The URL can be used to link to this page

07-0266 (BLCK) 4 P.O. BOX 1504 { _ - -- IE - - � 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: 3/28/07 Application Number: C07-00000266 Owner: 'Property Address: 81952 AVENUE 54- 1� EAST OF MADISON LLC APN: 767-200-998-76 -330761- PO BOX 1482 D Application description: WALL/FENCE LA QUINTA, CA 92247 Property Zoning: LOW DENSITY RESIDENTIAL -------------------------- - Application valuation: 191250 2to Contractor: (7 Applicant: Architect or Engineer: Owner CITY OF QUINTA ^w FINANCE DEPT' ---- -7- ---- - --- - - --- ----- - - -------- - ---- - - ---- ------------- - ------- --- ---- - --- --- - ---------------- - --- 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: License No.: for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Date: Contractor: _ 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 OWNER-BUILDER 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 - Policy Number 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 should 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 Code,I shall 6rthwith ompty 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).: Date; ) 1/pplicant: - (_1 1,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 WORKERS'COMPENSATION(704RAI IS 5AuLANIHALL 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 Inas 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, I—) 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 7 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. 7 _ s Date: 'f:7 �� 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 AGE 6Y 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 upon the above-mentioned proper forin pec on pur QSes. Lender's Name: _ �— _Date. D�Signature(Applicant or Agent): Lender's Address: LQPERA11T Application Number . . . . . 07-00000266 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 961.50 Plan Check Fee 00 Issue Date . . . . 1/25/07 Valuation . . 191250 Expiration Date 9/10/07 Qty Unit Charge Per Extension BASE FEE 639.50 92 .00 3.5000 THOU BLDG 100, 001-500, 000 322.00 ---------------------------------------------------------------------------- Special Notes and Comments TOTAL OF 7; 600 LF 6' PERIMETER WALL PER CITY STANDARD. 2,530 LF ON MONROE ST & 5, 120 LF ON AVE 54.CDD & P/W'S APPROVAL REC'D.AS OF 3-.28-07 CHANGE TO OWNER BUILDER(TWO SEPERATE MASONRY CONTRACTORS-RAS FOR 5, 120 LF ON AVE 54/S. ELLINGTON MASONRY FOR 2530 LF ON MONROE) --------------------------------------------- ------------------------------- Other Fees . . . . . . . . . CHANGE OF CONTRACTOR 4 .50 Fee. summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 961.50 961.50 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 .00 .00 4 .50 Grand Total 966.00 961.50 .00 4 .50 LQPERAIIT CITY OF LA QUINTA SU-CONTRACTOR LIST 3.28.07 JOB ADDRESS. 81952 Avenue 54 PERMIT NUMBER 07-266 OWNER East of Madison, LLC ® BUILDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list ortheir employees are authorized to work on this job. Any changes to this list must be approvedby the Building Division prior to commencement of work. Failure to comply will result in a stoppage of Work and/or the-voidance- of building.permit. For. each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade i . ... lass�fication Contractor / :.: ::.-..: S!ate:.Contracto .s License. Workers Corri a satioii: nsu�an e:°`.: :" .Business License: > ::- r n . 1 Y Company Name Classification License Number Exp. DateCarrier Name Policy Number Exp. Date' License Number Exp. Date (e.g.A, B,C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/)tx) EARTHWORK (C712) - CONCRETE(C-81 FRAMING:(G-5) STRUCT.STEEL (C-51) MASONRY (C•29) R.A.S. Masonry, Inc. C29 678140 06/30/08 Garcia Insurance, . Inc 39CGL02183-01 05/15/07 5347 . 9/30/07 Steve Ellington Masonry. C29 497804 09/30/08 Weingarten & Hough 5800000i35-071 01/18/08 3569 1/31/08 DRYWALL(C-9) HVAC. ELECTRICAL.(04 0) ROOFING'aC.=381'.:::;`;:;`:: SHEET METAL.(0-43) FLOORING GLAZING INSULATION IC-2). ?: SEWAGE DISP (Q-42) PA 1.NTI N(G(C=33) j CERAMIC TILE(C-54) CABINETS (0-6) FENCING (C-13). LANDSCAPING POOL (C-53). Bin# City of La Quinta Building U-Safety Division Permit# P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253- (760) 777-701.2 Building Permit Application and Tracking Sheet ProjectAddress:' 81952 Avenue 54 Owner's Name: East of Madison, LLC A.P.Number: Address: 80955 Avenue 52 Legal?Description: Por Lot 'R of TR 33076-1 City,ST,Zip: La Quinta, CA 92253 Contractor: Owner Builder Telephone: (760) 391-5072 - Address: 80955 Avenue 52 Project Description: Change of contractor to City,ST,Zip: La Quinta, 'CA 92253 Owner Builder from MCD Construction to Telephone: (760) 391-5072 Avenue 54: R.A.S. Masonry (5;.120 l.f.) State Lie.#': City Lie.#: Monroe St: Steve Ellington Masonry y (2530 M.) Arch.,Engr.,Designer: RCE Consultants, Inc. See attached Sub—Contractor list for detai Address: 7595 Irvine Center Drive, Suite 130 City,ST,Zip: IRvine, CA' ' -92618 Telephone: (909) 453-0111 Construction Type: Occupancy: P cy: State Lie.#: Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Kim Fincher Sq.Ft.: 7600 1.f. #Stories: n/a #Units: n/a Telephone#of Contact Person: (760) 535-9443 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal ReWd , Recd TRACKING PERMIT FEES _ Plan Sets. Plan Check submitted Item Amount . Structural Cates. Reviewed,ready for corrections Plan Check Deposit Truss Cates. .Called Contact Person Plan Check Balance Energy Coles. Pians picked.up ry Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 201 Review,ready for correctionstissue 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.correctionstissue • Developer Impact Fee • Planning Approval. Called Contact Person,' A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees THE MADISON : CLUB TRANSMITTAL SHEET To: City of La Quinta Building/Safety Department From: Cynthia Zamoiez J Date: March 28, 2007 Subject: Change of Contractor Application Via... r_XJ Hand-Delivery F__1 Inter-Office Facsimile 0 Courier Federal Express Building/Safety Department: C) Per Your Request CD For Your Review/Comment(s) CD For Your Information CD For Your Files O For Your Approval O Per Our Conversation 0 Copied: CD See Note(s) Below (_—) CONFIDENTIAL C) .Please Respond C Please Handle: 0 Enclosed Please Find: Qty Name/Description of Enclosures: ° 1 Building Permit Application for Change of Contractor 1 City of La Quinta Sub-Contractor List ° 1 Copy of Contractor's License, Insurance and City License for Each Contractor(R.A.S. and Ellington) ° 1 Copy of Original Building Permit Number 07-266 ° $4.50 Cash (Contractor Change Fee) O 0 80955 Avenue 52 La Quinta, California 92253 (760) 391-5072 Fax (760) 398-5788 III II I III��II II(III 08 , P.O. BOX 1504 -- IE 4VOICE 777-7012 78-495 CALLE TAMPICO 760 ( ) FAX(760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 1/25/07 Application Number: '`07-00000266 Owner: Property Address: ~81952 AVENUE 54 EAST OF MADISON LLC APN: 767-200-998-76 -330761- PO BOX 1482 Application description: WALL/FENCE LA QUINTA, CA 92247 Property Zoning: LOW DENSITY RESIDENTIAL a Application valuation: 191250 D Contractor: J A Al 2 Applicant: Architect or Engineer: MCD CONSTRUCTION F�1� 49881 29 PALMS HIGHWA 'QUINTA MORONGO VALLEY, CA 92 56 CITY OP LA (760)363-7740 FINANCE DEPT Lic. No. : 820821 - - - --- - ----- ---------- - - ---- -- - ------- --- --------- ----- -- -- - ----- - - - ---- -------- - - ----- - -------- - 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 C29 Li se No.: 820821 - for by Section 3700 of the Labor Code,for the performance of the work for which this permit is /f issued. `Date:Fl,5 7Contractor: _ 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 OWNE - 111 DER DE ION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Lic se Law for the Carrier STATE FIIND Policy Number 0442271205 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 should become subject 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 Code all f' thwi 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).: D_ate:lA/(�A Applic_a_nt:_ (_) 1,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 WORKERS'C PENSATIO CO AGE IS U W UL,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 ON DRED 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 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 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 performed under 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 upon the above-mentioned property specti n-purp s. Lender's Name: 'Date:��Signature(Applicant or Agent): Lender's Address: - - LQPERMIT Application Number . . 07-00000266 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 961.50 Plan Check Fee .00 Issue Date Valuation . . . . 191250 Expiration Date 7/24/07 Qty Unit Charge Per Extension BASE FEE 639.50 92 .00 3 .5000 THOU BLDG 100, 001-500,000 322.00 --------------------------.-------------------------------------- _ Special Notes and Comments TOTAL OF 7, 600 LF 6' PERIMETER WALL PER tfT STANDARD. 2,530 LF ON MONROE ST & 5, 120 LF ON AVE 54.CDD & P/W'S APPROVAL /�Z�0� REC'D. W� Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 961.50 .00 .00 961.50 Plan Check Total .00 .00 ..00 .00 Grand Total 961.50 .00 .00 961.50 LQPERMIT