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BELC2019-007178-495 CALLE TAMPICO Twyl D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Owner: Application Number: BELC2019-0071 MACKLIN RICK Property Address: 55515 RIVIERA 55515 RIVIERA APN: 775242011 LA QUINTA, CA 92253 Application Description: MACKLIN / ELECTRICAL INSTALLATIONS AT PATIO COVER Property Zoning: Application Valuation: $1,000.00 D Applicant: Contractor: MACKLIN RICK OWNER BUILDER 55515 RIVIERA JUN 2 5 2019 LA QUINTA, CA 92253 CITY OF LAQUINTA DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S (_) 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 a 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: -L S / 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 Name: Lender's Address: Date: 6/25/2019 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of 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: _ rtify that In the performance of the work for which this permit is issued, I shaft A& 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: ' �� �� Applicant: r' . 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 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: 1-) / 9 Signature (Applicant or AgentL., Date: 6/25/2019 Application Number: BELC2019-0071 Owner: Property Address: 55515 RIVIERA MACKLIN RICK APN: 775242011 55515 RIVIERA Application Description: MACKLIN / ELECTRICAL INSTALLATIONS AT PATIO COVER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,000.00 Applicant: Contractor: MACKLIN RICK OWNER BUILDER 55515 RIVIERA LA QUINTA, CA 92253 r' { Llc. No.: ------------------------------------------;-1----- ------------------------------------- Detail: LIGHTING AND ELECTRICAL INSTALLATIONS AT PATIO COVER, REFERENCE BPAT2016-0099. THIS PERMIT DOES NOT INCLUDE INSTALLATIONS IN UNAPPROVED MODIFICATIONS TO PREVIOUSLY ISSUED AND FINALED PAW COVER, ADDITIONAL PERMITTING MAY BE REQUIRED TO RECEIVE INSPECTION APPROVALS. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-000042600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $2.67 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $0.67 Total Paid for ELECTRICAL: $56.70 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 - -- GEM .,f.b, D E';FRT - PERMIT# 18E LLabl#. DOW PLAN LOCATION; Project Address: Jl��` S A A/ Q Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN Applicant Nam LJ 14�11 Address: sssjS �r/t�C �4 Gr//�LL �16�1�5 City, ST, Zip: //,L 4V11Vr-71 1!?,Z Telephone: �� y) 51--S_C/-774e' 2- Email: Valuation of Project $ / 0 0, O � Contractor Name: �GU� �� ��JlL iJ�h New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: �� s'�S je u New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 WC30 -*0144,Nja OFFICE USE ONLY # Submittal Req'd Rec'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License I:E� 4 4 a" 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 I&IF0, ANT! NOTICE TO PROPERTY 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 5'/ 5 2 r�r�,� 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 Owrrer-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 ACKNQWLEI]GMENT AND VERIFICATION OF INFORMATION DtRECTION.S: Read and initial each statement below to signer you understand or verify this information. �. 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 coverage for injuries to workers on rnY Property. V2. I understand building permits are not required to be signed by property owners unless they are responsible for the constrtaction and are not hiring a licensed Contractor to assume this responsibility. • 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 tiled 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 p rrxrits and contracts. 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 rnatcrials, I may be considered an "employer" Tde6. r state and federal law. 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. 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential s ctures 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 financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials, obligations as an r " from the Internal Revenue i/�y" 9. I understand I may obtain more informationregarding MY California Department of BenefitPaymen s, and he California Service, the United States Small Business Administration, Division of Industrial Accidents. I also understand I may contact the information about licensed contractors.' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for am the am aware of and consent to an Owner -Builder building permit applied for in my activity at and understand that address. party legally and ftnaneia responsible for proposed construction activi at the following legally oral financially responsible for this proposed construction activity, I will abide by all 11. I agree that, as the party g Y applicable laws and requirements that govern Owner -Builders as well as employers. _Ln. I 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 area regulated l$o designed tunable to aotect ssistt you with any financial lose public. If you contract s someone who does not have a license, the Contractors State LicenseY civil you may sustain as a result of a complaint. your only remy unlicensed Contra d❑r oremplo yeeuylic n sethat individual o d Contractors mT' ismay be lewhilelworking important for you to understand that if an 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 driver's th ver property ens formnotarization,returned to the agency responsible for issuing the permit. Note: A copy of the property other verification acceptable to the agency is required to be presented when the permit is issued to verijY the property owner's signature. Date: Signature of property owne L 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 authorize Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, 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): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: 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, fonn 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. Property Owner's Signature: Date: PI Vl f g z L n1 �"` ❑►EMS _ I a E �!5 C LIE PA T IA& A4 rkbF, r • 101JA I_ - o N Tb I's s �V evp+c_ .E 1 �� Notes: 1) GFCI protection required for outdoor receptacles. (CEC §210.8(A)(3)) -- 2) Weather -resistant type receptacle required at all 15- and 20-ampere, 125- and 250-volt receptacles. (CEC §406.9(A) & (B)) 3) All luminaires shall be high efficacy in accordance with Table 150.0-A. (CEC §150.0(k)1A) 4) All down light luminaires recessed in ceilings shall contain light �- _ sources that are certified JA8 compliant that are not of the screw -based type. (CEC §150.0(k)1 C) 5) Outdoor lighting permanently mounted to the building must be controlled by combination of a manual ON/OFF switch and; Photocell and Motion Sensor. (CEC §150.0(k)3) 6) Conductors installed within raceways located in wet locations, either above ground or underground, shall be Wet -Rated. (CEC §300.5(B) and 300.9) Romex/Southwire Type NM is not a Wet-Rated Conductor. - 7) An exterior surface -mounted switch shall be equipped with a weatherproof cover. (CEC §404.4) 8) Exterior receptacles of 15 and 20 amperes installed in a wet location shall have an enclosure that is weatherproof whether or not the attachment plug cap is inserted, and be listed and identified as "extra duty." (CEC §406.9) I LIGHTING AND ELECTRICAL INSTALLATIONS AT PATIO COVER, REFERENCE BPAT2016-0099. THIS PERMIT DOES NOT INCLUDE INSTALLATIONS IN UNAPPROVED MODIFICATIONS TO PREVIOUSLY ISSUED AND FINALED PATIO COVER, ADDITIONAL PERMITTING MAY BE REQUIRED TO RECEIVE INSPECTION APPROVALS. 2016 CALIFORNIA BUILDING CODES.