08-0533 (RER)rP•.O. BOX 1504 r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000533
Property Address: 50.8'5-5.7—CE REZA
APN: 776-190-024-26 -32751 -
Application description: REMODEL - RESIDENTIAL -
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant:
Ta�/ 4 4& Q"
PZ� < <
itect or Engineer:
�
rMAY
07 c,JUJ
CITY OF LA QUINTA
FINANCE DEPT.
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CITRUS EL DORADO LLC
1157 N RED GUM ST
ANAHEIM, CA 92806
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
I' Contractor:
CRAFTSMEN HOMES COMMNITIES INC
I� 1157 N RED GUM
ANAHEIM', CA 92806
(714)630-7685
I Lic. No.: 828210
I hereby affirm under penalty of perjury that I am licensed Fqer provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and P f io a Code, and my License is in full force and effect.
License Claws: _B_ 33 _ _ _ icense_No.:, 828210
Date —_ ntractor:
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
the structure is not intended or offered for sale (Seca 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
pursuanYto the Contractors' State License Law.). .
(_ 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:
LQPERA11T
Date: 5/06/08
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 DELOS INS CO Policy Number 01DKRM12003066
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 btiect to the workers' compensation laws of California,
an agree that, if I should b om sub t to the the
compensation provisions of Section
= 00- f 71-abor-Gode-1- all- orth mpl -wi_t_h-t_ho_s_e_-pr_o_visio
D`r pplicaant:2Cba-En
WAR ING: 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 h ve read this application and state that the above informat' n i rre . I agree to comply with all
city and count ordi ances and state laws relating to building constructi , a er y autho representatives
of this count to-eVer'upothe above-mentioned poperty-for+inspe pu os Date:: ure (Applicant or Agentl�T 1� F
Application Number . . . . . 08-00000533
ri
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee 46.80
Issue Date . . . . Valuation . . . . 5000
Expiration Date 11/02/08
Qty Unit Charge Per Extension
BASE FEE 45.00
3.00 9.0000 THOU BLDG.2,001-25,000 27.00
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Permit . . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee ...29.02 Plan Check Fee 7.26
Issue Date Valuation 0
Expiration Date 11/02/08
Qty Unit Charge Per Extension
BASE FEE 15.00
701.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.02
-------------------------=--------------------------------------------------
Permit . . MECHANICAL
Additional desc .
Permit Fee . . . . 24.00 Plan Check Fee 6.00
Issue Date . . . Valuation 0
Expiration Date 11/02/08
Qty Unit Charge _ Per Extension
BASE FEE._ 15.00
1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00
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Special Notes and Comments
CONVERT GARAGE TO TEMPORARY SALES OFFICE
PER MUP #2008-990. "THE COVE AT THE
CITRUS"
----------------------------------------------------------------------------
Other Fees . . . . . . . .. . ENERGY REVIEW FEE 4.68
STRONG MOTION (SMI) - RES .50
Fee summary Charged Paid Credited Due
---------
..Permit Fee Total 125.02 .00 .00 125.02
Plan Check Total 60.06 .00 .00 60.06
Other Fee Total 5.18 .00 .00 5.18
Grand Total 190.26 .00 .00 190.26
LQPER\IIT
A
Bin
-City of La Quinta "
Building a Safety Division
P.O. Box .1504, 78-495,Calle TampiCO'—
Permit #
La Quinta, CA 92253 - (760) 777-7012
-Building -Permit Application and Tracking Sheet
Project Address:'''
A. -at
?'Owners N ame: &LOV400 L L
A. P. Number:
Address.*
Legal Description:
City, ST, Zip:
Contractor:CRAf%A&
Telephone:
Address:. 1157 A, RC6 61LIM SNi,
Yprc'ijectDescription:.&APA &C -.04'L& ios;4�mF`
City, ST, Zip:'
b4ff
4k CA,
_514'
S'
'
.Telephone: 14 43076gra
State Lid. #: '52.e)?.1E) City Lic.#:
Arch., Engr., Designer:
Address:
AO A-
City, ST, Zip:
Telephone: Constrqctio4w: Occupancy:
State Lie. #: Project type (circle one): New Add'n' Alter Repair Demo
N . ame of Contact Person: Cl Sq., Ft.: _7 0 -Fo Stories: --- f# Units:
Telephone # of Contact Person. Kstirnated Value of,Prqject:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
N I.Submittal
Req'd
Recd. TRACMG. PEMM FEES
Plan Sets
Plan Chick subm
I Item
Amount -
Structural Cales.
Reviewed, rd`y for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact
Plan Check Balance
Energy Calc&
Plans Picked up
Construction
Flood plain.plan
Plans resubmitted
Mechanical
Grading.plan
2Review, readyCbrcorrections4
X2_? Electrical
Subcontactor List
Called Contact Pc '0::A1
Plumbing
Grant Deed
Plans picked up
SALL.
H.O.A. Approval
Plans resubmitted
Grading
IN MUM-
3" Review, ready 'for correction ssue.
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.'
Pub. Wks. Appr
Date of permit issue
School. Fees
Total Permit Fees
-
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41 2611'A
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