11-0638 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _111:.00000638'
Property Address: 52725 HUMBOLDT BLVD
APN: 767-200-091-14 -34968 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 376454
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
EAST OF MADISON LLC
PO BOX 1482
DETACHED LA QUINTA, CA 92247
Applicant: Architect orEngineer:
1A
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am I nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and fess/, Code, and my License is in full force and effect.
License Class: g B Lic se No.: 915336
ate:ontr.ctor:
OER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I amgicture,
mpt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Profons Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any 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.).
(_ 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.).
(_ 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: A
Lender's Address: •
LQPERMIT
Contractor:
DBCA INC
P.O. BOX 1482'
LA QUINTA, CA 92247
(760)393-5271
Lic. No.: 915336
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/15/11
�t
1�t 1
---------------------
�
E ..tri;'
------------------
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. '
V__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 TRAVELERS PROP Policy Number YEUB282D779711
_ I certify that, in the performance the work for which this permit is issued, I shall not employ any
person in any manner so as o come subject to the workers' compensation laws of California,
and agree that, if I should b c e ct to the workers' compensation provisions of Section
0700 of the Labor Code, I ha�lfo hwit mply with those provisions.
WARNING: FAILURE TO SECURE WORKERSIT,
MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000)• IN ADDITION TO THST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTE 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 ab i form ' n is correct. I agree to comply with all
city and county ordinances and state laws relating to building o ruct' n, a hereby authorize representatives
offtthhi� co my enter up the above-mentioned property for in ecti n purp as.
aB to �"t /,,nature (Applicant or Ag
Application Number . . . . . 11-00000638
Permit
BUILDING PERMIT
Additional
desc .
Permit Fee
1609.00
Plan Check Fee
261.46
Issue Date
. . .
Valuation
376454
Expiration
Date
12/12/11
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
277.00
-------------------------=--------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
969.50
Permit
. . .
MECHANICAL
Additional
desc
'Permit Fee
. . .147.50
Plan Check Fee
9.22
Issue Date
'. . . .
Valuation
0
Expiration
Date
12/12/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9..00 .
2.00
11.0000
EA MECH
FURNACE >100K
22.00
3.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
49.50
7.00
6.5000
EA MECH
VENT FAN
45.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
181.64
Plan Check Fee
11.35
Issue Date
. . ..
Valuation . . . .
0
Expiration
Date .. .
12/12/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4244.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
148.54
905.00
--------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
:
18.10
. . .
PLUMBING
Additional
desc .
Permit Fee
240.00
Plan Check Fee
15.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/12/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
28.00
6.0000
EA PLB FIXTURE
168.00
LQPERMIT
Application Number . . . . . 11-00000638
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 15.0000 EA PLB BUILDING SEWER
15.00
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
10.00 .7500 EA PLB GAS PIPE >=5
7.50
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 12/12/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
--------------------------------------------------------------------------
-------------- -------------------------------------------------------------
Special Notes and Comments
Special
SFD - PLAN 1, LOT 14 4244 SF. LIVING,
1188 SF. PATIOS, 905 SF GARAGE. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 2007 CODES..75*6
REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE.
DEVELOPER IMPACT FEES CARRIED OVER FROM
OLD PERMIT #08-627.
--------------7-------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
441.14
BLDG STDS ADMIN (SB1473)
15.00
ENERGY REVIEW FEE
26.15
GRADING PLAN CHECK FEE
.00
MULTI -SPECIES (MSHCP) FEE
1284.00
STRONG MOTION (SMI) - RES
37.65
Fee.summary Charged Paid Credited
--------------------
Due
-------------------------------------
Permit Fee Total 2193.14 .00 .00
2193.14
Plan Check Total 297.03 .00 .00
297.03
Other Fee Total 1803.94 .00 .00
1803.94
Grand Total 4294.11 .00 .00
4294.11
LQPERMIT
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 #
Under-the
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 1
52-725 Humboldt Blvd.
1 06/13/08
None 1
12/10/08
06/08/09
15
08-0631 1
52-705 Humboldt Blvd.
1 06/13/08
None
12/10/08
6/08/09
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
Sirleerely,
Rick Morris