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BDEM2019-002078-495 CALLE TAMPICO 'D� 1 0 VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7153 BUILDING PERMIT Date: 8/22/2019 Permit Type/Subtype: DEMOLITION/COMMERCIAL/OTHER Owner: Application Number: BDEM2019-0020 JOEL OROPESA Property Address: 57825 SANTA ROSA TR 57825 SANTA ROSA TRAIL APN: 762460006 LA QUINTA, CA 92253 Application Description: OROPESA / BLOCK WALL DEMO PERMIT Property Zoning: Application Valuation: $400.00 Applicant: / A, n Contractor: JOEL OROPESA /u�\ u OWNER BUILDER 57825 SANTA ROSA TRAILD LA QUINTA, CA 92253 AUG 2 2 2019 CITY OF LA QUINTA Llc. No.: DESIGN & DEVELOPMENT 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 W"!",Zsation, the applicant to a civil penalty of not more than five hundred dollars ($500).: s owner of the property, or my employees with wages as their sale 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 withi ne year of [ompletian, the owner builder will have the burden o€ proving that he id not build or improve far the purpose of sale.). as owner of the property, am exclusively cantratting with licensed contractors to tract 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: 7 Owne CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construc on lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: 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 ssueTrtkeorrs' compensation insurance carrierand policynumber are: CarrPolicyNumberify thatin the perormance ofthe work forwhich this permit is issued, I ll loy any person inany manner so a,tobecome subjectto the workers' cp laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section e Labor Caale�I shall forthwith 37�]Geth comply with those provisions. / j Date: WARNING: FAILURE TO SECURE WORKNS' COMPENSATION OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIEf AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDIT N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 706 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 cit nter upon the above - mentioned property for inspection purposes. Date: ��'� ignature (Applicant or4 e6101 S Date: 8/22/2019 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: JOEL OROPESA 57825 SANTA ROSA TRAIL LA QUINTA, CA 92253 BDEM2019-0020 57825 SANTA ROSA TR 762460006 OROPESA / BLOCK WALL DEMO PERMIT $400.00 Owner: JOEL OROPESA 57825 SANTA ROSA TRAIL LA QUINTA, CA 92253 Contractor: OWNER BUILDER Llc. No.. - Detail: REMOVAL OF (1) UNPERMITTED CMU COURSE OF APPROX. 70LF OF REAR PROPERTY LINE WALL IN SANTA ROSA TRAILS DEVELOPMENT. WALL TO BE A MAXIMUM OF 6' TALL PER CITY OF LA QUINTA MUNICIPAL CODE. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION INFORMATION ACCOUNT CITY AMOUNT DEMOLITION, EXTERIOR 101-0000-42404 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT DEMOLITION, EXTERIOR PC 101-0000-42600 0 $120.07 Total Paid for DEMOLITION: $160.09 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 ?%VKoYAL of (1) uMMMITTO GMu touN.tE. IDEM7,011,w0024 S7825 ,SAS $totx Ctrs C BUILDING Ul DIVISION REVIEWED FOR CODE COMPLIANCE DATE 9' � -. �� BY crr*,r Qal�tra CAI IFO RNA \ Project Address: 97'>0 sAAj-TA SSA 'Tg PERMIT # PLAN LOCATION: Project Description: APN #: 7� Z—`-j(aO'-C7C� Applicant Name: c Address: 6&-(� Ro S top City, ST, Zip: Q A 1 .T-p, Telephone: 01 S�— 0 ,�T �' / Email: �, f L d � � " OVT L � i(,C P Project Valuation $ ®0 Contractor Name: 0 v trice- -?� ucL4,) 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: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: TcoeL �, «,; �,r4 New Commercial / Tenant Improvements: Address: S %KS,)S ` NiVpg1 P-CSA ' (eA-I LL Total Building SF City, ST, Zipa�s 3 Construction Type: Occupancy: Telephone: �3 1 O ) c Email: '78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets StruA I }CS , F: Truss Calcs Title 24 Calcs CVWD Fire Flow Letter 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 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 building permit has been submitted in your name listing yourself as the builder of the property improvements specified at a S P4 t4 rp RmS - 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. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. r {y '� 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" �,buxlding 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 my property. IN 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 yself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on } af,4. its and contracts. t.• 5. 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 considered an "employer" under state and federal law. c ' +5. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal go ernment, 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 tctures 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. S. I understand as an Owner -Builder if I sell the property for which this permit is issued, f may be held liable for any ncial or personal injuries 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 "employer" from the Internal Revenue �Sefvice, 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. '}_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 the following address: G'11. 1 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 employers. "-�, 12. 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 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 of the 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. Signature of property 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 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): 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 owner's signature. Property Owner's Signature: Date: DOC # 2018-0235969 , RECORDING REQUESTED BY: Equity Title Company Order No. 1851632 Escrow No. 21379-DD A.P.N.. 762-460-006-7 MAIL TAX BILL AND WHEN RECORDED MAIL TO: JOEL T. OROPESA 324 19TH ST. MANHATTAN BEACH, CA 90266 APn No 762-460--006-7 SPACE ASOV TRA: 020-183 Order No 1851632 GRANT DEED 06/11/2018 02:26 PM Fees: $14.00 Page 1 of 1 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder **This document was electronically submitted to the County of Riverside for recording** Receipted by: REGINA #080 THE UNDERSIGNED GRANTOR(S) DECLARE(S) THAT DOCUMENTARY TRANSFER TAX IS $662.20 ® computed on full value of property conveyed, or ❑ computed on full value less liens or encumbrances remaining at the time of sale. ❑ unincorporated area: ® La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Manuel Varela and Leticia R. Varela, Husband and Wife as Community Property with Right of Survivorship hereby GRANT(S) to The Joel and Martha Oropesa Family Trust dated August 24, 1989, Joel Tomas Oropesa, Trustee and Martha Maria Oropesa, Trustee the following described real property in the County of Riverside, State of California: Lot 6 of Tract No. 30487, in the City of La Quinta, County of Riverside, State of California, as per map recorded in Book 342, page(s) 100 through 104, inclusive of Maps, in the county recorder of said County. More commonly known as: 57825 Santa Rosa Trail, La Quinta, CA 92253 Date May 11 2018 I Mxnue arela Leticia R. Varela A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY of a r# h } s. s. _ r On before me, ! ! n Ili C personally anp6&red Manuel Varel ,elicia R. Varela 4o proved to a on the basis 6f satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hau d c is I seal. 1OtPIC P Signature _ (Seal) af 0 DIVIOTSINGN j Notary Public - California Ora ngeCounty Commission a 2169270 Mail Tax Statement to: SAME AS ABOVE or Address Noted Below My Comm. Expires Oct 23,202C _ CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESSS5? -S2,� �rJTR 1�5A Te, PERMIT NUMBER 1JDCM 2d l`}' —CCO'* ER (t L— Q ieZPESk a BUILDER ©�"�E2�`'����� This form shall be posted an the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of buildinq permit. For each applicable trade, all information requested below must be comD'eted by aaolicant_ "On File" is not an arr¢ntable rPsnnnsP. Trade .) Cl.assi.figation- Contractor St 't Contlacfor's..Lieense Workers.Ctinlpensation, Insurane:e. C tiX:B:usiness License . Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/).x/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C-1.2i CONCRETE (.C=8) FRAMING :(C=5) STRUCT. STEEL (C-5:1) MASONRY (e-29:). Go<O�r^ ry 0 /�tSoW� C Z� tOILI �( � 3c� Zca 11 O S%cj PLUMBING (C-36) L.ATH:, PLASTER. (C-35) DRYWALL (C-9), HVAC :(:C-20) ELECTRICAL :(C-10) ROOFING (C-39:) _SHEET METAL (C:-43) FLOORING (C15.) GLAZING: (:C47) INSULATION Q,2) SEW.AG.E-: DISP.:(C-4:2): PAINTING (C43) CERAMIC TILE (C-54) 191NETS (.C-6) 'ICING (C-13): LANDSCAPING: (C=27_}: POOL .(C-53)