11-0703 (TT)46093 Adams St
IE
P.O. BOX 1504 - -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
22
Tit!t u ',sctw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
11-00000703
Property Address:
46093 ADAMS ST
APN:
643-220-006- - -
Application description:
TEMPORARY TRAILER
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
4650
Applicant: Architect or Engineer:
---------------- - - - - -- - ----------- --------- - - - - --
LICENS CONT T S DECLARATION
I hereby affirm under penalty of perjury that I a icense de ovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business Profe nal ode, and my License is in full force and effect.
License Class: C10 ense No.: 908341
}C Date: 27 Contractor: /
OWN R -BUILDER DECLARATION
I hereby affirm under penalty of perjur 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 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.).
(_ 1 1, 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: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/28/11
Owner:
IMPERIAL IRRIGATION DIST
P O BOX 937 f G'
IMPERIAL, CA 92251 t
ci -r tt
Contractor:^ .r U
DIAMOND POWER SERVICES INC 4•Jr # Jtr;4
807 EAST MISSION ROAD t•
SAN MARCOS, CA 92069
(760)290-3325
Lic. No.: 908341
-----------------------------------------------
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.
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 policWare
Carrier TRAVELERS PROP tuber UB4666X821
I certify that, in the performafor rich this permit is issued, I shall not employ any
person in any manner soub' to the workers' compensation laws of California,
and agree that, if I sh ' the workers' compensation provisions of Section
3700 of the Labor , omply with those provisions.
Date: 271/( Applicant•
WARNING: FAILURE TO SE URE OR ERS' 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 become ull and void 'f work is not commenced
within 180 days from date of issuance of such perm' or cessatio work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state th/abnformatio i correct. I agree to comply with all
city and county ordinances and state laws relating totructio , d hereby authorize representatives
of this county toe ter upon the above-mentioned prectio r
Mate: Z 7 ffSignature (Applicant or Agent):
Application Number . . . . 11-00000703
Permit . . . TEMP TRAILER / MOBILE HOME
Additional desc .
Permit Fee . . . . 200.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 4650
Expiration Date 12/25/11
Qty Unit Charge Per
Extension
BASE FEE
200.00
----------------------------------------------------------------------------
Special Notes and Comments
'TEMPORARY CONSTRUCTION TRAILER WITH
200AMP SERVICE PANEL - TUP NUMBER:
2011-1044
June 28, 2011 2:35:23 PM AORTEGA
Fee summary Charged Paid
----------------- -------
Credited
Due
----------
Permit Fee Total 200.00
- -- ----------
.00
----------
.00
200.00
Plan Check Total- .00
.00
.00
.00
Grand Total 200.00
.00
.00
200.00
LQPERMIT
a
. . . . . . . . . . .
NINA
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO (760) 777-7000
LA.QUINTA, CALIFORNIA 92253 FAX (760) 777 -7101 -
June 27, 2011
Mr. Riad Adhami
FTR International
8707 Research
Irvine, CA 92618
SUBJECT: TEMPORARY USE PERMIT 2011-1044: CONSTRUCTION TRAILER
The Planning Department hereby approves your application request to install two
temporary construction trailers adjacent to the Imperial Irrigation Districts'
substation, located at 46-093 Adams Street, in the City of La Quinta as shown
on the attached exhibit, subject to the following Conditions:
1. Once the trailers are installed, they can remain on=site for a one year
period. However, an extension of the one year period may be applied for,
with no additional fee, in writing to the Planning Department before
expiration. The Planning Director may, after reviewing the facts, extend
the use of the trailer for an additional six_month period.
2. Use of the trailers shall be limited to the hours of construction as listed in
the La Quinta Municipal Code (Chapter. 6.08, Nuisances). A copy of this
time schedule can be obtained from the Building and Safety Department.
3. A building: permit is required for the temporary trailers and temporary
electric power. Please apply to the Building and Safety Department for a
permit (760-777-7012). Written permission from the property owner is
required before a building permit can be issued.
4. The trailers shall be placed a minimum 10 -feet from the northern property
line.
5. A building address shall be installed .on the trailers to help identify the
temporary business location (e.g., minimum 2 -inch high letters in a
contrasting color).
�� M
6. Provide one 2A1OBC fire extinguisher inside the trailer and sign over the
exit doors which states 'Door to Remain Open During Business Hours'
7. The trailers, if elevated off the ground, shall be skirted with metal or wood
siding material. The skirting material shall be painted to match the exterior
color of the trailer. The exterior surfaces of the trailer shall be painted and
in overall good condition.
8. No temporary signs . are permitted unless separately approved by this
Department.
9. No exterior lighting for these trailers is allowed unless approved by the
Building and Safety Department. All security light fixtures shall be hooded
to prevent light glare from being cast onto adjacent residential properties
and streets.
10. Mounted close to the front door on. the outside of each trailer shall be a
written notice informing emergency personnel of your 24-hour emergency
phone number in case problems arise that need your prompt attention
(i.e., minimum one -inch high letters).
1 1. The trailers shall be removed from .the site prior to final acceptance of all.
bridge work and construction.
12. ' Provide restrooms facilities to accommodate on-site workers.
13. Dust control measures shall be employed if construction parking is allowed
adjacent to the trailers.
The City may elect to .add conditions to this application request to mitigate any
problems that may arise and are not addressed herein.
If you have any questions, please contact me at (760) 777-7125.
Sincerely,
ERIC CE
Assistant Planner
C: /Buildingan
d Safety Department
t
Code Compliance Department
Gl
1A —
P
Bin #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7 2 � ` ` ,
Building Permit Application and Tr 'ng Sheet Tknos st
Permit #
1 en 03
t
Project Address: ' /
Owner's Name: �i✓��
A. P. Number:
Address:
Legal Description:
City, ST, Zip: _!
Contractor:N e�76p.&
Telephone: 7
Address: O ,s D/7
Project Description: I/ 0-41Y PC) Tf%
City, ST, Zip:
Tel hone: C 0 .�
:..:....;
f:>' • •: '�s
l -�
State Lic. #: 909VAC-/0
City Lic.
YzD
Arch., Engr., Designer-
esigner
Address:
Address:
City, ST, Zip:I
, oA oel Ilii" �P� �(f �✓rte
Telephone:
"
W.,•� _tai `' ` . �_
Construction Type: Occupancy:
State Lic. #:'•
ProJect type one): New Add'n Alter Repair Demo
Name of Contact Person: j / �U/
Sq. Ft.:
# Sto 'es:
# Units:
Telephone # of Contact Person:
Estimated Value of Proj 5_6?_9- OC
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correciionstissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
J.P.P.A
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees