07-1197 (BLCK) �' IIIIIIIIVIIIIIIVIIIIIII 45
1 IE
P.O. BOX 1504 l__- - y" '� J VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/09/07
Application Number: 07-00001197 Owner:
Property Address: 79862 AVENUE 50 PM RENAISSANCE, LLC
APN: 649-520-998-H -290533- 9968 HIBERT STREET, STE. 102
Application description: WALL/FENCE SAN DIEGO, CA 92131
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 11250
tMAY
Contractor:
Applicant: Architect or Engineer: TRANS WEST HOUSING, INC.
10721 TREENA STREET, #200 2-007j
1 SAN DIEGO, CA 92131 11
(858)653-3003
Lic. No. : 701039 CITY OPLA QWWA
FINMCE DEPT.
-- - - - - --- - --- - --- - - -- -- ---- - -- -- - -- - --- -- - --- =- --------- -- ---- -- -- - -- - --- =-- - - - ----- -- -- -- - -- - -- -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I 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 4Liinse No:: 70103 9 for by Section 3700 of the Labor Code,for the performance of the work for which this permit isissued.
Date: I ontractor: 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
OWN R- R DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier US FIRE INS CO Policy Number 4086929772
following reason(Sec.7031.5,Business and Professions Code: 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 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 sh uld become subject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Cc e,1 s II fo with 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).: te: �I pplicant:
(_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: LURE TO SECURE RKER 'CO ENSATION 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 PENALTIES 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.). APPLICANT ACKNOWLEDGEMENT
1_1 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.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)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_1 I am exempt under Sec. B.&P.C.for this reason 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
performedunder or following issuance of this permit.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives
of this county to enter upo the above-mentioned propertl for inspeti urposes. .
Lender's Name:
nature(Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number . . . 07-00001197
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 135.00 Plan Check Fee .00
Issue Date . . . . Valuation 11250
Expiration Date 11/05/07
Qty Unit Charge Per Extension
BASE FEE 45.00
10 .00 9.0000 THOU BLDG 2, 001-25,000 90.00
----------------------------------------------------------------------------
Special Notes and Comments
450 L.F. 616" BLOCK WALL AROUND C•VWD
WELL SITE, PER APPROVED PLANS (C/D &
P/W) ORCO SYSTEM
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135.00 .00 .00 135.00
Plan Check Total .00 .00 .00• .00
Grand Total 135.00 .00 .00 135.00
LQPERMIT
Cain #
City ®f La Quinta
L
Building U Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
0 Building Permit Application and Tracking Sheet
Project Address: Owner's Name: Pfd (iemisSa e, LLC Crd,Tws W ,'R
A.P.Number: Address: Y7
9
.Legal Description: n 2na�4saAw—e- Fiord City,ST,Zip: L
Contractor: Tele hone:
Address: R�. • Project Description:
City,ST,Zip: Lk So I mej feet lwall
Tclephone:
f ons r
State Lie.# •.., 1_ t
r rl
Arch.,Engr.,Designer:
Address: r
A
City,ST,Zip:
Telephone: ~� P
� n= •� •�e Construction Type: Occu aney:
State Lie.#: �' ` ''°x Project type circle one New Add'n Alter Repair Demo
� R -
Name of Contact Person: ,,�� $q.Ft: #Stprics: #Units:
Telephone#of Contact,,,sso Estimated Value.of Project: 500
APPLICANT: DO NOT WRITE BELOW THIS LINE
It Submiftal Req'd _ 'Reed
TRACKING. PER121TFEES
Plan Sets Plan Checksubmitted Item Amount
Structural Cates. Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact PersonPlan Check Balance
Energy Calcs. Plans nicked up Constriction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2°"Review,ready for correctioWissue Electrical
Subcoa'tactor'Lis t Called Contact Person Plumbing
Geant.Deed :Plans picked up S.M.T.
H.O.A.Approval Plans resubmitted Grading
IN UOUSE:- -4 "Review,ready for correctionstissue Developer Impact Fee
Planning ApprovalCalled contact Person A.LP:P•
Pub.Wks.APpr Date of permit issue
I.School.Fees
Total Permit Fees
l ��3
P.D. BOX 1 504 BUILDING & SAFETY DEPARTMENT
G,��1945w 78-495 CALLE TAMPICO (760) 777-7012
OFLA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: �-9 O 7
From: Doug Evans, Director-CDD Due Date: As A P
Permit #: Status:
Building Plans. Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for
the following project:
Description: 3&clG W-ea aD J&J-� UJ-,e:d L4t4-
Address or General Location: O
Applicant Contact: 777- c/307 x I L 6
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development
Department approval.
C- .these BuildingPlans area roved b the Community Development
approved Y Y p
Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
Please return them to the Community Development Department for
review.
Se��
Do u ns, Director-CDD Date
f ATW^ D'rec—v—
04 . ot
MEMORANDUM
S
OF ��
TO: Building &'Safety Department
.FROM: Andrew Mogensen, Principal Planner
DATE: 5/09/07
RE: Fiore CVWD Well Site Block Wall
1 .. Green sheet is approved and attached.
Should you have.any questions, please contact me at (760) 777-7125.
C: File, YO
P:\Andy's\Plan Check\Fiore CVWD Block Wall.doc
. p
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated&effective 11/17/2006
f
Green Sheet approvals are forwarded to the Building. & Safety-Department direct) b .Public Works. `
Please DO NOT submit the Green Sheet (Public Works Clearance)'Packet to the Public Works Department
until ALL requirements listed below are.complete. Incomplete applications or applications which cannot
be proce.sd will be returned to applicant.
Date: 7 Developer: V C,y -
Tract No.: �los3'—( Tract.Name.
Address(s): CFLot No.(s):
The following are the requirements for Public Works Clearance to authorize issuance of a building permit
from the Building & Safety Department:
❖ CUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW
❖ . TRACT HOMES:. PROVIDE ITEMS #1 #2 #3 #4 AS APPLICABLE AND #6 BELOW
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS.#1 #2 #3 AND #5 BELOW
•:• WA
�SPR�QVIQE ITEMS #7BELOW
❖ SIGNS: PROVIDE ITEMS #8 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building
pad (maximum allowable deviation of .+/- 0.1 foot).. Pad Elevation Certificates must be current
(within 6 months of current date). If a precise grading plan creates thepad for a
withhold green sheet submittal until a Pad Elevation Certificate can be provided. approval, please.
2. Attach geotechnical certification of grading.plan compliance.
3. Attach recorded final map.showirig proposed building locations are legal lots.
4. Attach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form,
PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference
number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot)
are submitted separately with grading plans & are subject to additional requirements.
5. Attach an approved precise grading plan for the building location(s). AO flood zone developments
will require an approved flood plain development plan.
6. Attach an approved rough grading plan for the building location(s).
7'. Attach wall plan & related approved grading.plan.
8. Attach sign layout/plan & related precise grading/landscape plan.
I have reviewed and confirmed the requirements list above as presented and find the improvements to
be sufficiently complete for construction of the posed buildings/structures/walls/signs on the subject
lot(s). Pursuant to ngs, t ove roje may be released for building permit issuance.
Recommended by: Dated: o
Public Works Distribution: ( Green Sheet to Building & Safety counter
(_) Green Sheet to Community Development
Declined for approval for reason(s) as follow(s), please correct and resubmit:
City of La Quinta - PM 10 Project Information (< 1 acre per Lot or Infill Project) Page 1 of 3
} Form updated & effective 8/25/2005
f
Project Information Project Contractor:
Project Phase
Project Phase Project Name:
(Check One):
Project Tract
❑ Construction Number:
❑ Demolition Lot Number(s):
Anticipated Start Date:
Anticipated Project Street
Completion: Address:
Total acres in active
construction (< 1 acre
per Lot):
Project Contact Please Note: Dust control is required 24 hours a day, 7 ,days a week,
Information regardless of construction status. Person listed below is responsible
for dust control during business and non- business hours.
Name:
Title:
Company Name:
Mailing Address:
City:
State:
Zip Code:
Primary Telephone
Number:
Fax:
24 Hour
Access/Emergency
Phone:
Cell Phone:
PM 10 Certificate
Number:
❖ Expanded PM 10 plans for commercial and residential developments > 1 acre are required by
the'City of La Quinta.