Loading...
05-2041 (SOTB)P.O. BOX 1504 , 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application" description: Property Zoning: Application valuation: Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-00002041 78795 WAKEFIELD CIR A �� 604-431-005-13 -23995 STRUCTURES OTHER THAN BUILDINGS' LOW.DENSIT Architect or Owner: VOICE (760) 777-7012 FAX (760) 177-7011 INSPECTIONS (760)'777-7153 Date: ` 5/26/05 MARK WEBER ' ' 78795 WAKEFIELD DRIVE'• LA QUINTA, CA 92253 Contractor: ------------------- 2005 V Owner l�►Q11llBT�► f elly 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 workerscompensation 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 certifythat, in the performance of the work for which this permit is issued, I shall not employ any 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 subje 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 become s lett t workers' co ens 'on provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of th bor Cod shall fo wit co those ro si s. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by , any applicant fora permit subjects the applicant to a civil penalty of not more than,,five hundred dollars ($500).: ate: U Applicant: ' (_ 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 WORKERS' 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 CRIMINAL 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 370.6 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, a_ s owner of the property, am exclusively contracting 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 MaA, Rnsiripm Rnrl Prnfessinns Cnrlr.' The Cnrnrantnrs' 9tatr. I irrnsr. I Rw rinrs not Rnnlytn nn nwnrtr of cnnditinns Rnd rewrirtinns sm fnnh nn this Rnnficatinn, 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, (_ 1 I am exempt under Sec. , B.&P.C. for this re - o 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' 9 performed under or following issuance of this permit. /ate: c .rs (� wner: r • 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: _ t 1 certify that I have read this application and state that the above informatio s cor I agree to comply with all city and county ordinances an ate laws relating to building constructio and re orize re ntatives of this coup to enter up a above-mentioned property f pecti purp ses ate: ignature (Applicant or'Agent): - CONSTRUCTION LENDING AGENCY I hereby affirm under penalty' of perjury that there is a construction lending agency for the performance of the r work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT . Application Number . . 05-00002041 Permit _ BUILDING PERMIT. Additional desc . Permit Fee 15.00 Plan Check Fee 9:75 Issue Date . . Valuation 195 Expiration Date 11/22/05 Qty Unit Chargee ,Per Extension BASE FEE, _ 15.00 Permit . . . . . ELEC-MISCELLANEOUS Additional desc'. Permit Fee 15.90 Plan Check Fee 3.98 Issue Date Valuation . . 0 Expiration Date•. 11/22/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 .4500 EA ELEC DEVICE/FIXTURE >20 .90. Permit . . . PLUMBING Additional desc . Permit Fee . . . 21.00 Plan Check, -Fee 5..25. Issue Date Valuation 0 Expiration Date 11/22/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 ---------------------------------------------------------------------------- Special Notes and Comments GAS BBQ & FIREPLACE, 2 GFI OUTLETS, 82" GAS LINE, 9 L.F. 5.' POOL ENCLOSURE, CITY STANDARD ---------------------------------------------------------------------------- Other Fees . . . ENERGY REVIEW FEE ..98 Fee summary Charged Paid Credited Due Permit Fee Total 51.90 .00 .00 51.90 - rlan Cheek Total 10.90 .00 .00 10.90 Other Fee Total .98 .00 .00 .98. Grand Total 71.86 .0.0 .00 71.86 a LQPERMTT i . . .. .. . � 1-� Com. � �u /�- i. ... .. . J i . . .. .. . � 1-� Com. � �u /�- i. ... .. . , t Page 1 of 1' Yl ' Select a Product Product Menu - w - As the name implies' this octigon shaped, barbecue gives - you plenty of counter space. - STANDARD FEATURES • ' • 'Stainless steel- :Angus BBO • ," . • Stainlesssteel storage.door. IT • 'Stainless steel -refrigerator and frame" ; • Warming rack. • 15-am;G;F.I ..electrical outle"_ with outdoor'cover n • 31" x'54".x'102" tile"to.p (one'ortwo color L combination) • 27" x 82" stucco' base � v - .<„ l OPTIONS t • Stainless steel Brahma BBQ., _ ,, Stainless steel sideburner , y ' + I'_- r • DStainless steel sink , ,(w • Beer.tap'"refrigerator. + '" i,.7, u CD player/stereo with two speakers Exterior Finish Options "'„' • Umbrella ! «� Stucco, Brick, _Rock. ,� : Brick or rock base”' ase t: Y k y 'Tile Top Options, • Ba�Sfools' 5 + .� ;• Stainless steel Utensil Drawer °u• = Tile • Stainless steel Door/Drawer Combo ° + L'+ • Stainless steel Double.Drawe� ' 4" .. '' . �Stainless,steel;Double Door • • .9' Palaoa Granite top (12" x'12" tiles) ;(F> • Double sideburner ! Ice chest OF ' �UINTA Spec Sheets' A SAF DEPT: , . BUILDING,& ! • Octl- OctiQ.pdfy 1 �� 0 Optional Equipment optionalEquipment.pdf -FOR CONST�RUCTI N .• rt ' a - � r DATES-- , �'b8� fps �a 1. c - SI -RE DEN TIAL OR COMMERCIAL AL USE ._ y.. c• \ � �7 4. r http://www.biillbbq.com/products/octiQ.html r. 5/26/2005 _, , .. , i. a f; �, �, y ' �t •+ « ` Page,l off t t•W+x t 4j ;t� J� ��'.t Y`ett r'. .y ;• y _ r ; f ': , Product Menu Selecta Product n+ a FP4200 wood burning fireplace. t .,Outdoor • , .' y STAN DARD"FEATURES ' r "y �• 42" stainless steel'.hearth insert r ' - • Stainless steel face' c ' • Custom tile: face ' - Y •' Stainless steel mesh fire screen ' • White brick firewall. !,° • Stainless steel .log grate • Stucco base is 92"w x 38'd x.118"h OPTIONS 4 R.. 3 ' ' • Granite tile/fa inlay _d • Ceramic gas fire log Spec Sheets ` c Fireplace 4200 ,, z ,y • fp4200pdf ` RESIDENTIAL•OR,COMMERCIAL USE .. a t. , 1 OF IAQUIN .. ; .CITY 1 rl. .� ' BUILDING & SAFETY, DEPT. r r ' :FOR CONSTRUCTION Y r ti , DATE ' f BY . Is `h y ' RY 1 � T � ✓ , l�,S t' it �.: {y. 4'.. �,,., .. 1. J i # . r.,,jr' ry i t ' http://www.bullbbq.coiiVt)i.oducts/fp42 00.htrn1 , ' 5/26%2005 �'� . r SLZ66bE ,606 SS: -EZ S©9G/bG/S© - r: . a, OCTI-Q. Top 31" x 1 O2" x 55" Base 27" x 82" OUR= CIA$ HOOK-UP t t i 0 Refriger, 4.4 cubit( s+�aax f _ ;s: MAX' az' OPTIONAL 9'-0 L M 3RELL A TOP 4 BURNER 20" X W GRILL or -5.Bumer- 20.' X 38".GRILL FRONT �1 - TILE TOP E::iRlCAi LWE je 4 6�-- ig- TY OF LyQUINTA I. -DING & SAFETY DEPT. APPROVED :=OR CONSTRUCTIQN Immimimm mrIdirlim a misime BASE MENTIONS = 2r, G 82" DRAVQ43 f4UT70 . ZO/To 39Cd, �S3flo3 dva l'd3S3Q m� I SLZ66b6605 SS :`T SooZ'/trZ/So CITY OF .LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS d -� �' Q� PERMIT NUMBER OWNER w_�� BUILDER 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 or 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 of building permit. For each applicable trade, all information requested below must be completed by applicant. --un rile' is not an accepiaDie response. Trade: /Classification .:. ..: - , ..:: Contractor. ;::::. State.;Contractoc: s:License::. Workers..Com' ensaton Insurance City Business License. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK: (C 12).:::, r t)hLIiE I E IC. FRAMING:. W=fl STRUCT. STEEL IC :51):;;.;. MASONRY (C=29):: PLUMBING (C 36): < ��&,4440N (2 46 G3� 1 4 s%�'�7-�s �' �a /O(� LATH;: PLASTER: (C. 35):`:-.` DRYWALL.: (C=9) HVAC (C 20) ELECTRICAL:: (.C,=7 ROOFING r OWNER/BUILDER INFORMATION 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 "OwnerBuilder" 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 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 wo_k (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 carryout 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 contracts 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 70 OWN R'S SIGNATURE/DATE PROPERTY ADDRESS 'r PERMIT NUMBER(S) s