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BELC2018-0113 - ISSUED PERMIT78-495 CALLE TAMPICO D �wNUCl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2018-0113 Property Address: 55075 MONROE ST ST APN: 767580013 Application Description: MORROW RANCH / TEMPORARY ELECTRICAL SERVICE Property Zoning: Application Valuation: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/26/2018 Owner: MORROW RANCH LA QUINTA, LLC 55075 MONROE ST LA QUINTA, CA 92253 Applicant: ` Contractor: SCOTT LAZZARINI4 50800 LOS PALOS RD 7L LA QUINTA, CA 92253 NOV ,o,8 ��Iil��llYt, Llc. No.: '��I��gAl���; rDf.r rr '�p,�a+-er.•-�rgd�4`<'"�A?°A �- -------------------------------------------------------------------------------------------- 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: Lic se No.: %Yd � Contrac�`ti'r: 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).: (_) 1, 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.). (_) 1, 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 Name: Lender's Add 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: Car ri Policy Number:_ certrfy that in the performance of the work for which this permit is issued, I shal 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 t ose p visions gate: Alp lica�i't: � 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 pro erty f r inspection purposes. CttAlj r 4tUre"(Applicant or Agent): Date: 11/26/2018 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SCOTT LAZZARINI 50800 LOS PALOS RD LA QUINTA, CA 92253 BELC2018-0113 55075 MONROE ST ST 767580013 MORROW RANCH / TEMPORARY ELECTRICAL SERVICE Detail: TEMP POWER FOR TEMPORARY OFFICE TRAILER. PER 2016 CALIFORNIA BUILDING CODES Owner: MORROW RANCH LA QUINTA, LLC 55075 MONROE ST LA QUINTA, CA 92253 Contractor: Llc. No.: FINANCIAL•• • DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $45.36 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 TOTALS: Project Address: APN #: Applicant Name: 0-1 (210A)gpe- City, ST, Zip: Telephone: _ - o. 6) Email: e7 D- -f2kv ids iY1 r4 Ai�'. a vAi PERMIT# PLAN LOCATION: t` 1�Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech a Valuation of Project $ Contractor Name:., ld�V New SFD Construction: Address: ® 0 V 1-49.5 A L-05 ® �.d Conditioned Space SF St, Zip�� FTe Garage SF hone: —?tom Patio/Porch SF Email: fG . Fire Sprinklers SF State Lie: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: P Y� Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: #Units: Email: State Lic: City Bus Lic: i Property Owner's Name: Address: City, ST, Zip Telephone: Email: { T Commercial / Tenant Improvements: otal building SF onstruction Type: Occupancy: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 �'c� d�� ui l � n� ���- 5�r85'" I" BUILDING & SAFETY DEPARTMENT oF, ° 78-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 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" 10. 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 Love 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 i 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 Financial Risk (Health and Safety Code Sect`lon 1 S827) The California Legislature declares an " public interest in assuring" th at ca ntractors compI" with Contractor' urgent and statewide Professions Code and Workers ' Co rr1pensation Insuran erequi ementsstoLicense e sure property owners are informed about, and protected fr©m tht— folloi wng when improving their Propertyas Law, Business and Fraudulent representations - Liability for worker's injuries - Liability for material Owner -Builders: contractoEmployers tax liabilities rs - I icensing requirements • and labor costs unpaid by Over 20,000 consumer comptati nts ar-e fated each ear. ,-id include workmanship and workers' compensation issues Homeownerselate o fin owner/builder protects tective workmanship and injured erraployees. sufferancial harm due to Following are alarming exampit--permits, s of vvhat has occurred with Owner -Builder ' Example 1: Homeowner received insurance money to rebuild burned -down home. ats: Owner/Builder permit puffed to rebuilt! structure. 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 the year. payout if house net completed by the end of Example 2: Brother-in-law had active license but filed an exemption from Wo Owner -Builder hires brother-in-law to install a new roof. ricers Comp. Employee falls and sustains multiple spinal and extremity fractures as well as a head in' ury remains in a coma to this day. The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement benefits paid to the injured worker. ement for Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder System and suffers injury that results in permanent disability. r to instal! septic " The Owner -Builder did not have a e house a homeowner's insurance policy on the against a claim. g t which to submit The Owner -Builder is now a defendant in a lawsuit for reimbursement faid worker. or benefits p to the injured did you know - unlicensed persons frequently have the property owner obtain permit which erroneously implies that the property owner is providing his or her own labor personally? an "Owner -Builder" building and material 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 I th@ state and federal government, withhold payroll taxes insurance and contribute to unemployment compensation for each workers pe you must register with Provide workers compensation and disability Did you know - that if you fail to abide by these laws you may be subjected to serious OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL financial risk? YOUR CONSTRUCTION PERMIT RESPONSIBILITY FOR c BUILDING & SAFETY DEPARTMENT Gfi OF0� 78-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE ]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 65079 Mocwepe_t L6a&&Ajr1te,, C A elzag:S 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 signi you understand or verify this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" b ding 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. 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 self from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. Vrm4.itsI understand Contractors are required by law to be licensed and bonded in California and to list their licand contracts. ense numbers on 5. I understand if I employ o or otherwise engage any persons, other than lrtContractors, tal value myconstruction is at least five hundred dollars ($500), including laborand maerials, I may be considered a licensed ed an "employer" under state and federal law. A6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal overnment, 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 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. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue ervice, 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. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the arty legally. and financially responsible for proposed construction 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 placable laws and requirements that govern Owner -Builders as mell as employers. 2. 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 owner. r" Date: E J_ 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: `% - _ V Tel No 7 4, 0 - 7 Address of Authorized Agent: P , 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 _t0_4Presented when the permit is issued to verb the property owners signature. Property Owner's Signature: Date: 1 1 b