10-0169 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000169
Property Address:
54120 AVENIDA CARRANZA
APN:
774-211-006-19 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3600
Applicant: Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provi ' ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and rofessiona Code an my License is in full force and effect.
License ClaC29 can N (. 820821
0 ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/08/10
Owner:
LA QUINTA REDEVELOPMENT AGENCY
78495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
MCD CONSTRUCTION
PO BOX 548
MORONGO VALLEY, CA 92256
(760)363-7740
Lic. No.: 820821
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.
1 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 0 2271205
I certify that, in the performanc of the work for whi this permit is issued, I shall not employ any
person in any manner so as o bec bject to he workers' compensation laws of California,
and agree that, if I ould 4com s bi ct to th workers' compensation provisions of Section
;��fl the Labor de, I Jhall o ith omp with those provisions.
&ate• �� D Applicant:
WARNING: FAILURE TO SECURE 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 wor not commenced
within 180 days from date of issuance of such permit, or cessati of wor to 180 days will subject
permit to cancellation.
certify that I have read this application and state that th above' for adonis rrec . 'I agree to comply with all
city and cglS�'ture
nd state laws relating to bu' d' g cc ru io , nd ereb authorize representatives
of t ' co the above-mentioned prop or i eC o rp es.
Dat - (Applicant or Agent):
Application Number . . . . . 10-00000169
Permit .. . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . 63.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 3600.
Expiration Date 9/04/10 ,
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
------------=------------------------------------------------------------
Special Notes and Comments
50 L.F. COMBO WALL, 4- RETAIING, 6'
GARDEN AT REAR OF RESIDENCE, 80 L.F.
COMBO WALL 1.4' RETAINING, 5' GARDEN AT
SIDE & 14 L.F. 6' GARDEN WALL AT FRONT
OF RESIDENCE. PERMIT INCLUDES (2) 42"
WROUGHT IRON GATES AT FRONT OF .
RESIDENCE, ALL ORCO SYSTEM. 2007 CODES.
-----------------------------------.-----------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid- Credited- _
- - - - - - - - - - - - - - - ---- - - - - ------ - - - - ------ - - - - ----
Due-
ue_-----------------
-- - - - - - -
7
Permit Fee Total 63.00 .00 .00
63.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 64.00 .00 .00
64.00
LQPERMIT
EXHIBIT A
MCD Construction, Inc.
License # B & C29 820821
P.O. Box 548
Morougo Valley, Ca 92256
mdeoustruct@msn.com
Phone: (760) 363-7740 Fax: (760) 363-7748
Proposal sabmftted to: City of La Qutnta . Dater 03/03/2010.
Alai Kirk Kirkland Project Address: 54120 Carmn7A Rd
La Quinta Ca
Fax: 760-777-7011
Phone: 760
PROPOSAL
We hereby propose to furnish materials and labor necessary for the complete block
walls as per plans; (prices are subject to material Increases.) Any contract requiring
an Insurance waiver of Subrop ion will have 31% of payroll added to each invoice.
501f @ 41 gray 8x8xl6 precision retaining wall 6 cour s total from top of footing with
611 gray 6x1tx16 precision gtuden wall 9 courses total Crum lop of retaining wall at the
rear of the residence.
801f @ 1.4ft gray 8x8x16 precision retaining wall 2 courses total from top of footing with
Ml gray 6x8x16 precision, garden wall 8 amrses total from top of retaining wall of the lett
side of the residence.
141f @ 6ft gray 6x8x 16 precision garden wall 9 courses total foam top of footing at the
front of the residence.
2-42" rod iron gates at the front of the residence.
Total price is $1Q,755.
Owner to Supply the Following:
Onsite Water & tom
Permit & Fen
Prop. Hobs
Dirt taken from footings to remain on site.
....................................... PA 1:ttM)ff TO BE AS FOLLOWS:
30% or $3,5 . dere when xwerid is deliwed to job niter
30"/ or $3,5 due at grow kVwcoon,
30% or $ , 85. . due when joh 0 completed.
Total to be $10, 755.00.
Progress pWments
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike
manner according to speeifieatiam submitted per standard practices. ' Any alteration of deviation from
above specuJatians involving extra coats will be m=ted only upon written orders, and all became an extra
chap over and above the estimate. Prices ane also subject to field n*& we wMs and will be adjusted
acomdingly. All agree nci to bo obVent upon stnlws, accidents or delays beyond our control. Owner to
carry fie, tornado and other necessary insurance. Our workers we folly covered by Workmen's
Abate' This pnopofef'a mw bre wilhdmwn by us if not accemad within
At LIWANCE OF PROPMAL The above prices speculations and conditions are satisfactory and are
hMbY aooepted. You are MAtorized to do the worst as specified. Payment will be made as outlined above.
Daft n,4 Accep�nce: __. _,._...:. Signatwe: _. .. .
Klin #
City of La Quinta
BwYding 8r Safety D&Won
P.O. Box 1504, 78-495 Calle Tampko
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet '
Perynjt #
Project Address:.r� o (,KI'i '
Owncr's Name A
A. P. Number:
Address: f q
Legal Description:
City, ST, Zip:
Contractor: `I
Address:
Telephone:
Project Description:
City, ST. Zip:
Telephone:
City Lie. #;
State Lic. # :
Arch., Ettgr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Construction Type:occupancy:
Project type (circle one): Now Add'n Alter Repair Demo
Sq. FL: # Stories: 8 Units:
Name of Contact Person:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted item Amount
Structural Cala.
Revkwed, ready for corrections Phu Check Deposit
T'nw Cala.
Called Contact Person Plan Check Balance.
Tide 24 Casa.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2'! Review, ready for correctionsAuue Electrical
Subeontactor 1A at
Called Contact Person Plumbing
Grant Deed
Mans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Review, ready for correction&4=ue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees