05-5045 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
Application Number: 05-00005045
J
Property Address: 53920-AVENIDAVELASCO
APN: 774-165-010-11 -.000000.-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 10000
Applicant:
(;e,, �-
°F�Ww
Architect or Engineer:
PIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PAUL GOW
53-920 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
PROTECH CONSTRUCTION
2651 SATURN STREET
BREA, CA 92821
(714)982-5151
LiC. No.: 485114
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/05/05
-----"--------------------------------------------
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 Pro ionals ode, 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 CI a s: B' nsa No.: 11
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/_ .'
ontractor:
issued.
I 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
OAR -BUILDER RATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from ontractor's State License Law for the
Carrier WK COM Policy Number 1556342'
-this
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
- _ I certify that, in the performance of the work for which 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 bject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
>7 3700 of the or Code, I sh i ompl with s rovisi
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
eC
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate:i ppiica
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
,, `F -
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Ont:
WARNING: FAILURE TSE _ OR RS' OMPENSATIO ERAGE 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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not. apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
- whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, anis 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.
Date:. Owner: • • -
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
' CONSTRUCTION LENDING AGENCY -
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the _
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
.-city and county ordinances and state laws relating to building. co uc , and ab y autho . e resentatives
- of thi y enter upon the above-mentioned property for ' s ct n p e .
Lender's Name:
Agent
/t,
Lender's Address: A
a e: ture (Applicant or
LQPERMIT
Cr
Application Number 05 -00605045 -
Permit . . . BUILDING PERMIT
Additional desc-
Permit Fee . . . 117:00
Plan -Check
Fee
76.05
Issue Date
Valuation
10000
Expiration Date. 6/03/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
8.00 .9.0000 THOU BLDG 2,001-25,000
72.00
Permit MECHANICAL
Additional desc .
Permit Fee 24.00
Plan Check
Fee
6:00
Issue Date
Valuation
. . .
. 0
Expiration Date 6/03/06
Qty Unit Charge 'Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH APPL
-----------------------------------------------------------------------------
REP/ALT/ADD
9.00
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 18.00
Plan Check
Fee -
4.50
Issue Date .. . . .
Valuation
.
. 0
Expiration Date 6/03/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB WATER
INST/ALT/REP
3.00
-----------------
Special Notes and Comments
TRUSS REPAIR ,ROOF SHEATHING FIRE
DAMAGE.November 30, 2005 11:15:24 AM
jjohnson
-----------------.
Other Fees . . ENERGY
REVIEW FEE
7.61
STRONG
MOTION (SMI)
- RES
1.00
Fee summary Charged Paid*. Credited
-- - - - - -- -----
Due
-- - - - - - - - - - - - - - ------- - - - ----
Permit Fee Total 159.00
.00
.00
159.00
Plan Check Total 86.55
.0,0
.00
86.55.
Other Fee Total 8.61
.00
.00
8.61
Grand Total 254.16
.00
.00
254.16
QPERMIT
"IE
.4 !Rb.
Do Not OCCUpy
THIS BUILDING IS UNSAFE AND/OR UNFIT FOR
. _ HUMAN- OCCUPANCY = j
It is unlawful for any person to occupy' or reside in this building
per LQMC 11.72.030 (M)
Address: 53-920 Avenida Velasco
The owner must correct all violations which may include boarding and securing to FHA standards.
Failure to correct' cited violations will result in City action to correct violations and placement of a
lien upon property until said costs are paid.
Costs for correction by the City include, but are not limited to:
• Administrative Expenses - .Staff Expenses -
• Actual costs, including:'Afforney Fees, Hearing Officer fees, and Proceeding _set-up fees _
Any cost incurred by the,City for correction of cited'violations, plus an additional 25% of this cost, to
cover administrative costs, will be charged to the owner..
Failure to correct violations_ may also result in criminal prosecution.
' - Code Compliance Division -
78-495 Calle Tampico, La Quinta, CA 92247-1504'-
It
2247-1504-
It is a misdemeanor to occupy this building'or_to remove or deface this notice.,
Date: 9/19/05 Code Compliance Officer: Daniel P. Crawford, J r .
Building Inspector II.
`PFione: (760)777-'/027
Please contact me for any questions and/or assistance needed to obtain Fire Demo and/0rCoDE1.1.72(7-04)
Fire Restoration Permits. Thank you. t