... ��'o;.Y- ----�:-.�::..:.....:. .............. :..........:..: ...... . .... ....... .. .......... S ate Con tractors L icense :::::::::::::::...::::::::.�:::::::::::::.;::.;::.;:<.;:.;:..:::::::. t ................... ........ ....-_ _............:,..::..::::::::.:.::....;_:.:::::.;.;:-;::.;>;.:«•;::•::::::::.:::::. ,;.;;;;;:.;:.: nee.;:.;>;;:.:;.;;.;;::.....:............... .. Workers ..:........ Com s P >. ...: _ . . . stness.. :cense::::>::::::>'s. anYName Classification , License Number .Date Carrier e.9. State Fund CaIComP) PolicYNub (Format . Date xxx) (),xi Licenseumermeers) xxxxCor xp. xD/a Exp. xeEx xt ) (e.g. A BC8 xxxxxx) xxxx/xx <'>2 EAE TF :1N;Q;F3K ........ . C;ONCRET;E<(C:<:8;1< W :..,1. TZ dv��Je PLUMBING (C 36) G V- 4D RX: W i4 L Lai c€€c..:..:::1.::::::.:.:::: i ELCTRICAL.;t.C.101;, .........,, SHEETM ET ;;:;::;�;:.;:.;:.;:.;: j GLL\ZI111:G1G=>17:?>>> t S. C'.=2 `>> SEINAG....DISP�'C2�; `PAINTJNG { ) 4 CERAMI.0 TILE I:C'=5.4:'> >> ......::::1..:....: CABINET::S::::::.::):.:::.::.::.::::.::::. LANDS;;CAPI.NG Bin # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking eet Permit # Project Address: CfCIQ V' 1 Owner's Name: , A. P. Number: Address: 31?7'6 Adel jm —jV/r1eL,—L Legal Description: City, ST, Zip: LA 6Z j (TA Contractor• . 1L e leh T one: o Address: Project Description: City, ST, Zip: RIOL, IV o -��A— Tele hone: P >>s<; State Lie. # : City Lie. #: � Arch., Engr., Designer: Address: 7-�7,q l O MdnS City., ST, Zip: P-10-,T)Tk:;tK T MY OF LA QUINT. Constructi n e: Occupancy:ancY TY P • Telephone: r3V State to Lic #: Alter Repair air De moPro1ect hPa (circle n N w� dd n Name of Contact Person:Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '^' Review, ready for correction i Developer Impact Fee Planning Approval Called Contact PersonA.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees X161 — l TA �ssu w � s =wsr 1W 1) 1. D . ENT AVENIDA JUAREZ r e 50' *4064AIXIST HOME DATE COMPLETED: CONSTRUCTION RECORD JENGINEER1 R E V I S 10 N S I APP'Dj DATE BASIS OF BEARING: BENCHMARK: NA NA 14 •o bo.." 53 644a W)* j U04ft -1 W l4"I 1 ® EXIST CONC. EXIST HOME POOL PLANS CT No. OWNER BUILDER 1,,-1 B NORTH dw 01, 6' 10' SCALE J"=1' 12' SETBACK LINE 1144 *VW EXIST. DRIVEWAY APPROACH CITY O A QUINTA "P TO REMAIN TO RNV. 12' co FOR CONSTRUCTION R DATE 5 5' HIGH SELF CLOSING lZ AND LOCKING GATE' PER CITY OF LA QUINTA REQUIRMENTS PROP.5'HIGHWROGHT IRON I –PL U -M —BI N ______ 6 'si. '. •. — — — :4 —cower — x22'6" r7 _KIMMER N Q g 2 SUCTION EXIST DRIVEWAY 3'6" LINES TO BE REPLACEDLL Z io 4 Y W/PERMEABLE GRAS °' 4' 3 DRIVEWAY PROP. POOL =° �o ! Z -- m < POOL EQUIP `O W/ SCREENING / *4064AIXIST HOME DATE COMPLETED: CONSTRUCTION RECORD JENGINEER1 R E V I S 10 N S I APP'Dj DATE BASIS OF BEARING: BENCHMARK: NA NA 14 •o bo.." 53 644a W)* j U04ft -1 W l4"I 1 ® EXIST CONC. EXIST HOME POOL PLANS CT No. OWNER BUILDER 1,,-1 B NORTH dw 01, 6' 10' SCALE J"=1' 12' SETBACK LINE U / IN THE CITY OF LA QUINTA, CALIFORNIA 53440 AVENIDA J UAREZ POOL CONSTRUCTION qjdj 11411 1144 *VW CITY O A QUINTA "P Y BUILDING & SAFETY DEPT. . coAPPROVED co FOR CONSTRUCTION DATE 5 lZ olc U / IN THE CITY OF LA QUINTA, CALIFORNIA 53440 AVENIDA J UAREZ POOL CONSTRUCTION qjdj 11411 r 1 • P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1.504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (7 60) 777-7012 FAX (760) 777-7011 Considering Becoming an Owner -Builder.? Important i0ormation you need to know BEFORE pulling your permit! The term "Owner -Builder" can mean three different things: "Owner as Worker", "Owner, as Contractor" or ".Owner as Employer" Understand each has Benefits or Risk, and it is possible to combine them! Hiring a California Licensed Contractor means you do not personally perform any of. the construction work, the permit is not taken out our name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a "Cu tomer" and you law provides you the benefit of protection from poor workmanship, failure to finish the job and financial risk ue"to worker injury. Benefit/Risk: Hiehest Benefits and the Least amount of Risk Owner -as -Worker is a type of Owner -Builder where you personally perform the construction work, the permit is taken out in your name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You benefit by not paying others to perform This work for'you and your risk depends on your own ability to complete the job successfully. Benefit/Risk: Possible ,Benefit with Low Financial Risk Owner=as-Contraclor is a type of Owner -Builder where. you personally aeras your own General Contractor, the permit is taken out in your name and you hire California' licensed sub -contractors -to perform portions of the construction work., WARN NC:: The benefit of protection provided by law when you .hire only California licensed sub -contractors can turn to serious financial risk if you hue unlicensed contractors to perform any of the work. Benefit/Risk: Possible Benefit and.Significant Financial Risk Owner -as -Employer is a type of Owner -Builder where you pay any unlicensed individual to perform any construction work valued at more than $500.00, the permit is taken out,in your name and you are personally responsible for their employment requirements, supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn to serious financial disk if you fail to deduct payroll [ares or provide workers compensation insurance for each' worker. Benefit/Risk: Possible Benefit with Significant Financial Risk (Health and Safety Code Section 99827) The California Legislature declares an "urgent and statewide public interest in assuring" that contractors comply with Contractors' License Law, Business and Professions Code and Workers' Compensation Insurance requirements to ensure property owners are informed about, and protected from the following when improving their property as Owner -Builders: Fraudulent representations Liability for worker's injuries • Liability for material and labor costs unpaid by j contractors • Licensing requirements • Employers tax liabilities 1 Over 20,000 consumer complaints are filed each year. Many complaints relate to owneribuilder projects and include workmanship and workers' compensation issues Homeowners suffer financial harm due to defective workmanship and injured employees. Following are alarming examples of what has occurred with Owner -Builder permits: Example 1: Homeowner received insurance money to rebuild burned -down home. ■ Owner/Builder permit pulled to rebuild structure. ■ Unlicensed contractor built substandard structure — must be torn down and replaced. ■ Estimated financial injury is $225,000. . • Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of the year. Example 2: Brother-in-law had active license but filed an exemption from Workers Comp. ■ Owner -Builder hires brother-in-law to install a new roof. ■ Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and remains in a coma to this day. ' ■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic system and suffers injury that results in permanent disability. ■ The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit a claim. ■ The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" buildin( permit which erroneously implies that the property owner is providing his or her own labor and material personally? Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed contractor and his/her employees? Did you know — if you are considered an "employer" under state and federal law, you must register with the state and federal government, withhold payroll taxes, provide workers compensation and disability insurance and contribute to unemployment compensation for each "employee'? Did you know -that if you fail to abide by these laws you may be subjected to serious financial risk? OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOI YOUR CONSTRUCTION PERMIT ' P.O. Box 1504 LA' QUINTA; CALIFORNIA 922471504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY .. O WNER' S PACKAGE Disclosures & Fo'rins for' Owner -Builders Appi g dor Construction Permits MA&QATANVt1NQ-ICE T -ER. OWNER a 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 at . Vi/e are providing you with an Owner -Builder Acknowledgment aid Inforamation' Veiifcatkm,Form to make you aware of your responsibilities and possrible.nsk you may -incur by hgvi ig thispermit issued'in your riaare'as the 3 O.wher-Builder. We'wiil not issue a buiiding:permit until<yw-have read; Wdralcd'your: U -n& str riding `of a ck�provision, signed, and returned this form to us at our official address indicated. An agent of the owncr'cahnot' execute •this notice unless you, the property owner, obtain the prior approval of the permitting authority. :>,: 'AtT7f�'LZAH •.[�� t-irr.��...w �..— �.� �._... -. _ - .. tet. s_ .... ... ..... ... .._ e.... ... . _. .. ' aiui irritirl each.`staleinent G`elaiv Co signify you iinderstancl yr verify this irtfornurteon. ll. I .understand a frequent practice of unlicensed persons is to havethe property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not.provide coverage for those urges. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the c ction and are not hiring a; licFrisedCgritractor to assume this responsibility.,. . I.understand as an "Owner-Buildee' I.,am the.responsible party of.reeord,on the.permit I understand that I may protect Tself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her, name instead of my 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on ,its and contracts. �S. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value o my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" ,ktate and federal law. I understand if I am considered, an "employer" under stateand federal law, I must register with the state and federal ment, withhold payroll taxes, provide .woiicers' compensation disability insurance, and contribute'to unemployment mpensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial 7. I understand under California Contractors' StateLicense Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the -intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, 1{may be he'_d liable, for any .cial or personal. injuries sustained. by any subsequent owner(s) that result from any latent may defects in the manship or materials. ?. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue ce, the United States Small Business Administration, the California Department of Benefit Payments, and the California ion of Industrial Accidents. I also understand 1 may contact the California Contractors' .State License Board (CSLB) at 1- 3I -CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the legally and financially responsible . for proposed construction activity at the following address: 11. I agree that, as the party legally and ftnaacially responsible for this proposed construction activity, I will abide by all Cable laws and requirements that govern Owner-Builderi as well at employers. /J v 12.1 agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the infarmatioh I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does. not have a license,. die Contractors' State License Board,may be unable to 'You with any fivancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also important for you to. understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Bui der and wish to hire Contractors, you will be .responsible forr va*ing whc.der or not those Contractors are properly licensed and the status of their wotkers' compensation instuance coverage. Before a building permit can be issued, this form m be completed and signed by the property owner and returned to the agency responsible for iss dug,ttie.:per copy of *e property owner's Myer'sAtvfisct farm nouns or other verification acceptable 6o the agency is eq d to be ' presented when tke permit is issued to Verify the property owner's signature. �% 2 Signature of property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand. is my personal responsibility, I hereby authorize -the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note. A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: