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BLCK (08-0253)79745 Mandarina 08-0253 P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,itit 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00000253 Property.Address: 79745 MANDARINA APN: 776-190-999-B -32068 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 22500 Applicant: Architect or Engineer: CPT_ ------------------ 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 Class: B is nse N 873958 -Date: Contractor: WNER-BUILDER DECLARATION I hereby affirm under penalty of perjur 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 91commencing 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).: (_) 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 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.). (_) I am exempt under Sec. , BAP.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: LQPERMIT Owner: POMELO PACIFIC LLC 24002 VIA FABRICANTE STE 222 MISSION VIEJO, CA 92691 (949)600-7020 Contractor: TMC COMPANY INC 23382 MADERO STREET #F MISSION VIEJO, CA 92691 (949)600-7020 Lic. No.: 873958 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/06/08 D n rnn 1 FFg 0 o 2` CWY ----------------------------------------------- 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 STATE FUND Policy Number 0000904-2006 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 3700 of the Labor Code, I shall forth5q co m ly with those provisions. Date:a G •O$ Applicant: WARNING: FAILURE TO SECURE RS' OMPENSATION 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 the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for ' ape n pur Date:Signature (Applicant or Agent):. y Application Number 08-00000253 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 234.00 Plan Check Fee 00 Issue Date Valuation . . . . 22500 Expiration Date 8/04/08 .Qty Unit Charge Per Extension BASE FEE 45.00 21.00 9.0000 THOU BLDG 2,001-25,000 189.00 ---------------------------------------------------------------------------- Special Notes and Comments APPROXIMATELY 900 L.F. 6' MAXIMUM PERIMETER WALL, CITY STANDARD, PER APPROVED PLANS FROM PLANNING AND PUBLIC WORKS. THE PROPOSED WALL DESIGN SHALL MATCH THE EXISTING WALL LOCATED WEST OF LOTS 1-3.PERIMETER WALL @ BREVA Fee summary Charged Paid Credited Due ----------------------------------------------- Permit Fee Total 234.00 .00 ---------- .00 234.00 Plan Check Total .00 .00 .00 .00 Grand Total 234.00 .00 .00 234.00 LQPERMIT Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 76-495 Calle Tampico ! La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # J a Project Address: _ 7L Jt– Owner's Name: I Q A. P. Number: Legal Description: Contractor.' C C/ Address: ZZ City, ST, Zip: r ' I r--6/CA. Z G 91 Telephone: I q J-64,0 --] 0 Address: 1-Z, g M&diC Project Description: City, ST, Zip: C1 Q( Telephoneo,0 -601 0Z 976y State Lic. ti : g, 9115q) City Lic. l!: _ ' Arch., Engr., Designer- esignerAddress: Address: City, ST, Zip: Telephone; State Lia 4- Name of Contact Person: Construction Type: Occupancy: Project type (circle one): Netiv Add'n Alter Repair Demo 5q. Ft.: Za # Stories: -2— #Units; Z Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Structural Cates. Plan Check submitted Reviewed, ready for corrections 1 Item Plan Check Deposit Amount Tress Cates. Energy Cales. Called Contact Person Plans picked up Plan Check Balance Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2" Review, ready for correctionstissue Electrics) Subeontnctor List Called Contact Person Plumbing Grant Deed Plans picked up S M L TI.O.A. Approval Plans resubmitted Grading IN IIOUSE:- ' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr School Fees Date of permit issue 1: 77M Total Permit Fees --- ? r Lx,/ - al4v-4, o-/ i L L/ -, 07c- All joe Z -d ZZVLLLL09L wnO el '3A2OS321 MOE) 3Hl IBM l L 90 0£ ue CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 11/17/2006 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works.: Please DO 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 processed will be returned to applicant. Date:Developer: Tract No.: Tract Name: 0 Lot No. (s):' Address.(s): The following 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 (AS APPLICABLE) AND #6 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1 #2 #3 AND #5 BELOW LLS: PROVIDE ITEMS #7 BELOW G S: PROVIDE ITEMS 1#8 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (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 withhold 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, . PM10 plan & agreement or provide alternative & valid City approved PM10 puri set reference number or hard copy plan. PM 10 plans for commercial & residential developments (beyond 1 lot) are submitted sep.aratel.y with grading plans & are subject to additional requirements. 5. Attach an approved precise grading plan for the building locationls?. AO flood zone. developments will requir proved .flood,plain development plan.. 6. an. approved rough grading plan for the building location(s). Attach wall plan & related approved grading plan. `8. Attach sign layout/plan & related precise grading/landscape plan. I have reviewed and confirmed the requirements. listed be sufficiently complete for construction of the propo lot(s). Pursuant to my fi Recommended by: Public Works Distribution: (_ Declined for approval for reason(s) projppt ma we as presented and find the improvements to buildings/structures/walls/signs on the subject released for building p rmit issuance. Dated. reen Sheet to Building & Safety counter Green. Sheet to Community Development as follow(s), please correct and resubmit: Lam V 3 ry Cn OF P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 77727011 To: Greg Butler, Building & Safety Manager To CDD: —2 - - 0 8 From: Les Johnson, Director -Planning Due Date: Permit #: Status: Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: C &_r ? Description: 0 Address or General Location: Applicant Contact: 9 y 9 _ (000- 700-0 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ,,0' ...these Building Plans are approved by the Planning Department. (s« #,+test J ❑..these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Planning Department for review. Les Johnson, Di ector-Planning Date M A XISTLIV'G. SI V' DA.R f N G.L E FA MI, /, NA NO OVERLAND FLOW r — ERSFROM r — Lo -r 1 I ;` ;Q 10=1.34 CFS \ 1=2 2CFS _ :7 \ \ . r I - IF - BREVA 1.2 o 10 .. TR Lp / ' :1.. :::• ;,:Y, = etir.'+, V: '' ..'t.. (_ 1. ALL. UNDER / Y GR: / TRENCWES COMP / CUNrT - TOR SHAL! /U'lluTy PURVEY Lo -r43 AVE H FACI 08E( 2 A SEN RATE p AND TRAVEL:WAYS. LIGHTED IN CONP09 Epl' STRUCTION -DI_EMED NECESSy ' LOT 7 3. ASPHALT CON OR MORE CRE STANDAR COURSES, SIP.. ell OLLOW,& T.HE CITRUS Cp. WEARING COUR'S ( ST ,: . U N T R Y BASE COURSE AUC.T7QN ISS C LU Q TWE :WEARING ..fLO{ 'E5 .& .(;$ THE E3A COUt' CONCRETE'PgVEMENT IANCE OF .U. , AGGREGAT OVER 4• MIX DESIGPV E BASE „ „ CURB 18,000 OPERATIONS REQ & GUTTER Sao. T, MPX THE C D DWG . . ........., .. VO1DS DESIGN IDENTI IN MINERAL DNC. CURB .„............... 90 CONTENTS F DWG LFN;FT, OR EACFI 20 S .GUTTER 825 TO ENSURE TIMELY ). DW LIN.FT, Q:UI G, 230 & 231..,.. LA NTA"S DESIGN, ITIDN L4B DWS, 205 i... 86 LIN,FT, TESTS ARE. PERF ............ S, q TBAC KC r .,.. 20 LI'N,FT, E C HOA STD S ANI OURSE I E17`ING ' 'STING THE SFANDi4Rp S Et STREET SIGN """"'•'1 EACH HDA STD, AI'PUED AT' E 7I VE p THE RATE A'VEMENT MARKER ""1 EACH 6 NEW IMPROVEMENT CTLY OPPOSITE 'FIRE MANNER DNC, HYDRANT ,,, „ ACHIEVE ASATISFgCTORf CART P 1 EACH ATH ..., EXISTING IMP SAFE DU AND 830 SQ,FT, AND/QR COIR P ME 12' WIDE WH! TE IANI Z 'CITRt1S' HO A STD, 7. ALL CK, . CDNC. qC..................:...„.,,. 1 EACH PAVEMENT MANHOLES qNp, ETC sIT „ INST TI© D ......, MPACTED .,.,,,,.,>,`.12,SU0U 8. THE CUR SHIRT)A ..,,,, LOCATINLL S AS CYMITREQUIREp. VE MO EXIST.IST A.C.•2100 LF C&G 174 LF 36'0” it_ it DESIGN ADE cASPH CDNC. PAVEMEN ` 2.09TC GR! .. COMPACTE p ROCK " CRUSHED , 049100 Sladden :,Engineering I 6782 Stanton Ave., Suite A 77-725 Enfield Lane, .Suite 100. 450 Egan Ave 15438 Cholane Road Buena Park, CA 90621 Palm Desert, CA 92211 Beaumont, CA 92223 • Victorville, CA 92392 (714) 523-0952 (760) 772-3893' " (951) 845-7743 760-962-1868 Fax(714)523w-1369 Fax (760) 772-3895' Fax (951) 845-8863 Fax -760-962-1878 Date Z - ; y —U Job No. 4;7.2' FIELD MEMO Project_Name Crws c,:,Gl .nw_terr„e Client: Site Address.. _ 7`j• 7Jer feWA40#9Zu4 Job Phone Work Done Test.Summary / Footings Inspected Test No. Location Elev. ” Dry Density Moist, % % Relative Compaction Ref. Max pcf Moist % . f1 CIA" 0 xs MR r1n J •f +i i J comments - - 'Field j ch. \1-A 24-hour notice requested to schedule Field Technician.. Thank you for the opportunity to Form SE•0001 (Rev. 9/06) uper. or Agent \be\ of. service.