08-1132 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253
Application Number:
08-00001132
Property Address:
52305 EISENHOWER DR
APN:
773-265-014-3 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
383
T-4wt 4 Xi& Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
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 Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: 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 ISec. 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
a y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(JX) 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 de: The Contractors' State License Law does not apply to an owner of
property who builds or improves t ereon, and who contracts for the projects with a contractors) licensed
pursuant to the Contractors' State icense 4aw.).
1 ) I am exempt under Sec. , B. P.C. forthis reason Qrx
ate: w er: �� y
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty ofperjur hat ere is a construction lending agency for the performance of the
work for which this permit is issued ISec. 97, Civ. C.). ,
Lender's Name:
Lender's Address:
r LQPERMIT
Owner:
STEMMER JOE W
79425 CAMELBACK DR
INDIO, CA 92201
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/02/08
o a a 1.
in
0 3 2008
CITY OF LA QUINTA
FINANCE DEPT.
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 Policy Number -
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 t become subject to thew kers' compensation laws of California,
and agree that, if Is uld be ome subject wor s' compensation provisions of Section
3700 of th abor C de, I sh II forthwith co I those provisions.
r3ate: pelican
WARNING: FAILURE TO SEC RE ORKERS' COMPENSATION E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO NAL PENALTIES AND CIVIL FINES UP TO UNDRED 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 oft is permit.
2. Any permit issued as a result of this applic tion becomes null and void if work is not commenced
within 180 days from date of issuance of uch permit, or ce of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that he abo informa n i correct. I agree to comply with all
city and county ordinances and state laws relating t ilding c nstructio d hereby authorize representat}ves
of this�eounty to enter typo the above-mentioned o rtv for nspection Doses. /
gnature (Applicant or
Application Number . . . . . 08-00001132
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee
.00
Issue Date•
Valuation
. . .
. 383
Expiration Date 12/29/08•
Qty Unit Charge Per
Extension
.
BASE
FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
-
REPLACE APPROXIMATELY 45 L.F. 6'
WOOD
FENCE.
• 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
v
.00
.00
15.00 -
LQPERMIT
07-02-2008 10:13 JOE STEMMER 7603604670
50'-0"
45' NEW 1X6 PICKETS
U
L L2
exiting house
& attached garage
gate
CITY OF QU
BUILDING & AFETY DEPT. u.. -
APPROVE
FOR CONSTRUCTION
DATE 7 ,Y -Df By !e
52305 EISENHOWER
not to scale
0
0
0
PAGE3
r)
07-02-2008 10:13 JOE STEMMER 7603604670 ZPAMU
�
Wn 1f
City of La Quints
Bud/ding a Safety Division
Box 1504, 78-495 Calle Tampico
►a Quinn, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pertnit gP.O.
Project Address: 15,3305
Owner's Name: - �..ti
A. P. Number: U(030\4
Address: *71 D� G
Legal Description: h g+
City, ST, Zip:
Contractor: t�
Telophone:
Address;
Project Description:
City, ST. Zip:
� � •
Telephone:
Stato Lit. # : City Lic- #;
Arch., Engr., Designer:
Addnrss:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: N 4a. Occup :
Project type (circle one): New Add'n Alter Ropair o
Name of Contact Person:
Sq. Ft_:
# es:
# Units:
Tel hone # of Contact Person:
1
Estimated Value of Proj IQO e
APPLICANT: DO NOT WRITE BELOW THIS UNE
It
Sabmlttal
PAq14
Reed
TRACKING
PERMIT FEES
Plan Sete
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Cheek Deponit
Truss Calm
Called Contact Perini
Plan Cheek Babinec.
TiNt 24 Calc&
Ptads picked up
Construction
Flood plain plan
Plana resubmitted
Mechanical
Grading plan
2w Review, ready for corrections/issue
Faeebical
Subtoutaetor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE--
"' Review, ready for corrections/issue
Developer impact Fee
Planning Approval
Called Costatt Person
Pub. Wks. Appr
Date of permit issue
School Fres
Total Permit Fees