07-3165 (BLCK)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA;. CALIFORNIA 92253': _ BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Appl6 4tion valuation:
Applicant ^,
07-00003165
44315 WILLOW CIR
604-092-013-51 -22982 -
WALL/, FENCE
LOW DENSITY RESIDENTIAL
70ob
Architect or. Engineer:'
N�
Owner:
SALAMONE JOSEPH M
44-315 WILLOW CIECLE DRIVE
LA QUINTA, CA 92253
(
Contractor:
Owner O
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/18/07
s �
7
DEC 181007 �D
CITY OF LA QUINTA
FINANCE
DEPT.
' 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 -
I 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
--
Carrier - - - - - - - - - - - -- - - - - - - - - - -Policy Number _
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to -
I certify that, in the performance of the work for which -this permit is issued, I shall notemployany -
- - 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 becom bject 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
0 of the Labor hwith comply with those provisions. -
_
- that he or a is exempt therefrom and the basis for the alleged exemption.. Any violation of Section 7031.5 by .
anya forapermit subjects the applicant to a civil. penalty of not more than five hundred dollars (5500).:
-
--Date:4 .
�/SApplicant:
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
—
WARNING: FAILURE TO SECURE.W KERS' 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 CRI NAL 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
I, as owner of the property; am exclusivelycontracting with licensed contractors to construct the project (Sec.
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 Lawdoes 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, -
--I am exempt under Sec.; • , B. .C. r t son _'> ._ -�- - - --
.--. : -_ ' the owner, and the applicant, each agrees to, and shall defends indemnify and hold harmless the City -
' - - -
- of La Quinta, its officers, agents and employees for any act or omission related to the work being .-
_
D
performed under or following issuance of this permit. -
--Date:-. v r'
2:. Any permit issued as a result of this application becomes null and void'if work is not commenced
_Owner-_
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject - -
• ' C STRUCTION LENDING AGENCY
permit to cancellation.
.. I hereby affirm under penalty of perjury that ther is a construction lending agency for the performance of [he -
I certify that I have read this application and state that the above infor on 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 buildi constrt n, and hereby authorize representatives
of this county a ter- upon_the.above•mentioned prop y o i p on purposes. -
- Lender's Name:
. ,• ,. -
Date: ignature (Applicant or Agent):
Lender's Address: -
.r
.. •�
LQPERMIT - -
-
'. Application Number . . . 07-00003165
`
Permit WALL/FENCE.PERMIT
Additional desc
`
Permit-Fee 63.00 Plan Check
Fee
.00
Issue Date. Valuation
..
3080
Expiration Date 6/15/08 .
Qty-. Unit Charge Per',
Extension
BASE•FEE
45:00
2..00 9.0000 THOU BLDG. 2, 001-25,"000
18.00• • ..
Special Notes and Comments
32 LN X 6FT HT / 24 LN FT X 5 FT HT /
110 LN FT X 4 FT HT GARDEN WALLS PER
CITY STANDARDS & APPROVED PLANS
,Fee summary Charged Paid Credited
Due
Permit Fee Total 63.00 .00
.00
63.00
Plan Check Total .00 ..00
.00
.00
Grand Total 63.00 .00
.00
63.00
Bin #
r
City of La Quinta `
r . - Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
i La Quinta, CA 92253'- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
I
Project Address: 1
�'
Owner's Name:
A. P. Number: V PO+ -09 Z.Ol 3 --
Address: �� � /c��� :•
Legal Description:
City, ST, Zip: Z/i
Contractor: C�/�A 2—
Telephone: /
Address: -
Project Description: "
City, ST, Zip:
Telephone:_17
State Lic. # ; � - _,.
City Lic. #:
Arch., Eng >, Designer:
�P
/4 �6 Z /I Fr
Address:
.
City, ST, Zip:
r
Telephone:
"•
Construction Type: Occupancy:
State Lic. #: -
Project type (circle one): • New Add'n Alter Repair Demo
Name of Contact Person:
Sq. 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
t
Plan Sets
-
Plan Check submitted
.Item
Amount
StructuralCalcs. v
Reviewed; ready for corrections
Plan Chef k Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs. T
Plans picked up Z
Construc-ion '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrica
Subcontactor List
Called Contact Person
r
Plumbing
'Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted - J
Grading
IN HOUSE-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person • `.
'
A.I.P.P.
t
Pub. Wks. Appr
Date of permit issue
School Fees
-
'
-
Total Permit Fees
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 shouldbe--
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 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.
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) 777-7 1
O ER' IGNATURE/DATE
GO
PROPERTY ADDRESS
02 -316s --
PERMIT NUMBER(S)
Property Line
Garden Wall Detail
I �,.�. i.,.r,. �� .�, ".w.....yu...L.�.c....,_.� ...
p6orkq-
Site Plan
1/8"=1'-0"
C.M.U. Perimeter
perate Permit'
RE-9NSpCTIaN OF 30 "AN ADEQUATELY SIZED DEBRIS CONTAINER
WILL RE CHARGED IF THE APPROVED, IS REQUIRED ON THE JOB SITE DURING ALL
PLANS AND JOB CARD ARE NOT ON PHASES OF CONSTRUCTION AND MUST BE
THE SITE FOR A SCHEDULED EMPTIED AS NECESSARY. FAILURE TO DO SO
INSPECTION. MAY CAUSE THE CITY TO HAVE THE CONTAINER
DUMPED AT THE EXPENSE OF THE OWNER/
n a r a I n I nt-A c 771 CONTRACTOR."
1,_ ALL WORK CALLED FOR IN THESE PLANS SHALL BE EXECUTED
WITH EXTREME CONCERN FOR CRAFTSMANSHIP AND SAFETY IN
i
6x8x16 CMU w/ #4 Rebars (a 3
Horiz. & #4 Rebars @ 24" o/c
Owner: Salamone Residence
In Cont. Bond Bm.
44-315 Willow
Cement Plaster Fin. Ea. Side
I
L!1
OF THE JURISDICTION IN WHICH IT IS BEING CONSTRUCTED.
Lap Bars 30"
2.- ALL WORK, WHETHER SPECIFICALLY CALLED FOR OR NOT, SHALL
Ph. (760)G�1
344 Bars Cont. In Footing
BUILDING CODE AS ADOPTED BY THE LOCAL GOVERNING AGENCY.
3.- ALL EXTERIOR FLATWORK SHALL HAVE A POSITIVE SLOPE AWAY --N
Legal O e S C( I P I 0 n:
Garden Wall Detail
I �,.�. i.,.r,. �� .�, ".w.....yu...L.�.c....,_.� ...
p6orkq-
Site Plan
1/8"=1'-0"
C.M.U. Perimeter
perate Permit'
RE-9NSpCTIaN OF 30 "AN ADEQUATELY SIZED DEBRIS CONTAINER
WILL RE CHARGED IF THE APPROVED, IS REQUIRED ON THE JOB SITE DURING ALL
PLANS AND JOB CARD ARE NOT ON PHASES OF CONSTRUCTION AND MUST BE
THE SITE FOR A SCHEDULED EMPTIED AS NECESSARY. FAILURE TO DO SO
INSPECTION. MAY CAUSE THE CITY TO HAVE THE CONTAINER
DUMPED AT THE EXPENSE OF THE OWNER/
n a r a I n I nt-A c 771 CONTRACTOR."
1,_ ALL WORK CALLED FOR IN THESE PLANS SHALL BE EXECUTED
WITH EXTREME CONCERN FOR CRAFTSMANSHIP AND SAFETY IN
i
Owner: Salamone Residence
FULL ACCORDANCE WITH THE ADOPTED CODES AND ORDINANCES
44-315 Willow
OF THE JURISDICTION IN WHICH IT IS BEING CONSTRUCTED.
La O uinta, CA
2.- ALL WORK, WHETHER SPECIFICALLY CALLED FOR OR NOT, SHALL
Ph. (760)G�1
BE CONSTRUCTED UNDER THE LATEST EDITION OF THE UNIFORM
BUILDING CODE AS ADOPTED BY THE LOCAL GOVERNING AGENCY.
3.- ALL EXTERIOR FLATWORK SHALL HAVE A POSITIVE SLOPE AWAY --N
Legal O e S C( I P I 0 n:
1
FROM THE BUILDING (1% MIN.)
'
44-315 Wiltow
R
4.- THE GENERAL CONTRACTOR SHALL THOROUGHLY FAMILIARIZE
La O uinta, CA
>.
HIMSELF WITH THIS DOCUMENTS PRIOR TO PROCEEDING WITH
APN 604-092-013
ANY CONSTRUCTION AND SHALL REPORT ANY DISCREPANCY TO
.
THE DESIGNER PRIOR TO COMMENCING ANY WORK, SHOULD ANY
DEVIATION BE MADE FROM THESE PLANS WITHOUT THE WRITTEN
Project:
'0
CONSENT FROM THE DESIGNER, THE OWNER/CONTRACTOR ASSUME
Proposed Residence Addition & Remodel
ALL RESPONSIBILITY FOR SUCH DEVIATION:
5.- THE GENERAL CONTRACTOR SHALL SUBMIT COPIES OF
Occupancy:
SHOP DRAWINGS OF ALL MANUFACTURED ITEMS ( i.e. CABINETS,
TRUSSES,ETC") TO THE DESIGNER FOR REVIEW AND APPROVAL
R-3
PRIOR TO FABRICATION. THE GENERAL CONTRACTOR WILL BE
RESPONSIBLE TO PROVIDE ADEQUATE TIME FOR REVIEW (10
Z o n e
WORKING DAYS) OF SUBMITTED ITEMS SO WHEREAS SUCH
R_1
REVIEW SHALL NOT ADVERSELY IMPACT THE CONSTRUCTION
SCHEDULE.
- -
Building Code:
6.- INFREQUENT SITE VISITS BY THE DESIGNER OR ENGINEER, IN
All Construction Shall Comply With The 2001 California
NO WAY ALLEVIATES THE CONTRACTOR'S RESPONSIBILITY IN
Building, Plumbing, Mechanical, 2004 Electrical, And
REGARDS TO CODE COMPLIANCE, SAFETY OR THOROUGHNESS.
-
2005 Energy Codes And,,All Local Codes & Ordinances
7.- ALL SUB -CONTRACTORS SHALL VISIT THE JOB SITE WITHIN 24
Bldg, SCI . Ft.:
HOURS PRIOR TO COMMENCING WORK. THE SUB -CONTRACTOR
\
SHALL BE RESPONSIBLE FOR REVIEWING RELATED TRADES SUB-
New Livable::: _ ..................288 s.f. ;
SURFACE PREPARATION AND SHALL REPORT ANY NON -CONFORMING
DISCREPANCY TO THE GENERAL CONTRACTOR. EXECUTION OF
WORK BY ANY SUB -CONTRACTOR INDICATES ACCEPTANCE OF THE
Area Tabulation:
PREVIOUS TRADE'S WORK.
Existing Residence,.. 2,221 s.f.
g.- THE OWNER AGREES TO HOLD HARMLESS, INDEMNIFY, AND
New :Addition, 288 s f
DEFEND THE DESIGNER, HIS EMPLOYEES, AND ENGINEERS
Total Building Area .............. 2,509 s f :;'..,.30%
AGAINST ANY AND ALL LIABILITY, CLAIM DAMAGES AND COSTS
Open -Area, :.... ...:................ ..,......,.5,767 s f :;:,.70%
OF DEFENSE ARISING OUT OF THE ERRORS OR OMISSIONS, OR
Lot Area ...:....: .......„ I ;:....8 276 s f...:.100% `
NEGLIGENT ACTS CAUSED BY THE MODIFICATIONS TO THE PLANS
AND SPECIFICATIONS.
r
9.- ANY CHANGE, MODIFICATION. OR ALTERATION OF THESE PLANS
SHALL BE AT THE SOLE RISK OFTHE`.PERSON MAKING OR "
-
CAUSING THE SAME AND SHOULD BE`REVIEWED BY THE DESIGNER
OF RECORD FOR CONFORMITY WITH THESE PLANS.
OF
: CoTlStrUCtlOtlS`ttOTERMITI'F4
on the following Code Holiday:
10.- VERIFY CONNECTION POINTS FOR POWER TELEPHONE AND CATVIJ
SYSTEMS PRIOR TO CONSTRUCTION APPROXIMATE ONLY LOCATIONS
day
INDICATED FOR TRANSFORMER LOCATIONS, ETC.
NewYeaC'S
Dr: Martin Luther tGng 1r. D81:.
11- COMPLY WITH ALL UTILITY COMPANYREQUIREMENTS. PROVIDE ALL
-President's Day
RELATED CONDUITS, PULL BOXES AND RISERS.
`
Memorial Day
_
12.- CONTRACTOR SHALL VERIFY ACTUAL DEPTH AND LOCATION OF ALL
.
Independence Day
EXISTING UTILITIES PRIOR TO CONSTRUCTION... CALL UNDERGROUND '
Lai)OC D1y
SERVICE ALERT (TOLL FREE 800-642=2444) •
Veteran s
Thanksglwng Day
13.- PRIOR TO TRENCHING, GRADING, EXCAVATING, DRILLING, PIPE PUSHING,
Christmas Day I
PLANTING TREES DIGGING FENCE POST HOLES ETC. THEY WILL SUPPLY
INFORMATION OR LOCATE AND MARK=ANY UNDERGROUND FACILITIES:
I Irrl'nrrrrnIInr4 CorXiir+o Alor+
i