06-2755 (BLCK)46 IIIIIIIIIIIIIIIIIIIIIIIII 19
IE
P.O. BOX 1504 - - - -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002755
Property Address:
80955 AVENUE 52
APN:
772-410-014-C -29894 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
11625
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
4 4 Qum'
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 Professionals Code, and my License is in full force and effect.
'License Class: B License No.: 820821 -
'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 (Sec. 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.:
(_ 11, 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 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.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
ate:
I hereby affirm under penalty of perjury that•there is a construction lending agency for the perfikmaAce of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: 1
Lender's Address: t�J
LQPERMIT
Owner:
EAST OF MADISON LLC
80955 AVE. 52
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/11/06
Contractor:
D -" - U
MCD CONSTRUCTION [-----
SEP 12 2006
49881 29 PALMS HIGHWAY
MORONGO VALLEY, CA 92256 CInoFA(]�UINTA
(760)363-7740 p�Ha DEPT
Lic. No.: 820821
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 0442271205
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 to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
700 of the La or Code I shall fo it mrily with th a provisions.
e:
�// )scant:
WARNING: FA RE TO SECURE WORKERS' COMPENSATION C GE IS UNLAWFUL, A�S L
SUBJECT AN EMPLOYER TO CRIMINAL 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 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. -1
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and coup yOrdinances and state laws relating to building constructs n, and hereby authorize representatives
of this/cow y t/ nter upon the abo e -mentioned property •nspe n pu osek.
Da . d' " �%1 . ci
Signatu (Applicant or Agent):
Application Number 06-00002755
Permit . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 135.00"
Plan Check
Fee
.00
Issue Date
Valuation
..
11625
Expiration Date 3/10/07
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
465 LIN. FT. RETAINING WALL. VARYING
RET HEIGHTS WITH 8FT. MAX. 2001 CBC.
=
--------------------------------------------------------------------------
Other Fees . . . . . . . . . .STRONG MOTION (SMI)
- COM
-
2.44
Fee summary Charged Paid
-----------------
Credited
Due
--------------------
Permit Fee Total 135.00
----------
00
----------
.00
135.00
Plan Check Total .00
.00
.00
.00
Other Fee Total 2.44
.00
.00
2.44
Grand Total 137.44
.00
.00
137.44
LQPERMIT
B'° 1�
City of La Quints
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
xi 65
Project Address:' gQ — 555
AV E:.iu 52-
Owner's Name: East of Madison, LLC
A. P. Number: 767-200-003
Address: 80955 Avenue 52
Legal Description: Portion of
Contractor: TED
Lot F of 33076-2
City, ST, Zip: La Quinta, CA 92253
Telephone: (760) 391-5072
Address:
Project Description: Entry pond wall
City, ST, Zip:
8' concrete precision block wall
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer: RCE Consultants, Inc.
Address: 7595 Irvine Center Drive, Suite 130
City, ST, Zip: Irvine, CA
92618
Telephone: (949) 453-0111
ConstructionType: Wall Occupancy: n/a
State Lic. #: CA S-3681
Project type circle one): New Add'n Alter Repair Demo
Name of Contact Person: Jeremy
Patapoff, P.E.
Sq. Ft 465 if # Stories: ' n/a
# Units: n/a
Telephone# of Contact Person: (949) 453-0111 x103
Estimated Value of Project: $5,115.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd
Recd
TRACKING.
PERMIT FEES
c
wdR � b1/10
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 correction issue
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
{ 3
8/7
0/3
/0(o ! TM— APP26vcD
• GDHf'Y'a�7fer^ .
..-THE-
MADISON -THE-
MADISON
CLUB
TRANSMITTAL SHEET
To: Building and Safety/City of La Quinta
From: Cynthia Zamore
Date: July 20, 2006
Subject: Entry Pond; Retaining Wall Building Permit Application
Via... OX Hand -Delivery = Inter -Office Facsimile Courier Federal Express
Building and Safety:
0
Per Your Request
O
For Your Review/Comment(s)
O For Your Information
0
For Your Files
O
For Your Approval
O Per Our Conversation
0
Copied:
O
See Note(s) Below
O CONFIDENTIAL
C)
Please Respond
O
Please Handle:
O
Enclosed Please Find:
Qty Name/Description of Enclosures:
0 1 Building Permit Application and Tracking Sheet
0 2 sets Structural Calculations for Madison Golf Club Entry Retaining Walls (06/30/2006; RCE) With
Structural Plans and Site Plan (Grading Plan)
0
0
0
0
0
80955 Avenue 52 La Quinta, California 92253 (760) 391-5072 Fax (760) 398-5788
4
P -O. BOX 1504
LA QUINTA,. CALIFORNIA 92247-1504
.78-495 CALLE TAMPtCO
LA QUINTA, CALIFORNIA 92253
TO: VOUNG
TODAY'S DATE.: '7- c90 - o (.o,
PROJECT ADDRESS: q55'
APPLICANT NAME:
-
SUBMITTAL: E32 NO
BIN -NUMB'Ek:E]
TRANSMITTAL
BUILDING & SAFETY DEPARTMENT
(7 60) 777-7012
FAX (760) 777-7011
ATTENTION:
DUE -DATE:
D3. 3. E34 TH [D5TH
PERMIT NUMBER: 0 (a - A 755
INCLUDED HEREWITH:
LyPLANS
PLANS.
EIREVISED PLANS ElAPPROVED PLANS doom&
[]REDLINED STRUCT []REVISED STRUCT []APPROVED STRUCT
[:]TRUSS EIREDLINED TRUSS EIREVISED TRUSS []APPROVED TRUSS
OsbiLS'-
EIREbLINED SOILS
EIREVISED SOILS
ElApOkovED SOILS
nENER'GY- OREVISE'D ENERGY'
EDCORRECTION LIST
DcUSTOMER RESPONSES
[:]OTHER
-BUILDING DEPARTMENT USE ONLY-.
GREEN SHEET TO:. EjCDD El(w/Plans'
EIPUBLIC WORKS
[]COVE C'HECK.(w/Applidation)
LOCATION ON BOARD: LEFT.
MIDDLE RIGHT
SENT TO:
SY SV -SH STRUCT/NON-STRUCT
ASSIGN NON-STRUCTURAL TO:
COMMENTS:
Letter of Transmittal
To: City of La Quinta Today's Date: -q_0c
78-495 Calle Tampico City Due Date ,9— — ro
La Quinta, Ca 92253 Project Address:_�s�
Attn: Ed Randall Plan Check #: C.42
Submittal: 1St ❑ 4th
9 2nd ❑ 5th
❑ 3`d ❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes: # Of
Descriptions:
Includes: # Of-
Descriptions:
Copies:
Copies:
Structural Plans
E]Revised
Structural Plans
Structural Calcs
❑
Revised Structural Calcs
❑
Truss Calcs
❑
Revised Truss Calcs
❑
Soils Report
❑
Revised Soils Report
❑
Correction List
❑
Approved Structural Plans
❑
Redlined Structural Plans
❑
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments:
Thank you!
This Material Sent for:
❑ Your Files Per Your Request
❑ Your Review Approval
❑ Checking ❑ At the request of:
Other: ❑
Palm Desert Office : ® # (760) 360-5770'Ext.
Washington Office : ❑ # (760) 404-9556