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0103-231 (BLCK)n,� LICENSED CONTRACTOR DECLARATION ,ereby affirm under penalty of perjury that,,l am licensed under provisions of _C apter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect. : License # Lic. Class, Exp. Date l 65586,11 '115 M0 I .Date Signature of Contractor ,"e' ' ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) .. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I am exempt under Section B&P.C. for this reason Date Signature of Owner,, .-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. W. . I have and will maintain workers' compensation insurance, as required by Sedtion 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier & policy no. are: Carrier��y� j * gq An 7�jTS' Policy No. gy m (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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,pprov sions of Section 3700 of the Labor Code, I shall forthwith comply with thds'eovisions-4%'y Date:Applicant lr�T����.- p �v/ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 anr+ state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for,.:inspection purposes. « Signature (Owner/Agent) f`P� p � �°`��'� Date m�74c BUILDING PERMIT PERMT# DATE VALUATION LOT 0103-231 TRACT JOB SITE APN ADDRESS '52_2i''s .X1"AyM DA V'Re1:I.&To ' OWNER CONTRACTOR/DESIGNER/ENGINEER MU OF IC 1 UINTA TOTAL COHMMM1011 78.495 C T.d�t�J_`1C0 '73091 COUNTRY t"�..i7k�:L'sR fill, IIA•2 R• CA 92253 ;lPA.;M DR ' ' RT CA 92:.260 (760)360-8453 MIR 4968 USE OF PERMIT � L:� �, a''d)�o-�1:P1I.h`.ai:.d.'t'`a'' ;a'9,'.t!'i�>si,'�R%7 • 6 FT. W00D PENCE 31M LF 3D,M dC'Dgr OF COANMRITC 170 l' YJ�t 'Y1��i T9U% S 101-000.418.000 Slg.DO BUD -aMALC+.aNSMUMON, PLAW MECK $15.00 T YM PRE -PAID MIS $0.00 11Co`ri1L1 MnUT FrIES DUE NOW $15.40 RECEIPT DATE BY DAT FINALE INSPECTOR y /.'V > r - INSPECTION RECORD OPERATION DATE INSPECTOR a OPERATION DATE INSPECTOR BUILDING APPROVALS i MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall i Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs ? Electric Bond _© Footings Main Drain Bond Beam ,� Approval Approval to Cover T Equipment Location Underground Electric Final ' ems" Underground Plbg. Test Gas Piping PLUMBING` APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: v+ 000/ CITY OF LA QUINTA Specifications for the Rehabilitation of -527 -225 -Avenida Va11ejo- (See attached drawing. Note: the attached drawing is only being provided to give an example about the 2.5' garden wall and landscaping.) EXTERIOR Landscape: ' ♦ Cultivate and amend existing soil to provide fertility to support new landscaping. ♦ Install new drought resistant, durable sod in front yard lawn. areas. ♦ Install new irrigation lines at front yard assuring coverage of all plant areas.. (Currently the sprinkler system has been upgraded in the flower bed area along the foundation of the house.) ♦ Install. time clock for irrigation lines. ♦ Remove any oleander bushes in the front yard. ♦ Install new 2.5 ft. garden wall at corner of Avenida Vallejo and Calle Sonora across frontage. See the attached conceptual drawing and visit 53-760,Avenida Vallejo to see how the desert-scape and garden wall canbe designed. (The wall should front Calle Arroba and also front Avenida Vallejo. See the attached parcel map for aerial of garden wall placement.) The garden wall should stretch from the northern edge of the property line to within 5' from the driveway. Wall to be stucco over concrete block, reinforced, if required, to local code. Stucco color to match house stucco color. Per City Code, wall needs'to be setback on the, property line; this is typically 12' from the curb. ♦ In front of the garden wall and on the side of the driveway in the front yard, remove any current plants -and gravel and replace with desert-scape, drought -resistant, durable, native vegetation. (See the attached Plant Material List) Fill in with desert- scape gravel. The dirt underneath the gravel should be excavated 3 to 4 inches below grade and a plastic screen should be laid down underneath the gravel. ♦ Weed the planter and replace any, dead shrubs and plant accents along house foundation, and side yard. Use low -maintenance, durable, and drought -resistant.. species, giving preference to native vegetation. (See the attached Plant Material List) ' Building Exterior: . ♦ Prep, prime and paint all exterior trim and stucco surfaces, including the four columns for the fence (see below) and the garden wall (see above); Fill in any.significant cracks or voids on the stucco and eaves. Colors to be selected by Agency. ♦ Install address letters on the wall` facing Avenida Vallejo on the southern wall on the side of the garage door, minimum 4" number height. ♦ Install new entry way/exterior lights on both sides of the garage door (one should illuminate the address letters). Replace the entryway light near the front door to match the new exterior lights installed at the garage door. F:\RSG\LAQUINTA\LQHPUtehab Program\PropRehab\Group B\52-225VallejoSpecs.doc - 1 - 113/01, 1:46 PM Y ♦'1 J ♦ Install a new exterior wooden fence around property to conform to local code. The -fence should be constructed of 6' vertical, cedar (or similar material) slats. The . existing posts can be reused if they are in good shape. Install one steel frame gate on the south side of the house. The gate should be anchored by 2 stucco. columns approximately V x 1'. The fence and gate on the south side of the property should be extended to within five feet from the edge of the garage.. On the fence facing Calle Arroba install 2 stucco columns, and create a fence between the columns, do not create a "steel frame construction gate. (Visit 53-125 Avenida Rubio for an. example of the stucco column and steel frame construction for the gate). Hardscape: ' ♦ Steam clean existing driveway and walkways (as necessary). Heating Ventilating and Air Conditioning System (HVAC): ♦ Remove existing HVAC and dispose. - Replace HVAC system with a new split system appropriately, sized for the house. Contractor to locate compressor at a location agreed to by Agency. • Horizontal fan and coil unit to be located in the backyard, unless otherwise specified by Agency. Clean air defusers. Miscellaneous: ♦ Visually inspect the unit before'submitting bid. Include any and all repairs, or, replacement work not included above, but necessary to bring the unit to current code and as new condition. Detail in bid as needed, breaking out costs .separately. ♦ Before inspecting the unit, contact should be made with the occupant at r (760) _- to schedule a time to inspect the property, especially if access to the backyard of the property is desired. ♦ Include all costs of inspections, permits, licenses, and testing as needed. i Please use the enclosed Bid Form, or create a Bid Form that is similar in form and nature iri the appropriate sections as needed per the above specifications. . ♦ All contractors to submit contractor license number, name_, and address of responsible managing employee with bid. ♦ Successful bidder will have five days from award of bid to submit insurance certificate including coverage for Workman's Compensation, Builder's Risk, and Liability Insurance, with at least $500,000 coverage with the Redevelopment Agency of the City of La Quinta, as an additionally insured. Any subcontractors should submit proof of insurance as well. ♦ The successful bidder will also have five days from award of bid to obtain a City Business License'. FARSG\LAQUINTA\LQHP\Rehab Program\PropRehab\Group ffi 2-225VallejoSpm.doc ` - 2 - 1/3/01, 1A6 PM