04-7661 (TT)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
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Application Number 04 00�-0766'1' �Date`�� 12/k07i/04
Property Address . . . . . . 80690 AVEN —52 f� ---< -- �� - �, ►;
APN: 772-270-010- -
Application description . . . TEMPORARY TRAILERC 0`12004
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 500 CIG��%
Owner Contractor
------------------------ --------- - --------------
VISTA LA QUINTA PARTNERS WASSERMAN CONSTRUCTION, RA
223 EAST DE LA GUERRE 45520 STONEBROOK COURT
SANTA BARBARA CA 93101 LA QUINTA CA 92253
(760) 962-0400 (760) 771-8191
WCC: STATE FUND
WC: 1795012 07/01/05
CSLB: 681660 06/30/06
CCC: B
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Permit TEMP.TRAILER / MOBILE HOME
Additional desc . . I
Permit Fee . . . . 200.00 Plan Check Fee.. .00
Issue Date . . . . Valuation . . . . 500
Expiration Date . . 6/07/05
Qty Unit Charge Per Extension
BASE FEE 200.00
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Special Notes and Comments
TEMP CONSTRUCTION TRAILER PER MUP
2004-567
Fee summary. Charged Paid Credited Due
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Permit'Fee Total 200.00- .00 .00 200.00
Plan Check Total .00 .00 .00 .00
Grand Total 200.00 .00 .00 200.00
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
tJ ` I
Application Number: — Date: /� ' �� 0
Applicant: C
Applicant's Mailing Address:
Architect or Engineer:
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 Section 7000) of Division 3 of the Business and Professionals
Code and my License i .ull force and effect.
License Class'~--,rcense
�I ' '1 CG��
Date.-- O {`� Contractor W _ /� s��� ��m rQ' S Al G
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, 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 Contractors' 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 fora permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date
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 policy number are:
Carrier /n§?
umber
I certify that, in the performance ofwhish this permit's issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califom'th Y, if I f1'GId ecome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those
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 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
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 Ouinta, its
officers, agents and employeesfor any actor 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 info n I e to com ith all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to a property for inspection purposes:
Date A
Sig"tur(� klPplicaayf.c�rAgent):
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
December 7, 2004
Mr: Richard Wasserman
RA Wasserman Construction," Inc.
77955 Calle Tampico
La Quinta, CA 92253
G(4paularav
RE: Minor Use Permit 2004-567; Construction trailer at La Cantera
772-270-010 — TR 31123
Dear Mr. Wasserman:
(7 60) 777-7000
FAX (760) 777-7101
The Community Development Department has reviewed your application for the above
referenced Minor Use Permit. The request for a construction trailer at the referenced
location is approved in accordance with the following conditions:
GENERAL CONDITIONS:
1. Install one 2A10BC 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-up 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 is for 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.
m
8. Approval of Minor Use Permit 2004-567 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,
Wallace Nesbit
Associate Planner
c: Building and Safety
Fire Marshal
Code Compliance
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