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06-0636 (SOTB)P.O. BOX 1504 j I ^� 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 r Date: 7/07/06 Application Number: ( 06-00000636 Owner: Property Address: 52590-MERIWETHER WY EAST OF MADISON LLC. a APN: 767-200-998-M -330762- PO BOX 1482 'Application description: STRUCTURES OTHER THAN BUILDINGS. LA QUINTA;' CA 92247 Property Zoning: LOW DENSITY RESIDENTIAL ------------------'--------------- n' Application valuation: 33051 - Contractor. Applicant: Architect or Engineer: Owner'. t JUL 0 7 2006 CITy OF Lq QUllyrq FINANCE oin LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: • Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ' ., License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - issued. Date: Contractor: 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 - _ • OWNER -BUILDER DECLARATION insurance carrier and policy number are: • I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Policy Number following reason (Sec. 7031.5, Business and Professions Code: Any city or county that'requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any . construct, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should bec a subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co 11 orthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I/�/'(gyp` any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date Applicant: ���l, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND • and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not applytoan owner of conditions and restrictions set forth on this application. .property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.).. whose benefit work is performed under. or pursuant to any permit issued as a result of this application, f _ 1 I am ex pt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. .. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1 have read this application and state that the above infor tion is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to buil 'ng ion, and hereby authorize representatives of this co ty o enter upon the above-mentioned proper, fo inso t' n purposes. Lender's Name: Date: Signature (Applicant or Agentl: - Lender's Address: LQPERMIT Application Number . . . . . 06-00000636 Permit . . BUILDING PERMIT Additional desc.. Permit Fee 310.50 Plan Check Fee 201.83 Issue Date . . . : Valuation 33051 Expiration Date 1/03/07 Qty Unit Charge ,Per Extension BASE FEE 252.00 9.00 6.5000 THOU BLDG 25,001-50,000 -------------------------------------------------------------------------- 58.50 Permit ELEC-NEW COMMERCIAL Additional desc . Permit Fee . . . 71:90 Plan Check Fee 3.75. Issue Date Valuation 0 Expiration Date 1/03/07 Qty Unit Charge Per Extension BASE FEE 15..00 2845.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 56.90 Permit MECHANICAL Additional desc . �• Permit Fee . . 21.50 Plan Check Fee 5.38 Issue.Date Valuation . . 0 Expiration Date 1/03/07 Qty Unit Charge Per Extension " BASE FEE 15.00 1.00 6.5000 EA MECH VENT FAN 6.50 ------------------------------------------------------------------- Special Notes and Comments TEMPORARY CART STORAGE — SPRUNG. STRUCTURE - 2485 SQQ..FT. S-3 (45 " CARTS) - TYPE V -N CONSTRUCTION 13' OCCUPANT LOAD. 2001 CBC,CMC,2004 CEC CODES. ------------------------------ Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 20.18 HOURLY PLAN CHECK 240.00 STRONG MOTION (SMI) - COM 6.94 " Fee summary Charged Paid Credited Due - ---------- ---------- ---------- Permit Fee Total 403.90 .00 .00 403.90 Plan Check Total 210.96 .00 .00 210.96 n LQPERMIT J Bin CitY Of La Quinta e ' Building & Safety Division . rmit # rr P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760).777-7012 5�1a Building Permit Application and Tracking Sheet. Project Address: 1 Owner's Name: X East of Madison, LLC A. P. Number: 767-200-009 Address: X 80955 Avenue 52 Legal Description: Portion of Lot M of 33076-2 City, ST, Zip: y La Quinta, CA 92253 Contractor: x TBD Telephone: Address: Project Description: X Sprung structure for tempora - l uu J --)coo I cbnmaieu value or rrolect: X $56, 429 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd • TRACKING PERMIT FEES Plan Sets Plan Check submitted o Ql Item Plan Check Deposit Amount Structural Calcs. Reviewed, ready for corrections Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Mechanical Electrical Plumbing S M1t.l Flood plain plan Plans resubmitted Grading plan 2nd Review, ready for corrections/issue Subcontactor List Called Contact Person - Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading. Developer Impact Fee IN HOUSE:- '^' Review, ready for corrections/issue Planning Approval Called Contact Person A.I.P.P Pub. Wks. Appr Date of permit issue School Fees •I Total Permit Fees Coachella Valley Unified School District This Box For District Use Only 83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID (760) 398-5909 — Fax (760) 398-1224 AREA: �. AMOUNT . LEVEL ONE AMOUNT: LEVELTWOAMOUNT: MITIGATIONAMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE ; (California Education Code 17620) 1 Project Name: East ofMadison LLG . Date: 05/12/06 Owner's Name: East of Madison LLC Phone No. (760) 393-5288 Project Address: 52-590 Meriwether Way, La Quinta, CA Project Description: 1 Sprung Structure for Golf Cart Garage APN: 777-200-009 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 2,485 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. s' Dated: 05/12/06 Signature: t 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 of Sq.Ft. 2,485 sq. ft. Amount per Sq.Ft. $ .42 Amount Collected • $. 11043:70 , Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services . Certificate issued by: Leticia C. Torres, Facilities Analyst Signa -021011* NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENaFEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1; 1997, requires that this District 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 fees. 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 bythe 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. 1. f:c/mydocs/devfees/certificate.ofcompliance form tablesTO USE.doc 1/16/03 T Craig Anthony Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning 4. Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs 4. Indian Wells 40. Indio Lake Elsinore 4. La Quinta Moreno Valley Palm Desert Perris Rancho Mirage o• San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 May Its, zuuo RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Foresoy and Fire Protection 0 West San Jacinto Avenue • Perris, California Fax 0 Madison Club 80-955 Ave 52 La Quinta, CA 92253 Re: Non -Structural Building Plan Review LAQ-06-TUP-021 /Temporary Cart Barn Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) Repair work and/or maintenance using open flame equipment, welding or the use of Class I, II, or III -A liquids are prohibited. 2) The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in the 2001 CFC. A fire flow of 1500 gpm for a 2 -hour duration at 20 psi residual operating pressure must be available before any combustible material is placed on the job site. 3) The required fire flow shall be available from a Super hydrant(s) (6" x 4" x 21/2' x 2'/2') located not less than 25' or more than 165' from any portion of the building(s) as measured along approved vehicular travel ways. 4) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 3 5) . Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. 6) A functional test of the exhaust system interconnection with the cart charging system shall be conducted in the presence of a Fire Department Inspector. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 72 hours in advance, and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. By Cc: City of La Quinta — Building Dept. HAPEMP Qatalls Q*ta1PR0JEC ffi&1 eQ PCLLAQ-WTUP-021(E).doc Sincerely, Tracy Hobday Chief Fire Department Planner Walter Brandes Assistant Fire Marshal EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd R., Indio, CA .92201 • (760) 863-8886 • Fax (760) 863-7072