09-0532 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000532
Property Address: 53825 AVENIDA VELASCO
APN: 774-164-016-4 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 2000
Applicant: , Architect or Engineer:
•�v -4 4a "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PAT A & LORA D DOLCE
53825 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:- 5/29/09
I -----------------
------------ T.�!
-----------------------------------------------------------------.----------------------------
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: Contractor: _ 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law.for the Carrier Policy Number
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, .
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State, and agree that, if I should become subject to the workers' compensatio pr visions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I all f hwi com y with s proviaio
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by Q �j
any a licant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e: �(�A cant:
( 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF,THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 1, 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: 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:
LQPE1011T
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 performedunder 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 permit.
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 county ordinances and state laws relating to building construction, and hereby au orize repres to ' es
of this county I enter pon,the above-mentioned property for insp tion p ose
ate: Applicant �D ature (Applicant or Agent):
LQPERAIIT
Application Number . . . . . 09-00000532
Permit . . . RE -ROOF INV FEE
Additional desc .
Permit.Fee . . ... 60.00 Plan Check Fee ...
.00
•Issue Date - Valuation . . .
. 0
Expiration Date 11/25/09
Qty Unit.Charge Per
Extension
BASE FEE
60.00
------------------- --------------------------------------------------------
Special Notes and Comments
RE -ROOF PERMIT PER 112007 CODES" (COMP
SHINGLES)INVESTIGATION FEE ASSESSED PER
' 1997 UNIFORM ADMINISTRATIVE CODE §304.5
FOR WORK BEGUN WITHOUT BUILDING PERMIT.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 60.00 .00 .00
60.0.0
' Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 61.00 .00 .00
61.00
LQPERAIIT
OfD
- - - • 1'Y . c.. YGCM.'7 � nw ua�c•
#,
Submittal
Plan Sett•.
Ret+d TRACKINGFERIAT- FM
Plan Checksobmitted Item AmogQt
Structural Caica.
ReHewed, ready for corrections Plan Check Deposit
Truax Cates.
Caped Contact pawn pian Check 04laace.
Title 24 Cala.
plans pleked np - construction
Rood plain plan
Plans resubmitted Mecbantal
Gradine plan
2`! Review, ready for correcdoasquae Elechieal
Subcoutactor hist
Gr•Iat Dced
H.O.A. Approval
Called Contact person Pidwbiag
Pians picked up SM -L
Plans resubmitted Grading
114 HOUSE:-
R4view,ready for eorrecdons/isiae Developer impactFee
Planalag.Approva;
CalltdContaet Person •A.LP.1P.
Pub. Wke. Appc
Date of permit issue
Schodl Fe"
Total Permit Fees
05/29/2009 FRI 11:01 PAX La Quinta Bldg & Safety
P.O. Box 1504
'LA QWNTA, CAEIFORN1A•92-247-1504
7&-495CALLS TAMPICQ
LA QUINTA, CAL[F6RN[A 9'2253
$UdLDING •& SAfLry DEVA UMI -ENT
(76 0) 777-70:12
FAX (760) 777-7011
PROPERTY OWNER'S - ACKAGE
IIisctosl res .tai Fairless for Qwi er- x IIt ers AWIying fbr.Cgtk"�WA. WWF
Rd's �.�,..��-� �c� ��;�'����'a�v�, • . • .: • . .. .. ' • .
•Dew Fmperty QVner
:A -x. apVHeatioa for a building been.submitted in your name' 1h itkg •yovase4f as the builder Vf the ,Propem
-:;mpr�tvements sacifed at,5 K o{ A Jeryi da' jWCL5Cf)• -
:Wt ora pravidmg yoti vs an Qwner Brtilder t�elamwlbdgrnent and Infoimation'�feiifinationForm to-miake you a o€your
r Q=A) hies ant pons W rials you may incus by hiving Ws,.ermit•isset iiiyouf rta as the
OwDW-Builder. WO 101U. not isme'a buiiding.p4adt• undl your Issue read, Y° tta�ecctaac of eiEh ptrevislon,
signed, and returned 'this form to us at our oMeial addrss indicated. An agent of tho •Awnrx'cann" 6xeddz •Ehisc;netice
unless You, the PrdPerty owner, obtim the prior approval of the permitting authority.
mom DN"
jprd lidtia# Bch srca€etita►rtf�etcv i sfg�rayy you ceitf�i'stadrd'oi� derma dfs' ifotriaexit
j . I understand a frequent practice of unlicensed persons is to have the property owner 'obtain sn "Owner Builder°''•
building permit that erroneously implies that the property owner is providing his or her own labor'== Material pe I+ as
an Owner -Builder, may be held liable and subject to serious financial tisk for any injuries sustained by an usdlcensed PMon
and his or her employees, while working On my property. 'My homeowner's insurance may not provide covotAge for those
Wudes. I am willfully acting as:arj Owner -Builder and tin aware of the limits of my insurAnce•coverage for i "its to vrorkers •
oin• y
property -
or 2. I understand building.Pbtmits are not required'to be signed ed b property owners unless they ace responsible for the
Y P iY
nstruction aad.are. mot hiring a licensed Conttaotpr to� asmmp this respouaibility. .
i � . •. " ' ' • '• '••. •. � • tllatl.nl& Oteet
3. I uaderstaiid as atF "Owa6r-t der" I'a the respbnsilste.party of record ori the e c I understand . Yin
m from pottatlat f oancW risit by hiring ' l'icensedcContiacboe and havlag the peas - f led ii: tics. or1erme iss%ad of MY
OVAL
®�4 I understand Contractors are required by law to be licensbd and bonded in California and t9 � their.IiMPse numbers on
Pis and contracts.
S. I understand if I employor otherwise engage, any persons; other than California licensed Contractors, and the total: value
of my construction is at least five.huadred dolhus'($500), including labor and materials, I may be considered au "empl°Yep'
f under state and federal law.
-4�j . I understand if.F am considered as " o with'Slre.Vtate*and federal
ovennment, wi ye ugder state and £8deral to W I piust register
g tlihpld payrofl.ttaxes, provide woilrers' coanpeilst#tion disability insinance, and' conMV* to UJOU ploymeut
compensation for ea cut "employee-.^- [also uaderstmud my failure to abide by these laws may subject MO W serious: firtawcial
i . � 7. I understand under California Contractors' State License Law; an Owner-BuWa who, builds single-family residerrtia
i structturs cannot .legally build diem with the .intent to offer them for sale, unless all ' .woriC is p� by licenses
subcontractors and • the number of structures does -not exceed four • withinany palendar year, or all of the work is Performa
under contract with a licensed- general building Contractor.
05/29/2009.FRI 11:02 PAX La Quinta Bldg 6 Safety
wjuu�/Uuo
_8. I uadersimd as an Owner-4611er if f sell the property for wWCh this permit is:issued, I may be held lbble for any
financial or petsomt. 4mijea. by aa7 subsequent awner(s) that' result from aay latent eomzttirctioa :defects in the
workmanship or mateiigH. '
_4. I uaderstaad I may obtain more information regarding ray obligations -as an "employee fmm tile.
• :. ,Serv04,•11e United States. $rtiall Business Admini4lration, the Cat ifoinia Depataemt of-Deaefit-Pa}artgats, and ids Ea1(f9rak
Division of industrial Aocidtr ts. I also undetstamd I may contact the'CaMrmiat ontraetats' ate �,ide69e Board (( 87 at I -
8W -321 CSLB (2752) or www.cslb.ca.gov.forcmot, information about Uo6sed contractors,
—10. I am aware of and consent to an.Owner-Builder building permit applied for in my. name, and umdcW=d that I am the
pSlegally y:Ike, followinaddress:y ogsciv,
rlv`e-►tl A \I.clr l _....._
I L agree, t$zt, as. theAM NPHY &ad HAM14y responsible for this ptvpk sed.ca)*ttucdM activity"I WU' abide by all.
applicii6rte rwsaud ret iiirelitthts that govern son er-l4m 1ders as •wetl as employer's..
agree to notify the issuer of this form immediately of•amy.• adt3 dads; &4w.q s, oc 4446i try 4C&C inf i I
have provided on this foam Licensed oontrastors are regulated by laws designed to protect the P&Ilc: If YIMI eotftaet with
"utWW who. does not have a WqnsA: am Cemractors' State biceps, Rvacd wiy be unable to ass:M jTu-wi(h any finwial. loss . .
you may sustgia as.a result of a complaint Your only remedy against unlicensed Cgatractors h+^�+� court; Et afCo
ifa Y •flat if x ttt ion d.Aotztra0 cts emleyee of tltat'i& WAa�or is ` 8
on your property., you May behtd 4*k.fQr d=aM If yo4 obtaiia n permit as 4vWw Builds€
for Vad .Ca n@Z'tlid�d•� drG proper aa� ti� Sot" t:f their wQi�Cef3'
.' t'Art�3OrY1 E7pX,B�0. - '. .. ..,• •
l6efore s buBdtttg Ire: mIt cootie Issuer}, tl3is form must be. completed and signed -by the preporty owner and retwmed to
the ageney resporrslble foror
other vertj%a(ioa a«xprahls to •tlriK i?,':r sd 'tu be. er-as�ew whsn• (%9 Fes. is is�rce� to � 'tiro. pt9per�jt. .
owner's sign4wm. p
scoaturu of Property otvaer
lYote: T'he folt?owing Authonzaimn poem is required to be completed by the proFecty.o%aer only when desig fag
an agent ofthe property owner to:appLy fora cons&ucdon' permit fiar the O wnerwBuilder.
Ehclusiiag.tlte Nczgce to Prop 7i Owner; ;the aecoon.of which l u"urstand is my PA9341 Spm lttlktg+;I hcrmtiy authorize
die folb :r *s} to act as my agesQ t } Y I. s ai > xis the dacWM,4M tiece�satY fti .9 (�n�0ym�ns j
V
• .. I �1+��1�
Scope of Construetioa Project (or DesCdotiom of Work):
Proj.ca-1-aeation or Address: 3 0 a &U11, 11, \10 Ot S N)
Name of �kuthorizcd Agent: u6ri ".JT 1 j��.�O.f� `` Tel No '3.2 /0– � 7
Address of Authorized Agent IOW /l;GYI �� L �I� C (J D T
:i declare. under Penalty of perjury that I am the property owner for the address listgd above adcl 1[ pessonnll filled out the above
ia>orr>Satficin mad"ox btker• nierT n
• 'Ks • � espy of a er s di! "ver s�Hcerfs�, form irofcrr?zatiorfi,• fry► .
auce$ta�le•to the agency is prey' a per It is issued io •ve* the 6-wner s sign itaae..
Prope wowner•'s Signature: Date: �/
flus gal IL
4410 West Jefferson Blvd. - Los Angeles, CA 90016
(323) 735-1099 - Fax (323) 735-1120
` CALIFORNIA CONTRACTORS LICENSE 713435
May 29, 2009
i City of La Quinta,
Attn: Michelle Lopez
Building and Safety Dept.
78-495 Calle Tampico
La Quinta, Ca. 92253
I, Pat A Dolce, the owner of 53825 Avenida Velaso in the city of La Quinta authorizes.
Robert Strickler to pick up my permit.
Attached is a copy of my drivers license.
Ve truly yours,
'Pat A Dolce
Ave- Virt,49co
LA -w OFFICE OF MARTIN LAX
A pR0VV8,,;jC)NAL co-RpopWN
AT*
42-580 CAROLINE COURT ST_jnV A
PALM DESERT, CALT.FORNTA 92211'
LAX LAW UF- -IUE
I
a
ADMIT 131)
CALIFORNIA BAR
DISTRIC-7 OF COLUMBIA BAR
NBV JERSEY BAR
ORBOON BAP
PAGE 01/05
-?ng,opo i Lc.H
TBLFP1-10N15. (760) 346-8583
(760) 773-9597
OUR FILE Num.RER:
0254 LNUN
February 23, 2006
VIA E
Michael R. Kaiser, Esq. Laura Hess Esq.
Kring & Chung
"Middlebrook, :Kaiser & PoPka 3 8 Corporate Park
801 :East Tahquitz. Canyon Way
Suite 101 P.O. Box 19792
Palm Springs, California 92262 Irvine, California 52623
[Telephone: 760) =-080*6] [Telephone: '(949) 261-77001
.[Facsimile: RO) 322-8979] [F�tcsimile: (?49) 261-8800]
Re: ad��. l_ 6t, al.
Riverside County Superior .Court, Indio Branch, Case No. INC 053681
Dear Mr. Kaiser and. Ms. Hess:. -
As ybu know, this; office has been retained by Pete and Henrietta Nungaray
with regard. to the above referenced matter. This facsimile vAll confirm the tolepbone conference
shared with 'Mr. 'Kaiser on February 15, 2006 wherein we agreed that he would not take the
default of my clients in the above referenced matter and that the deadline to respond to the
'Cross -Complaint is extended to April 5, 20.06'. The purpose of the extension is'to give our
;respective clients the opportunity to resolve the matter.
With regard to resolving the matter, my client provided me the attached items'
which was obtained from the County of Riverside today. The items reflect that thepermit of
the garage COUV617S1011 Was approved on October. 22, 1982. In light of these records, please
dismiss my clients from the matter.
Thank you for' your. co-operation. 'Should this letter not accurately reflect our
understanding, please call Me -imrftediat6ly. Should you. have any' comments or-:questioris
please do not hesitate to call.
ry Urs,
-Martin Lax
cc: Pete and Henrietta ("Kathy") Ningaray