10-0480 (BLCK)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: 6../07/10
Application Number: X10-00000480 Owner:
Property Address: 52280 AVENIDA VELASCO LA QUINTA REDEVELOPMENT AGENCY
APN: 773-265-002- - - P.O. BOX 1504
Application description: ' WALL/FENCE LA QUINTA, CA 9.2247
Property Zoning: COVE RESIDENTIAL
Application valuation: 5635
Contractor: Lf ° •' �' �! !
Applicant:. Architect or Engineer: MCD CONSTRUCTION' S5ii p
PO BOX 548 i {,
MORONGO VALLEY, CA 92256 i12H G 2C40
(760) 363-7740 ---
Lic. No.. 820821 CITY p1.���E•iiF�s`di�
--------------------- - - -- -- --
' ' 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:. B C29 . - - License No.: 820821 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
��e[ issued.
ate: 0 O ontractor: /%L""/ LB."7r/�'y� 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
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 STATE FUND Policy Number ' 0442271205
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 - personin 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 become 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 e, I sha orthh c ply those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I `i
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: e: Ap
' (_) 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 WARNING:' FAILU TO SECURE WORKERS' COMPENSATION'COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply town 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, 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 fr a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an 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,
(_ I I am exempt 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
I
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
of La Qwnta, its officers, agents and. employees for any act or omission re ate d 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 cons uction and hereby horize representatives
of this county to enter upon the above-mentioned proppee/W for in ctio r s.
e" V O Sig ure (Applicant or Ageml/.
T/ 3
Application Number .10-00000480
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee 81.00 Plan Check Fee
.00
Issue Date Valuation
5635
Expiration Date 12/04/10
Qty Unit. Charge Per._
Extension.
BASE FEE
45.00
4.00 9.0000 THOU BLDG 2,001-25,000.
-36.00
Special.Notes and Comments
A TOTAL OF 215 L.F. COMBO WALLS @ 6' &
12 L.F. 5' TRASH ENCLOSURE, ALL ORCO
SYSTEM. 2007•CODES.
-----------------_---------------------------------------------
Other Fees . . . . . . . BLDG STDS.ADMIN (SB147.3)-
--
1.00
Fee summary Charged Paid,' Credited
Due .
Permit Fee.Total 81.00 .00 .00
81.00
Plan Check Total 00 .00 .00
.00
Other Fee Total 1.00 00 .00
1.00.
Grand Total 82.00 .00 .00
82.00
. LQPERMIT - -
.
MCD Constructio
Inc.
License # B & C29 824821
P.O. Box 548
Morongo Valley, Ca 92256
1ndcoustruct@,M91n.0Oin
Phone: (760) 363-7740 Fax: (760)
Proposal submitted to: City of La Quints Date: 06/03/2010
Attn: Kirk Kirkland Project Address: 52280 Ave Velasco
La Quints Ca
Fa-.:. 760-777-7011
Bid by Tony Smith 760-250-2397 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 Subrogation will have 3% of payroll added to each invoice.
South side.or left side of house:
801f @ 1.4ft tan 8x8x16 precision retaining wall 2 courses from top of footing.
with 6ft tan 6x8xl6 precision garden wall 9 courses from top of retaining wa11.
201f @ 4ft gray Mx 16 precision retaining wall 6 courses from top of footing .
with 5 courses from top of retaining wall. .
Trash enclosure wall:
121f @ 5ft tan 6x8xl6 precision garden wall on the left side of drive way to
shield the trash cans from view from the street. `
Feast. side or .rear of, house:
501f @' 1.4ft tan 8x8x16 precision retaining wall 2 courses from top of footing
with 6ft tam 6x8xl6'pr&ision garden wall 9 courses from top of retaining wall.
North side or right side of house:
651f @ 6ft tan 6x8xi6 precision garden wall 9 courses from top of footing.
Total $10,100.00..
Owner to Supply the Following:
Onsite Water & toilets
Permits & Fees G
Prop. Hubs
ALI, OPTIONAL: ITEMS TO BE ADDED TO THE TOTAL. COST.
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike
manner according to specifications submitted pet' standard practices. Any alteration of deviation from
above speculations involving extra costs will be executed only upon written orders, and all become an extra
charge over and above the, estimate. Prices arc also subject to field measurements and will be adjusted
accordingly. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to
carry fro, tornado and odter necessary insurance. Our workers are fully covered by Workmen's
Compensation insurance.
Authori�edl,�,
Signature �
Note: This pr may bo withdrawn by us if not accepted within FIFTk,LtN1-061._ O�1Q
ACCEPTANCE OF PROPOSAL. 'the above prices speculaticros and conditions are satisfactory and are
hereby accepted. You are authorized to da the work as spccitied: Paymvnc will be made when above work .'
is completed. signature: ---.—
Date of Acceptance:_ —
363-7748
Bin #
City of La Quinta
Building a Safety Dhdslon
P.O. Box 1504, 78-495 Calle Tampko
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S e
Owner's Name:
A. P. Number.
Address:
Legal Description:
City, S.I., Zip:
Contractor:
Telephone:
Project Description:
Address:
City, ST, Zip:
Telephone: '-3G-:S 0
q M
State Lic. # : City Lic.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �L
Construction Type: Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: -- a.3
Estimated Value of Project: c)
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Set
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Cheek Balance
'little 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
214 Review, ready for eorrectionvissue
Electrical
Subeoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fen
Total Permit Feet