Loading...
BLCK (07-0901)53052 Madison St 07-0901 4 4 P`O. BOX 1504 ^' 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: 3/27/07 _ Application Number: 07-00000901----1\, Owner: Property Address: MADISON_'ST EAST OF MADISON LLC APN: 767-200-998-M -330761- PO BOX 1482 Application description: WALL/FENCE LA QUINTA, CA 92247 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 137500 Contractor: Applicant: Architect or Engineer: MCD CONSTRUCTION 49881 29 PALMS HIGHW MORONGO VALLEY, CA 92EMAR 8 2007 (760)363-7740 Lic. No.: 820821 CITY OF LA QUINTA FINANCE 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 -af 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 License No.: 820821 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: +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 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 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 ZtheLr Code, I shall forthwith compl with rhothat he or she is exempt' therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 1any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - e. - V (_) 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: FAILLfRETO.SECURE WORKERS' COMPENSATION COV GE IS UNLAW L, ND 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 HUND 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 improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT () 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 Y 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. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Qulnta, its officers, agents and employees for any act or omission related to the work -being performed under or following issuance of this permit. Date: C wne 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 AG permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the perfor a 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 unty ordinances and st laws relating to building construction, and hereby authorize representatives of county to enter upon th ove•mentioned grope inspection. rp - - Lender's Name: ♦ 1 — _. _ __ ------_ = - ----NJ -- - ----- '-- 9n — — -- - --- . F_Z ature-Iv.ppucanror-Agent - L..- Lender's Address: N 'votes // — _ -- LQPERMIT Application Number . . . . 07-00000901 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . .". 772.50 Plan Check Fee _.00 Issue Date . . . . Valuation . . . . 137500 Expiration Date 9/23/07. Qty Unit Charge Per Extension . BASE FEE 639.50 38.00 3.5000 THOU BLDG 100,001-500,000 133.00. - -----------------------------------------------------------_--- Special Notes and Comments 5500 LF 6' PERIMETER WALL, ORCO SYSTEM Q EAST SIDE OF MADISON ST. FROM AVE. 52 TO AVE. 54 Fee summary Charged 'Paid Credited Due Permit Fee Total 772.50 .00. .00 772.50 Plan Check Total .00 .00 :00 .00 Grand Total 772.50 .00 .00 172.50 Bi" # City of La Quinta Building 81 Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit h` R0 Project Address: 53,0 Z Madison Street Owner's Name: East of Madison, LLC. . A. P. Number: Address: 80955 Avenue 52 Legal Description: Por of Lot M of Tract 33075-1 City, ST, Zip: La Quinta, CA 92253 Contractor: MCD Construction Telephone: (760) 391-5072 Address: 49881 29 Palms Highway Project Description: 6' high perimeter masonry City, ST, Zip: Morongo Valley, CA 92256 wall, precision block, Orco standard Telephone: (760) 363-7740 Stucco to match existing (Ave 52/54/Monro ) State Lic. # : 820821 City Lic. #: Arch., Engr., Designer: RCE Consultants Address: City, ST, Zip: Telephone: (949) 453-0111'! State Lic.. #: Name of Contact Person: Kim Fincher ConstrgctionType:Masonry Occupancy: n/a Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 5500 1. f # Stories: n/a # Units: n/a Telephone # of Contact Person: (760) 535-9443 Estimated Value of Project: $385,000 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 Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.Q.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 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET. PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 11/17/2006 to the .Please DO NOT submit the Green Sheet (Public Works C ea ance) Pa ket. oDepartment thedirectly PublicWorks Depaby Public rtment until Al requirements. listed below are - complete Incomplete applications or applications which cannot be pro :ssed will be returned to applicant. Date: _G acoo Developer: 'Tract N'o.:57 Tract. Name: -Addees s(s); The f from tl vzz, ZZ e2 Lot No.(s): D2 wing are the requirements for Public Works Clearance to authorize issuance of a building permit Building &- Safety Department: `_NALLS:;- PROVIDE ITEMS #7 BELS MAC l S-A ❖ SIGNS:. PROVIDE ITEMS #8 BELOW'"`' 1. ), ttach Pad :Elevation Certificates in compliance with the approved design elevation for building I?ad (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 the pad for approval, please. n, ithhold green sheet submittal until a Pad. Elevation Certificate can be provided. 2. ),,,Ikttach 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, Fi M 10 plan & agreement or provide alternative & valid City. approved PM 10 plan set reference number 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.,,ttach an approved precise gradi.ng 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 radin a 9 g, plan. 8. Attach sign layout/plan & related precise grading/landscape plan. 1 have riviewed and confirmed the .requirements listed above as presented and find the improvements to be suffil=iently complete _for construction of the posed buildings/structures/walls/signs on the subject lot(s). Fursuan m findin abo pro' ct ay be released for building permit issuance. . t RecomMended ,by: Dated: Public Works Distribution: ( reen Sheet to Building & Safety counter Green Sheet to Community Development Declined! for approval for reasons) as -follows -),please correct and resubmit: CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 11/17/2006 auulVVdIS 4FU Torwaraea to the building & Safety Department directly by Public Works. Please 1D0 NOT submit the Green Sheet (Public Works Clearance)" Packet. to the Public Works Department until Al.L requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: G cep©7 Developer: Est .pto TractN oTract. Name: Addres s(s).: a GLG Lot No. (s): lPea Gezt& The fol wing are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building .& Safety Department: ❖ ICUSTOM HOMES: PROVIDE ITEMS #2 #3 #4 AND #5 BELOW r irRACT HOMES:. w ❖ i-OMME 1 ❖ ;IGNS: 1, #2, #3, #4 1, #2, #3 AND FBI AS #7 BELO S #8 BELOW C 1.. attach Pad Elevation Certificates in- compliance with, the approved design elevation for building Thad (maximum allowable deviation of .+/- 0:1 foot). Pad Elevation Certificates must be current I ithin 6 months -of current date). If' a precise grading +plan .creates the pad for approval, please . withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. ttach geotechnical certification of grading plan compliance. 3. kttach.recorded final map. showing proposed building locations are legal lots. 4. (ttach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form, RM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference ,umber 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. .-Attach- an approved precise. grading plan for the building location(s). AO flood zone developments mill requite an approved flood plain development plan. 6. Akttach an approved rough grading plan for the building location(s)., 7. A,Cttach wall plan & related approved grading,plan. 8. attach sign layout/plan & related precise grading/landscape plan. have reviewed and confirmed the .requirements listed 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). Pursuan m findin abo pro' ct ay be released for building permit issuance. Recom Mended by: Dated: Public orks Distribution: reen Sheet to Building & Safety counter (_) Green Sheet to Community Development Declined for approval for reason(s) as follow(s),'please correct and resubmit: F I