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Home My WebLink About10-1379 (PAT)s; • .. 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: 1 / 10 / 11 Application Number: _f:!10-00-001379_::1_- Owner: Property Address: 55075 MONROE ST TALLY RANCH INC APN: 767-580-013- 000000- 55-075 MONROE ST Application description: PATIO COVER - RESIDENTIAL- LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL --------------------------------- Application valuation: 14000 Contractor: L Applicant: Architect or Engineer: Owner 1 I it ------------------------- -- ---- r rI 1 PIP — — — — — — — — — — — — — — — — — - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- — — — — — — — 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 Professio ode, 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 C ss: Lice s lo.: — for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: 1 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 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 certify that, 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 subject to 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 subject to workers' compensation 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 Code, I shall forthwith c ply with tho provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: lKat pplicant: 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 3706 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.). ' (_ 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: V� w 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 Name: Q� - Lender's Address: • ` 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 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 informatiLcorrect I agree to comply with all city and county ordinances and state laws relating to building constructionauthorize representatives f Jhis c unt to enter upon the above -mentioned propert for ins 'on p Date: t�'� Sigr�tore (Applicant or Ag LQPERMIT Application Number 10-00001379 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . 153.00 Plan Check Fee 99.45 Issue Date Valuation . . . . 14000 Expiration Date 7/05/11 Qty Unit Charge Per Extension BASE FEE 45.00 12.00 9.0000•THOU BLDG 2,001-25,000 108.00 ------- Special Notes and Comments 300SF FREESTANDING SOLID PATIO COVER WITH CMU FIREPLACE [ENGINEERED] THIS PERMIT DOES NOT INCLUDE MECHANICAL, ELECTRICAL OR PLUMBING INSTALLATIONS. -2007 CALIFORNIA BUILDING CODES. January 6, 2011 11:27:15 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION•(SMI) - RES 1'.40 Fee summary Charged Paid Credited ---------------------------=----------------------------- Due Permit Fee Total 153.00 .00 .00 153.00 Plan Check Total 99.45 .00 .00 99.45 Other Fee Total 2.40 .00 .00 2.40 Grand Total 254.85 .00 .00 254.85 6QPERMIT Bin # l City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tamplco La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 15 S D -7, j o J r,� !) �. Owner's Name: k P. Number: Address: Legal Description: City, ST, Zip: Lam.- �.An l �� . CA Contractor: Telephone: ( \ Address: 550 Project Description: City, ST, Zip: Le__ LZ.� Telephone: 15 '1 State Lic. # : City Lie. Arch., Engr., Designer: Address: 1 City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: �,AQ� �t�_e� Construction Type: Vttrw.<_ Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 1 ev 9> APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACICIIHG PERMTT FEES �j Plan Sets Plan Cheek submitted �1 Item Amount Stroctnral Cale • o ,t Reviewed, ready for corrections Plan Check Deposit Truss Glee p 1 I Called Contact Person Plan Check Balance �- Title 24 Gles. Flood plain plan Plans picked up Plans resubmitted ConstructionIcAm I , Mechanical Grading plan P! Review, ready for,corrections/issue .�. Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctlonsRssue Developer Impact Fee Planning Approval Called Contact Person `^ A.LP.P. Pub. Wks. Appr Date of permit issue t� I .— School Fees 1154. Total Permit Fees rJ 41V Z S � G3� /Z —,IqIZ) tjW A*m%srM1 ► ft P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777 -70 12 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IWORT'ANT! NOTICE Tn EROPEM 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 the 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 cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OVPMWS ACKNOWLLDGMIM AND VERIFICATION OF RWORMAMN DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 0a1. 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 injures. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my party tAAQ- 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. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect m if from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. l/ j �4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on pe is and contracts. . 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value o my. construction is at least five hundred dollars, ($500), including labor and materials, I may be considered an "employer" I T6. 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 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 me to serious financial risk I 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. i 48: I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any tna_ncial or personal. igjaries sustained. by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. 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 t- 800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. LV1/` 10. 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 employer's.. agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information 1 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 tounderstand that if an unlicensed Contractor or employee of that individual or firm is injured while watong on your property, you may be heldliable for damages. If you obtain a permit as Owner -Budder and wish to hire Contractors, You will be responsible for verifying why or not those Contractors are property 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: tfre permi : Note. A copy of the property owner's driver's license; form rtotaraimadhvn; or other veriTkation acceptable to the ago" required to be presented when the permit is issued to verify the PMperh' owner's signature. Signature of Property ownePa7.WVA"4W.W VVMJMME� 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 authorize the following person(s) to act as. my agent(s) to apply for, sign, and file the documents necessary to obutin 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 Co be ed when the permit is issued to verify the property owner's signature.. Property Owner's Signature- . ` Date: k \ \\\ \ � e, `mod 71-:780 San Jacinto Dr. Ste. EZ Rancho Mirage;, Ca: 92270 ph. (766) 834-8860 fax'(760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 12-29-10 78-495 Calle Tampico City Due Date: 12-31-10 La Quinta, CA 92253 Project Address: 55-075 Monroe (fireplace and patio cover Attn: Phillip Plan Check #: 10-1379 Submittal: ® 1St ❑ 4th ❑ 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: Copies: ® 1 Structural Plans ❑ Revised Structural Plans ® 1 Structural Calculations ❑ Revised Struct. Calcs ❑ Truss Calculations ❑ Revised Truss ❑ Soils Report ❑ Revised Soils Report ❑ Structural Comment List ❑ Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ V DEI 2 9 2 0 1 a ® Per Your Request ❑ Approval ❑ At the request of: BY: ,�