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BLCK (07-2721)57751 Madison St 07-2721 0 P.O. BOX 1504 78-495 CALLE TAMPICO- LA QUINTA, CALIFORNIA 92253 Tiht 4 . BUILDING &-SAFETY DEPARTMENT BUILDING PERMIT Application Number:07-00002721 WORKER'S COMPENSATION DECLARATION ' Property Address: `57751 MADISON ST APN: 762-240-015- -000000- Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5520. Applicant: Architect or Engineer: a ontractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor . ' Owner: G5 ENTERPRISES, 6347 DI VITA CARLSBAD, CA Contractor: . "/jj SKYE CONSTRU 2240 ENCINITAS. * ENCINITAS, CA 920 (760)594-2282 Lic. No.. 854569 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)'777-7153 -4 PC 1 TE 85? 4 Date: 11/29/07 ' LICENSED CONTRACTOR'S DECLARATION i WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that I am lice under provisions of Chapter 9 (comm with I hereby affirm under penalty of perjury one of the following declarations: Section 70 01 of Division 3 of the Business and Pr es i al ode,, an License is u11 for d effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licen s' B icense N 54569 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.- - a ontractor: 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: 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1848754 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 became 1 ct to he worker ' compensatio rovision f Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 00 of the Labor Code, 1 el f f t omply wit ose provisio 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).: a p nt: ( 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 WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL FUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT N EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON UNDRED 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-_ 1 1, 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, (_) 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 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 thisypermit is issued (Sec. 3097, Civ.,C.). city and cou y or finances and state laws relating to b ing nst ction, and he y authorize representatives - of th' u y t nter upon th a v - ed pro y f in [tion purpos - - Lender's Name: _ ature (Appli Lender's Address - LQPERAIIT - LQPERnIIT Application Number . . . . 07-00002721 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee 81.00 Plan Check Fee .00 Issue bate Valuation . . . 5520 Expiration Date ''. 5/27/08 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 -------------------------------------------------- Special Notes and Comments 1200 L.F. + ADDITIONAL'HEIGHT ADDED TO WALLS AT PUERTA AZUL & LYON'S GATE, PER ENGINEERED SPECS. Fee summary Charged Paid Credited Due Permit Fee Total 81.00 .00 .00 81.00 Plan Check Total .00 .00. .00 .00 Grand Total 81.00 .00 00 81.00 LQPERnIIT STRUCTURAL CALCULATIONS Project:Santerra -site retaining walls La Quinta, Ca. Engineer: Schmit Engineering 1965 Rohn Rd. Escondido, Ca. 92025 (760) 743-0592 Code: 2001 California Building Code Date: August 23, 2007 ,. _ oQROFESS/pN TABLE OF CONTENTS Iscy , F2 L No. 35417 P 0 -3 0 J' I 1 \ Tf OF CAL►F Site Retaining Wall's (Lot #1 through#4).......................... :......1-5 CITY OF IA QUINTA BUILDING & SAFETY DEPT. APPROVE® FOR CONS TRU ION DAT It 128107BY 0 _ SCHMIT ENGINEERING STRUCTURAL DESIGN 77I -K 5c -:G 0)&Cc,u61- ) ,)rc,?/"/-zr7&J a7 It SCV7-7-rlp't.nJ C/d2r l=c ctiil SOLAI xJC Project SOW r!52-R/t 8 By Date 2 Sheet No. Of Subject S /fzL--' W-rr"i -- Job NO. F/L y- 22 ci J Ck/5i / ! SCHMIT ENGINEERING Project STRUCTURAL DESIGN By q z) Cite % Sheet No. 2L O. Subject ! W/f < Job NO. G iX S j- G SW:' Y M::: l2. / ((/.. z - zG 9 m 15c) u psi IYL-. Zs -re /2' a(a 3, a (j ca? IA 2 tri x z, x , .. _ • r..0 _ jC I s., OF S - 3:x..g SCHMIIT ENGINEERING STRUCTURAL DESIGN Prcject f By e /7 Sheer No., Subject 517 Job NO. NAI L @ LU7' / i /lLe' s,s OF Cx sTs W ur Is 15C p a c:-v/at) Or rl IJ r Pw FCPI POAJ I Q-OW P//7SS)LM %,n6:-'sSULC Z)r 200,oJ 0 Cc,. L2er.5:T -e 3 w in sQiL = 3 S pJ Z.3-7 5 Or . : .., ,., ...... , x(s r :c ` uc; : _1J 1 c. . ``G; .; i:no 3 •C uYzsc- s L 1.57 _ ) Q 6 S _ `9709 % = G9 Z C ) ryC11 SCHMIT ENGINEERING STRUCTURAL DESIGN LtJ L 7- 2 Sic P72. .vlc rs 's c, s t c.rn •n v c . c--xl si c 5'r6 -r, . wq&L-, Project By J S r -,ate Sheet No. Z oz, Subject 51 7-C Z -JA -w Job NO C Yl Si C /CEJ/77/4 , [VN iii% C Yl Si C /CEJ/77/4 , SCHMIT ENGINEERING Project STRUCTURAL DESIGN By oteSheet No. `5 O —_ Subject Job NO. STRIICTTIR AT CALCULATIONS Project: Santerra — site retaining walls , La Quinta, Ca. Engineer: Schmit Engineering 1965 Rohn Rd. Escondido, Ca. 92025 (760) 743-0592 Code: 2001 California Building Code 4 Date: August 28, 2007 TABLE OE CONTENTS QROFESS/oNq J. SCy i X22 No. 35417 s ivi Site Retaining Wall ........................... ..... .. 1-3 / OF Lo 9 ry LD 7 P o ff c C1 ` } CAl lJ CITY OF LA QUINTA -BUILDING & SAFETY DEPT. 7L _BU CONSTRU TION DA I BY SCHMIT ENGINEERING Project _ STRUCTURAL DESIGN 9 By D-ote •a ? Sheet No. —LO. Subject )A?i✓/?LYS-IS CJ1= C—'?(9-) c Wt9,L.( ' 6JI9L 5C-- N FCvzIn/-n- G1/ r CJJuI?4C-IZA.f C`-LZ)=-wtAP17 SG/ I. R %mssST c!G LnlC. )'ILC-' AJO. 5 e se -1 r CJ7220159 Cels? G , mgr . Job NO. At VJ 6 43ULL 7-v rrl +*d: G d' C /ter- _ g 3 2 / C cud i0 a I Cx /:sv-c c. r vr W2r 6'"/2UL s0Q0 C2Gtr - . Cin z 3 S p/1-5 s r LAC : 1 z1 U ,7pR, Z Z 0 cc -E -v W , . Mz17 .. 3-0 _ LG 9S 2 p .W . .fir JA _ top, p. O.'7. P.: Al 4 O.* 220 Woo '. P. . F 4 2ZCU 29` /A) cvjs W/Nb %GJl12,0 P, ) C - 100 Cz)3 SCHMIT ENGINEERING Project _—_-- STRUCTURAL DESIGN BY _07" Date o Sheet No. Of Subject Job NO. As" l2' 2 (3/ r Pz Cj_UC) 2 Z z a, GJ -fid 2 rn x zs9. vim, 4s. 1-0 amass < Z q -a -X3 0.3 2 2:0 - .. - . . + 3- ... a __ Gam. r. . 07 .0 'e UcL 1.0 3 3`Z J f5>,;a • Zc / 2 . s Z ( • 3.3) = 333.3 Gu`.. . r ynM e 32 SCHM11T -ENGINEERING Project STRUCTURAL DESIGN By `TI)a e Ya Sheet No. 3 Of Subject Job N0. %CJI) 97 hf-(Z ` d )2-1cv (S Gov _C r ._... _ . r. +rvw v . .v ....bw W ..:A. +r; _ ny ••4=-. "1 '- t -, .5. -St _ .. _ , _ y .Y t ..—. .. .._ .. ... _ _ a } _ 11/29/2007 TRU 8.:36 FAX r • i j0011001 Bin # City' of La Quinta Building St Safety Division , Perrnk ff \ P.O. Box 1504, 78=495 Calle Tampico is Quanta, CA 92253 - ( 760) 777-7012 Building Permit Application and Tracking Sheet ProJtct Address: Q Owner's Name: • A. P. Number. Address: i Legal Description:City, Sf; Contractor: , C6Y! fit / ctir Te4horte:7" w z 4s'rs A cess: Z Q -'/11G projectDescription:LO City, ST. Zip: Telephone: State Lic. #': Cite Lic : .s /00l _ Arch' 1 ee- r , s r / , r d' . oI-Plo .J city. -:§T, zip:5 1' Name of Contact Person: % / L / i i • G 1r'f J! a' Sq. Ft: Stories #Units: Telephone # of Contact Person: l ,51 / / ly 9 , Esnnteted vaitt atProjtct 552 APPLICANT. DO NOT WRITE. BELOW THIS LINE Subafrttal Req'd • Read 7RA©ID 1G . Plan Sets P ER IITFE" ES Plm Check submitkd . Iftnt Strl Cales. aet aAmoaat . lteviexed, ready for corrections - Plao C:cek Deposit • Trais Gies. (allied Co6dtetPersoo - Ftar.Checicaatancr Plans bidred -up Cowtr acdon Flood Plain Plan Plans rewbmieltd Grading PlyMechanical 2" Review, ready roc correctioosfinue - lDecte•SW Subcontaetor last Called ContattPtrro° GnntDeed Pl°mbing Plans picked up' H O.A. Approval- Plans resubmitted Grading INHOUSE:. '>' Review, ready for eorrectionssue ' DeYeloper-ImpactFte M mn*g Approval Called C9a1aetPersoa- P°b. Wks. Appy . Date ofperapit issae StZool Fees Total Penult Fees Z'd 3AOO OlN32: i OS d-VL:OL LO 9L 1o0