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07-3186 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: , "07-00003186 _ Property Address: 50623 CEREZA APN: 776'190-024-17 -32751 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 318142 Applicant: TdAt 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CITRUS EL DORADO LLC 1157 N RED GUM ST DETACHED ANAHEIM; CA 92806 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes onals Code, and my License is in full force and effect. License Cl ss: B�(C33 Li No.: 828210 ate: 6(J ontractor: AV 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 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.). j ( 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 Contractor: CRAFTSMEN HOMES COMMUNITI 1157 N RED GUM ANAHEIM, CA 92806 (714)630-7685 LiC. No.: 828210 VOICE.(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/20/07 �" F1AR 03 2008 CITY OF LA 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 SIR JUS 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 beco subject to the workers' compensation laws of California, and agree that, if I should beco s Jett to the the compensation provisions of Section 1 .IOQOI the Labor Code, I o ' h ly with those provisions. ate: / d pplicant: WARM G: 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 that the above inf rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building ns uction, and hereby authorize representatives of s/thi/Sev�tole,,_upo n t bove-mentioned propnature (Applicant or Agent): Application Number . . . . 07-00003186 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1406.00 Plan Check Fee 228.48 Issue Date Valuation . . . . 318142 Expiration Date 6/17/08 • Qty Unit Charge Per Extension BASE FEE 639.50 219..00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 766.50 Permit . . . MECHANICAL ' Additional desc Permit Fee . . 150.60 Plan Check Fee 37.50 Issue Date . . . . t Valuation . . . . 0 Expiration Date 6/17/08 , Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 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 . . . . 157.68 Plan'Check Fee 9.86 Issue Date . . . . Valuation . . . . 0 Expiration Date ._. 6/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 3676.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 128.66 701.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 14.02 Permit . . . PLUMBING \ Additional desc . Permit Fee 222.00 Plan Check Fee 13:88 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 LQPERD4[T LQPERM[T Application Number . . . . . 07-00003186 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 10.00 .7500 EA PLB GAS PIPE >=5 7.50 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 17, PLAN 2AX, 3676 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 7S% 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 295.35 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 22.85 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 31.81 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 J ' Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 1950.68 .00 .00 1950.68 Plan Check Total 289.72 .00 .00 289.72 - Other Fee Total 4825.01 .00 .00 4825.01 Grand Total 7065.41 .00 .00 7065.41 LQPERM[T