07-1294 (BLCK).
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MIKE JEHA
3089 SANDSTONE ROAD
ALAMO, CA 94507
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 -
Date: 4/27/07
�' Architect or Engineer:
Contractor: AApplicant:
JEHA CONSTRUCTION,4UC EL AP 2
Application Number:
07 00.001294
Property Address:
53340 VIA DONA
APN: F
772-420-999-19-298944-
+Applicatio6 description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MIKE JEHA
3089 SANDSTONE ROAD
ALAMO, CA 94507
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 -
Date: 4/27/07
�' Architect or Engineer:
Contractor: AApplicant:
JEHA CONSTRUCTION,4UC EL AP 2
�QQJ
^
3089 SANDSTONE ROAD r
ALAMO, CA 94507
(925) 250-4038 Q(//
Lic. -No. 410408 ��EPrr
LICENSED CONTRACTOR'S DECLARATION
-------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
1 hereby affirm under penalty,of perjury one of the following declarations:-
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.-
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
_
- License Class: B License No.: 410408•
_
for by Section 3700 of *the Labor Code, for the performance of the work for which this permit is
- ^�.Lfiave
�Afe://
issued.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
;actor. ---
Code, for the performance of the work for which this permit is issued. My workers' compensation ..
/ ER-BUI ER DECLARATION
Oje
insurance carrier and policy number are:
• I hereby affirm•under penaltyofperjury that I am t frothe-Contractor's State License Law for the r.
Carrier STATE FUND - Policy Number 238-0002300
following reason (Sec. 7031.5, Business and Profon de: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
71- person in any manner so as to become subject to the workers' compensation laws of California, ,
• . permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State '' "'
and agree that, if I. should becom bjeeRB'fFTt''vov ers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
' 3.700oft 'LaI s rthwith comply with those provisions. - -
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).:
ate: Applicant:
rt
(_ 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 -
WARNING: 'FAILURE TO SECURE WORKE ' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL
• Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PEN IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
« and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not.intended or offered for sale. If, however, the building or improvement is sold within _
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
• 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.l.
APPLICANT ACKNOWLEDGEMENT
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
t ' property who builds or improves thereon, and who contracts for the projects with a contractors) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(' 1 I'am exempt under Seo. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City '
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: A.
Lender's Address:
LQPERMIT
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.
certify that I have read this applicationand state a ove information is correct. I agree to comply with all
city and co my ordinances and state laws rela ' g to buildinF!��
authorize representatives
of this co o ter upon the above -menti ned property f ,
Da Sig re (Applicant or Agent):
LQPERMIT - .
Application Number 07-00001294
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 5000 .
Expiration Date 10/24/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
3.00 9.0000 THOU. BLDG
2,001-25,000
27.00
------------------------------------------------------------------------------
Special Notes and Comments
200 L.F. 6' GARDEN WALL,ORCO SYSTEM,
PER APPROVED PLAN
Fee summary Charged
Paid Credited
Due .
Permit Fee Total 72.00
.00
00
72.00
Plan Check Total .00
.'00
.00
.00
Grand Total 72.00
.00
.00
72.00
LQPERMIT - .
Bin #
City of La Quinta
Building U Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit ,#COP.O.
Project Address:' 3 ._ViA
Owner's Name: Eyi pt
A. P. Number:
Address: '
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
t t
Address:
Project Description:
City, ST, Zip:—� °��
I O 1
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:Sq.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMU 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
2°" Review, ready for correctionsrssue
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
Total Permit Fees