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SFD (08-0265)iQ� P.O. BOX 1504 78-495-CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-4bt 4 4 Q"i BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00000265 Property Address: 52469 MERIWETHER WY APN: 767-200-998-31 -330762- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation`. 640691 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 Bus i Professionals Code, and my License is in full force and effect. License Class B -C10 - Licen No.:- 74 198__ r - - J - Date _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 (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 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 awn 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 I 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. , B.&P.C. for this reason 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: LQPER\1IT Owner: EAST OF MADISON PO BOX 1482 LA QUINTA, CA 92 Contractor: A & M CONSTRUCTI P.O. BOX 366 LA QUINTA, CA 92 (760)564-4832 Lic. No.: 746198 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/19/08 WORKER'S COMPENSATION DECLARATION 1 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: . I Carrier S TE FUND Policy Number 044-0028137-07 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 La o e, all fort,kVcom with tt/��/J55e provisions. WARNING: FAILU EE T�URE 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. 1 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 builds truction, and hereby authorize representatives of this county to enter upon th above-mentioned p erty for mspe ion es. ^� • 'T t ldo te.-6�!►SSi ture (Applicant or Agent):! \ LQPERDIIT Application Number . . . . 08-00000265 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 2462.50 Plan Check Fee : 1600.63 Issue Date Valuation . . 640691 Expiration Date 11/15/08 Qty Unit Charge Per Extension BASE FEE 2039.50 141;.00 - 3.0000 THOU BLDG 500,001-1,000,000 423.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc.. Permit Fee . . . 318.57 Plan Check Fee-. 79.64 Issue Date . . Valuation 0 Expiration Date 11/15/08 Qty "Unit Charge Per Extension BASE FEE 15.00 7455.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 260.93 1382.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 27.64 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 V Permit . . . GRADING PERMIT - Additional desc . Permit Fee . . . 15.00 Plan Check Fee .00 Issue Date . . Valuation . . . 0 Expiration Date 11/15/08 _ Qty Unit Charge Per .Extension BASE FEE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 175..00 Plan Check Fee .' 43.75 Issue Date . . Valuation 0 Expiration Date 11/15/08 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 9.0000 EA MECH FURNACE <=100K 54.00 6.00 9.0000 EA MECH-B/C <=3HP/100K BTU 54.00 7.00 6.5000 EA. MECH VENT FAN 45.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- a LQPERDIIT LQPERMIT Application Number 08-00000265 Permit PLUMBING ` Additional desc Permit,Fee 341.25' Plan Check Fee 85.31 +;. Issue Date . . . . Valuation . . . 0 Expiration Date 11/15/08 , Qty. Unit Charge Per Extension BASE FEE 15.00 ` + 37.00. 6.0000 EA PLB FIXTURE 222.00 1•.'00 15.0000' EA PLB BUILDING SEWER 15.00 6.00 6.0000 EA PLB ROOF DRAIN 36.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ;" '•' 1.00* 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 ` ' 15.00 .7500 EA PLB GAS PIPE >=5 11.25. 1.00 15.0000 EA PLB GAS METER 115.00 ------------- ------------------------------------------------------- ------------------ SpecialNotes and Comments --Special .` 7455 SQ. FT: SFD PLAN 1 -2 STORY. THIS PERMIT DOES NOT INCLUDE POOL & SPA,BLOCK ' WALLS OR•DRIVEWAY APPROACH. Other Fees ART IN.PUBLIC PLACES -RES 1101.72 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 160.06 DIF FIRE PROTECTION -RES 140.00 - GRADING PLAN CHECK FEE 22.50 DIF LIBRARIES - RES 355.00 - DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 ` STRONG MOTION (SMI) - RES 64.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Y .. ••- Fee summary' Charged Paid Credited - Due - Permit Fee Total 3312.32 .00 .00 3312.32 Plan Check Total 1809.33 .1000.00• .00 809.33 t Other Fee -Total 5823.34 .00 .00 5823.34 - r Grand Total 10944.99 1000.00 .00. 9944.99 LQPERMIT P.O. BOX 1504 Building- 7CLTAMPICO Address lKe_rA ��J LA QUINTA, CALIFORNIA 92253 APPLICATION ONLY Own rr`� e< � ('� Ea_s 1 `cat so t\ LQC__, BUILDING: TYPE CONST. S `R OCC. GRP. Mailing/ -7 q�D Address gO_CiSS av A.P. Number 3301 Lot -211 7� /' 200 City lZip Tel. Legal Description L.C. GILu ��.� q ZZS 3 1 Contractor /� Pr Vct Description M O Al. -Spam C�U� l �c� cat ve4 . e, 4, r v, / L_W 101%, JL ress Lc,- Cts C11i2Z53 State Lic. City Sq. Ft. & Classif. Lic. # Size . Arch., Engr., Ne Designer Address_ {gyp tTel. -)I-%%5 , \e-r\e - VJM C{"12e 0 ILic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). O 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT No.No. Dw. Stories I Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation L4 Jr;0- �� �o JZ PERMIT 08- Q. AMOUNT Plan Chk. Dep. v Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL qgi 06 O REMARKS CITy QF LA QUINTA FINANCE DEPT. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE `Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MMGATION AMOUNT: COMM/1ND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: East of Madison, LL (Madison Club) Owner's Name: East of Madison, LLC Project Address: 52469 Meriwether W Project Description: Single Family Dw( APN: 767-200-998-31 La Quinta, CA Date: 06/24/08 Phone No. (760) 391-2593 Tract #: Lot #'s: Type of Development: Residential XXL Commercial Industrial Total Square Feet of Building Area: 7,455 sq. Ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: 06/24/08'—� Signature: ssss*****************#•***ss*****s**ss*****s*s*s*s***s**s**s*****ss**** SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Number ofSq.Ft. 7,455 sq. ft. Amount per Sq.Ft. $ 3.78 Amount Collected $ 28,179.90 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Support Services Certificate issued by: Leticia C. Torres, Facilities Analyst Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that thLs istrict provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the Cees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. Ll':c/mydocs/devfees/certificiite of compliance form tablesTO US[.doc } Sladden. Engineering 77-725 Enfield Lane, Suite 100, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895, 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369. ' 450 Ean Avenue, Beau , CA 92223 (951) 845-7743 Fax (9 51) 845-8863 February 7, 2008 Project No. 544-08023 08-02-046 e East of Madison, LLC P.O. Box 1482 La Quinta, California 92247 Project: Lot 31 B The Madison Club La Quinta, California Subject: Precise Grading Plan Review Reference: Geotechnical Investigation Report prepared by Sladden Engineering dated January 28, 2005; Project No. 544-4810, Report No. 05-01-101. Report of Testing and Observation .during Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522-4810; Report No. 06-02-120 As requested, we have reviewed the Precise Grading Plan prepared- for. the proposed residence by Feiro Engineering Inc. Based upon our review, it appears that the recommendations included within the referenced geotechnical reports have been properly incorporated into these plans. If you have questions regarding this memo, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING QPOFESS/o/V .AN Z' No. C 45389 m Brett L. Anderson r Exp . 9. 0 1. Principal Engineer qtr Letter/gl Copies: 4/East of Madison, LLC FILE. P.O. Box 1.504 . LA QUINTA, CALIFORNIA 92247-1504. BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO(760) 77Z=7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 January 28, 2009 Mr. Ron Lane The Madison Club PO Box 1482 La Quinta, CA 92247-1482 RE: Building Permit Extension Request — 52469 Meriwether Way. Dear Mr. Lane: I have reviewed your letter dated January 14, 2009, requesting a time extension for the single family dwelling permitted for construction at the above address under Building Permit #08-0265. Our records indicate the following status on this project. Inspection status: Permit issued: 06/26/08 Last successful inspection: NONE -180-day expiration date: 12/23/08 180 -day extension date: 06/22/09 . Under the provisions of 2007 California Building Code, Appendix Chapter 1, Section 105.5, your request is hereby granted. Please be advised that unless the project passes its next required inspection on or before Monday, June 22, 2009, your building permit will expire automatically. Yo rs truly, Greg Butler Building & Safety Manager l THE — MADISON CLUB . • y •. �. h1 �. I '" ', `+'* -•. ,yam •� ' ^ + `~ �-. January 14, 2009 ; + Mr. Greg Butler ° Building & Safety City of La Quinta ' PO Box 1450 La Quinta, CA 92247 Dear Mr. Butler, We would like to request an extension for Building Permit # 08-265, 52-469 Meriwether Way. Due to the current economic circumstances, we have yet to begin the construction process of the building and would anticipate beginning construction within the next six months. 'If you have any questions please contact myself at (760)'391-2593. Sincerely, Ron Lane Project Manager DEVELOPMENT OFFICE - MAILING ADDRESS: PO Box 1482, LA QUINTA, CA 92247 - _ STREET ADDRESS: 80-955 AVENUE 52, L.& QUINTA, CA 92253 'TEL 76o,391 -507i FAx 766398'-578& r - 7 •• - _ [ •tir � •'� •o- }. } - < °� � �' r� •x', a � l • � - �:>� _'crr�rr�c a-a+�a�.�t�a-mcuua�.r .rte /:.�r�'..��"t�; �-4�t..,c. , �; •, n/Q Al 7 1 ' - -.. ,1 .. fes• l '..yam �+ ,}�. a` � � •/ •. f ��.. �. � } . - ` + .. F G X41' .•a.1 C' '. � y.r •r .� ..