06-2478 (BLCK)w i
• ,CfC��j
P.O. BOX:1504` . ^' VOICE (760) 777-7012
78-495 C44
ALLE TAMPICO - -FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153:..
BUILDING PERMIT ,
- _ x Date: 7/20/06
Application. Number: 06-0000?r4T8 - Owner: -
`` ' 'Property'Addiress: 51985 AVENIDA VALLEJO • JULIAN DAMIAN `
APN: 773-171-024-12. -000000 • 51695 AVENIDA VALLEJO
1p Application descriptions. WALL/FENCE LA QUINTA, CA 92253 .
t-- 'Property Zoning: ' COVE RESIDENTIAL '� »----------------.-----------------
. S Application valuation: 11800
Contractor.
Applicant: Architect or Engineer: Owner;` _ D
JUL "26 '?UU6
t, Y cFYOF e�uuNTA
E DEP i ` • .
-------------------------------------------------------------------=--------'----------------------
- . 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 ofperjury one of the following declarations: t �,
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 • ,
t issued. - -
Date: Contractor: _ _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor, -
` ,,;i• 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:
I 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. -,' - _ I certify that, in the performance of the work for which this permit is issued, Lshall 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' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the r Code, I shall forth- i[tn omply with those provisions.
that he or- he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any a ,cant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: pplicant:. .^..� - -
(. 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 SECU 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 IDOLLARS ($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 _ 1 1, 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.
y 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,
G (_) I am exempt under Sec. B.&P.C. for this reason - 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.
t. OwnIthatheC,
..�� '' 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 1.80 days will subject
ONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjuris 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned operty for i pectiourpo s.
Lender's Name: -
^ate -0'1 (/� .Signature"IApplieant<ogent). �•/
Lender's Address: '
LQPERMIT
'Application Number 06-00002478
.
_
Permit. WALL/FENCE PERMIT
Additional desc
Permit .Fee 41.00
Plan Check
Fee:
.00
Issue Date
Valuation
1800
Expiration Date 1/16/07
Qty Unit Charge Per.
Extension
BASE
FEE
15.00
13.00 2.0000 HND BLDG
-50.1-2,000
26.00
------------------------
Special Notes and Comments
ADD 72 LF GARDEN'WALL ON TOP OF
EXISTING 21. RETAINING WALL PER'
STRUCTURAL CALCS
Fee summary Charged
Paid Credited
Due
Permit Fee Total 41.00
.06
.00
41.00
Plan Check Total .00
.00
.00
.00
Grand Total 41.00,
.00
.00
41.00
S
I
LQkRMIT
-
:gin `A"5
Permit.#
2 � �J
(o Z 2 4� —� •� .t,o-,� d.t;.c�c. G . 2g
City of a .Quints
4. Building sz Safety,Division
P.O: Box 1504,'78=495 Calle Tampico
LiQuinta, CA 92253- (760) 777-7012
A66 Building- Application and Tracking
g pp ac .Ing Sheet ,.
Project Address:
Owner's Name: ( J
A. P. Number:
Address: 6T5 jP
Legal Description:
City, ST, Zip: �. D
c- gaa3
Contractor: ` e
uL
Tele hone: O - �- a3
p 7 s 9
Address: - '.•
Project.Description:
City, ST, Zip:
a
.>t,l . 'T6 p
Telephone:
/
State Lie. #
City Lie. #:
;I a
'Arch., Engr., Designer:
-
Address:
City, ST, Zip:
4 '
Telephone:
State Lie. #:
Name of Contact-Person-
Construction Type: Occupancy:
'
Project type (circle.one):, New Add'n , Alter Repair . Demo7T-
Sq. Ft.:,' - #Stories: #Units:
Telephone # of Contact Person': (y �• Z3 �j' : '
Estimated Value of Project:
-APPLICANT: DO NOT WRITE BELOW,THIS LINE.
11
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES '
Plan Sets
Plan Check submitted
Item
Amount •
Structural Calcs.
Reviewed, ready r corrections
Plan Check Deposit
Truss Calcs.
Called Contact Pe ..
Z
Plan Check Balance
-
Energy Calcs.
I.
Plans picked up
V `Z
Construction .
Flood plain plan.
Plans resubmitted
/✓
Mechanical
Grading, plan
god Review; ready fo correchons/i ue
Electrical
Subcontactor.List
Called Contact Person
�2
Plumbing
Grant Deed
r
Plans picked up•-
H.O.A. Approval:
Plans resubmitted7`5-
Grading"
IN HOUSE:-
' " Review, ready for correctio s/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
7/5
w�.28/0(v.: �7TZ. �LFG
P C04JO P.6,P,6Y 'Fo P CU226'C J'(o✓..��/ :.
Thank you!
This Materia•I Sent for: „
❑ Your Files ❑ Per Your Request .
+ Your Review ® Approval
❑ Checking ❑ At the request of:
Other ❑ "'`
By: Nalin Kumar Pachunuri
Palm Desert Office : ® # (760) 360-5770 Ext. 108 '
Washington' Office : ❑ # (760).404-9556 .
r
Letter of Transmittal
To:
City of La Quinta Today's Date: 07-19-06
78-495 Calle.Tarripico City Due Date :
La Quinta, Ca 92253 i Project Address: 51-695 Ave Vallejo
Attn:
Ed Randall Plan Check #: 06-2478(3`) ,
El 1 St ❑ 4th
" Submittal:`
`
n. - ❑ 2nd .. ❑ 5th
® 3rd ❑ Other:
We are forwarding: ® -By Messenger .❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies: Copies:
❑
Structural Plans 1
Revised. Structural. Plans
❑
Structural Calcs 1
Revised Structural Calcs.
❑.
Truss Calcs ❑
Revised Truss Calcs .` .
❑
Soils Report ❑
Revised Soils Report
❑
Correction List ' ' ❑
Approved Structural Plans
1 Redlined Structural Plans ❑
-Approved Structural Calcs
Redlined Structural Calcs ❑
Approved Truss Calcs
❑
Redlined Truss Calcs ❑
Approved Soils Report "
❑
Redlined Soils Reports ❑
Other:
Comments: Structural contents are approvable at this time.
( Note to ED: Please make sure that E.O.R. needs to submit a revised copy of structural detail with
Special Inspection for Epoxy note.)
Thank you!
This Materia•I Sent for: „
❑ Your Files ❑ Per Your Request .
+ Your Review ® Approval
❑ Checking ❑ At the request of:
Other ❑ "'`
By: Nalin Kumar Pachunuri
Palm Desert Office : ® # (760) 360-5770 Ext. 108 '
Washington' Office : ❑ # (760).404-9556 .
r
:ALLE TAMPICO — LA QUINTA; CALIFOF
ONE,(760) 777-7012 . FAX (760) 777-701
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 io 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 (arid, if
you wish, the U.S: Small'Business:Administration). Fo'r more specific information about your,obligations under State
Law, contact'the Department of Benefit Payments and the Division of lndustrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are 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 "Owner/Builder", 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 y
-,DEPT. OF BUILDING AID SAFETY
78-495 Calle Tampico .
La Quinta, CA'.92253
(760) 777-7012 r
AX: (760) 777-7011
WNER'S SIGNATURE/DATE
PROPERTY ADDRESS
PERMIT NUMBER(S)