08-0774 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000774
Property Address:
50857 CEREZA
APN:
776-190-024-26 -32751 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
416
Applicant: Architect or Engin
Ta�/ 4 4 Q"
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
Du
Contractor:
M��� O ��d 8]'0
CRAFTSMEN HOMES COMMNITIES INC
1157 N RED GUM
ANAHEIM, CA 92806
CITY OF LA QUINTA
(714)630-7685
FINANCE DEPT.
Lic. No.: 828210
Date: 5/06/08
-------------------------------------------------------------------------------------------------
LICENSE CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby irm under penalty of perjury that I a li nsed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7
001 Division 3 of the Busines an Pr essionals ode, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licen;CWZ
828210
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
tor:
issued.
- -1I 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
OWNER -6 UILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier DELOS INS CO Policy Number 01DKRM12003066
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of yle rk for which this permit is issued, I shall not employ any '
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to b om ubject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
d agree that, if I should boo m su act to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
7 the Labor Code, all pl�i with those provisions.
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).:
t scant:
1 _ 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 .
WARNING: F ILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of"Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ ) I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 have read this application 4ne
t th bove information is correct. I agree to comply with all
city and cou y or antes and state lawbuil g construction, and hereby authorize representatives
of thi o t j�ra above-mpe ins @ ion purposes.
ate: (Applican
;X-
21
Application Number . . . . . 08-00000774
Permit . .. WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . . 15.00 Plan Check
Fee
.00
Issue Date . . . Valuation
. . .
. 416
Expiration Date 11/02/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
26 L.F. 4' RETAINING WALL, APPROVED ORCO
SYSTEM
Fee summary Charged Paid Credited
---------------------------------------------
Due
Permit Fee Total 15.00 .00
------------
.00
15.00
Plan Check Total .00 .00
.00
.00
Grand Total 15.00 .00
.00
15.00
LQPERMIT '
Bin # w" lrrw ■ - ■
•� City of La Qulnta
Building u Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address; � J 1
y Owner's Name: Ciheus c wo L
A P. Number:
l A-> ,, Address:
Legal Description:
City, ST, Zip:
Contractor. .4�
Telephone:
Address: ��� .-�
Project Description.
City, ST, Zip.
LG� L3 SVr of(,Jdff /w
Telephone:
state Lie. # : I
city Lio. #: �f�S� 1`�,e, lt:'r �% G T L s r C t Yh/_ 7�ryl�f d'Y
Arch.; Engr., Designer:
�/f(�t�' f/12�
Address:
/���'�%T � �, / y���- � ✓�
r
City, ST, Zip:
j�
An +54 � (
Telephone:
Construction Type: E ��, n _ tom"ME
State Lib. #:
I
Name Contact
Projut type (circle one)ew Add'n Alter Repair Demo
of Person :
/ -
Fk. t�
� rr�.;��
Telephone # of contact Person: -14 d 71116 X Value.of Project: 4"7 T
APPLICANT: DO NOT WRITE BELOW THIS LINE .
# Submittal Reg'd Rec•'d TRACKING PER IIT FEES
Plait -Sets
Plan Check submitted Z Item Amount
Structural Cries. Z
Reviewed; ready for corrections Plan Check Deposit
Truss tea•
Called Contact Person Plan Check Balance
Energy Cates.
Plans picked up Construction
Flood plain plan .
Plans resubmitted Mechanical
Grading. plan
2"' Review, ready for corrections/issue Electrical
Subcontactor List
Called'ContactPerson Plumbing
Grant Deed
Plan§, picked up S.M.I.
ILO.A. Approval
Plans resubmitted Grading
INHOUSE:-
'^' Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
L =773
Total Permit Fees
��. ero