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BRES2016-037378-495 CALLE TAMPICO C& 0 U 4 a" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/ADDITION Application Number: BRES2016-0373 Property Address: 77125 CALLE TEMECULA APN: 774261007 Application Description: JURETICH / CONVERT GARAGE TO LIVING SPACE Property Zoning: Application Valuation: $5,000.00 Applicant: DWAYNE JURETICH D 77125 CALLE TEMECULA LA QUINTA, CA 92253 MAR 2 2 2019 ID VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LAURA JURETICH 77125 CALLE TEMECULA LA QUINTA, CA 92253 Contractor: OWNER BUILDER CITY OF LA QUINTA Llc. No.: DESIGN & DEVELOPMENT DEPARTMENT ------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing wlth 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. 70315, 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) or 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 AL.ne r 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 bullding or Improvement Is sold within one year of completion, the owner -builder will have the burden of proving that hil or she did not build or improve for the purpose of sale.). INI s owner of the property, am exclusively Contracting with licensed contractors C nstruct 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(i) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: U CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of per)ury 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 Na Lender's Date: 3/22/2019 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 rnaintain 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: Carol - Policy Number;_ IdIN I c rtify that in the performance of the work for which this permit Is Issued, I shal hat employ any person In any manner so as to became subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:24&* Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 Building Official for a permit subject to the conditions and restrictions setforth 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 information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentio ed Vaperty for inspection purposes. Date: Signature (Applicant or Agent): _ Date: 3/22/2019 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: DWAYNE JURETICH 77125 CALLE TEMECULA LA QUINTA, CA 92253 BRES2016-0373 77125 CALLE TEMECULA 774261007 JURETICH / CONVERT GARAGE TO LIVING SPACE $5,000-00 Owner: LAURA JURETICH 77125 CALLE TEMECULA LA QUINTA, CA 92253 Contractor: OWNER BUILDER LIc. No.: j -------------------- -------------- ---------- I ------------------------- Detail: CONVERT EXISTING DETACHED GARAGE TO CASITA - 440 Sq. PER 2013 CRC CODES DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.25 $40.00 Total Paid for BLDG CITY STAFF - PER HOUR: $40.00 DESCRIPTION ACCOUNT AMOUNT BSAS SB1473 FEE EQ!Ty 101-0000-20306 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $53.36 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $25.33 Total Paid for MECHANICAL: $126.66 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $23.41 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.72 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $53.05 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $145.12 Total Paid for REMODEL: $240.30 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 1 0 $0.65 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin # QtY Of La Quinta Guiiding &r Safety Division Permit # . ' 78-495 Caiie Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet a?roject Address: (� j l + O«ncr's Name: A. P. Number: ` d .i4tyd,re5sTs: Legal Description- t, Z 0___._ . IVI . ZtA A I ip:Cc p Z2— -S_� �� - ctcpltone: %�:.:::hxfg;; f ect Description: ViWII ST, Zip:a L State Lic. #: City Lic. Arch., Engr., Designer. 1 ' Address: City, ST, Zip: AL �< A f�: Telephone: >«;• ��''^`-;s��s�:=>=�.i�:= -' ';c, a=== s-=:.•';= Construction Type: Occupancy: f ;,; A��•: �,:� y-��`��;•.;:�� YP State Lic_ #: Project type (circle one): New Add'n Alter Repair Demo I?Iamc of Contact Person: `q!: Ft.: e4 Ltv # Stories: # Units: F-elCpttonc # of Contact Person: ) itnaletiValue of Project: r APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Gales. Reviewed, ready for corrections Plan_ Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical SubeontactorList Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 11.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrections/issue Developer ImNct Fee Planning Approval Called Contact Person Pub. Wks_ Appr Date of permit issue School Fees, Total Permit Fees (2aif �ftbr OFS1,1U, Project Address: APN #: r licant Name: J ress:, ST, Zip: Telephone: Email: Contractor Name: Address: City, St, Zip Telephone: Email: State Lic: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lic: Property Owner's Name.: Address: City, ST, Zip Telephone: Email: 3v. 11 �.i City Bus Lic: City Bus Lic: PERMIT # PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech L V/1 t_ ' Valuation of Project $ New SFD Construction: Conditioned Space SF Garage SF Patio/Porch SF Fire Sprinklers SF Construction Type: Occupancy: Grading: Bedrooms: Stories: # Units: Jw Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY AVENIDA MONTEZUMA 1 PL i CITY LA QUINYA BUIL ING DIVISION RE I ODE FOR + � I cl LIANCE I I DATE _ BY I I r I I � I I I N 2 1 D — — — — — — -- — — — o I S O C �7 fA p (D N � r [r PL AVENIDA MADERO y RECEIVF:D m m ' DEC.oI8 COY n OF E.H QUIN7A C)MMiJ11fITY DEVELOPMENT 7 7r U CALM A t L 0 UL CITY OF LA UINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATEBY Q • • to X C) X- <1•5 t OTJ CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE 'BY f wl, CA L� -r6M6cuLAREC�FIVFD STATE OF CALIFORNIA Prescriptive Residential Additions That Do Not Require HERS Field Verification CEC-CFIR-ADD-02-E (Revised 05/16) k CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions That Do Not Require HERS Field Verification CM OF [A QUINTA Page 1 of 5 Project Ni" Detached garage This compliance document is only applicable to additions less than 1,000 ft2 and do not require HERS field verification for compliance. When HERS verification is required, a CF1R-ADD-01 shall first be registered with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ADD-02 and CF2R- ADD-02 Compliance Documents. Possible exemptions from duct leakage testing include: less than 40 ft of ducts were added or replaced, • or the existing duct system was insulated with asbestos, or the existing duct system was previously tested and passed by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ADD-01 must be completed and registered with a HERS Provider Data Registry. Additions or alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R-value other than 5.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R-value of 3.6 per inch, shall complete and register a CFIR ADD-01 with a HERS Provider Data Registry. If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information 01 Project Name: Detached garage 02 Date Prepared: 8/28/18 03 Project Location: 77125 Calle Temecula 04 Building Front Orientation (deg). 90 05 CA City: La Quinta 06 1 Number of Dwelling Units with Additions: 0 07 Zip Code: 92253 08 Fuel Type Electricity 09 Climate Zone: 15 10 12 Total Conditioned Floor Area (ft) (Addition): Slab Area (ft): 396 396 11 Building Type: Single family 13 Project Scope: > 300 ft2 to <_ 400 ft2 14 Exceptions to Fenestration U-factor and SHGC NA 150.1 c 3A: 14 Addition Wall Type: ✓❑ Framed ❑ Non -framed ❑ Mass Walls ❑ None 15 Roof Type: ❑ Steep slope ❑ Low slope ❑✓ None 16 Roof/Ceiling insulation: Must meet minimum mandatory insulation requirements. CIIY OF LA QUINTA 17 Windows being installed? ❑✓ Yes ❑ No BUILDING DIVISION 18 New water heater being installed? ❑ Yes ❑✓ No REVIEWED FOR Note: Include mandatory measures? ❑ Yes 21 No CODE COMPLIANCE CA Building Energy Efficiency Standards - 2015 Residential Compliance � � s � 11, - a 3 73 c I � y 1 r� � DATE ` Gee BY May 2016 STATE OF CALIFORNIA Prescriptive Residential Additions That Do Not Require HERS Field Verification GEC-CFIR-ADD-02-E ;Revised 05/16] CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions That Do Not Require HERS Field Verification Page 2 of 5 prOJact n4me: Detached garage ➢aie Prepares: 8/28/18 B. Opaque Surface Details - Framed (Section 150.2(a)) 01 02 03 04 05 06 07 08 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (in) Frame Spacing (in) Proposed Required Comments Cavity R-value Continuous Insulation R-value U-factor Appendix 1A4 Reference U-Factor or R-value Table Cell Wall Wood 2x4 16 inch OC R-13 r-13 2x4 kraft faced r-13 Ceiling Wood 2x8 24 inch OC R-38 R-38 2x8 kraft faced R-38 Add Row Delete Row E. Slab Insulation (Table 150.1-A) 01 02 03 04 05 06 Proposed Required Floor Type Insulation R-value Insulation U-factor Insulation R-value Insulation U-factor Comments Slab -on -grade Existing slab. No new work Add Row Delete Row Note: Heated slab floors require mandatory slab insulation (see Table 110.8-A). CA Building Energy Efficiency Standards - 2016 Residential Compliance May 2016 STATE OF CALIFORNIA Prescriptive Residential Additions That Do Not Require HERS Field Verification A GEC-CF1 R-ADD-02-E (Revised 05/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions That Do Not Require HERS Field Verification Page 3 of 5 Pro,ecr Name: Detached garage Date Prepared: 8/28/18 H. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(a)1) 01 02 03 04 J. 05 06 07 08 09 10 Maximum Allowed Maximum Allowed West - Fenestration Area for All Facing Fenestration Area Only Orientations (ft2) (ft2) The Greater The Greater Maximum Maximum Maximum Maximum Maximum Maximum Calculated Maximum Calculated Maximum Allowed Allowed Allowed Allowed Addition Type based on Calculated based on Calculated U-factor U-factor SHGC SHGC (ft2) Allowed % Allowed ft2 Allowed % Allowed ft2 (Windows) (Skylights) (Windows) (Skylights) Comments 5400 ft2 118.8 75 ti 19.8 60 0.32 0.32 0.25 0.25 I. Fenestration Proposed Areas and Efficiencies Note: If meeting Exception 1 to 150.1(c)3A, Installing <_ 3ft2 glass in door or tubular skylight, it is not required to meet the minimum U-factor & SHGC requirements Exception 2: For up to 16ft2 of new skylight area, the U-factor can be 0.55 or less and the SHGC can be 0.30 or less. Exception 3: If using dynamic glazing, use the lowest tested U-factor and SHGC in Columns 9 and 10. 01 02 1 03 04 05 06 07 08 09 10 11 12 13 14 Proposed West Proposed Facing Exterior Combined Fenestration Frame Dynamic Orientation Number Fenestration Fenestration Proposed Proposed Shading SHGC from Tag/ID Type Type Glazing (N,S,W,E) of Panes Area (ft2) Area (ft2) U-factor Source SHGC Source Device CF1R-ENV-03 Pict.Windol Fixed window Non-metal Chromogenic glaJ West 2 32 32 .32 .25 none w Add Row Delete Row 15 Total Proposed Fenestration Area 16.51 16 Maximum Allowed Fenestration Area 118.8 17 Compliance Statement Total Proposed Fenestration Area <_ Maximum Allowed Fenestration Area % Yes i No 18 Total Proposed West -Facing Fenestration Area 16.51 19 aximum Allowed West -Facing Fenestration Area 60 20 ompliance Statement Total Proposed West -Facing Fenestration Area <_ Maximum Allowed West -Facing Fenestration Area S Yes ( No CA Building Energy Efficiency Standards - 2016 Residential Compliance May 2016 STATE OF CALIFORNIA Prescriptive Residential Additions That Do Not Require HERS Field Verification GEC-GF1 R-ADD-02-E (Revised 05116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions That Do Not Require HERS Field Verification Page 4 of 5 PrgWName: Detached garage Date Prepared: 8/28/18 21 roposed Fenestration U-factor (Windows) .32 22 Required Fenestration U-factor (Windows) 0.32 23 ompliance Statement Proposed Fenestration U-factor <_ Required Fenestration U-factor X Yes (1 No 24 roposed Fenestration SHGC (Windows) .25 25 Required Fenestration SHGC (Windows) 0.25 26 Compliance Statement Proposed Fenestration SHGC <_ Required Fenestration SHGC (- Yes (- No 27 Proposed Fenestration U-factor (Skylights) n\a 28 Required Fenestration U-factor (Skylights) 0.32 29 Compliance Statement Proposed Fenestration U-factor <_ Required Fenestration U-factor (- Yes (- No 30 Proposed Fenestration SHGC (Skylights) n\a 31 Required Fenestration SHGC (Skylights) 0.25 32 Compliance Statement Proposed Fenestration SHGC <_ Required Fenestration SHGC (9- Yes (` No J. Space Conditioning (SC) Systems - Heating/Cooling (Prescriptive Section 150.2(b)) Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF111-ADD-01 shall be completed and registered with a HERS Provider Data Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance: ❑ a: space conditioning system was not altered; ❑ b: less than 40 ft of ducts were added or replaced; ❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos; ❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater. 01 02 03 04 Dwelling Unit Name SC System Identification or Name SC System Location or Area Served Exemption from HERS Verification Detached Garage Garage garage a. b. Q c. d. Add Row Delete Row CA Building Energy Efficiency Standards - 2016 Residential Compliance May 2016 STATE OF ,CALIFORNIA Prescriptive Residential Additions That Do Not Require HERS Field Verification � CEC-CF1R-ADD-02-E (Re+nsed 05/16) CALIFORNIA ENERGY COMMISSION its CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E Prescriptive Residential Additions That Do Not Require HERS Field Verification Page 5 of 5 Prgect Name' Detached garage Date Prepared: 8/28/18 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Dwayne Juretich g . Documentation Author 5ignatu Company- Signature Date: 8/28/18 Address: 77125 Calle Temecula CEA/HERS certification iden0cation (ffapplkabfei: CitylSta=gip: La Quinta CA 92253 Phone: 760-774-6054 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Nw company: Date Signed: Address: License: Phone: ❑tyl5tate12iu For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building Energy Efficiency Standards - 2016 Residential Compliance May 2016 VJCA1 �,A Gck� ace A o,Pe✓-6v\.3 r� 3� a---kj!t 0,9 r b` � ul, V�J, 0C>j 0 kA CO AC- JG-�C PFC-ENED DEC 18 2018 CITY OF B.i QUINTA COMMUNITY DEVEL:.RMENT Date:2/21/2017 No.: 17-00499-1 Owner: Laura Juretich Address: 77125 Calle Temecula City: La Quinta CA Type: Detached Guest House Lot # Street No. 77125 Comments: CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760)771-8515 C(OPDY Street Name Sq. Feet Calle Temecula 440 Email: Jurisdiction: La Quinta Tract #: APN 774-260-007 Permit No. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fess imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $3.48 X 440 S.F. or $1,531.20 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued. 2852 Fees Paid By: CC/Wells,CC/Wells,Fargo Bank - Laura ire�ich Telephone: Check No.: 723470 23470 852 Bank Name/Recipient of Certificate 6-9059 Funding: Residential By Kathleen Felci Interim Superintendent Fee Collected/ Exempted by: Sharon McGilvrey Certificate Fees Due: $1,531.20 Original Payment(s) Rec'd: $0.00 New Payment Rec'd: $1,531.20 Over/Under: $0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(`s) behalf, whichever is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. Tuf 4 44uixra COMMUNITY DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 777-7011 CERTIFICATION OF BUILDING AREA STREET ADDRESS OF JOB: 77-125 CALLE TEMECULA APN: 774-260-007 DESCRIPTION OF WORK: COVERT DETACHED GARAGE TO CASITA SQUARE FOOTAGE: 440 SQ. FT. OWNER'S NAME: LAURA JURETICH For questions regarding this letter, please call: City of La Quinta Permit Center (760) 777-7012 Coachella Valley Unified School District 83-733 Avenue 55 P O Box 847 Thermal, CA 92274 (760) 398-5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF LPG QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONST- UCTION Please note: This letter verifies conditioned square footage. Please call your School District to verify school fees, requirement for cashier's check or money order and hours of operation. Tiht 4 4 a" 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760) 777-7012 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 Employer" 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 -Builder. Instead, you become a "Customer" and California law provides you the benefit of protection from poor workmanship, failure to 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 on 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 Contractor, 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 serious financial risk if you hire unlicensed contractors to perform any of the work. Benefit/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 are, 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 Finaucial 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. It 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 in 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 provide coverage for 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.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a buildin err�it has ben suhmitted in your name listing yo If as the builder of the property improvements specified at �25 C�(�� .� I " f, Y,<r- We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you rare 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. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. '[_� 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. 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 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 coverage for injuries to workers on my property. �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. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit_ I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on r permits and contracts. �� f 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value e- 0= ' nsttuct:on is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under Ii to ad_Weraf ,law. 1 6. 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 me to serious financial risk. t2l�7. 1 understand u der alif6mia. 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. 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 fncial or personal injuries sustained by any subsequent owner(s) that result from any latent constriction defects in the workmanship or materials. . 1 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 Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 'qS,J_ 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 � t C iallf responsible for proposed constructiox activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all licable laws and requirements that govern Owner -Builders as well as employers. '— �! 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to 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 conplaiat. Your only remedy against unlicensed-Contractois 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 of the property owner's driver's license, form notarization, or other verijicad(m acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner ��— Date: _() I/ A, --- 7�_ Note: The following Authorization Form is required lobe 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 BERALF 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 obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): AcAosel - { 1pt k lrccv (� l- t '^ Project Location or Address: j` -r �Ch Name of Authorized Agent: t r- • (�-- Tel No �j5 Ct Address of Authorized Agent: a.,., C 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 prop ty owner's signature. Property Owner's Signature - Date: 1 y