07-0522 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00000522
50805 CEREZA
776-190-024-24 -32751 -
DWELLING -.SINGLE FAMILY
LOW DENSITY RESIDENTIAL
362967
Tihf
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CITRUS EL DORADO LLC
1157 N RED GUM ST
DETACHED ANAHEIM, CA 92806
rchitect or Engineer:
L .Ckooki
------------------
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 Profes nals Code, and my License is in full force and effect.
License Qass.. B C33 Licens No.: 828210
ate: '+qZRKactor:
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).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and /11
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 _) 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:
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/07/07
Contractor:
CRAFTSMEN HOMES COMMUNITIES n —�
1157 N RED GUM (�
ANAHEIM, CA 92806
(714)630-7685 �l
Lic. No.: 828210 J 6 2007 I
C1YN ®� q�i(iiiV A
--———————————————————'——————————--———————
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 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 ubject to the workers' compensation provisions of Section
700 of the Labor Cod I sh II fe hwith comply with those provisions.
�rrr'::: / fit- A
ate: r" !9 V pplicant:
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 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 c iy ordinances and state laws relating to building constrLption, and hereby authorize representatives
of thi o ty enter upon above-mentioned property ori sp ion pur ses.
ate: f � Q ( gnature (Applicant or Agent):
3
Ar_.
/1
Application Number . . . . . 07-00000522
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1560.00
Plan Check Fee
1014.00
Issue Date
. . . .
Valuation . . . .
362967
Expiration
Date
12/04/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
263.00
-----------------7----------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
920.50
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
156.00
Plan Check Fee
39.00.
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/04/07
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
43.92
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/04/07
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 .
Issue Date Valuation . . . .
Expiration Date 12/04/07
Qty Unit Charge Per
BASE FEE
25.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMIT
55.88
0
Extension
15.00
150.00
15.00
Application Number .
. . . . 07-00000522
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 .-12/04/07
Qty Unit Charge_
Per
Extension
BASE FEE
15.00
------------------------------------------ ----------------
Notes and Comments
'SFD - LOT 24, PLAN 3XB; 4195 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
101.40
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
1152.80 500.00 .00
652.80
Other Fee Total
5020.10 .00 .00
5020.10
Grand Total
8303.09 500.00 .00.
7803.09
LQPERMIT
t -o - a°:5
STRUCTURAL JOB SITE OBSERVATION y6o _ e:31
Project Name: CIi Zvi e, LA Ll L' Na
Observer:
A visit to the project site was made on the above date to:
O Address specific elements of the work.
13 Assist the field personnel with complying with the intent of the construction documents.
ce-evz-A BORM
STRUCTURAL ENGINEERS
4
Project Number: 113 4
Date of Observation: 0201 I7
O Assist the field personnel with complying with the findings from a previous structural job site observation.
❑zf-lc Ueo 0t l—D
At the time of our visit, work had progressed to the point of : Phase: C_
Address:
Bldg. / Lot Number:
Bldg. / Plan Type & Elevation:
X
-7-BX
Foundation Trenched
o j
'
i %
❑
0
Foundation Poured
0/
o
D
❑
❑
Roof Sheathing.Covered
0,
13
e'�
0
0
Roofing Material Stacked and Loaded
❑
❑
❑
.0
❑
Exterior Walls Covered
❑
0
❑
❑
0
Interior Wall Covered
❑
0
❑
❑
❑
Insulation Installed
❑
0
❑
0
❑
Electrical, Mechanical, Plumbing Complete
❑
0
d
0
0
Final Framing Pick-ups Completed
❑
0
0
❑
0
Building Complete
❑
0
❑
❑
0
Based upon our visit:
O Refer to the attached field notes to be addressed by the construction personnel.
O /Additional information will be sent from our office which will need to be addressed by the construction personnel.
-El It is our opinion that this building is being constructed in general conformance withthe intent of the construction documents prepared by
our office.
O Site Observation ceased, framing was not at a stage of completion in which site observation could be performed.
❑ Concerns brought to the attention of field personnel based on previous site observation made on have yet to be addressed.
Please note:
Our findings and recommendations may have other than structural ramifications which we have not addressed. Be advised that changes to the
construction documents need approval of the building official. Our firm is not authorized to act as the Owner's agent. Our findings shall not be
construed as authorizing the expenditure of additional funds.
Site Observation was made only to determine general conformance with the intent of the construction documents. Observation was made of those
portions of the work which would best represent the intent of the construction documents, not each and every element of the work. Site observation
did not include review, approval or observation of, among other items:
1. The contractors safety precautions, procedures, designs, methods or techniques.
2. Any shoring, scaffolding, underpinning, temporary retaining of excavations, or any other erection methods or temporary bracing.
3. Any soils at the site, their adequacy to support the building, expansiveness, or any other soil related conditions.
4. Any drainage courses or devises of a temporary nature or as a permanent part of the structure, including roof and floor slopes, drains and
pipes.
The findings of this observation are understood to be an expression of professional opinion by the engineer based on his or her best knowledge,
information and belief. As such, it consists of neiith/er a guarantee or a warrantee expressed or implied. /
Field Superintendent (third copy) v�J Date: r
Client (second copy via
Field Engineer (first copy) i �1.�L Date: C
If you have any questions please corftact.oui• office.
COSTA MESA, CALIFORNIA Phone: 714-513-7500 Fax: 714-513-7555
ROSEVILLE, CALIFORNIA Phone: 916-774-0232 Fax: 916-774-0373
PLEASANTON, CALIFORNIA Phone: 925474-1180 Fax: 925467-1780
LAS VEGAS, NEVADA Phone: 702-740-5427 Fax: 702-740-5431
PHOENDC, ARIZONA Phone: 623-869-0607 Fax: 623-869-0609