07-1103 (BLCK)i
IIIIIIIIIIIIIIIIIIIIIIIII 49
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P.O. BOX 1504 -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
to,
07-00001103
81499 AVENUE 52
767-200-998-U -330761-
WALL/FENCE
LOW DENSITY RESIDENTIAL
1150
Architect or Engineer:
qkl
4
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: B C29 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 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 of 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 ($500).:
(_ 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
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. , B.&P.C. for this reason
90 j i, 42 caner:
/ CO STRUCTION 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:
LQPERA11T
Owner:
EAST OF MADISON LLC
PO BOX 1482
LA•QUINTA, CA 92247
IN
Contractor:
MCD CONSTRUCTI
49881 29 PALMS J
MORONGO VALLEY, CA
(760)363-7740
Lic. No.: 820821
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
e UD
APR 1 12007
OF LA QUIPITA
Date: 4/10/07
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
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 becom subject to the workers' compensation provisions of Section
3700 of the Lab Co e, sha hwith comply with those provisions.
1 o 7Ap ant:
WARNING: FAILURE TO SECUR WORKERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin cons _tion, and hereby authorize representatives
of this co nt to enter upon the above-mentioned pro pe y r i _tion purposes.
Bate: Si ture (Applicant or Agent):
Application Number . . . . . 07-00001103
Permit . . . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 29.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
1150
Expiration Date 10/07/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
7.00 2.0000 HIND BLDG 501-2,000
14.00
----------------------------------------------------------------------------
Special Notes and Comments
46 L.F. COMBO WALL, 1 -61 --ABOVE GROUND,
UP TO 616" UNDER GROUND, PER APPROVED
ENGINEERED PLANS
Fee summary Charged Paid
-'--------------------------
Credited
Due
----------
Permit Fee Total 29.00
----------
.00
----------
.00
29.00'
Plan Check Total .00
.00
.00
.00
Grand Total 29.00
.00
.00
29.00
LQPERMIT
CITY OF INDIO
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(D C) to to to to to to to to to 00
Es — 0—
ui uj
uj --W-----
j FUTURE R/W
--R
/W
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PROP. EOP
X11 12 13 14'
2
10
— x
'0000/—-7�7—
71
65 o +0
-�� V :21
----- - - - - -
-7RMIC"
(PROTECT IN I
F'7' ER PROP. 18" WATER
.6' PERIMEXE� WALL 10' IRRIC. ESMT.
EPR
7
MADISON—CLOF6- MASS GRA IN
r PROP. 20* EVA
/-7 CITY OF LA QUINTA
& PERIMETER WALL F ANS 0
X HIGH RET 7w'ALL MADISON CLUB
PER SEPERATE-kRMITI ,7-6-l""'
:7 330 ". ,.- L
TRACT -N0 .-- .1- 1... "
z q
AVENUE 52 STREET PLAN
Q�
I VIII III VIII IIII 51
CUSTOMER: Lennar Homes — Vimmette Goch
SERVICES RENDERED: Additional Plan Review due to.Revisions to Fireplace at skydeck
and master bath shower layout of Plan Type 3.
Fees:
Structural Review.........................................................................$ 220.00
Administration........................................................................... 70.00
$ 290.00
TOTAL FEES NOW DUE: .................................. $ 290.00
Date: —May 3, 2006_
Initials•
MkbISOW r.LUM WALL
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building. Permit Application and Tracking Sheet
Permit #
11��
01'
Project Address:8I- 4642 Lpp.A- F ��
Owner's Name: East of Madison, LLC
A. P. Number: 767-200-086
Address: 80955 Avenue 52
Legal Description: Portion Lot U of 33076-1
Contractor: MCD Construction
City, ST, Zip: La Quinta, CA 92253
Telephone: (760) 391-5072
Address:
Project Description: Precision block wall as
City, ST, Zip:
required by Imperial Irrigation District.
Telephone:
To be plastered to'match existing perimeter
State Lie. #: City Lie.#:
Arch., Engr., Designer: RCE Consultants
wall. To be 1-1/2' above ground.
Address: 7595 Irvine Center Drive, Ste 130
City, ST, Zip: Irvine, CA 92618
Telephone: 949 453-0111
State Lie. #: ._
Construction Type: Occupancy: n/a
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Kim Fincher
Sq. Ft.: 46 1. f .
.# Stories: • n/a
# Units: n/a
Telephone# of Contact Person: (760) 535-9443
Estimated Value of Project: $3,500
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACEING _
PERMIT FEES
Plan Sets
y
Plan Check submitted
9
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy. Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2"" Review, ready for corrections/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
IIIIIIIIVIIIIIIVIIIIIII 48
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GRAPHIC SCALE
l 0 eva t
. r P CITY OF LA UINTA 'w DRAWING NAME:
r�'KJ7 �� APPROVED BY: EH -ADDRESS MAP
BENCHMARK PROJECT No.
6T,� BASIsofB ADDRESS MAP
6NElblfw`m6 IMPROVEMENT PLANS 000+ MDC
r.e aiv°�86�8 TRACT 33076-1&2
__ p,c 60u.4ssanSlfrET t OF
MADISON CLUB