The URL can be used to link to this page

13-1163 (SOTB)0 4, ' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht °F 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date Application Number: 13-00 0 01163 Owner: Property Address:`79160 JACK RABBIT TR _ CARLSON, NELS & JUDY APN: 776-011-020- -25429 - Application description: - STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2500 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S 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 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 statement 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).: (_ 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, 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.). (_) I, 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 contractor(s) licensed pursuant to the Contractors' State License Law.l. (_ 1 I am exempt under Sec. B.&P.C. for this ason Date: O /'� /' Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there 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: LQPERMIT Contractor: Owner -SP 2013 OF LA QUINTA 9/18/13 ----------------------------------------------— 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. 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 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 b come sub' the workers' compensation provisions of Section /�� 0 o�f the Labor Code hall fort ith co ply with those Provisions. VatL /e��. VApplicant• WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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. 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 nd he by authorize representatives o this county to enter upon the above-mentioned prope7e�� s DDateO-fo Signature (Applicant or Agent): Application Number . . . . . 13-00001163 Permit BUILDING 2013 Additional desc . Permit Fee 127.27 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2500 Expiration Date 3/17/14 Qty Unit Charge Per Extension, BASE FEE 101.53 1+. 00 r — -25.`7400 THOU BLDG$2, 001-$10;,900 - =- - _ _ , 25.74 ------------------_----------------------------------------- Special Notes and Comments ENTRY ARCHWAY ADDITION TO EXIST. EXT. WALL. 2010 CODES. --------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 HOURLY PLAN CHECK 35.75 Fee summary Charged Paid Credited Due ---------- Permit Fee Total 127.27 .00 .00 127.27 Plan Check Total .00 .00 .00 .00 Other Fee Total 36.75 .00 .00 36.75 Grand Total 164.02 .00 .00 164.02 LQPERMIT Bin City of La Quinta -Building &r Safety Division SEP 0 9 2013 P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 OF LA Q Building Permit Application and Tracking UNI r)c Ultv. A valor Permit # Project Address: JA--e_K_j!&Ph1f Tit Owner's Name: 1,L17 c4dcd-1 — A. P. Number: Address: k ;Z&,> t 77-4 Legal Description: City ST, Zip: Lei (�v /Yi Yq Contractor: Telephone: Address: 7-7 Av 1, :1 7-71,t Project Description: City, ST, Zip: Telephone: ............. .. 2! State Lie. #: +q I City Lie. Arch., Engr., Designer: ,,,4 ovfte_ vv Address: City., ST, Zip: Telephone: .. . . . . . . . . . . . . . . ........... . 1. ...... Construction Type: Occupancy: State Lic. #:. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: T# Units: Telephone # of Contact Person: o Estimated Value of Project: 2S L, t - APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Reqld Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount' Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubMitt.ed Mechanical Electrical Grading plan 2" Review, ready for correction J�j Subcontactor List Called Contact Person a Plumbing. Grant Deed Plans picked up S.M.I. H.O.A. Approval x x I Plans resubmitted Grading IN HOUSE:- 3,d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees P.O. BOX. 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO .1 s BUILDING & SAFETY DEPARTMENT (760) 777-7012 LA QUINTA CALIFORNIA 92253 Y (76,0 77-7011 PROPERTY OWNER'S PA.CKA.GE Sit., p 9 20 j j' . Disclosures & Forms for Owner -Builders Applying for Con g an-Permlig" IMA ORT'ANTt NOTICE TO MPERTY.OWNER Dear Property Owner. An. application for -a building permit has been submitted in yosting yourself as the builder of the property improvements specified aty ll� We are .providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you a of your responsibilities and possible risk you may incur by having this -permit -issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed 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. OAR'S ACKNETY EDO0 IEi'tiT AND VERMCATION OE]EN PAH- T)0N D IREMONS. Read and initial each tatement below to signify you understand or verify this information. \/ 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, 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 - t/ 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. Or -"3. I understand as an "Owner -Builder" I am theresponsible party of record on the permit I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. k14. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. �5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. I understand if. I am considered an "employer" under state and federal law, i must register with the state and federal government, withhold; payroll taxes, provide woikers' 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.. V/7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures 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. ,Iunderstand as an Owner -Builder if I sell the property for which this permit is issued, I may be he'd liable, for any financial br personal. injuries wstainod. by any subsequent owner(s) that result from any latent construction defects in the woikman0iip or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division 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. X10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible . for proposed construction activity at the following address: agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. P" 12. I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license,. lire 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'civii court. It is also important for you to: understand that if an unlicensod Contractor or employee of that individual or firm is injured while working on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, You will be .responsible for verifying whether or not those Contractors are property licensed and the status of tkir woAcrs' compensation insurance 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 issning.the permit. Note: A copy of dw property owner's Myer'alhaeffsei farm noORUR M or other verification acceptable to die ney is Ated to be presented when the permit is issaed to verify the property owner's signature. Signature of property owner / /�{� Date: 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. AUTHOR_IZ,ATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand. is my personal responsibility, I hereby authorize -the following person(s) to act as my agent(s) 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: s • CITYOF LA QUINTA- SUB -CONTRACTOR LIST / l , JOB ADDRESS y� J�� l'�`� PERMIT NUMBER17J- &-,)j OWNER S �c1�c� C�✓`6�d `BUILDER.eJAL& ' This form shall be posted on the job with the Building Inspection *Card at all times in a conspicuous place. Only persons appearing on this list • r 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 of work and/or the voidance wilding permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. e C a sificat(on r / I s ,. Contractor.:.::;.:: ::;.>;:::::::::.::.>:= :.;:.:;:.;.:.:<:.:.:.:.::.State::Contrac '.• .. .:.;.::•�.:.:.:..:.:::: tors. license... :..:.. .:.. ,.... Worke�s..Com erfsation:nsurancc ' .` " . ::... ;<::;:.: Cit ust ess Lice:.... g ' y. ... nse _ Company Name Classification (e.g. A, B, G-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) I Exp. Date (xx/xx/xx) License Number Exp. Date (xxxx) (xx/xx/xx) EARTHWORK (C-12) :..; Z-1ndL v 'i &A- 0 Me] `J / _4 d- o/ b ,Z �vD CONCRETE (P_8),::, y ' FRAMING :fC-5) •,':::::. J STRUCT. `STEEL tG-S! ) MASONRY (C-29) ; PLUMBING (C-36)• I.ATHi PLASTER (Cr35) ' DRYWALL (C-9) ..: HVAC. (C-20)':. ELECTRICAL. (C= ;10) .. , SHEET -METAL FLOORING (0:151:.: '.` GLAZING (CA7)� INSULATION'(C-2) . SEWAGE DISP- (C-!32) 0 YL PAINTING (C=33) SEP o CERAMIC TILE (C-54) CABINETS (C-6) UNITY DEVEL FENCING (CA 3) LANDSCAPING IC: -27) POOL (C-53) Painted Cove Homeowners Association C/o Desert Management P.O. Box 799 Rancho Mirage, CA 92270 760-862-1202 Fax 760-862-1210 September 6, 2013 Nels & Judy Carlson .. Re: Architectural,— 79-160 Jack Rabbit Tr - Dear Mr. & Mrs. Carlson: The Architectural Committee and Board of Directors have reviewed your Architectural Application and plans. After review of the above referenced request the Board of Directors has approved the entry remodel and gate. At this time, the sun structure is being held by the Committee for further review. In addition please note: Contractor working hours are, Monday Friday, 7:00 am to 5:00 pm. No work on weekends or holidays. 1+ If you require additional information, please free to contact me at 760-862-1202. Board of Directors' Painted Cove HOA Assistant Manager I PAVnW COVE "LA QUINTA HOMEOWNERS AS6ISCIATION I ppLICATION FOR ARCHTFECiURAL CHANGE Vaaq -Address (if ddi nth paraposed StarCing 03te �____.P+ojecbed completion Um v j propped Addit n or Lnpreneent: Please check next to applicable boxes 001 ar tsz�.00 oeposii� [$M.00 DePmKI REM— [$250.00 oepwal ,an sa [V5Mcq wdm in ao*mdim Vft Poi siru �" c [$M.00 DqMW [x•00 DePOSW of Imp dered {" full &W& of Wpe and C.A q-�3 JL m7LX- cmnpuance AS 180 Ownw(s) d fhe prOp�t11, E (We) Y Std that this app�ti0at atA the am to anplanve aM the A=dd%'Ards GukW#m and AwkaUm for ' I W) hm teed tS : C d aff tare appravrlat� teras on dre eta `� �e �"� rte, arm asmdt tie ct>adcs {� CME As LA Amita far the $15Remrdadm+ � (9 needed) and ao g Appika brV?lans Recd Ey: ANT AppIi mryPians are: =/MPLErE 0 NQr t EIT (B#aln Below): s:.•.r. IA! S' r' Anbiteaunal GuWtru ss Nets & Judy Carlson . 79160 Jack Rabbit Trail La Quinta CA 92253 Addition to Entryway Scale: 1/4"=1 fft. V \ N ♦' wu r C w�� QU ID tA4-4f- i.46&H C�R��• � 'gyp°�• i Existing Entryway IPro osed Addition 01 Nels &Judy Carlson v 79160 Jack Rabbit Tr�EEiifED La Quinta CA 92253 ----61 SEP 0 9 2013 CITY OF LA QUINTA Addition to EntrywaycOMMUNITY DEVELOPMENT z'i,11`hl As WmpnalSNO aoA a3AOUd d 'ld3a kMVS V 91410111 VINlno brl Scale: 1/4"=1 ft. - 2S -I Existing Entryway Pro osed Addition li 10 q, 7V CITY OF LA QUINTA o BUILDING & SAFETY DEPT. -OD — APPROVED FOR CONST-AtinTinKi D Np�A- t 0 - �4 Z� vco -OD — Pit 'N7 Z� vco -OD — Pjg,% N L, Ij—� Nels & Judy Carlson 79-160 Jo La Quint �% -W-WrIn Proposed water feature CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR JONSTRUCTION 17; 13 Y-9:—.— DAT,Ej*'=1 *J2 12 - -1L �% -W-WrIn Proposed water feature CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR JONSTRUCTION 17; 13 Y-9:—.— DAT,Ej*'=1 *J2