07-2231 (BLCK)Pi 6. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ---'0-7-00002231
Property Address: 50998 CEREZA
APN: 776-190-024-C -32751 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2875
Applicant:
Architect or Engineer:
Or
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I amlicenfV under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a d P'r es nals Code, and my License is in full force and effect.
License CI ss: B C33 License No.: 828210
ate:. C ractor: -
OWNER -BUILDER DECLARATION
1 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 sale 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.).
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 contractorls) licensed
pursuant to 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: It,
Lender's Address:
LQPERMIT.
Owner:
CITRUS EL DORADO LLC
1157 N RED GUM ST
ANAHEIM, CA 92806
Contractor:
CRAFTSMEN HOMES COMMNI
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: 8/03/07
D), G�� u �
�.
Is INC UG 112007'
CITY OF IA QUINTA
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 OIDKRM11001148
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 t become bject to the workers' compensation laws of California,
and agree that, if I should b ornp4ubi t to the workers' compensation provisions of Section
700 of the abor Code, I al orth t co 'th those provisions.
ate 6 pplicanC
WARN NG: AILURE 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 mf ma on is coriect. I agree to comply with all
city and ounty ordinances and state laws relating to building on ctio ,and hereby authorize representatives
of this c my o enter upon the above-mentioned property f in echo ores.
ate ignature (Applicant or Agentl:
Application Number . . 07-00002231
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit. -Fee 54.00
Plan Check.Fee
.00
Issue.Date . . . .
Valuation
. . .
. 2875
Expiration Date 1/30/08.
Qty Unit Charge Per.
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG.2,001-25,000
9.00
7 ---------------------------------------------------------------------
Special Notes and Comments
115 L.F. 6' GARDEN WALL ORCO SYSTEM AT
RETENTION BASIN & LOT 1
Fee summary Charged Paid
Credited
Due
-------------------------------------
Permit Fee Total 54.00
----------
.00
----------
.00
54.00
Plan Check Total .00
.00
.00
.00
Grand Total 54.00
.00
.00
54.00
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.City of La Quanta
Building St Safety Division
P.O. Box 1504, 78-495.CaUe Tampico -
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Tenni #
Project Address: 5-,SEfjiigS0A. !$ La
Owner's Name: C40jo LU
A. P. Number: ? t _ 00 3
Address' t (Sl N - t eo CUA J-
Legal Description:
City, ST, Zip: a 6
Contractor:
-76 C30 '768s.
Address: S 1 <
yTelephone:
'Project Description:
City, ST, Zip: i4 & CA. �Q (o'
GT its. f' . � F �^"
.Telephone:l.(T%%8S
state Lic. # : $2$ZIC7 city Lic. #: lot !.}
Arch., Engr., Designer; V%kOs
(f.
C
Address: l $q 10 AUE �%1 c7i Fi
City, 5T, Zip: 00)r1 CA . 9225 3
Telephone: 7Po 77I 40 ( .3
State Lic. #: 0.13610im
Name of Contact Person: SWf {
Construction .Type:. Occupancy:
Project type (circle on New Add'n Alter Repair Demo
_T_
Sq. FL: # Stories: # Units:
T lephone # of Contact Person: 140 I'll 6189
. " Value of Project: rj gjO S.
'APPUCANT: DO NOT WRITE BELOW THIS UNE.
#
Submittal
. Req'd
Reed.
TRACMG .
PERIMT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calc&
Plans picked up
Construction
Flood plain.plan .
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL .
ILO -A. Approval
Plans resubmitted
Grading
IN ROUSE:
3 d Review, ready. for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
4:I p.P. ,
Pub..Wks. Appr
Date of permit issue
Schbol Fees
Total Permit Fees
777