04-6869 (TT)a
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BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . 04-00006869 Date 10/28/04
Property Address . . . . . 80175 AVENUE 52
APN: 772-410-.018- - -
Application description TEMPORARY TRAILER
Property Zoning . . . . . . . HIGH DENSITY RESIDENTIAL
Application valuation . . . . 300
Owner Contractor
------------------------ ------------------------
GREYSTONE GROUP GREYSTONE MULTI -FAM BUILDERS
341 BAYSIDE DR #7 341 BAYSIDE DRIVE, #7
NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660
(949) 566-9230
WCC: ZENITH INS
WC: Z066293901 08/24/05
CSLB: 774293 01/31/06
CCC: B
-
-------------------------=-------------------------------------------------
Permit TEMP TRAILER / MOBILE HOME
Additional desc
Permit Fee . . . . 200.00 Plan Check Fee .00
Issue Date Valuation . . . . 300
Qty Unit Charge Per Extension
BASE FEE 200.00
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Special Notes and Comments
TEMP CONSTRUCTION TRAILER PER MUP
2004-542
Fee summary Charged
----------------- ----------
Permit Fee Total' 200.00
Plan Check Total .00
Grand Total 200.00
Paid• Credited Due
.00 .00 200.00
.00 .00 .00
.00 00 200.00
P.O. BOX 1504 4
VOICE .(760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
- BUILDING & SAFETY DEPARTMENT
r
Applicatjori Number: 04, 6 86 1q Date:
;Applicant: I Architect or Engineer: t
CId
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS ,%
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se;fion•7000) of Division 3 of the Business and'Professionals
Code, and myLicensed � full force and effect. 77 YZ9 3
License Class License No.
Date 6 2,-1,0 Contractor�_o
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031,5, qusiness and Professions Code: Any
city or county that requires a permitto 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 Contractors' State License Law (Chapter g:(commencing with Sectioh 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 aay applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, 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 therepn, and who does the work
himself or herself or 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.).
U 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 cohtiadtor(s) licensed pursuant to
the Contractors'state License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
t•
WORKERS' 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 polic number are:
Carrier rJt 7%1 / AK c.,
Policy Number zoG629 3 c7o /
_ 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 should become subject to the workers' corripensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date a d Applicant
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.
CONSTRUCTION LENDING AGENCY
I hereby affimi'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
Lenders Address
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 state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date D zi Signature (Applicant or Agent): Ate_
P.O. Box 150-4
78-495 CALLS 'TAMPICO
LA QUINTA, CALIFORNIA 92253
October 21, 2004
Mr. Brian Buckridge -
The Greystone Group
341 Bayside Drive - Suite 7
_•(760), 7770000
FAX (760)'777=7101
Newport Beach, CA 92660
RE: -Minor Use, Permit2004-542; Construction trailer at Country Club Apartment Site
80175 Avenue 52 - SDP 2002-7$0
Dear Mr. Buckridge:
The Community�:Development Department has reviewed your application for the above
referenced Minor Use Permit. The request for a construction trailer at the referenced.
focation .is approved in accordance with the following conditions:
GENEAAL CONDITIONS:
I .:. .,install one- 2A1 OBC fire extinguisher inside the trailer by the. front exit door.
2. Any temporary lighting shall be directed away from surrounding residential
properties and properly shielded, in accordance with the City Outdoor Lighting
requirements.
3. No-"set-upI of the trailer shall be permitted until a grading or building permit is issued.
-Obtain a building permit including any electrical permit for temporary power.
4..- .' : This .approval i0or` location of a construction office trailer only; it does "not allow
establishment of any fencing, equipment storage/staging areas, etc.
5. One 2' x 3' trailer -mounted -sign shall be'placed close to the front door, displaying a..;,.,
:;; .
24-hour -emergency -phone number (minimum 1" high letters) which emergency
personnel may call in case problems arise that need prompt attention. The sign shall
include any temporary address, and may include the company name for the purpose
of. identification.
6. Restroom facilities shall be provided as may be required.
7. The applicant/developer agrees to indemnify, defend, and hold harmless the City of
La Quinta from any legal claim or litigation arising out of the City's approval of this
project. The City of La Quinta shall have the right to select its defense counsel at its
sole discretion.
8. Approval of Minor Use Permit 2004-542 shall be in effect 15 days from the date of
this letter, unless appealed pursuant to Section 9.200.120. It will expire one year
from the date of this letter. An extension may be applied for by filing a written
request to the Community Development Director, pursuant to Section 9.200.080.D.
of the La Quinta Zoning Code.
The City may impose additional conditions to this application 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 of the date of this approval letter.
If you have any questions, please contact the undersigned at 760-777-7069.
Very truly yours,
OSCAR W. ORCI
INTERIM COMMUNITY DEVELOPMENT DIRECTOR
Wallace H. Nesbit
Associate Planner
c: Building and Safety
Fire Marshal
Code Compliance
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COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY IIIIIIIIIIIIIIIIIIIIIIIII 24
DEPARTMENT OF ENVIRONMENTAL HEALTH _ IE
ENVIRONMENTAL HEALTH SERVICES
SUPPLEMENTAL. REPORT TO. SAN.' FORM # DATE . Zi 0 7
SUBJECT �-P T S .. PERMIT NO. �s j
.ADDRESS
INSPECTOR T !�. �Ld�aTZ
REMARKS:
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1' —c,-, c. ` 4DC=- ri .�G Av -1 / L i-4-
DEH -SAN -118 (Rev 8W) Distribution: WHITE—office; CANARY—Owner; PINK—Office
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY �I��IIIIIIIIIIIIIIIIIIIII 25
FIRE DEPARTMENT IE
In cooperation with the '— — —
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 • Fax(951)940-6910
Date 7—/ o? — /
City of La Quints
Building Department
RE p �1(it� 9
1
TheiveQidl County 494epartment is granting the Fire Clearance for the following
location
__To/ 7,5
Please call if you should have questions 760-863-8886
Respectfully
By 0"e—S
Terry DeSoucy
Fire Systems Inspector
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY IIIlillllllllllllilllllll 26
FIRE DEPARTMENT IE
In cooperation with the _— -
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 • Fax (951) 940-6910
Date 1p —C:?, -5.0 7
City of La Quinta
Building Department
RE _ 1 -"'77 q 7 9
�l�The iverside County Fire Department is granting the Fire Clearance for the following
location SZ n I rl 4i '&, i e r; I -
Please call if you should have questions 760-863-8886
Respectfully
By
O
Terry DeSoucy
Fire Systems Inspector
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072