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07-0091 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -007'-00000091 Property Address: 54502 PGA BLVD APN: 775-3907999-A -31627 - Application description: WALL/FENCE Property Zoning: MEDIUM DENSITY RES Application valuation: 37500 Applicant: Architect or Engineer: -------------------T-----------.- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ' LICE ED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury tha nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s and rofes .Is Code, and my License is in full force and effect. License Class: C8 C27 C29 nse No.: 656128 rr r (Date: Contractor: _ NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am xempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Prof ssions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any s ructure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is li ensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 000) 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 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.). ' (_ 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 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: 1/10/07 Owner: NADADOR, LLC 78120 CALLE ESTADO, SUITE 203 LA QUINTA, CA 92253 Contractor: Fcalry.,.wr-F P . O . RA BOP.O. BOX 1280 COACHELLA, CA 922 (760)398-9222 1FLA(rZU'N1 LiC. No.: 656128 DEPT. 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 poli number are: Carrier SEABRIGHT Policy Number BB1060510 _ I certify that, in the perform n of the work for which this permit is issued, I shall not employ any person in any manner s t come subject to the workers' compensation laws of California, and agree that, if I s ul be ome ubject to the workers' compensation provisions of Section 370000 of the Labor C s II fort ith comply with those provisions. Date:l_t0 "0 Applicant: WARNING: FAILURE TO SECURE WORKE ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE EST, 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 i@'ication this permit. 2. Any permit issued as a result obecomes null and void if work is not commenced within 180 days from date of f such permit, or cessation of work for 180 days will subject permit to cancellation.I certify that I have read this applicati an e above information is correct. I agree to comply with all city and county ordinances and stat laws r b it i construction, and hereby authorize representatives of this county toe upon the ab a-meno e y for spection purposes. -Date: S� ignature (Appli nt o Application Number . . . . . 07-00000091 Permit . . . . . WALL/FENCE PERMIT Additional desc . Permit Fee 336.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 37500 Expiration Date 7/09/07 Q.ty Unit Charge Per Extension BASE FEE 252.00 13.00 6.5000 THOU BLDG 25,001-50,000 84.50 --------------------7------------------------------------------------------- Special Notes and Comments 1500 LF 6' PERIMETER WALL PER CDD WETSTAMPED/APPROVED GRADING PAVING & DRAINAGE PLAN.CITY STANDARD. Fee summary Charged Paid ----------------- Credited Due -------------------- Permit Fee Total 336.50 ---------- .00 ---------- .00 336.50 Plan Check Total .00 .00 .00 .00 Grand.Total 336.50 .00 .00 336.50 LQPERMIT Bin # City of. La Quinta Building a Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 0 La QuintA, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: .� Owner's Name: L L A. P. Number: Address: Legal Description: City, ST, Zip: l Total Permit Fees 3.5C' S o l Contractor: Telephone: Address: L Project Description: City, ST, Zip:e_-0PC C'r- Cr-, Telephone:.39 g ZZ Z' ' . ! State Lic. # : �p 5�j City ,� Lic. #: C ` Iii t� Arch., Engr., Designer: Address: ------------- City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: t��t� Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: oZ ,0— Estimated Value of Project: Ll ©Cj APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan.Check submitted 10 Item Amount Structural Calcs. . Reviewed; ready for corrections Plan Check Deposit Truss Calcs. ' Called Contact Person Plan Cheek Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan'2°" Review, ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O:A. Approval Plans resubmitted Grading IN HOUSE: - 3' Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fces l Total Permit Fees 3.5C' S o l �J 9536' LANDSCAPED RETENTION BASIN 498.14 1:00-, HGL 496.W FS m ;f V'-UU.NJ UKUW UU-Kd I-KAN�I i [UN MUM o WtUUt I.IJKIi W TYPE -U' CURB "�'� Q PAINT 4" SOLID WHITE STRIPE (TYPICAL) (SES SWEET N0. 8 -FOR 'DE' ** 21 .INSTALL I' CONCRETE PEDESTRIAN PATHWAY (SEE LANDSCAPE ARCHITECT'S PLANS FOR DETAILS) DRAINAGE Q INSTALL 18" HDPE (N-12) STORM DRAIN PIPE •51 INSTALL 180 RCP D2000 STORM DRAIN PIPE CONSTRUCT GUTTER DEPRESSION PER DETAIL (SEE SHT. No: 8) &6 CONSTRUCT MODIFIED CATCH BASIN PER RIVERSIDE COUNTY STD. NO. 302 WITH STD 305 SINGLE (1) TYPE 24-18 GRATE (SEE SHEET; NO. 5 FOR DETAILS) Q CONSTRUCT BUBBLER (SEE SHEET 8 FOR DETAILS) CONSTRUCT MANHOLE No. 1 PER RN. CO. FLD. CNTRL. STO. DWG. MH251. . SECOND SUBSTITUTE MYLAR THIS MYLAR IS IDENTICAL TO THE MYLAR APPROVED BY THE CITY ENGINEER ON 10—.10-05 EXCEPT FOR THE REVISIONS NOTEQ HEREON. '=�. ko 20596 r oz STANLEY C. MORSE FaP 9-30-07 R.C.E. 20596 _ n...,. / (>,PPRO�'cD..61f GO!1�'�'aiil►Ir, DEVELOP=4F4T DEPARTMI ENi By nn/1�/.IAA�1 DATE La- S D EXHIBIT CASE FlO: � • 10.W PfUTE STORM DRU R 501.9 2+62:69 - 3T BEND NBM'4TW 9.75' 20/244-3<r' BD(Q MS9'IL9'4TW 16.0-P S FF D 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: ` �v a, Developer: N-I'-PAa Tract o.:(2Z-7ract Name: J (a Lot No.(s): -- Address(s).: LLy3 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 ❖ WALLS: PROVIDE ITEMS #7 BELOW —PIFfZ t-Ae-ra—A ❖ SIGNS: PROVIDE ITEMS #8 BELOW 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 building locations are legal lots. 4. Attach a completed < 1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 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 require 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. PlJ a 3/ (4 � 8. Attach sign layout/plan & related precise grading/landscape plan. S'-)a I have reviewed and confirmed the requirements listed above as presented find the improvements to� be sufficiently complete for construction of the prop ed buildings/structures/walls/signs on the subject lot(s). Pursuant t m ' dings th a ve oject ay be released for building permit issuance. Recommended by: Dated: ��L Public Works Distribution: ( Green Sheet to Building & Safety counter (_) Green Sheet to Community Development Declined for approval for reason(s) as follow(s), please correct and resubmit: City of La Quinta - PM TO Project Information (< 1 acre per Lot or Infill Project) Page 1 of 3 Form updated & effective 8/25/2005 Project Information Project Phase Project Contractor: Project Phase (Check One): ❑ Construction ❑ Demolition Project Name: Project Tract Number: Lot Number(s): Anticipated Start Date: Anticipated Completion: Project Street Address: Total acres in active construction (< 1 acre per Lot): Project Contact Information Please Note: Dust control is required 24 hours a day, 7 days a week, regardless of construction status. Person listed below is responsible for dust control during business and non- business hours. Name: Title: Company Name: Mailing Address: City: State: Zip Code: Primary Telephone Number: Fax: 24 Hour Access/Emergency Phone: Cell Phone: PM 10 Certificate Number: ❖ Expanded PM 10 plans for commercial and residential developments > 1 acre are required by the City of La Quinta.