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13-1230 (RR)T`hf 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/26/13 Application Number: 13-00001230 Owner: Property Address: 51886 EISENHOWER DR PAMELA CRABTREE D APN: 773-175-026-18 -000000- 51886 EISENHOWER DRIVE d Application description: RE -ROOF LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL ( �� Application valuation: 8000 2 2015 Contractor: C1ry b1� �1 QUINTA Applicant: Architect or Engineer: Owner FINANCE -0J! � A-1�//� 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).: ( _) 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.). (_ 1 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 contractor(s) licensed pursuant to the Contractors' State License Law .l. /� (_ 1 I am exempt under Sec. , B fi . h. his re o<, -.f Dat�� of /o ao,`9 CONSTRUCTION LENDING AGENCY 1 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 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 I certify that, in the performance of the work for which this permit is its ed, I shall not employ any person in any manner s to come subje a workers' Com nsation laws of California, and agree that, if I s ecome bject the wo rs' compen tion provisions of Section 3700 of the L r ode, I shat ith mply h (hos r isions. 0 Dat 020 I Applin ant: \ WARNING: FAILURE TO SECURE WORKERS' COMPEN SAT - ON 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 Ouinta, 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 per ' or cessation o for 180 days will subject permit to cancellation. I certify that I have read this application and state that-th above -info m do is orrect. ree to comply w" h all city and county ordinances and state laws relay to b Iding constructs an hereby orize representa ves of this county to enter upon the above -menti? ed pr erty for ins ct n ur ses. Daf kV ignature (Applicant or above -menti? Application Number . .. . . . 13-00001230 Permit . . . RE -ROOF Additional desc . . Permit Fee . . . . 48.62 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/25/14 Qty Unit Charge Per Extension ti 1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF 48.62 ---------------------------------------------------------------------------- Special Notes and Comments REPAIR LEAK(S) IN ROOF REPLACE BROKEN TILES REPLACING TILES WILL BE REPLACED 2010 CFODES. APPROVED PER J.J. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, RE -ROOF 97.24 Fee summary 1 Charged Paid Credited ----------------------------=- ---------- Due ----------------- Permit Fee Total 48.62 .00- .00 48.62 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 .00 98.24 Grand Total 146.86 .00 .00 146.86 LQPERNI IT 1 Qin # City Of La Quinta . Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit.# ' Project Address: 51-886 Eisenhower Drive Owner'sName:Pamel a V . Crabtree A. P. Number: *Address: 51-886 Eisenhower Drive Post Off ice Box 8.09 Legal Description: *City, ST, Zip: La Q U i n t a, Ca. 92247-0809 Contractor: Telephone: Address: •Project Description: Repair leak ( S) i n r o o f City, ST, Zip: Replace Broken Tile(s) Telephone: .,.. '`«.H.v:;.,' Re lace an additional damage p Y 9 State Lie. # : City Lie. #.. to roof. Arch., Engr., Designer. Address: City., ST, Zip: Telephone: Construction Type Occupancy . Project type (circle one) New Add'n Alter Repair Demo State Lic. #: jjy'n,' i:• ,.:<.<:;.;.; `' ` ° "' :.>:..: Name of Contact Person: Pamela Crabtree •Sq. Ft.: l , 191 # Stories: 1 # Units: n / a Telephone # of Contact Person( Itstimated value of project: $ 8 ., 0 0 0: 0 0 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan.Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calu. 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted. Grading IN HOUSE: '"dReyiew, ready for corrections/issue Developer Impact Fee —PiamrinE Amp vat �atted�nnfactPersn �lP Pub. Wks. Appr Date of permit issue School Fees Total Permit fees T4hf 4 4 a" P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING R SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 Considering Becoming an Owner -Builder? 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" 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 in your name, you are not personally responsible for the construction and you are nor an Owner -Builder. Instead, you become a "Cu tonter" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial riskue to worker injury. Benefit/Risk: Highest 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 you hire 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 anv of the work. Benefit/Risk: Possible Benefit and 5ienificant Financial Risk Owner -as -Employer is a type of Owner -Builder where you pay any unlicensed individual to perform an-v construction work valued at more than $500.00, the permit is taken out in your name and you are personally responsible for their employment 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 payroll 1a.Yec or provide workers compensation insurance for each worker. BenefitMsk: Possible Benefit 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 4 4 Over 20,000 consumer complaints are filed each year. Many complaints relate to ownerlbuilder 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. k.,+ fins nn Ayomption from Workers Comp. Example 2: Brother-in-law had active lice sae LJU. w•� .. _ ■ 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. • is now a defendant in a lawsuit for reimbursement for The Owner -Builder, who has sold the home, 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 l( 1 P.O. BOX 1504 LA QUtNTA; CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IWORTANTt NOTICE TO PROPERTY OWNER Dear Property Owner. An. application for a buildin pmt has been submitted jln your name listing yourself as the builder of the property improvements specified at t FIV81 8 6 E 1 s e n h o w e r U r i v e We are.pmviding you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware 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 yon have read, ioitiafed 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 ACItENORMED T AND -VERW CATJUN OF INCORM:ATIION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. �� 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. 1, 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. 1 am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers on my property. 2. 1 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. I understand as an "Owner' -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial dik by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. fi�j. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 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. I understand if I am considered an "employee" under state and federal law, I must register with the state and federal vern goment, 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. 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. 42* 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be he'd Gable, for any financial or personal. ieyuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. I understand I may obtain more information regarding my obligations as an "employee" 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.cslb.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 party legally and financially responsible for proposed construction activity at the following address: I 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_ I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I ave 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, Bre 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 civil court- It is also important for you tounderstand that if an unlicensed Contractor or employee of that individual or firm is injured while wodang on your property; you may be held Gable for damages. If you obtain a permit as Owner -Builder and wish to hilt Contractors, you will be responsible for verifying whether or not those Contractors are pmperky licensed and the status of their workcrs' 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 issuing: &e.permiW Note: A copy of tke property owner's driver'sUcenset farm nota bens or other verification acceptable to the a excy is r to be pros when the permit is imed to verify the property owner's signature. "' � \ �� Signature of property owner 7A_I_X� C Date: 09/26/2013 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 understand. is my personal responsibility, I hereby authorial - 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: Property Detail Report Page 1 of 1 Property Detail Report for: PRODUCTS 78 d 51886 EISENHOWER DR, LA QUINTA, CA, 92253-3195 Owner Information: Owner Name: CRABTREE, PAMELA V Mailing Address: PO BOX 809, LA QUINTA, CA, 92247-0809 Vesting Code: Phone Number: Location Information: Legal Description: .23 ACRES M/L IN LOTS 17 & 18 BILK 117 MB 018/079 SANTA CARMELITA AT VALE LA QUINTA NO 12 County: RIVERSIDE FIPS Code: 06065 Census Trct/Blk: 045120 / 2 APN: 773-175-026 Alternative APN: Map Ref: Twnshp-Rnge-Sect: - - Legal Book/Page: Tract No: Legal Lot: 17,18 Legal Block: 117 Subdivison: Last Market Sale Information: Sale Date: 7/21/2010 Sale Price: 1st Mtg Amount: $ Sale Doc No: 2010-0339530 Price Per SgFt: 1st Mtg Int Type: Transfer Doc No: 2010-0339530 Price Per Acre: 2nd Mtg Amount: $ 1st Mtg Doc No: 2nd Mtg Int Type: Sale Type: Deed Type: Title Company: NONE AVAILABLE Lender: Seller Name: Property Characteristics: Building Area: 1,232 Total Rooms: Construction: Living Area: 1,232 Bedrooms: 3 Heat Type: CENTRAL Garage Area: Baths: 2 Air Cond: CENTRAL Basement Area: Fireplace: Roof Type: Parking Type: No of Stories: 1 Roof Material: TILE Yr Built/Effective: 1951 / Quality: Style: Pool Code: Tax and Value Information: Assessed Value: $38,348 Assessed Year: 2012 Est Market Val: $126,333 Land Value: $7,758 Property Tax: $749 Assessor Appd Val: Improvement Value: $30,590 Improvement %: 79.77 Total Taxable Value: $1 Tax Exemption: Site Information: Assessor Acres: 0.23 Zoning: Land Use Code: 163 Assessor Lot SgFt: 10,019 No of Buildings: Land Use Desc: SFR Lot W/D: / Res/Comm Units: 1 County Use Code R01 Calculated Acres: 0.2306 Sewer Type: Calculated Lot SgFt: 10,045 Water Type: http://dc l .parcelstream.com/GetByKey.aspx?dataSource=%24%28ACCOt NT_NAME%2... 9/26/2013