07-2608 (SOTB)"P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number 07-00002608 j, -
`Property Address: 50495 ORCHARD LN
APN: 772-050-012- -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
. APulloa'Llun vdludLlon: 1!500
Applicant: Architect or Engineer:
CfiO�
____7 -------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT.,
BUILDING PERMIT
1 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 d Professionals Code, and my License is in full force and effect.
License Class: 8 -C27 C29 LicenseNo.: 656128
= Date: Ad AP • n /L Contractor
-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 (5500).:
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
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 _ 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 ISec.�3097, Civ. C1.1.
Lender's Name:
Lender's Address:
_ r
LQPERMIT -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 9/26/07'
Owner:
CRAMER RESIDENCE #2
50-495 ORCHARD LN
RLA QUINTA, CA 92253
Contractor:'
TESERRA
.P.O. Box 1280 D G
COACHELLA, CA 9
(760)398-;222 OCT �3
Lic. No.: 6561 C
C11^.
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"WORKER'S COMPENSATION D TION
'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 SEA 3RIGHT Policy Number BB1070510
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 be me subject to the workers' compensation laws of California,
and agree that, if I should com subject to the the
compensation provisions of Section
' 1 j 3700 of the Labor Cod sh II fo hwith comply with those provisions.
Date: (D( 04-Applicant:1
WARNING: FAILURE TO SECURE WORK 'co NSATION 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 i ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi cons uction, and hereby authorize representatives
of this county to enter upon the above-mentioned prope r ins ion. purposes.
Date: /0/0 i*49Aignature (Applicant or -Agent): A
11 . �j i
Application Number 07-.00002608 "
Permit BUILDING PERMIT
Additional desc .
Permit Fee .. 35.00 Plan Check Fee
22.75
Issue Date Valuation
1500
'Expiration Date 3/24/08
Qty Unit Charge Per.
Extension
BASE FEE
15.00.
• .10.00 2.0000 HND BLDG. 501-2,000
20.00,
Permit ELEC=MISCELLANEOUS
Additional desc .
Permit Fee . .. 17.25 Plan Check Fee
4.31
Issue Date Valuation . . .
. 0
Expiration Date 3/24/08
° Qty Unit Charge Per
Extension
BASE FEE
15.00
3..00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
2.25'
Special Notes and Comments
BBQ/FIRPIT PER APPROVED -PLAN ONLY.
Fee summary Charged Paid Credited
Due
_,
Permit Fee Total 52.25 .00 .00
52.25
Plan Check Total 27.06 .00 .00
27.06
Grand Total 79.31 .00 .00
79.31.
LQPERMIT .. -
r
Bin #
iPermit #
�1 X06 —L
Project Address: �_ S
A. P. Number:
Legal Description:
Contractor: -
Address:
City, ST, Zip:
Telephone:
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person: '
# Submittal
Plan Sets
Structural Calcs.
Truss Cafes.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN IdOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
Cflty of La Quince
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Applicati®n and Tracking Sheet
> *f.0 bi Owner's Name: L�
Z p
Address: F -
City, ST, Zip:
Telephone:
Project Description:
City Lic. #: .
Construction Type: Occupancy:
` Project type (circle one): ew Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
Estimated Value of Project: SQQ
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING .
Plan Check submitted
PERI\'IIT FEES
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2nd Review, ready for correctionsfissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.H.
Plans resubmitted
Grading
hd Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees