0201-134 (MISC - SALES OFFICE) LICENSED CONTRACTOR DECLARATION BUILDING PERMIT u �JRMIT#i
I hereby affirm under penalty of perjury that I am licensed under provisions of "
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE VALUATION LOT ' S TRACT
C14W Professionals Code,and my License is in full force and effect.
License# Lic.Class Exp.Date
O w �Yp B DIC A7 �f�1 d ADDRESS 9—)00.tflStr.�`eNUF&I(o'rl�.P e. IS��.�°Yt�ECEJOB SITE
APN
cZ t-- Date �'� J ,��� Signature of Contractor OWNER CONTRACTOR/DESIGNER/EN INEER
co 0. -
t` H OWNER-BUILDER DECLARATION ` wolm,aw. ��� 6TT�7; iMF��1 F`t {'•
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's AM
����'�'����--•�
~ Cl) License Law for the following reason: PROFNIX AZ SMU MICANM A•Z 95034
Z_ ( ) I,'=as owner of the property, or my employees with wages as their sole (60'2)Z57.16.56 e41,90
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044, Business&Professionals Code). USE OF PERMIT
( ) I, as owner of the property, am exclusively contracting with licensed -
contractors to construct the project (Sec. 7044, Business & Professionalstt 'sC3?T�'Jlt��fif
Code). SALES0 .1dOf 1> f2. ClAL{2I•S3 I
32 I
I am exempt under Section , B&P.C.for this reason ` IE
LO --
N Date Signature of Owner
ON
rn
Q WORKER'S COMPENSATION DECLARATION
Nt Lo Q cr I hereby affirm under penalty of perjury one of the following declarations: AI,49A YC I�,O �
• Ls
, f— O ( ) 1 have and will maintain a certificate of consent to self-insure for workers'
X W compensation, as provided for by Section 3700 of the Labor Code, for the
m _ Q performance of the work for which this permit is issued.
Q U (T) I have and will maintain workers'compensation insurance,as required by
O U : Section 3700 of the Labor Code, for the performance of the work for which this
rn F— permit is issued. My workers' compensation insurance carrier & policy no. are:
v Z Cartier �rA`1,,1t'�J1�1� Policy No. 1383,006-01 EI�I AT�'�3 t;�►`yT'OFt{�>R�"��Jr"�fL)Iwf
°r° O PERMET FKT.SrOMMARY
g (This section need not be completed if the permit valuation is for$100.00 or less). PLAN CF$WK FEE 101.000-4n`-.318 SIX1.0
( ) I certify that in the performance of the work for which this permit is issued, C ONSyItUCT.tOX FEE 101',}00)418-000 $d 17.60
I shall not employ any person in any manner so as to become subject to the J)TTt.C3NO MOTION FIEF-COMM 100.000.2,41-0C3l,;'' 12.16
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions p, Section 3700 of the Labor ;
Code, I shall forthwith comply with those- foist no s. f
•' Date: �` (A f Applicant-
16
pplicant
16 Warning: Failure to secure Workers' Compensation coverage is unlawful and JAN 2 5 2002
shall subject an employer to criminal penalties and civil fines up to$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. � �F(-A�°v�B�yr'�
IMPORTANT Application is hereby made to the Director of Building and SafetyV 'b
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made&each person at 11D13-T�`�T.Pt`d;,CC�1 Y IT.YC'1101.'#.i1--D 1:`LAN CHECK $195.15
whose request and for whose benefit work is performed under or pursuant to r o i
any permit issued as a result of this applicaton agrees to, &shall, indemnifyn�"� !!y1's� r f� 0` 1
& hold harmless the City of La Quinta, its officers, agents and employees.
44
:14 2.Any permit issued as a result of this application becomes null and void if 1' '1 :2� :E 1 '� .�9�51>NOW 1.5��►.1
qat
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection,purposes.
RECEIPT DATE BY DATE F ALD
/ INSPECTOR
Signature (Owner/Agent) ✓%" Date to •4�f ' ' f'7 6 7�
INSPECTION RECORD
OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR
BUILDING APPROVAL MECHANICAL APPROVA S
Set Backs Underground Ducts
Forms&Footings Ducts
Slab Grade Return Air
Steel Combustion Air
Roof Deck Exhaust Fans
O.K.to Wrap F.A.U.
Framing Compressor
Insulation Vents
Fireplace P.L. Gn s
Fireplace T.O. Fans&Controls
Party Wall Insulation Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall-Int.Lath
Final
Final POOLS - SPAS
BLOCKWALL APPR ALS steel
Set Backs Electric Bond
Footings Main Drain
Bond Beam Approval to Cover
Equipment Location
Underground Electric
Underground Plbg.Test
Final Gas Piping
PLUMBING APPROVALS Gas Test
Electric Final
Waste Lines Heater Final
Water Piping Plumbing Final
Plumbing Top Out Equipment Enclosure
Shower Pans O.K.for Finish Plaster
Sewer Lateral Pool Cover
Sewer Connection Encapsulation
Gas Piping `
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice(Gas)
ELECTRICAL APPROVALS
Temp.Power Pole
Underground Conduit
Rough Wiring
Lxwv Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp.Use of Power
1 .
Final
Utility Notice(Perm)
t
O �G
P.O. Box 1504
OF.INti78-495 CALLS TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
November 16, 2001
Mr. Forrest K. Haag, ASLA, Inc.
1254 North Coast Highway.
Laguna Beach, California 92651
SUBJECT: MINOR USE PERMIT 2001-323
Dear Mr. Haag:
The Community Development Department has approved your request to establish 'a
temporary model home sales facility with parking lot for Palmilla Estates on Lots 8-10
and 78-81 of Tract 29858-1 , pursuant to Section 9.60.250 (Model Home Complexes)
of the Municipal Code, subject to the following conditions:
1 . Provide a 26'0" wide aisleway for your 13 stall parking lot. The temporary
parking lot improvements shall be constructed before opening the sales complex
to the general public.
2. Obtain building permits for all permanent improvements such as walls, pools,
spas, fountains, barbeques, outdoor fireplaces, etc. Prior to obtaining a building
�. permit, a cash deposit in the amount of $.1 ,000.00 shall be posted with this
Department to insure that"garage offices are converted back to enclosed parking
areas for the future homeowners. The cash deposit will be refunded after the
office improvements are removed and a site inspection has been completed to
determine compliance with all necessary requirements.
3. Dust control measures shall be employed during any on-site activities.
4. Install one 2A1 OBC fire extinguisher inside each garage office area.
5. No temporary signs and flags are permitted unless separately approved by this
Department.
6. Mounted close to the front door of the sales office (or on the trap fence) shall
be a written notice informing emergency personnel of your 24-hour emergency
phone number that they can call in case problems arise that need your prompt
attention (i.e., minimum 1 " high letters).
d
MUP 323Palmilla Sales -54'greg
7. Regarding site landscaping, written approval from CVWD and the Riverside
County Agricultural Commissioner's Office shall be submitted to this
Department within 10 days.
8. Permanent planting areas require 24" box trees with caliper sizes of 1 .5" to
2.0" (minimum 6' tall) and 36" box trees with calipers size of 2.5" to 3.0"
(minimum 8'-12' tall) depending on species.
9. Construction of the temporary pedestrian bridge between Lots 9 and 80 shall
be reviewed by the Building and Safety and Public Works Departments before
site work occurs. Obtain any required permits to construct said structure.
10. The sales complex shall be removed by November 16, 2002, unless an
extension is granted by the Community Development Director.
11 . The City may elect to add Conditions to this application request to mitigate any
problems that arise not previously addressed herein.
This decision may be appealed to the Planning Commission provided the necessary
paperwork and filing fee of $175.00 are filed with this office within 15 days.
Your approved construction plans can be picked up at our Department, and once the
sales complex improvements have been made, please call our office to set up a walk-
through inspection (i.e., a minimum of 24-hours in advance). One wet signed set shall
be returned to this office no later than 10 days after being picked up.
Please submit your production front yard landscape and irrigation plans to this office
as soon as possible. This issue was mentioned to your staff on November 2, 2001 .
Thank you for your continued cooperation. If you have any questions, please contact
me at 760-777-7067.
Sincerely,
J R HE MAN
N�Y DEVELOPMENT DIRECTOR
OU DELL
LL
a lanner
c: RJT Homes, Palmilla, LLC
M.D.S. Consulting, Inc.
Community Development Director
Code Compliance Department
Fire Department
Betty Sawyer, Executive Secretary
MUP 323Palmilla Sales -54 greg
Chty Of La Qulnta OFFICE USE ONLY
F �Z Community Development Department Case No/7('1- ' 01_3z
78-495 Calle Tampico Date Re d.
La Quinta, California 92253 Fee` -_0
r�Mof O) 777-7125 FAX: 760 777-1233 Related Apps.: �G" GYM
) rr z,) �.VB
QQ1 Logged in by:
c = �1CATION FOR MINOR USE PERMIT APPROVAL
]MINOR USE PERMIT applications are reviewed and approved by the Community Development Director
pursuant to Section 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land uses requiring
the permit do not have an adverse impact on surrounding properties, residents, or businesses.
APPLICANT I �/�
(Print)
MAILING ADDRESS � _ N •_�� tic/ ff!lPhone No.'141 `'�776- '70re_l�(
CITY, STATE, ZIP: � VNr� r ��� Fax No. 6 GjQ�p�
PROPERTY OWNER (If different): JF_-:�j_r ROWW S
(Print)
MAILING ADDRESS:_ d . 11�) 1 0 Phone No.
CITY, STATE, ZIP: LA_ U 1 017 2� Fax No. _
PROJECT LOCATION: D (/ D (�) &
PROPOSED USE AND/OR CON TRUCTION (Including operational information): �5��
W92FI� (j01U«S 2)PPO (�1 Ell _
—PSI wf�� —kit C. 0 g�A-
(attach sheets if needed
LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): Mop�t J2
�1,,eD 1W &,OV— -2a s a� C,[,� vF7 or
MMS (N Rif/7 OPf1C7 of- THF- CVUNT . "60P-P-F�� a fqvfs(d-&r
A I8\Minor Use Permit C�—.
e •
.',SUBMISSIREME
•O Plot Plan, Boor plans and elevation plans (as determined by Community Development Department staff).
Five (5) sets of plans on 8%z"x l 1"sheet or folded down to 8%z"x 11".
O Filing fee for Minor Use Permit. If filing multiple applications, the most expensive application will be
charged full fee,with remainingrelated applications discounted 50%for each. This discount does not apply
to Environmental Information form.
NAME OF APPLICANT—
(Please Print)
SIGNATURE OF APPLICANT DATE_ (" (O
NAME OF PROPERTY OWNER
(Please Print)
SIGNATURE OF PROPERTY OWNER(S)
IF NOT SAME AS APPLICANT: DATE
(Signature provides consent for apple nt to use site for proposed activity).
DATE
(Separate written authority by owner to submit application may be provided)
NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN TI-IIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION.
A l Minor Use Permit