TT (05-0355)57325 Madison St
05-0355
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BUILDING &.SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
OFTt 9 95 C TAMPICo FAX (760) 777-7011
- •U1 T ALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
D
FEB Q 2 ZQQS BUILDING PERMIT
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AppI icat r . . f 05-00000355 Date 2/02/05.
Pro r y Address . . 57325 MADISON ST
APN: 762-240-003- -000,000-
Application description . . TEMPORARY TRAILER
Property Zoning . . . . . MEDIUM DENSITY RES
Application valuation 40000
Owner h.Contractor
--------------------------
PUERTA AZUL PARTNERS
DAV IS/REED 'CONSTRUCTION INC
17700 SW UPPER BOONES FERRY RD 169 SAXONY ROAD, STE #105
SUITE 100 ENCINITAS CA 92024
PORTLAND OR 97224 (760) 634-2350
WCC: STATE FUND.
WC: WC298892004 06/12/05
CSLB: 813480 10/31/06
CCC: B
Permit . . . . TEMP TRAILER / MOBILE HOME
Additional desc
Permit. Fee . . . . 200.00 Plan Check, Fee .00
Issue Date . . . . Valuation 40000
Qty Unit Charge Per Extension
a
BASE. -FEE 200.00
--------------------------- ---- .-- --- -----------'rt------------------
Special
- - ---------
Special Notes and Comments
TEMP CONSTRUCTION TRAILER.PER MUP
2005-593
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 x.00 200.00
P.O. Box 1504 • G/ VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date:
Applicant: I 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
, and ss License i gfull force and effect.— Lido. -1.340
icense Class 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 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 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 Owner
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 perrnit is
S iss . Mr*Nork4rs' compensatio urance camer,, gqd IQy ntAb f, f
rner / Policy Number V J•rI
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' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date .. 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 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 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 co ect. I agree to comply with all city and county ordinances and state laws relating to building
constru on, and hereby authorize repre tatives of this coun /enter up a (/bove-mentioned property for inspection purposes.
<Date'.Q nature (Applicant or Age t : S
r
JAN 3 1 2005
A,01
P.O. Box 1504 .
LA QUINTA, CALIFORNIA 92247-4504
78-495 CALLE TAMPICO ' 4 `- (760) 777-7000
LA QUINTA, CALIFORNIA 92253. FAX (760) 777-7101
January 25, 2005
Davis Reed Construction Y
57,325 Madison Street !
La Quinta, CA 92253
SUBJECT: Ap
proyal, of Miriiar Use P?rmit;2005,:593,
Dear Mr. Davis Reed Construction:
v r
The Community Development Department hereby approves your application
request to install a temporary construction' trailer at 57-325 Madison Street, 'as
shown on the attached exhibit during the construction of the facility, subject to
the following, conditions: ,
1. Once the trailer is installed, it can remain on-site fora six=month period.
However, an extension of the six-month period may be applied for, with no
additional fee, in writing' to the Community Development Department
before expiration. The Community Development Director may, after
reviewing the facts, extend the use"of the trailer for another six-month
period.
2. Use of the trailer 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 trailer 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 issued.
4. The trailer shall be placed a minimum 1'0 -feet from the street unless
otherwise approved by the Building and Safety Director.
5 A building address shall be installed on the trailer to help -id'entify the
temporary, business. location (e.g., ;minimum 2 -inch high letters in a
contrasting color).
6. Provide one 2A10BC fire extinguisher'inside the construction trailer and
sign over the exit .door which states 'Door to Remain Open During Business
Hours.
p:\tim\mup/LA` 2005-593.doc 4
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>. P.O. Boa 1504 S
✓GJ. LA QUINTA, CALIFORNIA 92247-1504
Of 78-495 CALLS TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
7. The. trailer, 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 construction trailer. The exterior surfaces of the trailer shall be
painted (or may be stuccoed) and in overall good condition..
8. No :temporary signs are permitted unless separately approved by this
Department.
9.
Noexterior - lighting ,for the --railer-.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.
10. Mounted close to the front door 'on the, outside of the 'building 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).
11. The trailer and fence shall be removed from the site prior to the issuance of
Certificates of Occupancy.
12. Provide restrooms facilities to accommodate on-site construction workers.
13. Dust control measures shall be employed if construction parking is allowed
adjacent to the trailer.
14. City may elect to add conditions to this application request to mitigate any
problems that may arise and are not address herein.
Ity- ou have any questions., please contact me -at (760) 77.7-70.65.
Very truly yours,
Fred Baker, AICP
Principal Planner
C: Building and Safety Department
Public Works Director
Code Compliance Department
Sheriff's Department
I
p.\tim\mup/LA 2005-593.doc
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