The URL can be used to link to this page

11-1302 (BLCK)V r�P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: " L—:711-00001302 Property Address: 52217 EISENHOWER DR APN: 773-225-020-10 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 3520 c&t!t 4 4v Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 ay pplicant for a permit subjects the applicant too civil penalty of not more than five hundred dollars ($5001: (, 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.). (_ 11, 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.). (_ 1 I am exempt under Sec. , B.&P.C. forSpis'rl1@gon ate: / 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.). 7//! Lender's Name: Lender's Address: LQPERr4IT Owner: ANGELO BIANCHI 52217 EISENHOWER LA QUINTA, CA 92: Contractor: Owfier VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/07/11 DRIVE 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 issued, I shall not employ any person in any manner so as to subject to the workers' compensation laws of California, and agree that, if I should come su subject the the compensation provisions of Section 37 0 of the Labor Code shall fo with comply with t se provisions. Date: )� A ant: WARNING: FAILU ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 isnot 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 sta t the above information is correct. I agree to comply with all city and county ordinance's and state laws ating to wilding construction, and hereby authorize representatives of this cow y to nter upon the above- ntioned p p�ormses. % ll S' ature (Applic t or Age Application Number 11-00001302 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 63.00 Plan Check Fee .00 Issue Date . . . . Valuation 3520 Expiration Date 6/04/12 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 ------ --------------- 91 L.F. 5' GARDEN WALL @ FRONT YARD & 62 L.F. 6' GARDEN WALL, PARTIAL SIDE & REAR YARD, CITY STANDARD. 2010 CODES. Fee summary Charged Paid Credited ----------------------------------------------- ------ Due - --- Permit Fee Total 63`.00 .00 .00 63.00 Plan Check Total Ob .00 .00 .00 Grand Total 63.00 .00 .00 63.00 LQPERMIT F.U. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO. LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Sanders Applying for Construction Permits / NOTIC'R T n PRn'UI7D'f`V nWNER ft \ Dear Property owner: AII application for a budding permit has been submitted m your name listing yourself as the builder of the property improvements. spccifieri at We are providing you with an Owner -Builder AclosowWp=t and. Information Vaification Form to uuake you ava m of hour mSPOWW ties and possible risk. -YOU May incur by htviag drirpmut.issated in your nun as the Ownw-Builder. We wM not issue a boiiding.pamn until ym,hav+e rid, Inured your anderstaadiag of eack'prwdsion, signed, and returned this form to us at our oMcial address indicated. An agent of the owner cannot execute Eris notice unless you, the property owner, obtain the prior approval of the permitting authority. Dead and &dd& a statment befjv.(4 signify you cardwstand or verO dos atjbnnadon. _l. 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 penxmdl r.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 white working on my property. 'My homeowner's insurance may not provide coverage for thou 'juries. I inn willfully actrng as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to wod= Py - I understand building permits are not re a and to be signed by property owners unless they are responsible for tb on acrd are not hiring a licensed Contractor to assume this vesponabihty. 11 undentand as an `owner-Buildee, I am the MR'lonsible party of rm)rd on the permit. I understand that I may prow myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name intend of o own. 4. I uaderstand Contractors are required by law to be licensed and bonded in California and to list their license numbers its and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total v, f my construction is at least five hundred dollars ($500)., including labor and materials, I may be considered an "emplo 76. state and federal law. I understand if I am considered an "employee" under state and federal taw, I muat register with the Mate and fe government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to uncmploy compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious fine risk �FT I understand under California Contractors' State License Law, an Owner -Builder who builds single-family msid structures cannot legally build them with the intent to offer them for sale, unless all work is performed by tic subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is perf under contract with a licensed general building Contractor. 4L48. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial•or personal. boaries sustained by. any subsequent owners) that* from any latent construction. defects in the anshrp, or materials. 9. I understand I may. obtain more information regarding- my obligations as an "employee.from _mthe' Iatiecoat iEwenue Suvice, the United States Small Business Administration, the California Department of Benefit Payment&. California Division of Industrial Accidents. I also understand I may contact the California Contractors' State [.ictus¢ Board (CSM at. 1- 800-321-CSLB (27 52) or www.cslb.ca.gov for more information about licensed contractors. Z0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the ply legally and financially responsible for proposed construction activity at the following address: i 1. t I will abide b all agree that, as the party legally and ftnawially responsible for" proposed construction activity, Y 1ipplicable laws and requirements that govern Owner-Huddets as well as employers. V12.1 agree to notify the issuer of this form immediately of any additions; deletions, or ciipngcs W any Of the informa"M I veprovided on this form. Ucensod contractors are regulated by laws designed to protect the Public- If you contract with someone who does not have a imam, are Contractors' State Lioense Board may be unable to assr3t you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be iavivil Coact. It is also important for you to: understand dw if sitanlieeased Contractor at enVloyee of *A individual of f 11 is i while wor'dog on your property; you may be hddd l fbr damages, If you obtain a permit as Owner Builder and etc to bime Com, you will be rho fix verif tg or not those Contractm are pis r Iieensed and 'the stags of tires worleers' motion insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to tine agency responsible for Issuing.tke.¢erm{t. Nott: A copy of 91m properpt owner's dWvw'v i fxm x@UMka&)M e1 other verifwadon aero to tlro is requh-ed to be prvsented when tie pgnreit is. USMJ to *al &e owner's sigaatrue. Signature of property oyawr Date: � a Note: Tire following Authorization Form is required to be completed by the proper. ty owrur only when designann an agent of the property owner to apply for a construction perntit for the Owner -Builder. AIMAI RIZAMON OF AGMT TO ACT ON PROPERTY 'S ff AI,F Excluding the Notice to Property Owner, the excwtion of which I understand is my personal respowiWlity, I benby audios; the following pman(sl to act as my Wtit(s) to apply for, sign, and file the d Mamts necessary to obtain an Owriet-Builds 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 information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other ve Vkatio acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature - Property Property Owner's Signature: Date: � �� S a/v�to w� �- Bin # City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777=7012 Building Permit Application and Tracking Sheet Permit # O �^ / Project Address:Jdc?)7 �ISC',�/9au/P.2 l�leli�� Owner's Name: i94)6.e,L0 F y2//9�✓U�7�' A. P. Number: Address: led 0)/ L iS P�✓�7 O 6cJ02 ti ve Legal Description: City, ST, Zip: 6111--J74 C I 9p7(;g S Contractor. SO L O u%ve •Z Address: Telephone: .��>'� . :b�ri` ;:ae3.• Project DescriP ion: ` LL City, ST, Zip: J7 O G'L GcJ�9LL 70 Telephone: .::. �.': ,:.., ;<,, ' t:" ':..;:. J /q 6-41 / State Lie. # : City Lie. #.: i �� ;�� 7d Q 0 1 Arch., Engr., Designer: Address: 1 QGL LtJ�IGG ('r✓ (°�i� %d City, sr, Zip: �e PLge-(? 6.)0 o )s r-ovc Telephone: eP:. ;� z:. a...�.�„fi„ Construction Type: Occupancy: State Lie. #::�>��is�4 Project type (circle one): New ,.Add' Alter Repair Demo Name of contact Person: /� /7-ilJ G -Pi t�o fG /mss I �-•t/U�j l Sq. Ft.: ;0 #Stories: % #Units: Telephone # of Contact Person:% Estimated Value of Project: — / 0 • 600 APPLICANT: DO NOT WRITE BELOW THIS UNE IV Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Plan Check submitted . Item Amount Structural Cala. Reviewed,' -ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Tide 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correctionvIssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.OA. Approval Pians resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees