08-0450 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000450
Property Address: .50998 CEREZA
APN: 776-190-024-C -32751. -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 160
Applicant:
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
`1 I k
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury thatI am lice under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an Pr Islonals Code, and my License is in full force and effect.
License Cl s: 33 Lice a No.: 828210
,Bate: 'tractor:
/ ON -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 05001.:
(_ 1 1, 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.).
(_ 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.).
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:
LQPERAI IT
Owner:
CITRUS EL DORADO
1157 N RED GUM S
ANAHEIM, CA 9280
Contractor:
CRAFTSMEN HOMES
1157 N RED GUM
ANAHEIM, CA.9280
(714)630-7685
Lic. No.: 828210
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/13/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 fforthh
r which this permit is issued, I shall not employ any
person in any manner so as toct to the workers' compensation laws of California,
and agree that, if I shoul becthe workers' compensation provisions of Section
0 of th Labor Code I shamply th those provisions.
late: pplicant:
WARNING: F. URE 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 ATTORNEYS 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 1 have read this application and state that the above inf at n is correct. I agree to comply with all
city and county ordina ces and state laws relating to building nstr ti and h uthorize representatives
of this c At to a 'r upon th above-mentioned property f sp cti ur ses.
D tare (Applicant or Agent)
v
Application Number . . . . . 08-00000450
Permit . . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 160
Expiration Date 9/09/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and'Comments
ENTRY MONUMENT SIGN - 10. L.F. 3' MASONRY
WITH SMOOTH PLASTER EXTERIOR, PER SA #
2008-146. "THE COVE" (CITRUS, EL
DORADO- CRAFTSMAN HOMES)
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
LQPE BAHT
Bin #
City of La Quinta
Building lx Safety Division r
P.O. Box 1504,, 78-495 Calle Tampico
La Quinta, 'CA 92253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:'
Owner'•s Name: WOWS (UP)WO l
A. P. Number: 50 -C 8
Address:
Legal Description:
City, ST, Zip:
Contractor
Telephone.`~F
Address: $ �Q S�
Project Description:
City, ST, Zip: " hfj
Telephone: �.-749s36
Y
— �7✓J
State Lic. # : City L•ic. #: a
Arch., Engr., Designer:
m
Address:
City, ST, Zip: .
Telephone:.
State Lic. #:
�p�cn�- i
Name of Contact Person: `1 f"'�
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: T#Units:
Telephone # of Contact Person: (zC)''�G% l �?
Estimated Value of Projec Zarb -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#.
Submittal
Req'd
Rec'd
TRACKING _
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical .
Grading. plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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
L
MAR 13 2008
Total Permit Fees
u u lJ
By