SOTB (07-0471)57751 Madison St
07-0471
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00000471
Property Address: 57751 MADISON ST
APN: 762-240-015- -000000-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:- 4354
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
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 Di i ' fib Bu ess and Professionals Code, and my License is in full force and effect. -
License
`jCla sQ B - ,j j j License No.:- 854569
Date: [ 2( d r 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 (Sec. 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, or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 Icommencing 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 mole than five hundred dollars 155001.:
1 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
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' StateLicenseLaw 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 I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
CONSTRUCTION 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: '
LQPE%IIIT
Owner:.
G5 ENTERPRISES, INC
6347 DI VITA WAY
CARLSBAD, CA 92009
VOICE (.760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/26/07
-Contractor:-
SKYE CONSTRUCTION,.INC. U D
2240 ENCINITAS BLVD, STE D
ENCINITAS, CA 92024 JUN
(760)594=2282 JU /.2007
Lic: No.: 854569
S
1:11VOPIAQUINrq .
oBPr
-WORKER'S COMPENSATION DECLARATION
I: hereby affirm under penalty of perjury one of the following declarations:
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 theLabor
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 1848754
_ I 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 become subject to the workers' compensation provisions of Section
3 00 of the Labor Code, I shall forthwith comply with those'proyisions.
\ Q- `
'Date: 2 [ O Applicant: ._
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 above informati is co ct. I agree to comply with all
city and county ordinances and state laws relating4opeinspectio
nstructio nd reby authorize representatives.
of this c my o -enter upon the above-mentioned p r s.
iDate. 0Signature (Applicant or Agent/ '
Application Number
07-00000471
Permit . . . . . .
BUILDING PERMIT
` Additional desc .
Permit.Fee
72.00 Plan Check Fee
46.80
Issue Date
Valuation
4.354.
Expiration Date
12/23/07
Qty. Unit Charge
Per.
Extension
BASE FEE
45.00
3:00 9.0000
THOU BLDG 2,001-25,000
27.00
Permit
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
19.50 Plan Check_ Fee
4.88
Issue Date
Valuation
0 .
Expiration Date
12/23/07
Qty. Unit Charge
Per
Extension
BASE FEE
15.00
6.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
4.50
Special'Notes and Comments
unmanned entry tower.
----------------------------------------------------------------------------
Other Fees'
ENERGY REVIEW FEE
4.68
STRONG MOTION (SMI)' COM
.91
Fee summary' Charged
Paid Credited
Due
Permit Fee Total
91.50 .00 .00
91.50
Plan.Check Total
51.68 .00 .00
51.68
Other Fee Total
5.59 :00 .00
5.59
Grand Total
148.77 .00 .00
148.77
LQPERAIIT '
.
Bin #
City Of La Quinn'
Building &-Safety Division
Permit )V'
P.O. Box 1504, 78-495 Calle Tampico
La
-
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: S -I -TS(
mF D s p S TClf' Owner's Nunes.
A. P. Number:
C -
Legal
Address: q `k Ll
Description:
•
City, ST, Zip: aECA. Q Z k7—
Contractor: S,
C T(0 IrIt Telephone: -]bp_ -L-g
Address:
Project Description:
City, ST, Zip:
Telephone:
i-
(1fl. t
State Lie. #':
City Lie. #:
Arch., Engr., Designer:
0&
Address:
__2f
City, ST, Zip:
.
Telephone:
Construction Type: Occupancy:
State Lie. #:
Name of Contact Person:
Project type (circle one): New Add'n Alter Repair O
Telephone # of Contact Person:
Sq. Ft.: #Stories: #Units:
6p ` z_
g Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE•
# Submittal Rey'd Reed TRACIMG
Plan Sets
, PERMIT FEES
Plan Check submitted
Structaral Calcs.
JItem Amount .
Reviewed, ready for corrections
Truss Gip.
Plan Check Deposit
Called Contact Person
C? Plan Check Balance
Energy Glca
Plans Picked. up
Flood plain plan
Construction
Plans resubmitted
vii—
Grading. plan
Mechanical
2'' Review, ready r correctio u Electrical
Subcootactor List
Called Contact Person
Grant Deed
Plumbing .
Plans picked up
H O.A Approval
O SALL
Plans resubmitted
IN HOUSE:-
Grading
,,, Review, ready for. corrections/issue
Planning Approval
Developer Impact Fee
Called Contact Person
Pub. Wks. Appr
A.LP.P.
Date of permit issue
School Fees
6
' n Total Permit Fees
i
Z r 7 N Cs 2 C L 07 F&-Ub Ca2&MO--5 01
{
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Steven Dechristopher, , Building Design April 23, 2007
72-067 Hwy 111
Rancho Mirage; CA 92270
PLAN CHECK NO 07-471 - SECOND CHECK/ APPROVED
ADDRESS ' =751 Madison Street OCCUPANCY U
SCOPE OF WORK New_entry,tower = - TYPE -OF -CONST V
8'x8'xl3' height
PLAN CHECK FEE 5 Hours total \
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 ,
ASSOCIATIONS.
Plans checked by: Hue C. Luu , PE
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext. #752 VCA File No. LQ -19463
1