07-3188 (SFD)P.O. BOX 1504 4 ltry
�VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/20/07
Application Number: 07-00003188 Owner:
Property Address: 50576 CEREZA CITRUS EL DORADO LLC
APN: 776-190-024-15 '-32751 - 1157 N RED GUM ST
Application description: DWELLING - SINGLE FAMILY DETACHED ANAHEIM, CA 92806
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 362967 D
Contractor:
Applicant: Architect or Engineer: CRAFTSMEN HOMES COMMUNITIE I peep
1157-N RED GUM �'i/i!', 43 2008
ANAHEIM, CA 92806
(714).630-7685 CITyOF
Lit. No.: 828210 FINgN�QUINTq
CE DEPT
J
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lice edu d visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Prof sionals Code, and my License is in full force and effect.
License Cla s: P C33 License No.: 828210
ate: C ractor:
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.).
(_) 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.).
1 1 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 Address:
LQPERMIT
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,
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 SIRIUS AMERICA Policy Number 01DKRM11001148
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 46bject to the workers' compensation provisions of Section
0 of the Labor Code, s I&fohvj�t�mply with those Provisions.
te: Q A cant:
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 Director of Building and Safety 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 tha]ME s correct. I agree to comply with all
city and county ordinances and state laws relating to d hereby authorize representatives
of thi/s/cgunQ t /e1,n��t/er upo he above-mentioned prooses.
D0(b: � 7 `�V ignature (Applicant or Agent):
Application Number . . . . . 07-00003188
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . : .
1560.00
Plan Check Fee
253.50
Issue Date
. . . .
Valuation . . . .
362967
Expiration
Date
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
263.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
920.50
Permit
. . .
MECHANICAL.
Additional
desc .
Permit Fee
. . . .
156.00
Plan Check Fee
9.75
Issue Date
. . . .
Valuation
0
Expiration
Date '.
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00
11.0000
EA MECH
FURNACE >100K
33.00
3.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
49.50
8.00
6.5000
EA MECH
VENT FAN
52.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee...
175.69
Plan Check Fee
10.98
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
6/17/08
Qty Unit Charge_
Per
Extension
BASE
FEE
15.00
4195.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
146.83
693.00
------------- --------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.86
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. .
223.50
Plan Check Fee
13.97
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
25.00
6.0000
EA PLB FIXTURE
150.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPMIIT
LQPERMIT
Application Number . . .. . . 07-00003188
Permit . . . . . . .PLUMBING
Qty Unit Charge- Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
12.00 .7500 EA PLB GAS PIPE >=5
9.00
1.00 15.0000 EA PLB GAS METER
------------------------------=---------------------------------------------
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 6/17/08
- _ Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 15, PLAN 3BX, 4195 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE '
OF SAME PLAN TYPE. 2001 CBC, CMC, CPC,
2004 CEC, 2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . ART IN•PUBLIC PLACES -RES
407.41 _
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
25.35
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
36.29
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 2130.19 .00 .00
2130.19
Plan Check Total 288.20 .00 .00
288.20
Other Fee Total 4944.05 .00 .00
4944.05
Grand Total 7362.44 .00 .00
7362.44
LQPERMIT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/21/07
Application Number:
07-00003188
Owner:
Property Address:
50576 CEREZA
CITRUS EL DORADO LLC
APN:
776-190-024-15 -32751 -
1157 N RED GUM ST
Application description:
Property Zoning:
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
ANAHEIM, CA 92806
a
Application"valuation:
287772
rr
Contractor:
MAR .0 3 2008
Applicant:
Architect or Engineer:
CRAFTSMEN HOMES COMMUNITIES
1157 N RED GUM
CITY OF LA QUINTI
ANAHEIM, CA 92806
FINANCE DEPT.
--
(714)630-7685
e,e
--"
Lic. No.: 828210
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 P ofessionals Code, and my License is in full force and effect.
License ss: B C33 ��LiicenseNo.: 828210
ate: [SM- ctor:
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 155001.:
(_ 1 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 contractorls) licensed
pursuant to the Contractors' State,License Law.).
I 1 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 Address:
LQPERMIT
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 .
Xissued.
P 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 SIRIUS AMERICA Policy Number OIDKRM11001148
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 bject to the workers' compensation provisions of Section
3700 of the Labor Code, I h� for with com ly with those provisions.
Date�-Oppl icant: 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 1$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 Director of Building and Safety 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 Ouinta, 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 abovy ifibrmation is correct. I agree to comply with all
city and county ordinances and state laws relating to build g ruction, and hereby authorize representatives
of t/l�o�erue above-men[ioned proper for i ecti rposes.
(Applicant or Agent):
ri�n
Application Number . . . . . 07-0.0003188
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
1297.50
Plan Check Fee
843.38
Issue. Date
. . . .
Valuation . . . .
287772
Expiration
Date
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
188.00
-----------------------------
3.5000
THOU BLDG
----------------------------------------------
100,001-500,000
658.00
Permit
. .
MECHANICAL
Additional
desc . .
Permit Fee
111.50
Plan Check Fee'.
9.75
Issue Date.
Valuation
0
Expiration
Date
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA- MECH
FURNACE <=100K
18.00 .
.00
11.0000
EA MECH
FURNACE >100K
.00
2.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
33.00
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50.
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
145.55
Plan Check Fee
10.98
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3334.00
..0350
ELEC
NEW RES - 1 OR 2 FAMILY
116.69
693.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.86.
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
174.75
Plan Check Fee
13.97
Issue Date
. . . .
Valuation
0
Expiration
Date
6/17/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
17.00
6.0000
EA PLB FIXTURE
102.00
LQPERMIT
LQPM- 11T
Application Number. .
. . . . 07-00003188
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
Extension
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
1.00 15.0000.EA
-----------------------------------------------------------------------------
PLB GAS METER
15.00
Permit GRADING PERMIT
Additional desc . .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date .. . . .
Valuation . . .
. 0
Expiration Date
6/17/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
-
--------------------------------------------------------------
Special Notes and Comments
-------------
SFD - LOT 15, PLAN 3,
3334 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
2001 CBC, CMC,
CPC,.2004 CEC; 2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
407.41
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
84.34
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC -'RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
36.29
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
---------------------------
Due
Permit Fee Total
------------------------------
1744.30 .00 .00
1744.30
Plan Check Total
878.08 .00 .00
878.08
Other Fee Total
5003.04 .00 .00
5003.04
Grand Total
7625.42 .00 .00
7625.42
LQPM- 11T