BRER2016-0051Ci 0 i7U�[i
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C39 License No.: 677708 oft orkfor which this permit is issued.
/_ _ j�,� I have and will maintain workers' compensation insurance, as required by
Date: (/ / � Contractor: '� d�ii� 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 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 of the Labor Code, I shall forthwith
comply with those provisions.
Date:y G Applicant: ak 44��
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.
51
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 subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 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.).
(_) 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 am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
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 N-
Lender's
(760)772-8876
Llc. No.: 677708
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 information is correct.
I 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 -mentioned property for inspection purposes.
Date: — �,- /,�.Signature (Applicant or Agent):*
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for RE -ROOF: $49.31 $0.00
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Bin # Qty of La Quin to
Building 8r Safety Division
Permit # 78-495 Calle-Tampico
Lit , VU1/ �La Quinta, CA 92253 - (760) 777-7012 P �j Building Permit Application and Tracking Sheet
Project Address: u7oz Owner's Name:
A. R Number: Address:
Legal Description: City, ST, Zip:
Contractor:, r Teleph one:
a
Address: O S1 u 8 Project Description:
City, ST, Zip: +f -A C4
-::>
:=::.
Telephone:
-.
State Lic. # - 7 7 7 ❑ $ City Lie_ #: %G $ S
Arch., Erw., Designer.
Address:
City., ST, Zip:
Telephone: >w =r:::: ==''.:
•.;.•:f Construction Type:
c-::.- YP Occupancy:
z'>;
State Lic_ #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft_: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: * 72 p p
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Req'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cales. 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 2nd Review, ready for correctionstissue Electrical
Subcontactor List Called Contact Person Plumbing
GrantDced Plans picked up S.M.I.
H.O.A: Approval Plans resubmitted Grading
IN HOUSE:- 3rd Review, ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub. Wks. Appr Date of permit issue
School Fees,
Total Permit Fees