08-0630 (SFD)1 '
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 088 00000630 Owner:
Property Address: 52765 HUMBOLDT BLVD EAST OF MADISON LLC
APN: 767-200-091-12 -34968 - PO BOX 1482
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92247
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 508083
Contractor:
Applicant: Architect or Engineer: A & M CONSTRUCTION
P.O. BOX 366
LA QUINTA, CA 92247
(760)564-4832
Lic. No.: 746198
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 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 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 ($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.).
(*) 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
Date: caner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that [here 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: OL
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/17/08
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 TATE FUND Policy Number 044-0028137-07
I 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 sh ome subject to the wor�( s' comation provisions of Section
3700 of the Labo ode, I s II forth co ply witlt/those prions.
1ktTolicam: X --
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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
fLa 0 'nta, its officers, agents and employees for any act or omission related to the work being
rformed under or following issuance of this permit.
Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state th a information is correct I agree to comply with all
city and county ordinances and stale laws relat to building c struT�, 'd hereb thorize representatives
of this county to enter upon tlbe above -menti ned property for specoses.
ateL��•U$ nature (Applicant or Agent): i
Application Number .
. . . . 08-00000630
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
2066'.50
Plan Check Fee
335.81
Issue Date
Valuation . . . .
508083
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
2039.50
9.00 3.0000
--------------------------------------------------------------
THOU BLDG
500,001-1,000,000
-------------
27.00
Permit . . .
MECHANICAL
Additional desc .
Permit.Fee . . .
192.50
Plan Check Fee
12.03
Issue Date .'. . .
Valuation . . . .
0
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4.00 11.0000
EA MECH
FURNACE >100K
44.00,
1.00 9..0000
EA MECH
B/C <=3HP/100K,BTU
9.00
4.00 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
66.00
8.00 6.5000.
EA MECH
VENT FAN
52.00
1.00 6.5000
----------------------------------------------------------------------------
-----------------------------------------------------Permit
EA MECH
EXHAUST HOOD
6.50
Perm' * t . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee
239.37
Plan Check Fee
14.96
Issue Date . . . .
Valuation . . . .
0
Expiration Date..
10/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
5831.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
204.09
1014.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
20.28
Permit
PLUMBING
Additional desc . .
Permit Fee . . . .
285.00
Plan Check Fee
17.81
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
34.00 6.0000
EA PLB FIXTURE
204.00
LQPERA11T
Application Number . . . . . 08-00000630
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00-' 15.0000 EA PLB BUILDING SEWER
15.00
>2.00.• 7.5000 EA PLB WATER HEATER/VENT
15.00
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 1.7500 EA PLB GAS PIPE >=S-
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
Extengion
BASE FEE
15.00
------------------- 7 --------------------------------------------------------
Special Notes and Comments
SFD - LOT 12, PLAN 2A/CASITA, 5831 SF.
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS OR DRIVEWAY APPROACH. 75% 1,
REDUCTION 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
770.20
DIF COMMUNITY CENTERS -.RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
33.58
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
50.80
DIF STREET MAINT FAC -RES
67.*00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
----------------- ----------
Due
---------- ---------- ----------
Permit Fee Total 2798.37 .00 .00
2798.37
Plan Check Total 380.61 .00 .00
380.61
Other Fee Total' 5329.58 .00 .00
5329.58
Grand Total 8508.56 .00 .00
8508.56
LQPE"11T
41
r
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 #
Address
Permit
Issued
Last
Successful
Inspection
180 -day
Expiration
Date
180 -day
Extension
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 1
12/10/08
06/08/09
15
08-0631
52-705 Humboldt Blvd.
06/13/08
None
12/10/08
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
Permit # 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