SOTB (07-2588)58588 Madison St
07-2588
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
F4
W
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 Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Cl s: L' enseNo. : 762987
Dater f 0 O Contractor:
OWNER -BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's ate 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 (commencing 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 more than five hundred dollars ($500).:
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' 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.). '
(_ 1 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.I.
Lender's Name:
Lender's Address:
LQPEPNIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
10/03/07
Owner:
TD DESERT DEVELOP
58-588 MADISON
POO LA QUINTA, CA 922
Contractor. f LA
TD DESERT DEVELOPME LP FItWN E
P O BOX 17.16
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION.
I hereby affirm under penalty of perjury one of the following declarations:
_ I 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 the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier COMPWEST Policy Number CA005001482003
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,
2.3d agree that, if I should bec subject to the workers' compensation provisions of Section
700 of the Labor Code s all fort ith comply hose provisions.
Datt: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS LAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OYE 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 the above information is correct. I agree to comply with all
city and coun ord' ances and state laws relating to building cons cti , and hereb o e representatives
of this coun to ter upon the above-mentioned property for ins ection urpos
/ 1 s
Datef 1 ignature (Applicant or Agent):
Application Number:
07-00002588 -
Property Address:
58588 MADISON ST
APN:
764-200-012- - -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property. Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2500
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 Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Cl s: L' enseNo. : 762987
Dater f 0 O Contractor:
OWNER -BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's ate 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 (commencing 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 more than five hundred dollars ($500).:
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' 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.). '
(_ 1 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.I.
Lender's Name:
Lender's Address:
LQPEPNIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
10/03/07
Owner:
TD DESERT DEVELOP
58-588 MADISON
POO LA QUINTA, CA 922
Contractor. f LA
TD DESERT DEVELOPME LP FItWN E
P O BOX 17.16
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION.
I hereby affirm under penalty of perjury one of the following declarations:
_ I 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 the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier COMPWEST Policy Number CA005001482003
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,
2.3d agree that, if I should bec subject to the workers' compensation provisions of Section
700 of the Labor Code s all fort ith comply hose provisions.
Datt: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS LAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OYE 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 the above information is correct. I agree to comply with all
city and coun ord' ances and state laws relating to building cons cti , and hereb o e representatives
of this coun to ter upon the above-mentioned property for ins ection urpos
/ 1 s
Datef 1 ignature (Applicant or Agent):
LQPERMIT .
Application Number . _ . . 07-00002588
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 54.00
Plan Check
Fee
35.10
Issue Date . . . .
Valuation
2500
Expiration Date 3/31/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00_ 9.0000 THOU BI;DG 2,001-25,000
-------------------------------------------------
9.00
Special Notes and Comments
-----------------------------
CONCRETE FOOTING FOR BRONZ HORSE AND
RIDER.
----------------------------------------------------------------
Other Fees . . . . . . . ENERGY
REVIEW FEE
3.51
Fee:summary Charged Paid
Credited
Due
Permit Fee Total 54.00
.00
.00
54.0.0
Plan Check Total 35.10
.00
.00
35.10
Other Fee Total 3.51
.00
.00
3.51
Grand Total 92.61
.00
.00
92.61
LQPERMIT .
Bin #
City of La Quinta.
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
ta Quinta, CA 92253 - (760) 777-7012
Build-ingfermit Application and Tracking Sheet
Perini
Project Address:' 5-1100 ewle 717 c7z ,
Owner's Name: 7/2
A. P. Number:
Address: el
Legal Description:-T/L 3/61 0
Pity, ST, Zip:
Contractor: —t- 19 7 P9 el
Telephone: ,q '77 7 7 -7 two
Address: 400 R. (5
Project Description:
City, ST, Zip: 2 Z Y'
Telaphone: ? &0 '2 r ?
State Lic. # City Lic. #:
a c
Arch., Engr., Designer: 60 J
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type:.Occupancy:
Project type (circle one) Ne Ad&n Alter Repair Demo
Sq. FL: Stories: # Units:
Estimated Value of Project: C)
Telephone # of Contact Person: ')770
77)
'G 0 ''Y7 (,0'
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Req'd-
Rec.1d
TRACMG
rERmrr FEES
Plan Sets'
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready -for corrections
Plan Check Deposit
Truss CaIcs
Called Contact Person
Plan .. Check . Balance
Energy ClIcs..
Plans picked upction
Constr
Flood plain plan
Plans resubmitted
Mechanical
Gradingplan'
2" Review, ready for" orrectionsrissu
Electrical
Subcontactor L . 4st
Called Contact.Pirson
'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 Feet
V,
Total Permit Fees
VE `1► i 07
949.752.1612
fax 949.752.5321
4400 Campus Drive
Newport Beach, CA
92660
e o
consulting group, inc.
STRUCTURAL CAL
(A Site Misc. Building
Bronze H
e t y OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVEDN
FOR CONSTR CTIO
DATED B ,
81-570 Carboneras
La Quinta, County of Riverside, CA
Gouvis Job No.: 61695
9/1112007
Developer. `
T.D. Desert Development, Ltd %lo Cr t
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lo'Sys o N P65 P 6°R t°
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tr-WtrE cuPi
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Mike Houshmand, Vice President I
C42283 Exp. Date 3/31/2008
The attached calculations are valid only when bearing original or
electronic signature of Mike Houshmand, Hereon.
Palm Springs, CA Pleasanton, CA Sacramento, CA Salt Lake City, UT Ho Chi Minh City, Vietna
To specify your title block on
these five lines, use the SETTINGS
main menu selection, choose the
Printing & Title Block tab, and ent
your title block information.
Title : Job #
Dsgnr: Date: 4:58PM, 21 AUG 07 J
Description
Scope:
Rev 560100
Uaer.83 20k-06M3,Ver5.6.1.2s-0cl•2002 Pole Embedment in Soil
(.)1902 ENERCALC Englneerin8 Sonwara
Description Circular pole at Tail/61695
General Information
Max Passive
Load duration factor
Pole Is Rectangular
Width
No Surface Restraint
Moments @ Surface...
Point load
Distributed load
Without Surface Restraint...
Required Depth
Press @ 113 Embed...
Actual
Allowable
Page 1
1211.ecwCalculations
250.00 pct
Applied Loads...
1,500.00 psf
Point Load
144.00 lbs —7
1.330
distance from base
10.000 ft
30,000 in
Distributed Load
0.00 #!ft
distance to top
0.000 ft
distance to bottom
0.000 ft
1,440.00 ft-# Total Moment 1,440.00 ft-#
0.00 Total Lateral 144.00 lbs
f Y
2,245 ft fit/ S 3—o
249.37 psf
248.79 psf
0 r jrfx ` ( f
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1
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To specify your title block on
Title :
Descri
Job # f .)
Dater 4:58PM, 21 AUG 07
these five lines, use the SETTINGS
Total Moment
Description
0.00
main menu selection, choose the
Without Surface Restraint...
f
Printing & Title Block tab, and ent
3.465 ft
Scope
Press @ 113 Embed...
your title block information.
Actual
'
`Rev: 560100
User.KW-06093 Ver 5.6.1.25.Oct•2002
ie11968-2002 E VRCALC Engineering Software
Pole Embedment in Soil
Page 1
OamSS%enerca)IDW1126.ecw,Cal_,,,ans
Description Circular pole at back hoof/61695
General Information
m
Allow Passive
250.00 pcf
1,500.00 Psf
Applied Loads...
Point Load
1
500.00 lbs 7) 5A . Y
Max Passive
Load duration factor
1.330
distance from base
10.000 fl <
Pole is Rectangular
Width
30.000 In
Distributed Load
0.00 #/ft
No Surface Restraint
distance to top
0.000 ft
distance to bottom
0.000 ft
Moments @ Surface...
Point load
5,000.00 ft-#
Total Moment
Distributed load
0.00
Total Lateral
Without Surface Restraint...
f
Required Depth
3.465 ft
v < 5 — 0
Press @ 113 Embed...
Actual
397.15 psf
Allowable
384.02 psf
r
5,000.00 ft-#
500.00 lbs
A
To Specify your title block on Title: Job #
these five lines, use the SETTINGS Dsgnr: Date: 4:59PM, 21 AUG 07
Description
main menu selection, choose the
Printing & Title Block tab, and ent Scope +
your title block information.
Rev. 560100 Page 1
User. KW-05093. Ver 5.6.1.25-On-2002 Pole Embedment in Soil
(c)1993.2002 ENERCALC Engineeft Software c1ec551anerwljob12112a.ocw Cotwla0eiss
Description Circular pole at front hoof/61695
General Information
Allow Passive
250.00 pcf
Applied Loads...
Max Passive
1,500.00 psf
Point Load
Load duration factor
1.330
distance from base
Pole Is Rectangular
Actual
397.15 psf
Width
30.000 in
Distributed Load
No Surface Restraint
distance to top
distance to bottom
Moments @ Surface...
Point load
5,000.00 ft-# Total Moment
Distributed load
0.00 Total Lateral
Without Surface Restraint...
Required Depth
3.465 ft V S
Press @ 1/3 Embed...
Actual
397.15 psf
Allowable
384.02 psf
500.00 lbs
10.000 ft
0.00 #/ft
0.000 it
0.000 ft
5,000.00 ft-#
500.00 lbs
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