BWFE2017-0227. A
VOICE (760) 777-7125
.78-495.,CALLFJAMPICO 4
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/22/2017
Permit Type/Subtype:
Applicant:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Owner:
Application Number:
BWFE2017-0227
ARTURO SANCAEZ VALEDEZ
Property Address:
52845 AVENIDA ALVARADO
52845 AVENIDA ALVARADO
APN:
773313018
LA QUINTA, CR 92253
Application Description:
VALDEZ / 75LF BLOCKWALL
Property Zoning:
Application Valuation:
5,000.00
$5,000.00-
Applicant: u NOV 2 2 2017 L! Contractor:
ARTURO SANCHEZ VALEDEZ OWNER / BUILDER
52845 AVENIDA ALVARADO CITY OF LA QUINTA
LA QUINTA, CA 92253 GDMMUNITYDEVELOPMENT DEPARTMENT
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 Professions 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
sub" cts the applicant to a civil penalty of not more than five hundred dollars ($500).:
.I/'t9 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.).
S_ 7 as owner of the property, am exclusively contracting with licensed contractors to
con ruct 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 am exempt under Sec. . B.&P.C. for this reason
Dd` t� — Ow
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.).
Lender's
Lender's Address:
Llc. No.:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one cf 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:_
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner sc as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provision of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
icant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIAAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FO i IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on thi': application.
1. Each person upon whose behalf this appli ration 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 :he 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 tie 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 issu ince of such permit, or cessation of work
for 180 days will subject permit to cancellatior.
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 ordirances and state laws relating to building
construction, and hereby authorize representadives of this city to enter upon the above-
mentioned property for inspection purposes.
DDaatg?-2 gnature (Applicant c r Agent):
Date: 11/22/2017
Application Number: BWFE2017 0227 Owner:
Property Address: "52845 AVENIDA ALVARADO ARTURO SANCHEZ VALEDEZ
APN: 773313018 52845 AVENIC•A ALVARADO
Application Description: VALDEZ / 75LF BLOCKWALL LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $5,000.00
Applicant: Contractor:
ARTURO SANCHEZ VALEDEZ OWNER / BUILDER
52845 AVENIDA ALVARADO
LA QUINTA, CA 92253
J
Llc. No.: .
-----------------------------------------------------------------------.-----------------_---
Detail: 75LF OF 6' RETAINING WALL IF APPLICABLE POSSIBLE GARDEN [CITY AND ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND
ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY
OWNER. 2016 CALIFORNIA BUILDING CODES:
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42416
101-0000-42404 0
$52.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$65.02
Total Paid for BLOCK WALL:
$117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE. 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
A
a
r
C
—. -- -- --- -- PErMn u `7
PLAN LOCATION
Project Address: Project Description: Pool, Remodel, kdd't, Elect, Plumb, Mech
APN #:
- 1
Conditioned Space SF '
City, St, Zip th e'K ���—� %
Applicant Namc:I vrQ v. (d. --t
Telephone: ��0 1��� �'
Address: '5a ' `l6' At, eyicto V(, 6f d
Email: f xrnz S-7 644" t/I/1
O
State Lic: i a'� City Bus Lic:
City, ST, Zip: L4 Qvij4 Cpq,2
:mail
Telephone: ', GO - A& 9-
;tate Lic: City Bus Lic:
Email
Valuation of Project S
Contractor Name:,
New SFD Construction:
Address:S-h ��e a rl JJ -
Conditioned Space SF '
City, St, Zip th e'K ���—� %
Garage _ SF
Telephone: ��0 1��� �'
Patio/Porch SF
Email: f xrnz S-7 644" t/I/1
O
State Lic: i a'� City Bus Lic:
Fire Sprinklers SF
krch/trig Name:
Construction Type: Occupancy:
address:
Grading:
-ity, St, Zip
Total Building 75 PSF
telephone:
Bedrooms:
Stories:
# Units:
:mail
IN G IJ I
;tate Lic: City Bus Lic:
.roperty Owner's Name:
t r G
Ne�ti Commercial /Tenant Improvements:
Adress: 5 ARAVWAA
A IvwrN o
Total Building 75 PSF
:ity, ST, Zip 1A U
.L cA �S3
Construction Type: igj0()< OccLpancy:
elephone:
IN G IJ I
mail:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
TwY
BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 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 Empioyer"
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 not an Owner-Buzlder. Instead you become a
"Customer" and California law provides you the benefit of protection from poor workmanship, failure b finish the job and financial
risk due 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 ori 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 Contrac=or, 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 seriots financial risk if you hire
.unlicensed contractors to perform any of the work-
Benefit/Risk:
orkBenefit/Risk: Possible Benefit and Significant Financial Risk.
Owner -as -Employer is a type of.Owner-Builder where you pay any unlicensed individual to perform any construction work valued at
more than $500.00, the permit is taken..out in your name and you ale• 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 taxes or provide workers compensation insurance for each worker.
Benefit/Risk: 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
Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder 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.
Example 2: Brother-in-law had active license but fled an exemption from Workers Comp.
■ 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.
■ The Owner -Builder,. who has sold the home, is now a defendant. in a lawsuit for reimbursement for
` 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 lin 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 providecoveragefor 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
P.D. Box 1504
L'A QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 7.77-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
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 at
We are providing 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 e
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner c2nnot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION`
DIRECTIONS: Read and initial each statement below to signify you understand or verify this informatron.
1. 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. I, 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. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coveragY for injuries to workers
on my property.
A.2`2. I 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.
Lam. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I undertand that I may protect
myself from potential financial risk by. hiring a licensed Contractor and having the permit filed in his or her nam
own.
e instead of my
. I understand Contractors are required by law to be licensed and bonded in California and to list heir license numbers on
permits and contracts.
S. 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.cor_sidered an "employer"
under state and federal law:
�.t5. I understand if I am considered. an "employer" under state and federal law, I must register with the state and federal
government; 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 rte-to.serious financial`
risk.
4,<�7.. I understand under California Contractors' State License Law, an Owner -Builder who builds silgle-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.
J'_,8. I 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 inj uries 'sustained, by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
/4,'3 9. I understand I may obtain more information regarding my: obligations as an."employer" from the Internal Revenue
Service; the United States Small.Business Administration, the California Department of Benefit Pwiments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State L=cense Board (CSLB).at 1
800-321-CSLB (2752) or www.cslb.ca.gov.for more information about licensed contractors.
&10. 1 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 1he following address:
C( 2- t !�_?
1 l . 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 govem Owner -Builders asmell as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes do any of the information I
have 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, the 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 to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you: will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
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 the permit. Note. A copy ofthe property 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.
r�
Signature of property owner ��?/i� /��' Date: — 2
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 responsitility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign; and file. the documents necessary to ob-ain 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.oxner s signature.
Property Owner's Signature: Date:
CITY OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS_ _ _.— PERMIT NUMBER OWNER _ - - __._ BUILDS( ( '
-all Only appearing on this list or their employees are authorized to work
1 -`/lis form shall be posted on the io1) witll the BUlldiriq
ln5 )ection Card at times in a conshictio'iis. )14 ace. persons
in a stoppage of work and/or the voidance
on this job. Any cl-tanges to this list must be approved
by. the Building Division prior to commencement of work. Failure to comply will result
of building permit. For each applicable trade, all
in requested below must be completed•by <appircant.. "On File" is not an acceptable response
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Exp. Date
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License Number
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