BLCK (07-0688)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
Application Number: 07-00000688
Property Address: 52050 MERIWETHER WY
APN: 767 -200 -998 -72 -330761 -
Application description: WALL/ -FENCE
Property. Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2718
Tityl 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engl
MAR 0 6 2007
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION '
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 ProfessionalsCode, and my License is in full force and effect.
License //ass. B Lige se No.:. 728102
- Date: l� 6 Contractor:
r - WNER-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
aR 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).:
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
't` 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.). '
(_ 1 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 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm underpenalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. CX
Lender's Name. J
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/06/07
Owner:
EAST OF MADISON LLC
PO BOX 1482
LA QUINTA, CA 92247
Contractor:
LENNAR.HOMES OF CALIFORNIA INC
'40004 COOK ST. - "
PALM DESERT, CA 92211
(760)601-3100 -
Lic, No.: 728102
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 OLD REPUBLIC IN Policy Number MWC11495100
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 ' A00 of the Labor shall forth - comply with those provisions.
/ Date: V11plicant:
WARNING: FAILURE,TO SECURE WOR S' 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 the above information'is correct. I agree to comply with all
city and co ty ordinances and state laws relating to buildin nstruction, and hereby authorize representatives
of this u //y tt6 nt n the'above•mentioned property r ' ection purpos
Date: K:�.� Si ature (Applicant or Agent):
Application Number . . . . . 07-00000688
Permit WALL/FENCE PERMIT
Additional desc ...
Permit:Fee 54.00 Plan Check Fee
.00
Issue. Date Valuation
2718
Expiration Date 9/02/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00• 9.0000 THOU BLDG 2,001-25,000
I
9.00
--------------------------
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Sp
Special Notes and Comments
90 LF COMBO 2' RETAINING/6' GARDEN WALL
PER ORCO STANDARD. 55 LF WROUGHT IRON
`
FENCE WITH GATE. PER PLAN APPROVED BY
P/W & CDD.
.-Fee summary Charged Paid Credited
Due
- ---------- ---------- ----------
Permit Fee Total 54.00 .00 .00
54.00
Plan Check Total .00 00 00
00 `
Grand Total 54.00 .00 .00
54.00
Bin #
.
Ci"ty of La Quinta
.. Building U -Safety Division
Permit # ��
P.O: Box 1504, 78-495 Calle Tampico_
' La Quinta, CA 92253,- (760) 777-7012,
Building Permit Application and Tracking Sheet
Project Address:'
Owner's Name: 5
A. P. Number:
Address:
iw • • ..
Legal Description:
City, ST, Zip: 1:
Contractor , •
,.
Telephone: QU
Project Description:.
Address:
City, ST,.Zip:
w(
Telephone:'—'(��F"u
State Lic. City Lic. #:
.. ,
Arch., Engn, Designer:
t
Address: ..
City, ST, Zip:
Telephone: ..
Construction Type: Occupancy:.
P cy:. '
State Lic. #: ,, Project type (circle one): New Add'n .Alter Repair •Demo
Name of Contact Person: Sq. Ft.: #Stories:. #Units:
Telephone # of Contact Person: Estimated Value.Of Project: .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd -
TRACKING
' PERMTT FEES
31
Plan Sets
_
Plan Check submitted '
item
Amount .
Structural,Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes..
Called Contact Person
Plan Check Balance -
Energy Calcs.
r
Plans picked up'
Construction
Flood plain plan
Plans resubmitted`
Mechanical
Grading, plan
2" Review, ready for correct! onsrssue
Electrical
Subcontactor List
----------------
Called Contact Person -
Plum bing
S.M.I. '
t
Grant Deed
Plans picked up
to. A--. Approval
Plans resubm fitted
Grading
Developer Impact Fee. -
A.I.P.P.
IN HOUSE: -
Review, ready, for.corrections,issue
Planning Approval
Called Contact person. *"
Pub. Wks. Appr
Date of permit issue
School Fees
r
-
..
Total Permit Fees
•
31
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: C,e (O -7 Developer: L-- NICVZ
Tract No.: '3. 01 Tract. Name: ( 15 C�N C LyCZ Lot No. (s):
Addtess(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
WALLS:' . PROVIDE ITEMS #7 BELOW
❖ SIGNS:. PROVIDE ITEMS #8 BELOW C�MNtoAI '� t
LAJA
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 'buildin.g locations are legal lots.
4. Attach a completed < 1 acre per lot or infill project Fugitive. Dust Control project information form,
PM 10 plan & agreement or provide alternative & valid City. approved PM 10 plan set reference.
number or hard copy plan: PM10 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
will. requite an approved flood plain development plan.
6. Attach an approved rough grading plan for the building location(s).
7. 'Attach 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. pro sed buildings/structures/walls/signs on the subject
lot(s). Pursuant tom ings, th a rojec y be released for building permit issuance.
Recommended by: - Dated:__
Public Works 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: