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P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA_ 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/13/07 .
Application Number: 07-00000302 Owner:
Property Address: -" 52120- MERIWETHER WY' EAST OF MADISON LLC
APN: 767-200-998-81 -3307.61- PO BOX 1482
Application description: WALL/FENCE LA QUINTA, CA 92247 D
Property Zoning: LOW DENSITY RESIDENTIAL A
Application valuation: 5000
Contractor: MAR 131001
Applicant: Architect or Engineer: % MCD CONSTRUCTION
p��• /' _u� �s �L 49881 29 PALMS HIG AY CTM LA '
`' 1�1�-G C►G�/%S ��G• MORONGO VALLEY, CA 6 F1NgNCEDEPTrq
(760') 363-7740
Lic. No.: 820821
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby.affirm underpenalty 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 C29 License No'.: 820821
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I amexempt 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 (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 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 sate (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.).
1 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, .of
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:
CONSTRUCTfQNI LENDING AbPWCY
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:
LQPERAIIT
WORKER'S COMPENSATION DECLARATION
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 0442271205
_ 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 Co shall fo wit Lnply with those provisions.
Date:1gy Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO ENSATION AGE IS AWFUL, 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 grope r insp on p ses.
Date: T Signature (Applicant or Agen
Application Number 07-00000302
Permit WALL/FENCE PERMIT
Additional desc 2 COLUMNS @.ENTRY GATE
_
Permit Fee 72.00. .Plan Check
Fee
.00
Issue Date . . Valuation
_
5000
Expiration Date 9/09/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000 -
27'.00
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Special Notes and Comments
2 CONCRETE COLUMNS W/ STONE VENEER(8FT
HGT) AT MAIN GATE. 2001 CBC..
-----'-----------------------------=---------------------------------------
Other Fees HOURLY PLAN -CHECK
140.00
STRONG MOTION (SMI)
- COM "`"
11.05
"Fee summary, Charged Paid Credited
Due
'Permit Fee Total 72.00 00
.00
72.00
Plari Check Total .00 ..00
.00
.00
Other Fee Total 141:05 .00
.00
141.05
Grand Total 213.05 .00 ':00
213.05
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'Building U Safety Division
l'e'nit # - P.O. Box. 1504, 78-495.Calle Tampico
i t1 y M1'
La Quinta, CA 92253 -.(760) 777-7012
Building. Permit Application and Tracking Slieet! r '
Project Address : 52.120 Meriwether Way. Owner's Name: East of -Madisoa%,'LLC.
A. P. Number: .767-200-003. Address: 80955 Avenue 52 -
_fU ggal-Description: - — City; ST, Zip; La uinta; CA '92253
u�Fontractor: TBD, "Cs.Ly =Telephone:. (760) 391-5072
Address: : Cid Z ,., ProjectDescription: Pilasters for Main entry gate.
City, ST, Zip: ...
Telephone:
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State Lic. # . City Lic. #:
_ • ...�
Arch., Engr., Designer: RCE -Consultants, Inc.
Address: 7595 Irvine Center Drive; Ste 130
City, ST, Zip:•. Irvine, CA `92618
Telephone: (949) 45`3=0111 Construction Type: Masonry Occupancy: n/a
State Lic. #: Project type. (circle one): "New Add'n . Alter Repair 'Demo
Name of Contact Person: Cynthia: Zarnorez Sq. Ft.: - #Stories: ` n/a # Units-
Telephone # of Contact • Person: (760) 393-5288 ' Estimated Value of Project '$5;000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd - Reel "TRACKING . / PERMIT FEES '
Plan Sets Plan Check'
submitted tem Amount t
Structural Calcs. Reviewed, ready, for corrections ' .. 1 / Plan Check Deposit
Truss Calcs.: Called Contact Person �; / lan Check Balance
Energy. Calcs. Plans,picked up' �, $R/Ir Construction
Flood plain plan. Plans resubmitted,
Mechanical -
Grading. plan rCaled
iew, ready for correction issue I Electrical
Subcontactor List i ' Contact Person' • 3 Plumbing
Grant Deed picked uPS.M.I.H.O.A.Approval resubmitted ."'Grading
IN HOUSE:- r' iew,. ready for corrections/issue' _ Developer Impact Fee
Planning Approval Called Contact Person A.LP.P.:
Pub. Wks. Appr Date of permit issue 3 sfi
School Fees. - x
' • Total Permit Fees -1-j
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'Building U Safety Division
l'e'nit # - P.O. Box. 1504, 78-495.Calle Tampico
i t1 y M1'
La Quinta, CA 92253 -.(760) 777-7012
Building. Permit Application and Tracking Slieet! r '
Project Address : 52.120 Meriwether Way. Owner's Name: East of -Madisoa%,'LLC.
A. P. Number: .767-200-003. Address: 80955 Avenue 52 -
_fU ggal-Description: - — City; ST, Zip; La uinta; CA '92253
u�Fontractor: TBD, "Cs.Ly =Telephone:. (760) 391-5072
Address: : Cid Z ,., ProjectDescription: Pilasters for Main entry gate.
City, ST, Zip: ...
Telephone:
t r
State Lic. # . City Lic. #:
_ • ...�
Arch., Engr., Designer: RCE -Consultants, Inc.
Address: 7595 Irvine Center Drive; Ste 130
City, ST, Zip:•. Irvine, CA `92618
Telephone: (949) 45`3=0111 Construction Type: Masonry Occupancy: n/a
State Lic. #: Project type. (circle one): "New Add'n . Alter Repair 'Demo
Name of Contact Person: Cynthia: Zarnorez Sq. Ft.: - #Stories: ` n/a # Units-
Telephone # of Contact • Person: (760) 393-5288 ' Estimated Value of Project '$5;000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd - Reel "TRACKING . / PERMIT FEES '
Plan Sets Plan Check'
submitted tem Amount t
Structural Calcs. Reviewed, ready, for corrections ' .. 1 / Plan Check Deposit
Truss Calcs.: Called Contact Person �; / lan Check Balance
Energy. Calcs. Plans,picked up' �, $R/Ir Construction
Flood plain plan. Plans resubmitted,
Mechanical -
Grading. plan rCaled
iew, ready for correction issue I Electrical
Subcontactor List i ' Contact Person' • 3 Plumbing
Grant Deed picked uPS.M.I.H.O.A.Approval resubmitted ."'Grading
IN HOUSE:- r' iew,. ready for corrections/issue' _ Developer Impact Fee
Planning Approval Called Contact Person A.LP.P.:
Pub. Wks. Appr Date of permit issue 3 sfi
School Fees. - x
' • Total Permit Fees -1-j