13-1365 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001365
Property. Address: 44341 W SUNDOWN CREST "DR
APN: 604-110-062-98 _ -19903 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2200
Applicant: .
4
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
Owner:
ADA JEANNE GATHERUM
_ 44341 W. SUNDOWNT DRIVE
LA QUINTA,'CA 922 �j
( ///� A
Contractor:
Architect or Engineer: Owner
VOICE (760) 777-7012
-FAX (760) 777-7011.
INSPECTIONS (760) 777-7153'
Dater 10/25/13 i
-
nrr28zo�3 /Dll .
-----------------------------------.--------------------------------------------------------------
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 1 hereby affirm under penalty of perjury one of the following declarations: -
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
issued. -
Date: Contractor: - _ 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
- - 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 Carrie - - - - - - - - - - - - - - - - - - - - - -Policy Number -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to certify that, in the performance of the work for which this 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 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 Labor Code, I shall f rthwitt comply with those provisions.
Ryor she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 46l�Iicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.:. Date: Applicant: -
�, 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 SECURE RKERS' 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 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
as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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, - -
,am exempt under Sec. - , B.&P.C. for this reason the own-% 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
n performed under or following issuance of this permit.
Date: t/ 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 fiere 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 construction, and hereby authorize representatives
ofthis county to enter upon the above-mentioned property for ins tion p poses. '
Lender's Name:
Date: Signature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number 13-00001365
.r
Permit . . . . PATIO COVER 2013
r
Additional desc .
Permit Fee 95.81 Plan Check Fee
.00
Issue Date Valuation
2200
Expiration Date v 4/23/14
Qty Unit Charge Per
Extension
1.•00 95.8100 EA MISC PATIO COVER, STD
95.81"
Special Notes and Comments
PATIO COVER- 30SQI LATTICE AMERIMAX
' PATIO COVER. 2010 CALIFORNIA BUILDING
CODES.
--
Other Fees ... . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, PATIO COVER
94.38
STRONG MOTION (SMI) - RES.
50
Fee summary Charged Paid Credited.
Due.
Permit Fee Total 95.81 .00 .00
95.81
Plan Check Total .00 .00 .00
.00 _
Other.Fee-Total" 95.88 .00 .00
95:88
-Grand Total 191.69 .00 .00
191.69
LQPERMIT
-
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per it.li
C
Project Address:/j -3T/ -/
,, Sun-- Q(,(,i� u"�t'-'D
wner'sName:
,W
A. P. Number: �i% 11 PO !/t) • D6 I(Te5
Address: 4i, Yla1, 361ll'ow LidV'Df
Legal Description. /W /o f 11,9 TR X99
ity, ST, Zip: Z4 u 9�
Contractor:
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
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State Lic. # : City Lie. #:
Arch., Engr., Designer.
O'S'• -/, ,
Address:
City., ST, Zip:
Telephone:
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Construction Type: Occupancy:
State Lie. #:
,
Project type (circle one): New Add n Alter Repair Demo
Name. of Contact Person: � n jll4e 7W-'411297Sq.
Ft.•#Stories:
#Units
Telephone #,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsrssue
' Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval,
Plans resubmitted
Grading
IN HOUSE:-
'"` Review, ready for corrections/issue
Developer Impact Fee
`
PlannineAa ro a
a11.ed-Call
_&I.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
tri VPCt/a
Nor : �'
7
y _
l,.a Quinta Palms
(704.;1rstService Rcsidcntial, Califorriia - Palm Desert
43100 Cook Street Suite 103'
Palm Desert, CA 9221.1
4
kPh: 866-529-7073 .
Fax: 760-834-2495;
Friday, September,13, 2013. '
ADA JEANNE GATI-IERUNf
7411 1 SETTING SUN TR
PALM DESERT'CA 92260
RE: La Quinta Palms Homeowners Association
44-341 W Sundown Crest Drive, x
Architectural Application Approved '
Dear Ada Jeanne Gatherum:
We are pleased to inform you that your Architectural Application to install an Alumawood Patio Cover was
approved wiih the following conditions:
1. All City and, State building requirements' must be met, and applicable permits must be in place prior to
commencement of construction.
• i '
2. Upon completion of the modification, please'supply the Association with a copy of the attached Notice of .
Completion.:
3. The Committee approves plans and specifications based on aesthetics and compliance with the community
guidelines. They'do not review for engineering design or structural integrity. Zoning and building permits are.the
responsity.of the homeowner, 7
4. The Committee has -the right to inspect improvements, constructed or being constructed, to determine that
such improvements -have been or are being built in compliancewith the plans and specifications approved.
Thank you for�your patience and cooperation throughout this process. If you have any questions,; please feel free
to contact me: at 760-834-2482 or at judith.mandic@fsresidential.com. Thank you. '
Sincerely, ,
Judith Mandic
Associate Comm i M ger, `
r
1 -
a—'` Q•
P.O_ BOX 1504
,.
.�� LA:.QUINTA, CALIFORNIA 92'.247-1504 BUILDING &•SAFETY DEPARTMENT
OF 78-495:CALLE TAMPICO (760) 777-7012
LA QUINITA, CALIFORNIA 92253. FAX (760) 777-7011
Considering Becoming an .Owner=Builder?, '
. V
„ Important information you need to know BEFORE pulling your permit!
The term "Owner -Builder" can mean three different things:
"Owner as Worker», "Owner as Contractor" or "Owner as Employer"
4
Understand each has Benefits. or• Risk, and it is possible to combine them! . ".
Hiring a California Licensed Contractor, means you do not personally perform, any of.the construction work, the permit is not taken
out i .k your name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a
"Cu. tomer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial
' riskiue to worker injury., `
f, BenefitlRisk: Hiehest Benefits and the Least amount of Risk
Owner -as -Worker is a type of Owner -Builder where you personally perform the construction work. the permit is taken out in your
name and you are personally responsible for the -construction management, knowledge; workmanship, and completion of the job. You
benefit by not paying others to perform this work for you and your risk depends on your own ability to complete.the job successfully.
Benefit/Risk: • Possible Benefit with Low Financial Risk
Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, ;the permit is taken out in
your name and yowitire California licensed sub -contractors to perform portions of the construction, work., WARNING: The benefit of
protection provided by law when you hire only California licensed sub -contractors can turn to serious financial, risk if you hire
unlicensed contractors to perform anY of the work. ' Y
-Benefit/Risk: Possible Benefit and, Sienificant•Financial Risk.
Owner -as -Employer is a type,of Owner -Builder wheie you pay any unlicensed individual to perform onv construction work. valued at
more than $500.00; "the• permit is taken' out in yo"ur name and you are personally responsible'for the1r.'einploy6e'nt requirements,
supervision, performance, safety and welfare'while on your property'..WARNING: Cost savings benefit can turn to serious financial
risk if you fail to deduct pavroll tares or provide workers compensation insurance for each, worker. r
Benef ORisk: Passible 13enefit with Significant Financial Risk
(Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide
public interest in assuring" that contractors comply with Contractors' License Law, Business and
Professions Code and Workers' Compensation Insurance requirements to ensure property owners are
informed about, and protected from the following when improving their property as Owner -Builders:
Fraudulent representations • Liability for worker's injuries - Liability for material and labor costs unpaid by
contractors • Licensing requirements - Employers tax liabilities
Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects
and include workmanship and workers' compensation issues Homeowners suffer financial harm due to
defective workmanship and injured employees.
Following are alarming examples of what has occurred with Owner -Builder permits:
Example 1: Homeowner received insurance money to rebuild burned -down home.
■ Owner/Builder permit pulled to rebuild structure.
■ Unlicensed contractor built substandard structure — must be torn down and replaced.
• Estimated financial injury is $225,000.
• Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of
the year.
Example 2: Brother-in-law had active license but filed an exemption from Workers Comp.
• Owner -Builder hires brother-in-law to install a new roof.
■ Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and
remains in a coma to this day.
■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for
benefits paid to the injured worker.
Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic
system and suffers injury that results in permanent disability.
• The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit
a claim.
• The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured
worker.
Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" building
permit which erroneously implies that the property owner is providing his or her own labor and material
personally?
Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your
property by an unlicensed contractor and his/her employees?
Did you know — if you are considered an "employer" under state and federal law, you must register with
the state and federal government, withhold payroll taxes, provide workers compensation and disability
insurance and contribute to unemployment compensation for each "employee"?
Did you know — that if you fail to abide by these laws you may be subjected to serious financial risk?
OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR
YOUR CONSTRUCTION PERMIT
W
P.O. BOX 1504
LA QU,INTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253
FAX (160) 777-7011
PROPERTY OWNER'S PACKAGE'
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IWORTANTt NOTICE TO PROPERTY OWNER
Dear Property Owner.
An, application for abuddi4t has submi ed in yo t�uil of
the Property
improvements specified at • r �� Vie are.prvviding. you with an Owner -Builder Acknowledgment and"Information VerificationForm to make your
responsibilities and possible risk you may,incur•by. having.this permit isnied in your name as the
Owner -Builder. We will not issue a budding -permit ,until you have read,'ihitiaied your. understanding of each provision,
signed, and returned this. form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
DiRECHON5: Read and initial each statement below to signify you understand or verify this information.
understand a frequent practice of ' unlicensed persons is to have theproperty property, owner obtain an "Owner-Buildee'
eanOwner-Builder,
g permit that erroneously implies that the property owner is providing his or her�own labor and material personally. I, as
may be held liable and subject to serious., financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may -not provide coverage for those
injuries. I am willfullY acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
I understand building permits are not required. to be signed by property owners unless they are responsible for the
?nstruction and are not hiring a licensed Contractor to assume this responsibility.
I understand as an "Owner- Builder" i am the responsible party of record on the permit. I understand that I ' may protect
yself from potential financial'rink by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
ermits and contracts.
A understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
f my construction is at least five hundred dollars ($500), including labor and materials, l may be considered an "employer"
under state and federal law.
6. I understand if I am considered an "employet" under state and federal taw, I mu9t register with the state and federal
overnment, withhold payroll taxes,. provide workers'. compensation disability insurance, and contribute, to unemployment
compensation for each "employee. I also understand my failure to abide by these laws may, subject me to serious financial
risk.
I understand under California Contractors'• State License Law, an Owner -Builder who builds single-family residential
ctures cannot .legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
I understand as an Owner -Builder if I sell the property for which this permit is issued., I may be held liable, for any
cial or personal. injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
Fnship or materials.
I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
the United States Small Business Administration, the California Department of Benefit Payments, and the California
n of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
legally and financially responsible for proposed construction activity at the following address:
L I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
able laws and requirements that govem Owner -Builders as well as employers.
-42-1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ve provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
neon who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in 16vil court- It is also
important for you tounderstand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held hable for damages. If you obtain a permit as Owner -Builder and wish to hist Contractors,
you will be responsible for venfymg whether or not those Contractors are properly licensed and the status of thtoir workers'
compensation insuranoe coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuitig. the permt. Nota: A copy of the property owner's Mver'sli'ttrtsei form notarieatbvas or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's sienature. If V
Signature of property
Date: s�
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understandis my personal responsibility, l hereby authorize
the following person(s) to act as my agents) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature_
Property Owner's Signature: Date: