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0111-151 (SFD)LICENSED CONTRACTOR 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 # Lic. Class Exp. Date A ,Date Signature of Contractor 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). () I am exempt under Section B&PC for,this reaso Datei tk a t- 4 Signature of Owner` td c• 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 & policy no. are: Carrier Policy No. (This section need not be completed if the permit valuation is for $100.00 or less). g) 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�rovis,, �io ,. Date: t f % ILI I eA Applicant"' xC� 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-foi whose.benefit work is performed under or pursuant to any permit issued_as a result of this applicaton agrees to, & shall indemnify Chold 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 and 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 pu poses. t Signature (Owner/Agent)'� *f'�Q''^^"'=' ��[Dates' EUILOING PERMIT- PERMT# I t 01<1.1-1<�1 TRACT DATE ,i Jy ,- f - VALUATION LOT _ •. _ , . ,. ;t 141 f, �� ,,,- tFt,3� .�.2i��� 1 !' BJLX Ile JOB SITE APN ADDRESS .Xi21.47 AWNWIQ VALLF'JO '773-IXn - 14 OWNER CONTRACTOR / DESIGNER / EN INEER .5 A"11E), +'�AIa1:YLTO t ���iKN A CA 922S3 t 3 CLIA USE OF PERMIT SINGLE kAhMY Y.)W AMO SF.WMAVTF1, MAX P1?.`%Z MIT 000M WCLUDC RLDCK. WALL, f'C)OL OR DRIVEWAY APP1tOAM TRACT CO MM'ULMON 1.400.001F CA.PLAWCA.l%PO'Wr 5.19,00 SY Ft 'WOOD FENCE' 20,00 Ix ENT"Am CM OF CONFIMUE~.'' IGN MI. to CONSTRUCTION CTION ME 101-000-418-000 ��aU.041 KAN C142M RE 101-0011-439-318 $495.21 MECl;I. NICALM-F 101-t�7}((y�(t�i-4 . i2p,/1-jCjbtj�C\2 �p$53�.10 /:,ILJ.N�.Yd'15.O.1.ul7L FEY, 101-000-420-000 $1d9.�o PLf.FMBINO Fla I ' 101-000-419-000 $114,73 S RIDWO U07014 PPE RKUD 101-000-241-000 ' $S.94 t311:;`1,>;3MO FEE 101.000-423.000 %24.00 IDEVZd�JPER11a4,PACT YVIE A11t3°7.tf4 PIM139 PLAN 101«400.44.1»345 $100,00 -,'fv ?,Z DEPOSIT BOB= C OCTI N AM PLOT CHECK S3,414.50 NOV 21 2001 U0.1 PRE-PIAM M CI'PY®E jj�4�UIN6T L 3'P JT YERS DUE NOW 19yid�YY�� [RECEIPT DATTI i BY DA E NA NAL INSPECTOR INSPECTOR I 1 .{ OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings f_ _ / � Underground Ducts Ducts Slab Grade Return Air Steel Combustion Air Roof Deck O.K. to Wrap f=�� (> -G_o 2 / Exhaust Fans F.A.U. Framing _3=1—c—L G Compressor Insulation x722 [ Vents Fireplace P.L. Grills Fireplace T.O. I Fans & Controls Party Wall Insulation i Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath D Final (¢� c Y Final POOLS - SPAS BLOC ALU APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ Heater Final Water Piping Z Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Sewer Connection �L -(S/—D L tt� Pool Cover Encapsulation Gas Piping Gas Test =3( p Appliances Final COMMENTS: ! Final Utility Notice (Gas) ELECTRICAL APPROVALS All Temp. Power Pole �� • O / 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)L Is ?/ T a 4ht ult�c� P O BOX 1504 Building �/ ,� 78-495 CALLE TAMPICO APPLICATION ONLY Address � Z �%� ��j tt''b • X1(L-r-S4::;) LA QUINTA, CALIFORNIA 92253 I c` i'. c- k,-( r LF Mailing J 9 S /� v VGA Address >"� 11,66 C'ty Zip„ JTel.C)�f7 ' E Contractor -� ity lZip State Lic. I City & Classif. Lic. # Arch., Engr., Designer'I Address`P -.� �J T 1 City�Zip- State LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 'its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant 10 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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). 1: 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, Bulsness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of Sale.) ><I, as ownerof the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) I') I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company r7 Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become Subject to the Workers' Compensation provisions of the Labord&Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. �* CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and slate 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 authorize representatives of this city to enter the above- mentioned property for inspection purposes. Signature of a0plicant Date Mailing Address City, State, Zip VILI BUILDING: TYPE•CONST. OCC. pGRP. A.P. Number Legal Description� s . Project Description ' r" (.t .� J}-) e r Sq. Ft. j No. No. Dw. Size Stories Units New 0'� Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL P i• REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-77.1-8515 CERTIFICATE OF COMPLIANCE Date 11/21/01 No. 22699 owner NameRichard-Lebrun No. 52-775 Street Avenida Vallejo City La Quinta APN# 773-323-014 Jurisdiction La Quinta. Zip 92253 Permit #0111-151 Log # Study Area Tract #, BLK 158 Lot # 1 Square Footage 1409 Type of Development Single Family Residence No. of Units 1 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to - Government Code 53080 in the amount of 2.05 X 1,409 or $ 2,888.45 the property listed above and ihat building permits and/or Certificates of Occupancy for this square footage in this proposed project,may now be issued Fees Paid By OC / Washington Mutual Bank - Richard Lebrun Tg!ephone' 503=590-9011 Name on the check By Dr. Doris Wilson Superintendent Fee collected /ege ted by Annette Barlow Payment Received $2,888.45 Check No. 610926873 Signature JOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified rbove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to :ollect them on the District('s)(s) behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy- Accounting MANCE COAST TME CO..,, ORA+ e CDR'S-� R00011DING REQUtt M sY AND WIR N RHCORDLD MAIL TDs - RICHARD SALE LEBRUN, TRUSTET 14300 S. W. 141ST TIOARD. OREGON 97224 A.P.N.: 999.323-015 T1tA N: O z 0--0/7 773--U3.Or5/ pOC to 2001-497003 10/12/2081 98:00A Fee:9.111110 Page 1 of 2 Doe T Tom Ds/d Recorded In Official R00orda County of Riverside Gary L. Orso Assessor, County Clark & 1ls9arder, I I III IVI I I II III I `` IIIVIIII VIIII VIII II IIII IIII M S U PA?E NZE OA PC011 NUCOa �C•_ A sa cow �oNo aertxa NeHa GUJJ Order No.. R•201119.1 Escrow No.: 5561-1R GRANT DEED THE UNDERSIGNED GRANTORW DOCLAM) THAT DOCUMENTARY TRANSPER TAX IS: COUNTY UUX [ X_) computed on fUll value of proporty conveyed, or j[ ]] t:ooputed on full value lets value of Ilene or encumbrnncee remaining Ill,Ill,time of 111810,unJlntcorporated area: [ X.1 City of Qt lnta 1 rartd FOR A VALUABLE CONSIDMA1I0N. Receipt of which Is hereby acknowledged, STEVE PANIKOFF et to Lot 2 and SIEVE HOWARD PANIKOFF, a ain8le man as to Lot 1 /A3//Vj;,tE iWA hereby GRANTS) to RICKARD DALE LEBRUN AND BARBARA ANN LEBRUN, TRUSTEES OF THE LEBRUN FAMILY.LIVING TRUST DATEP MARCH 16, 1994 the following ducribod property In the City of La WOW County of Rlverslde State of California: Lots 1 and 2 In Block 158 Santo Carmelile at Vale Le QWrttts, Unit No. 16, as per Map recorded in Book 19, Page 99 of Maps, IUvewlde County Records. Except rht•rerrorn all oil, gas, minerals.and other hydrocarbons, below it depth of 500 feet, without the rigor Of surrace entry, as reserve In deals or record. �.PA a / aL , .F DocurmatDate: 0 1I i t STATE OP CAl.1PORNIA )SS COUNry oh R4 Igo Z) On before Me'.the urvkr.11ncd, pononall) appeared lxnonolly tn)wn to toe (or proved armr on this bosh of satlsfactary evklonce) rn be th■ pnaorvs) whose name(s) Wars -subscribed to die within Imtrunwnl orrt acknowledged to me that he/AtIthey CXCCVted the same In his/Itcdthctr eumorized e.pocltyllea) Gild thtt by Ms/her/their slgnowro(q un ncc Inswmani the penoeUl or die entlly upon behalf of whIch thr penon(.) seed, oxecured du instrument. WITNESS M;1 hsnd iuW nMcial soil. i Mail Tax Statements to: SAME AS ABOVE or TTIa oree for nr'ticld nmnrhl 14:41. ME?1 NWH QomrlMM# 12MW Add OorrnLegtMSFeD1��1 Order: DS-OOOOOORILEY Deserlptlon: 2001.497893 Page 1 of 2 Comrgnt: ZO' d b8iS 1999 09L A1 -LI -L -LSV00 39NV110 dL9 :VO I0-80—AoN RECORDIING REQUESTED BY AND WHEN RECORDED MAIL.TOt RICHARD SALE.LEBRUN, TRUSTEE 14300 S. W. 141ST TIGARD. OREGON 97224 -- Space Al+e Thls Line for RecOrdcr'9 Use Only A,P.N.: 773-323-015 TRA #: Order No.: R-201728-1 Escrow No.: 5561 -IR �a -7 75 GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER T�X IS: COUNTY 1 S� 1:25 X ] computed on full value of property conveyedi or computed on full value less value of liens or encumbrances remaining it time of sale, unincorporated area. [ X ,J City of La inta , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknotgedged, . STEVE PANIKOFF as to Lot 2 and STEVE HOWARD PANIK01' F,a si g)e man as to Lot 1 hereby GRANTS) to RICHARD DALE LEBRUN AND BARBARA ANN (LEBRUN, TRUSTEES OFTHE LEBRUN FAMILY .LIVING TRUST DA'CED MARCH 16, 1494 the follo- 'ng described property In the City of La Quints, County of Riversl�le State of California; Lots 1 an Z lsi Block 158 Santo Carmel at Vale La Quinta, Unit No. 1�, as per Map recorded in Book 18. Page 99 of M Itiversid ounty Records. Exc t therefrom all oil, gas, minerals and other hydrocarbons, below il' depth of 500 feet, without the rlgbt of sur ace entry, as reserve in deeds of record. EPA IKOF V H( D PANIKOF Document Date: October 10, 2Q0� • i. STATE OF CALIFORNIA )SS COUNTY Off R; On n �4- r%l-, 0 t a 0 0 before me, the undersigned, porsonalb appeared personally kwwn to me (or proved ut mi -on the basis of satisfactory evidcnec) tP be the PeT50111A and acknowledged to me that he/she/dicy executed the same In his/Iter/their authorized capncity It the person(&) or the entity upon behalf of which the person(s)uctcd, oxecuted the instrument. WITNESS mks hand end nfftcial scat. q i Mail Tax Statements to: SAME AS ABOVE �r . I hoae tiamc(s) is/arc subscribed to die within instrument and that by his/her/their signaturc(s) tin the Inswmeut This area for offieial notarial seal. SHERRY F. TUNISON 0 Y -cd15; AddreVoe) n b q v j r a , (� , N � O 7• o` J. rA� o1n F• os/ 8LOI n O a ..1 o _* � _,------ G AVEN/DA 0° n. 00000 ©' N G 0 y . ' o N � A N ul a •W n o o. ° aV R 0 O t` N 0 111 TAI` L -a77 • ° ° . � C N O ° N q°AR Ory tA O 0 .I O ! — AVENIDA to �14Lw97 O W ' .O ,O O - N s a � ® ® ® � SUV V ® � O O © � O. © •4;, of 0 1 c 0 o: G! Ul CARRANZA r a — o J Z 5B rA� o1n F• os/ N • W a W o _* � Q 18 G Q 0° n. 00000 ©' N G 0 y . ' o N � A 0�1 bmv�0\ . ul a •W n K o. ' aV R RAM/REI r a — U J / 5B 59 i' \ a _* AVEN/OA ---�— ` q a W N y . ° H U J / 5B 59 i' \ a _* AVEN/OA ---�— ` VALLE✓O: y . A I B L 0 C K N ' -o 11 B LOC N 0 111 TAI` L -a77 • ° ° . � N ` O O N O N N q°AR Ory tA O 0 n O ! Q O` Q O W .O ,O O - N s a � ® ® ® � SUV V ® � O O © � O. © �' ••Ji � • I dl ' v q VI a W N a Rl I H J o 59 i' L,. a _ AVENIDA ---�— HERRERA A I N ren ar -o 11 B LOC I ° . � n 1 C,� Z IOA III o q V 0 n O � O O IL4 01 N s a � © �v v O. a zt I a �n a W nti a I R ` H 0 I / 'o" AVENIDA 1110 i 7e.•1 .` y y Vaway B 0 C K. , a to ' I q th ' a W N Sr6 Stn S• Jo t• �• r J• J 79 IJ N _----EISENHOWER DRIVE I. ° •(Avenida Ser�ol�_ a ° • n -r nnnnngn97M DeSCriPff,)n: 773.32 Page 1 of 1 Commerfi: H J o i' a _ N 2 e RC DISTRICT - PLANNING REVIEW FORM This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District per Section 9.50.090 of the Zoning Code. its purpose is to determine: 1) that the proposed house design does not, duplicate the same architectural style of any house within 200 feet of the applicant, and/or 2) if there is a need. for.the applicant to file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmitted this information to the Building and Safety Department as- part of your correction list. Please attach additional explanations as necessary. APPLICANT SITE ADDRESS APN 773 _ 323 _ LEGAL: LOT RICHARD LEBRUN ` 52=77.5 Avenida 0 i� 08 . CASE NO CHECK AND APPROVED BY: Vallejo. 2001-570' �J BLOCK UNIT A S.C.@V.L.Q. Greg Trousdell • DATE:' Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive Secretary maintains a log book to track applications and assign case numbers. A AN V "r d REQUIRED.ITEM Y N COMMENT/CORRECTION Verifylegal and APN: information 9 x Consistent .with MDG on file (as e / applicable MDG. filing required (5 filings since 9/3/98) Architectural variety within 200 feeld l the surrounding area: OQ�a� G � - t ti h OS. o r�cl Ir hi e c t ral design featiPes Other Requirements: • 1 [%T- to/1rt. . a m Z /ZI o� CITY OF LA QUIMTA SUB -CONTRACTOR LIST �c Avo tEss S' L �._ _ r rr NUMBER' '10111 � 11- s owro i�� f9t a eP4 if�t! t� iab r tt e � Daly persons appear n� on this &at or their erst wytts ars am fan. to Work this juti: At>); rliwWs 10 itis list taus[ be moved by dee &A lWrision • � is:trk4, 'permit. Fd ext+ � P� o corart�etze4trerit of work. Fa.�ttre to Cti07�t� will re,-aedt in a so�ppager tlf wc.rft andlvril+s vuidat+t:e. afl ame bade,. tw nnwnnlati..d in.. n itld•nnt •f1.. Cila° :e nwt an a�trwatalda encnn�tw. ■ tro:le / CM<telljGeiligy :.. r+. - - yy. c� -�����, :., `Exp. — i��.�.Wane -. : x+11 Now - cinwicaom: [e.s A. H, C410tssrtXaf iaense'l M60 flow btrlxa itgb CW*W Pjaw 6 ie.a. Sw:I FA -11. CaW43q fl■it:y whaubm tial VaritO EW- gar MoAd"I kuceeae flustLer fstrx:I Ew. Data txrJLxlarl � AtcYas>w ti tcaz� j,,Pj� eu�:S�. �} t --- � � o -baa I ic.q L%- • �0� t -3��0 517°. �tvo ffc� � [�� (��T� _�C 5 �st�eist�.•.ec:a,�:•: All _ A c��--T - - 6 - oc 14 `�'�`"�"�'► ort at�sa.> i+.+nscer-tiJi -lv+tart -P rb2-3S ? 1 ks' 3t-oZ GL.�N !V -t' boa? _ LIL (11 -uf a -)(-62 (urs' c tis -7- EItC.TW�'gtifj-•"r- uta '�/ (.�Lt1t:�'i2 C -d - a�aa $7-0 i L•� 'f'/a"�J! ��ld a7,5 I�11� i..'G �O:ri- �`��'Y1���? A16 im� Dam rk a ifstC-iv> r�� ��250 h'a ,tio �ri�rPa�Y� — O-�0�• 5=/�-c� — mtmtl a7�oq t112f Etmr � J��15 � -7 -Z.t' c► r � a i4 9 3 _ _ . �i =1 0 l (� { ` ;� _ IV -02- ozam. am. fc4a.- ?a�rrc Twi gc-341 `EAli�iilC-131 �MU.SC:Alillti {f_t'/J _l�r�c�#�rar� It ! f_, - _. ._.._... t S.LC� (.t ._.- t .._ t` ._..-- -- -�'- --- ---._. __..___ —._— � � - .. ----- - •-----. -_—_.. -_ ._�—....__—_. - _�.__. _.. G'• �`7 .�...-._ --•---�� 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 to 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 of 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 including' State and Federal income tax wiihholding, _ fe`deial 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 (and, if you wish, the U.S. Small Business Adminstration). For more specific` information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors 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. a 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 cari 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 DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta,CA 92253 (760) 777-7012 FAX (760)777-7011 Ze;7 OWNER'S SIGNATURE/DATE) PROPERTY ADDRESS - PERMIT NUMBER(s) OEM Certificate_ of Occupancy-� tV , City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the. time .of issuance, this structure was in compliance with the various' ordinances of the City regulating building construction or use. For the following: . BUILDING ADDRESS: 52-775 AVENIDA VALLEJO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0111-151 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: RICHARD LEBRUN - Address• 52-795 AVENIDA VALLEJO Building Official City: LA QUINTA, CA 92253 By: RICHARD KIRKLAND Date: 06-28-02 POST IN A CONSPICUOUS PLACE