08-0862 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
Application Number: 08-00000862
Property Address: 52395 VIA SAVONA
APN: 772-480-027- - -
Application description: ADDITION - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 32253
Applicant: � �% Architect or Engineer:
I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
f JEFF S PPEE
VIA
!U�\ ONA
LA QUI VIA CA 922
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I icensed under visions of Chapter 9 (commencing with
Section 7000). of Division 3 of the Busine and rofession o , and my License is in full force and effect.
License Class: B c seNo.: 483856
Date: � Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalt perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7 .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 S by.
any applicant for a pum it subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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.).
(_ ! 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.).
(_) I am exempt under Sec. , BAP.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:
LQPERMIT
Contractor:
SOMERS CONSTRUCTION
32G ENCINITAS BLVD,
ENCIN.ITAS, CA 92024
(760)633-1324
Lic. No_: 483856
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/20/08
cxR%q�.c�FATT
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 STATE FUND Policy Number 044-0025683
_ 1 certify that, in the performance of the work for which this p 't is issued, I shall not employ any
person in any manner so as to become subject to the rk ' compensation laws of California,
nd agree that, if I should become ) t to the r compensation provisions of Section
�f�'1 700 of the Labor Code, I sh orth ith co tho rovisions.
Date. Applicant:
WARNING: FAILURE TO SEE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER &ROMMINAL 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 Zconstruci
nd 'd if work is not commenced
within 180 days from date of issuance of suchatio of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ais correct. I comply with all
city and county ordinances and state laws relating to buildi, and here or' representatives
of this county enter upon the above-mentioned proper furpo
Date Signature (Applicant or Agent):
1
Application Number . . . . . 08-00000862
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
304.00
Plan Check Fee
197.60
Issue Date . . . .
Valuation . . . .
32253
Expiration Date
11/16/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
8.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
52.00
Permit ... .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
31.02
Plan Check Fee
7.76
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/16/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
356.00 .0350
ELEC NEW
RES - 1 OR 2 FAMILY
12.46
178.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
3.56
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
24.00
Plan Check Fee
6.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
11/16/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
----------------------------------------------------------------------------
EA MECH APPL
REP/ALT/ADD
9.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee
18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
11/16/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB WATER
INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
ADDITION WHILE UNDER
CONSTRUCTION 356
SQ.FT. LIVING AND 178
SQ. FT.GARAGE.
LQPEMIT
Application Number . . . . . 08-00000862
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ENERGY REVIEW
FEE
19.76
STRONG MOTION
(SMI) - RES
3.22
Fee summary
-----------------
Charged
----------
Paid
Credited
Due
Permit Fee Total
377.02
--------------------
.00
-----------
.00
377.02
Plan Check Total
215.86
.00
.00
215.86
Other Fee Total
22.98
.00
.00
22.98
Grand Total
615.86
.00
.00
615.86
LQPERn91T