08-0624 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
ci
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
08000_00_624
52845 HUMBOLDT BLVD
767-200-091-9 -34968 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
467734
Applicant: Architect o1
-------------------------------
(� -, 4 44"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/28/08
Owner:
EAST OF MADISON LLC
PO BOX 1482
DETACHED LA QUINTA, CA 92247
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 Business and Professionals Code, and my License is in full force and effect.
License Class: B C10 License No.: 746198
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 70001 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 0500).:
(_) 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.l.
Y) 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
ate: 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: r'
LQPERMIT
Contractor:
A & M CONSTRUCTION
P.O. BOX 366
LA QUINTA, CA 92247-
(760)564-4832
Lic. No.: 746198
------------------
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 policy number are:
Carrier SkTATE FUND Policy Number 044-0028137-07
1 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 come subject to the workers' compensation provisions of Section
3700 of the or Code, I all forth ply withos=prove
te:6 12-C plicant: tyC
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 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 sta laws relatin struction, and hereby a thorize repr tatives
of this unty to enter upon the ove-me ' ed property fo ' spect strut
pur esy
te�i (2-Gg Si ure (Applicant or Agent): 1
Application Number .
. . . . 08-00000624
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1927.50
Plan Check Fee
313.22
Issue Date . . . .
Valuation . . . .
467734
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
368.00 3.5000
--------------------------
THOU BLDG
=------=------------------------------------------
100,001-500,000
1288.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
143.00
Plan Check Fee
8.94
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
-
BASE
FEE
15.00
3.00 11.0000
EA MECH
FURNACE >100K
33.00
3.00 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
49.50
6.00 6.5000
EA MECH
VENT FAN
39.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit . . . •ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
223.32
Plan Check Fee
12.70
Issue Date
Valuation
0
Expiration Date
10/14/08
Qty Unit Charge_
Per
Extension
-BASE
FEE
15.00
5296.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
185.36
1148.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
22.96
" Permit . . .
PLUMBING
Additional desc . .
'
Permit Fee . . . .
223.50
Plan Check Fee
13.97
Issue Date . . . .
Valuation
0
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
25.00 6.0000
EA PLB FIXTURE
150.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
f ,
Application Number .
. . . . 08-00000624
Permit
PLUMBING
Qty Unit•Charge
Per
Extension -
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
12.00 ,.7500
EA PLB GAS PIPE >=a
9.00
1.00 15.0000
----------------------------------=-------------------=---------------------
EA PLB GAS METER
15.00
Permit
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 9, PLAN 1,
5296 SF.' PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% TO PLAN CHECK
FEES DUE TO MULTIPLE
ISSUANCE OF SAME
PLAN TYPE. 2001 CBC,
CMC, CPC, 2004
CEC, 2005 ENERGY CODES
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
569.52
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
31.32
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00.
STRONG MOTION (SMI) - RES
42.78
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
• Permit Fee Total
2532.32 .00 .00
2532.32
Plan Check Total
348.83 .00 .00
348.83
Other Fee Total
5118.62 .00 00
5118.62
Grand Total
7999.77 .00 .00
7999.77
LQPERMIT
Tilf 4 4 Q"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
December 8, 2008
Mr. Rick Morris
A & M Construction
PO Box 366
La Quinta, CA 92247-0366
RE: Building Permit Extension Requests — Madison Club Villas.
Dear Mr. Morris:
FILE
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
I have reviewed your letter dated December 2, 2008, requesting a time extension for the
construction of the single family dwellings at the addresses and under the Building Permits
noted below. Our records indicate the following status on these permits:
Lot #
Permit #
AddressSuccessful
Permit
Last
180 -day
Expiration
180 -day
Extension
Issued
Inspection
Date
Date
8
08-0628
52-865 Humboldt Blvd.
06/13/08
None
12/10/08
.06/08/09
9
08-0624
52-845 Humboldt Blvd.
06/13/08
None
12/10/08
06/08/09
10
08-0625
52-825 Humboldt Blvd.
06/13/08
None
12/10/08
06/08/09
11
08-0629
52-805 Humboldt Blvd.
06/13/08
None
12/10/08
06/08/09
12
08-0630
52-765 Humboldt Blvd.
06/13/08
None
12/10/08
06/08/09
13
08-0626
52-745 Humboldt Blvd.
06/13/08
None
12/10/08
06/08/09
14
08-0627
52-725 Humboldt Blvd.
06/13/08
None
12/10/08
06/08/09
15
08-0631
52-705 Humboldt Blvd.
06/13/08
None
12/10/081
06/08/09
Under the provisions of 2001 California Building Code Section 106.4.4, your request is hereby
granted.
Because the Building Code specifies that "no permit shall be extended more than once," please
be advised that unless these homes pass their next required inspection on or before Monday,
June 8, 2009, your building permits will expire automatically.
Yours truly,
Greg ler
Building & Safety Manager
A & M CONSTRUCTION
CUSTOM CRAFTED HOMES SINCE 1984
City of La Quinta
Building and Safety Dept.
Atten: Greg Butler
Re: Madison Villas Bldg. Permits
Dec. 2, 2008
Sir,
We would like to request a time extention for our Bldg. Permits for the following homes
at Madison Club Villas, we are unable to start work, but plan to in the near future.
Lot 8 Permit # 08-628
Address: 52-865 Humboldt Blvd., La Quinta, Ca.
92253
Lot 9 Permit # 08-624
Address: 52-845 Humboldt Blvd., La Quinta, Ca.
92253
Lot 10 Permit # 08-625
Address: 52-825 Humboldt Blvd., La Quinta, Ca.
92253
Lot 11 Pen -nit # 08-629
Address: 52-805 Humboldt Blvd., La Quinta, Ca.
92253
Lot 12 Permit # 08-630
Address: 52-765 Humboldt Blvd., La Quinta, Ca.
92253
Lot 13 Permit # 08-626
Address: 52-745 Humboldt Blvd., La Quinta, Ca.
92253
Lot 14 Permit # 08-627
Address: 52-725 Humboldt Blvd., La Quinta, Ca.
92253
Lot 15 Permit # 08-631
Address: 52-705 Humboldt Blvd., La Quinta, Ca.
92253
Si erely,
Rick Morris