Loading...
05-3046 (RPL)P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: 05-00003046 Property Address: 54220 AVENIDA VALLEJO APN- 774-213-011-14 -000000- Application description: POOL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 25000 Applicant: Architect or Engineer: 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: . LOPEZ JESUS 54-220 AVENIDA VALLEJO LA QUINTA-, CA 92253 D Con fr or: -o SEP 12 2005 - ------------------ ------- CITY AF L,A QUINTA _ LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury that 1 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 Class: License No.: Date: , Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed'statemerit that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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).: (_) 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). ( Xf 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.). (_) I am exempt under Sec. B.&P.C. fo) this reason %/ Date: Owner: / IF ICgrNSTRUCTION-LENDING AGENCY ' 1 hereby affirm under penalty of perjury that th V e 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: _ LQP'ERMIT. Date: .9/08/05 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 and policy number are: Carrier Policy Number 1 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 be tome subject to the workers' compensation provisions of Section / /► 3700 of the Labor Cope, 1 all forthwith comply ith} ose provisions. , Date: 'r Applicant: WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. N. 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 performed under 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 auth ize representatives of this ccou ty t enter upon the above-mentioned property r inspection purposes. Date: 71JV19.5 Signature (Applicant or Agent):'/ t LQrERmrr Application Number . . . . . 05-00003046 r• BLDG POOL PERMIT LQrERmrr Application Number . . . . . 05-00003046 Permit BLDG POOL PERMIT Additional desc Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 *Expiration Date 3/07/06 :Qty Unit Charge Per Extension •BASE FEE .45.00 23.00 9..0000 THOU BLDG 2,001-25,000 207.00 Permit MECH POOL Additional desc . Permit Fee . . 26.00 Plan Check Fee 6.50 Issue Date. Valuation 0 Expiration Date 3/07/06 Qty Unit,Charge Per Extension BASE FEE 15.00 1.00 11.0.000 EA MECH FURNACE >10.0K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee' 45.00 Plan Check'Fee 11.25 Issue Date Valuation 0 Expiration Date 3/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING. POOL ------------------------------------ 30.00 Permit PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date .. 3/07/06 Qty Unit.Charge Per Extension BASE FEE 15.00 .2.00 6.0000 EA PLB FIXTURE 12.00 1.-00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB-GAS PIPE 1-4 OUTLETS 3.00 ------------------------------------------- Special Notes and Comments ------------- POOL & SPA ONLY. ALARMS/BARRIERS SHALL Application Number . . . . . 05-00003046 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT r. INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due -- ---------- ---------- ---------- Permit Fee Total 356.00 .00. .00 356.00 Plan Check Total 189.80 .00 .00 189.80 Grand'Total 545.80 .00 .00 545.80 LQPERhIIT . r s 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 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 (and, if you wish, the U.S. Small Business Administration). 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 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 DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico . La Quinta, CA 92253 (760) 777-7012 FAX: 760) 777 7011 a O ER'S SIGNATU /DAT / v U 953. PROPERTY ADDRESS oS- 304G PERMIT NUMBER(S) i II CITY OF LA QUINTAISUB-CQNT._ —CTCR JS uu 4 o T NUMBER 0 S' 3 0!�� OWNER 'BUILDER: JOB ADDRESScS-W--LAI ���% PERMIT , This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appering on this .list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage o.f'work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant °On File" is not an acceptable response. :>....:.::.... ::.:... :..:. Trade / Classification Contractor ::::: :> <::::::::: State;:Contractor s. License ;...: Workers: Gom ensation:Insurance::'` : ":.. :.< City Business License'::.:: Company Name Classification License Number IExp. Date Carrier Name Policy Number=Exp. License Number • Exp. Date (e.g. A, B, C-8) (xxxxxx)(xx/xx/xx) (e.g. State Fund, CalComp)(Format Varies)) (xxxx) (xx/xx/xx) G 91 q31 3 d d 1 ,5 i ARTHWORK (C-12) : ; 0 -CONCRETE .(C-81: FRAMING :(C-5) TRUCT. STEEL (G-51) MASONRY (C-29) C C G G q� PLUMBING (C-36) PLASTER (C�35) DRYWALL (C-9.). HVAC. (C-20) ELECTRICAL. (C-10) ...`: ROOFING' SHEET METAL FLOORING GLAZING (C-17) INSULATION'.IC-2) SEWAGE DISP (C-42) . PAINTING (C-33) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (0=27.) POOL (C-53) .4i,. /.TE. c© G 91 q31 3 d d 1 ,5 i i Existing wood - fen.ce E3UiLDING �;{';F Ery DAF F. APPROVED FOR CONSTRUCTION OATS i%S S j r E3UiLDING �;{';F Ery DAF F. APPROVED FOR CONSTRUCTION OATS i%S S j AI P.O. BOX 1504 Building ^� 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner. „ _ I I 1 f Address I �I City ' t lZiR _ Tel. Contractor Address ity lZip I Tel. .State Lic.I City & Classif. Lic. # Designer AddressTel. CityI Zip I State ' Lic. # LICENSED CONTRACTOR'S DECLARATION I hereb affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of t Won 3 of ther�m�ss and Profes io s Code, and my license is in full forc�and effect. 1 AA✓1 Ch1 ^,,.— I � �t 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, atter, 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 to 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). I-! 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, Buisness 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 i 1, as owner of 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 contra[tor(s) licensed pursuant to the Contractor's License Law.) 1.1 1 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 n Copy is filed with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($100) valuation 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. Date_ Owner NOTICE TO APPLICANT: f/, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - I hereby 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 state that the above information is correct. 1 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 applicant_ Date Mailing Address City, State, Zip APPLICATION. ONLY JILDING: TYPE CONST. OCC. GRP. P. Number gal Description oject Description - A 0 Q Sq. Ft. No. - No. Dw. Size Stories Units New ❑ 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 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: