07-2589 (RER)is
P'.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,, CALIFORNIA 92253
Application Number: 07-00002589
Property Address: 47930 VIA FIRENZE
'APN: 643-130-065-11 -26152 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 900
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 70001 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 (Seca 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 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.). -
1 _ 1 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.).
I _ ) I am exempt under Sec. , B.&P.C. for this reason
Date: O� ner: .••►_—
CONSTRUCTION LENDING AGE�i cY
hereby affirm under penalty of perjury that there is a construction lending ag tcy for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: -
LQ PERMIT
Owner:
SVETLANA CALAMARO
47930 VIA FIRENZE
LA CUINTA, CA 92253
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/02/07
----------------------------------- N;A --------
WORKER'S COMPENSATION DECLARATION
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.
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
1 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 become subject,to the workers' compensation provisions of Section
3700 oft Labor Code, I fo ljwith comply wit those provisions.
ate:;i9Applicant:
WARNING: FAILURETO SECURE WORKERS' COMPENSATI N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND VIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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, andshalldefend, 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 ordinan�nEturejApplicant
a laws relating to building cons truc ' ,and hereby authorize representatives
of thi,/ o ty to ant ve-mentioned property fo ,ape fi urposes.
ate! D or Agent):
07-0000289
Application Number 5
------ Structure Information CONSTRUCT WALL.BETWEEN HALL/FAMILY - -----
-Other struct info'... CODE EDITION'-
----------------------------------------------------------------------------
2001CBC2004CEC'
Permit . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 23.00 Plan Check Fee
14.95
Issue Date: . . . . Valuation. . .
. . 900
Expiration Date 3/30/08
Qty Unit Charge, Per
EALeIIsluIl
BASE FEE
15`.00
4.00 2.0000 HND- BLDG 501-2,000
8.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee17.25 Plan Check Fee
4.31
Issue Date . . . Valuation• . .
. . 0
Expiration Date 3/30/08
Qty . Unit.'Charge Per
Extension
BASE FEE
15.00
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Special Notes and Comments .
CONSTRUCT WALL BETWEEN HALL AND
FAMILY/PLAY ROOM. ADD ELECTRICAL
OUTLETS TO ENCLOSED ROOM TO COMPLY
WITH 2004 CEC.. 2001 CBC, 2004 CEC:
October 2, 2007 4:15:51 PM AORTEGA
,Other Fees . . . . . . . . ENERGY REVIEW FEE
1.50'
Fee.summary Charged Paid Credited
Due
Permit Fee Total 40.25 .00 .00
40.25
Plan Check Total 19.26• .00 .00
19.26
Other Fee Total 1.50 .00 .00
1.50
Grand Total 61.01 .00 .00
61.01
• LQPERMIT
...
3,2
Bin #
City of. La Quinta.
Building U 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:Owner's
A. P. Numbed:
Legal Description:
Name:
Address: 4/793 d
City, ST, Zip: 14 7W �'� ga q 73
Contractor:
Telephone: 63/0 9.22 — 7 32
Address:
Project Description:
City, ST, Zips •
,EJB/ST/�U/ ��N1/GSA PGS. 00/�
Telephone:.
State Lic..# : City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:Project
Name of Contact Person:
Construction Type:. _ Occupancy:
type (circle one): New . Add' -n Alter Repair Demo .
Sq. FL: �# Stories: # Units'
Telephone # of Contact Person:-61Estimated
Value of Project * !9 . o
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rce'd
TRACIMG . PERMIT FEES
Plan Se
a
Plan Check submitted /ow Item
Amount
Strnctur d Calcs..
Reviewed, ready for corrections Plan Cbeck Deposit
Truss Calcs.
Called ContacCPerson l . Plan Check Balance
Energy lcs..
Plans picked upI Constiiection
Flood pl in plan
Plans resubmitted Mechanical
Grading.plan'
2"Review, ready for correctionsAssue ' Electrical
Subcontactor List
Called Contact Person Plumbic
Grant Deed,
Pians picked up S.M.I.
.ILOA- A A iproval
Plans resubmitted I Grading
IN HOU E:
Review, ready for corrections/issue Developer Impact Fee
Planning pproval
Called Contact Person
.19
Pub. W . Appr
Date of permit issue 1
School Fees
T
Total Permit Fees
OWNERBUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as tie 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 -.o have a business license
from the City or County. They are also required by law to put their license number on ill permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to st..bcontract, you should be
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 ere especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Interna! 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 "a)wner/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' Stare 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) 777-7.012
FAX: (760) 777-7011
OWNER'S SIGNATURE/DATE
X7910
PROPERTY ADDRESS
o-7- �2-589
PERMIT NUMBER(S)