07-1286 (BLCK)52802 Madison St
07-1286
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
T_A !1T_TTT TT_A,! Ai Tenn-1.TT,e_n c ^- ---- --
.. , ... ...,..... T, , A-- - - - BUiLDING Arhi Y"lll PARTMENT' ' " INSPECTIONS (760),777-7153
BUILDING PERMIT
Date: 5/23/07
Application Number:
Property.Address:
APN:
Application description:
Property Zoning:
Application valuation: .
Applicant:
0'7-00003286--5''
528.02 MADISON.ST .
767-200-998-73 -330761-
WALL/FENCE
LOW DENSITY RESIDENTIAL
15600
Architect or Engineer:
Owner: "
'EAST OF MADISON LLC
PO BOX 1482
LA QOI NTA, CA 92247
Contractor:
RAS MASONRY INC
1571 VIA AURORA
CORONA, "CA 92881
(760)774-0090
Lic. No.: 678140
D MAY 2 3 2007 L
CITY OF LA QUINTI!
---------------------
• 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: C29 - License No.: 678140
-
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 STATE FUND Policy Number 0008738-2007
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 th Labor Code,.l forthw' ompl itfMhose 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 morethanfive hundred dollars ($500).:
ate. pplicant: J
(_) 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: FAILURE TO SECURE WORKERS' COMPENSA ION COV AGE IS NLAW L, A 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 ONE HUNDRED THOUSAND
and who does the work himself or herself.through his or her own employees, provided that the
DOLLARS 1$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
1 c1 improve for the purpose of sale.). - " .'
1 I ) 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 I* am exempt under Sec. , B.&P.C. for this reason
ate: a ner.
• CONSTRUCTION LENDING A 1
I hereby affirm under penalty of.perjury that there is a construction lending agency for theperformance of t)ie
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: -
lh
Lender'sAddress:
LQPERMIT
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 building construction, and her y authorize representatives
of this ounty to enter upo the above-mentioned propert for inspec on. purpo v -
te. gnature (Applicant or Ag tl:
Y
LQPERAIIT
Application Number 07-.00001286
- —
----- ----' Permit--- - . -. WALL/FENCE PERMIT
---T--'--
-----
Additional desc .
Permit Fee 171.00
Plan Check
Fee
..00
Issue Date . . . .
Valuation
15600
Expiration Date 11/19/07
Qty Unit Charge .Per
Extension
BASE -FEE
45.00
14.00 .9.0000 THOU BLDG 2,001-25,000
126.00
----------------------------------------------------------------------------
Special Notes and Comments
624LF BLOCKWALL [ENGINEERED]/2001 CBC.
May 14, 2007 9:16:39 AM AORTEGA
---------------------------------------------------------
Other.Fees . . . . . . . STRONG
MOTION (SMI)-
- COM
3.27
Fee summary Charged Paid.
Credited
Due
Permit Fee Total 171.00
.00
.00
171.:00
Plan Check Total .00
.00
.00
.00
Other Fee Total 3.27
.00
00
3.27
Grand Total 174.27
.00
.00
174.27
LQPERAIIT
° JCM Inspections
O 39725 Garand Lane Suite F
'
__ d Palm Desert, CA 92211
I N S P E c ,r I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
a
REINFORCED CONCRETE INSPECTION REPORT Date: 6 ',a)- 01
Project Name:Project No: nraQ- 1a
(
C- c-A-t "n — Chi `W) . i V.
Project Address: ( City: ,
Client: Sub -Contractor:
S\RA \
(':_rrZ vi C r`r Al -ti inter -.e rr
General Contractor:\J A`rchitec(t`:: lStructural Engineer: TV)
c 1C
,S ,CIL ,))O-%Scc v t lL }./Ccs. t'^1 S r'arl tr nn(_t.-c
Slump (inches): Supplier:
0=IBC
Time Sampled: Mix Design: Time
24
Time in Mixer (min.): Specified Strength (PSI):
Other:
Water Added @ Jobsite (gals.): Addmixture:
Unresolved Items:
Com.. -rete Temperature (F): Truck #: Ticket #:
al one
Ambient Air Temperature'(F): Field ID Marking:
See Below
Location of Sample:
nf_ o Samples Taken
Description,of Work Inspected:
1 O+ l1 wC. • '(r!\.NeF ^+ t` .►a1Lt C' YlG, ial.\!7n1 S C C ' tl:w iCJU 1 0 .1 r. C 6
_
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I hereby certif f that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications _applicable building laws. Final report issued at project completion.
Inspector: Jac \C\. Millin ICC Certificaytff n'No: 0842216-49
Contractor's Representative:
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3' Governing Agency Page t of
07-1286
07-1287
07-1288
07-1289
07-1290
Bltl #
ZBuilding
,LS$
II
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City ®f La Quinta'
& Safety Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: See
attached
Owner's Name: East of Madison, LLC
A. P. Number: See
attached
Address: 80955 Avenue 52
Legal Description: See
Contractor: TBD
attached
City, ST, Zip: La Quinta, CA 92253
Telephone: (760) 391-5072^#
Address:
-Project Description: Precision block wall f7ith
City, ST, Zip:
wrought iron for'CVWD well sites.
Telephone:z.
i '"
To be plastered to match existing perimeter
State Lic. # :
City Lic. #:
walls. Structurally engineered, retaining
Arch., Engr., Designer: RCE Consultants, Inc.
walls.
Address: 7595 Irvine Ceneter Drive, Ste 130
City,.ST, Zip: Irvine, CA 92618
w
Telephone: (949) 453-0111 t
State Lic. #: r
Name of Contact Person: Kim Fincher
Construction Type: Occupancy: n/a
Project type circle one New Add'n Alter Repair Demo
Sq. Ft. i3, 15i 1. .#Stories: n #Units: n/a
Telephone# of Contact Person: (760)
535-9443
Estimated Value of Project: $700,000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance '
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
2_1 Grading plan
2°" Review, ready for corrections/issue
Electrical
4
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
l v
School Fees
Total Permit'Fees
i. U. 94+ - .a+MMaA
00
PZ Arff.
Legal Description
Lot No.
Tract No.
Project Address
APN Lf.
73
33076-1
52802 Madison Street
767-200-067
624 Zg p
74
33076-1
53552 Madison Street
767-210-090
625 (' 2j¢ "
77
33076-1
53365 Monroe Street
767-210-081
612 b'1,. (_Z - `"q'8 ,
78
33076-1
52592 Humboldt
}}
767-200-0807 Z%9J
673 b1 1
([
79
33076-1
52552 Meriwether Way
767-690-045
617
3151
r0
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e.
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C
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
A
RCE Consultants May 2, 2007
1 Jenner St, Ste 200
Irvine, CA 92618 F;
Structural Review Only
PLAN CHECK NO. 07-1286 thru 1290 FIRST CHECK/ APPROVED
ADDRESS Tract No 33076-1 OCCUPANCY U-1
SCOPE OF WORK Block walls TYPE -OF -CONST. V -N
Lots 73, 74, 77-5.78 & 79
The submitted plans and specifications have 'been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA and the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATION.
Plans checked by:. Neil Evans, PE
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext. 750 VCA File No. LQ- 19755a -e
• 8� �lIISM
.�j Gj ZY1 ✓8� � .
4
�2- rnbold-F-
z - 2 e-4►- (�
y
+ CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 11/17/2006
--
aPPIUVdIS are Torwarded to the Buildin .& SafetyDe artment direct) b Public Works.
Please CkO 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 proc Esued will be returned to applicant.
Date:
Tract Nc�.:=
Address.(s);
" Developer: ,
it� -71' Tract. Name:
/; �0i0/lDl?
The folldwing 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 (AR APPI WADI Cl ARlr%
iY
M
.nr�tw. rnvvlut IItIV15 #I BELOW '
❖ SIIGNS:. PROVIDE ITEMS #8 BELOW /f'1A-SSCA'DINZ.-
1. Attach Pad Elevation- Certificates in compliance p nce with the approved design elevation for building
wkPa (maximum allowable deviation of .+/- 0.1 foot). Pad Elevation Certificates must be current
(ut date). If a
(within 6 months of currenprecise grading plan creates the .pad for approval, please.
ithhold green sheet submittal until a Pad Elevation Certificate can be provided.
2. Attach, geotechnical certification of grading. plan compliance.
3. Attach recorded final map.showing proposed building locations are legal lots.
4. Attach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form,
P1010 plan & agreement or provide alternative & valid City approved PM 10 plan set reference
'n limber or hard copy plan. PM 10 plans for commercial & residential developments (beyond 1 lot)
are submitted separately with grading plans & are subject to additional requirements.
5. .A-1tach an approved precise grading P 9 g plan for the building location(s). AO flood zone developments
Will require an approved flood plain developmentplan.
6. A{htach an approved rough grading plan for the building location(s).
7. Attach wall plan & related approved grading. plan.
is
8. Attach sign layout/plan & related precise grading/landscape plan.
�l
I have reviewed and confirmed the requirements listed above as presented and find the improvements to
be sufficiently complete for construction of the proposed bui►dings/structures/walls/signs on the subject
lot(s). Prirsuant s, abov roject ay be released for building ermi issuance.
r
Recommended by:
Date b-7
Public Wirks stribution: Green (
11 � Sheet to Building &Safety counter
(_) Green Sheet to Community Development
Declined for approval for reason(s) as follow(s), please correct and resubmit:
�N
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1 1
La Quinta - PM 10 Project °Information < 1 acre per Lot or Infill Project Pae 1 of 3
Form updated & effective 8/25/2005
Project Information
Project Contractor:
Project Phase
Project Phase
Project Name:
(Check One):
.El Construction
Project Tract
Number:
.❑ Demolition
Lot Number(s):
Anticipated Start Date:
Anticipated
Completion:
Project Street
Address:
Total acres in active
construction (<-1 acre
per Lot):
Project Contact
Information
Please Note: Dust control is required 24 hours a day, 7 days a week,
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 PM10 plans for commercial and residential developments > 1 acre are required by
the City of La Quinta.
PM 10 <1 acre per Lot or' Infill Project) Fugitive Dust Control Plan Page 2 of 3
Plan updated & effective 8/25/2005
This plat i shall take into account applicable SCAQMD Rule 403 regulations. Training may be obtained by
contacti1i g SCAQMD (Sharon Zamora- Phone: (909) 396-2183.). This plan shall consist. of the following
action items:
V+r ATERING: Continuous watering is" required
9 to .prevent dust and must occur a minimum of -4
times daily. Water shall -be applied to dry soils to stop:
Visible dust emissions over 20% opacity _
• Visible dust emissions that travel over 100 feet.
•
Water'source % hch water meter at front (south) side of pad.
❖
EDUCATION: Responsible. Dust Control Individual and key personnel shall attend SCAQMD PM10
crass and obtain PM 10 certificate number prior to construction activity.
HEATHER MONITORING: Wind predictions ' p tons shall be monitored:
SIGNAGE: Use Coachella Valley Fugitive Dust Control Plan Handbook Construction Site Signage
Guidelines.
TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If
vehicles operate on pad, pad shall be kept firm and moist through hose watering or sprinklers...
F& gitive Dust '.hall be prevented by fencing off site to prevent unauthorized traffic on pada (15
I ph maximum traffic speed).
•°• PI4RKING: Parking is not allowed on the a
p d. All vehicles must park on street (at .designated
areas only).
ll
TRACK OUT: Provide 24 hour street cleaning and .track out system as approved by City Public
Works Inspector. (No dirt on public or private roads). Track out shall be cleaned. up within one
hour of incident.
11
❖ DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California. Building Code
grading requirements. Piles shall be kept moist.or covered with tarp material. Larger dirt.piles'will
require stockpile.or grading permit.
❖ FENCING: Provide PM 10 fencing at perimeter of public roads and where applicable. Wood slat
feIncing can be' installed at rear of property and return 20 feet on either side if HOA restrictions
apply. Block walls can replace.PM10 fencing during the construction -phase.
1
EQUIPMENT: Extra hoses and sprinklers shall be maintained. on site.
❖
EXCAVATION MEASURES: All areas to ber excavated or graded shall -
g be pre watered. Water shall
be applied during -excavation or grading operations also.
DIUMP TRUCKS: Open top dump trucks to be wet down, moist and tarped prior to leaving site.
INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as
required.
City of La Quinta - Site Specific Construction Phase PM 10 Agreement Page 3 of 3 .
Agreement updated & effective 8/25/2005
The signature of the property owner (or authorized representative)
Shall act as his/her acknowledgement of dust control requirements and their enforceability,
pursuant to AQMD Rules 403 and 403.1;
❖ Shall constitute and agreement to comply with all project conditions as identified in the approved
dust control plan;
The property owner (or authorized representative)'
Acknowledges that dust control is .required 24 hours a day,.7 days a week, throughout the period
of project performance, regardless of project size or status,
❖ Shall ensure that each. and every contractor/subcontractor and all other persons associated with
the project shall be in continuous compliance with all requirements of the approved dust control
plan;
❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those
listed in the dust control plan are necessary;
Shall authorize representative of the City/County to enter upon the above mentioned property for
inspection and/or abatement purposes; and
❖ Shall hold harmless the City/County and its representatives from liability for any actions related to
this dust control plan or any City/County initiated abatement activities.
Signature of Property Owner or Authorized Representative
Printed Name
IN
Title Date
Company
` CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST Y.• h + {
s %
RCE Consultants M_ ay 2, 2007 .
1 Jenner St, Ste 200
.Irvine, CA 92618 �.
Structural Review Only
PLAN CHECK NO. 07-1286 thru 1290 FIRST CHECK/ APPROVED
ADDRESS Tract No 33076-1 OCCUPANCY U-1
SCOPE_ OF WORK Block walls TYPE -OF -CONST. V -N
Lots 73, 74, 77, 78 & 79 °
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTA and the State of California Amendment. '
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT, TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATION.
Plans checked by: Neil Evans, PE
VCA CODE GROUP -
;� 2200 W Orangewood Ave, Ste 155
' Orange, CA 92868
(714) 363-4700 ext. 750 VCA File No. LQ- 19755a -e
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