08-0559 (SOTB)S
r• ,.
P.O: BOX, 1504
78-495 CALLE TAMPICO
LA• QUINTA, CALIFORNIA 92253
Application Number:
0.8-00000559
Property Address:
48613 EISENHOWER DR
APN:
623-470;-.024- - -
Application description:
STRUCTURESOTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6000
Applicant:
Architect or Engineer:
ala
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LICENSED CONTRACTOR'S DECLARATION
4
BUILDING & SAFETY. DEPARTMENT
BUILDING. PERMIT
I.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 and P-rofessionals'Code, and my License is in full force and, effect.
icense Class: C27, C8,.C29 License No.: 849837
Date: ..Ontractor:
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 thavrequires a,permit to
construct, alter, improve,. demolish; or repair any structure, prior to itszissuance, also requires the applicant for the
permit to,file a signed statement thavhe:orshe is licensed pursuant to the provisions of the -Contractor's -State
License Law (Chapter 9 (commencing withL 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 Is500).:
1 _ 1 I, as owner of the., property, or my employees with wages as their sole- compensation, will,do the works 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 doesahe work h(mselfor herself through his or her owmemployees, provided that -the
improvements are not intended or offered'for sale. If, however, the building or improvement is sold within
oneyear of, completion, the,owner,builder will have the burden of proving thaYhe or she did not build or
improve for the purpose of gals.).
1, as owner of the property, am exclusively contracting ,with licerised contractors to construcrthe project (Sec.
7044, Business and Professions Coder The Contractors' State License1aw.does. not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with contractor(s) licensed
pursuant to the Contractors' State License Lew.).
( ) I am exempt under Sec. , B.&P.C.,for this reason
ate: _ Einer: _C A, L=D a.4eeJ i
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance, of the
work for.whichthis.permit,is issued (Sec 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
HIDDEN CANYON @ LA QUINTA HOA
68950 ADELINA ROAD
COACHELLA, CA _92236
VOICE (760) 777-70.12.
FAX (760) 777-7011
INSPECTIONS (,760),777-7153
Dater 6/09/08
Contractor: Wimpd7q.:1 oNl'd
DESERT" CONCEPTS LANDSCP /. I d�,r,11�
41800 WASHfiNGTON ST, B- n00Z 7 ` Nnf
BERMUDA.DUNES, CA 92201 U G
(760)200,-9007
Lie. No.: 849837 a
v
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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.
1 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.CALIFORNIA CONT Policy Number 4503-133 -
I certify that, in the performance of the work for which this!permit'is issued, I shell not employ any
person imeny manner so as to become subject to the workers' compensation laws of California,
andagree Vat, if I should become subject to the workers' compensation provisions of: Section
3700:of' a Leb _ ode,'( shall forthwi comply with`those provisions.
Date: Applicant:_Lb�t
WARNING: 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 18100,000). IN ADDITION TO THE COST -OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application Whereby made to the.Director of:Building and, Safety for a permit,subject,to the
conditions and restrictions set.forth on this application:
1. Each parson upon whose behalf this application is made; each person at whoserequest and for
whose,benefit work is performad'under or pursuant to any permit:issued as.a result of this application,
the owner, and the applicant, each agrees to, and shell defend, indemnify and hold, harmless the. City
of La Ouinte; its officers, agents and employeesforen_y 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 thatthe above I information is,correct. 1 agree to comply with all
city and county ordinancep and state laws relating to building construction, a hereby authorize representatives
thisFFcounty to enter on the above-mentioned pro 1R4—riinspection`p po
Date: ignature (Applicant or Agent):
Application Number .
. . . . 08-00000559
Permit . . .
BUILDING PERMIT
Additional desc . .
MONUMENT SIGN
Permit Fee . . . .
81.00 Plan Check Fee
52.65
Issue Date
Valuation . . .
. 60.00
Expiration Date
12/06/08
Qty Unit Charge
Per
Extension
BASE FEE
45.0.0
4.00 9.0000
----------------------------------------------------------------------------------
THOU BLDG 2,00.1-25.,000
36.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee
16.5.0 Plan Check Fee
4.13
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
12/0.6/.08
Qty Unit Charge
Per
Extension
BASE FEE
15..00
2.00 7500
PER ELEC DEVICE/FIXTURE 1ST 20
1.50
Special Notes and Comments
MONUMENT SIGN "HIDDEN
CANYON" 4 FT HGT X
6 FT. WIDTH. W/ 2 EXTERNAL FLUOR.
SPOTLIGHTS. 2007 CBC,
CEC & ENERGY. SIGN
.PERMIT 2008-1249.
Other Fees . . .
. . . . ENERGY REVIEW FEE
5.27
STRONG MOTION (SMI) - COM
1.26
Fee summary Charged Paid Credited:
Due
----------------- ----------
Permit Fee Total
----------- -------- ---
97.5:0 .00 .00
- ---
97.5.0
Plan Check Total
56.78 .00 .00
56.78
Other Fee -Total
6.53 .00 .00
6.53
Grand Total
160.81 .00 .0.0
160.81
LQPERMIT
Bin # .
City Of• La QUinta
Building eX Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
-�
y
Project Address: {5E
Owner's Name:
A. P. Number. 0 -02
Address: P -0 ,E- 10 -::sn,
Legal Description: q 3
City,.,ST, Zip: 1,M E'er
Contractor: C �G P
Address: r) r) ��
Telephone:
Project.Descriptiog.
City, ST, Zip:. krA 1.>e<S �� 9� 1 l
Telephone: o rL _ 106
ae*,
State ie.,# City Lic. #:
Arch., EW., Designer:
Address:
4,
city, -ST, Zip:
Telephone:
State Lib. #:
Name of Contact Person:S0- n
Construction Type: Occupancy:
Project type (circle one): New Add'n 'Alter Repair Demo
Sq. Ft.: r'
#-Stories:
# Units: -� - -
Telephone #. of Contact Person: •
Estimated. Value.of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE .
#
Submittal
Req'd
Reed
TRAOMG ,
PERMrr FEES
Plan Sets
Plan Check submitted
y
Item
Amount
Structurat.Cales.
Reviewed, ready for corrections
Plan Cheek Deposit
Trois Calcs.
Called ContaetTerson
Plan Check Balance
Energy Calcs.
Plans Picked up
Construction
Flood plain plan ,
Plans resubmitted
MeehanIled
Grading plan'
2'' Review, ready for correctiomflssue
Electrical
Subeontactor List '
Called'Contact Person
G
Plumbing
GranEDeed
Plans. picked up
S.M.I.
H.OA. Approval
Plans resubmitted
Grading
IN
''' RevieW readyfor correctlonsAsme
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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