TT (06-4152)79745 Mandarina
06-4152
P.O. BOX 1504
< 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: c-06-00004152
Property Address: 79745 MANDARINA
APN: 776-190-999-B -32068 -
Application description: TEMPORARY TRAILER
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
T4ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 Businessand essionals ode, and my License is in full force and effect.
License Class: B ense No.: 873958
Date:2 o6 - tr
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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 _ 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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.).
(_) I am exempt under Sec. , BAP.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
Owner:
POMELO PACIFIC LLC
24002 VIA FABRICANTE STE 222
MISSION VIEJO, CA 92691
(949)600-7020
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/06/06
Contractor: DEC oos
TMC COMPANY INC C 0 6
24002 VIA FABRICANTE, TE 222
MISSION VIEJO, CA 9269 C (OFLAAI I"
(949) 600-7020 FItaNCEBdP%
Lic. No.: 873958
------------------
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.
F -f 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 STATE FUND Policy Number 0014757-2005
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 o the workers' compensation laws of California,
and agree that, if I should become ject to workers' compensat ovisions of Section
3700 of
thp Labor Code, I shaKo with c provisions.
- -0 Applican
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.
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 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 c mply with all
city and county ordinances and state laws relating to buil 'ng construction, and authori r resentatives
of this county to enter upon the above-mentioned prop inspection pur ses
D ( S' ature (Applicant or Agent):
4Z.
Application Number . . . . . 06-00004152
Permit . .
. TEMP TRAILER
/ MOBILE HOME
Additional desc .
.
Permit Fee . . .
. 200.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 5000
Expiration Date .
. 6/04/07
Qty Unit Charge Per
Extension
=
BASE
FEE
200.00
---------------------
Special Notes and
------------------------------------------------------
Comments
TEMP CONST. TRAILER PER MUP #2006-860
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
yj
,1►i V ria:
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
December 5, 2006
Mr. Steve Lovett
TMC Company Inc.
24002 Via Fabricante
Mission Viejo, CA 92691
SUBJECT: MINOR USE PERMIT 2006-860
CONSTRUCTION TRAILER
Dear Mr. Lovett:
The Community Development Department hereby approves your application request
to install a temporary construction trailer at 79-745 Via Mandarina (APN 776-190-
011). As shown on the attached exhibit, subject to the following Conditions:
1. Once the trailers are installed, they can remain on-site for a 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 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 street unless
otherwise approved by the Building and Safety' Director.
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).
y
6. Provide one 2A10BC fire extinguisher inside the trailers 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 trailers 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. No exterior lighting for the 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 the trialers shall be a written
notice informing emergency personnel of your 24-hour emergency phone
number in case of 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 the issuance of Certificates
. of Occupancy.
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,
NNE FRANCO
Assistant Planner
C: Building and Safety Department
Public Works Department
Code Compliance Department
Sheriff's Department
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Building 8L Safety Division
Permit ff
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253
- (760) 777-7012
Bullding Permit Application and Tracking Sheet
Project Address:
7y M tJ
Owner's Name:
A. P. Number:
Address: 2 i
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Legal Description:
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City, ST, Zip: as ci LP, `7
Contractor: fr
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Telephone:lo
Address:
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Project Description:
.City, ST, Zip:
Telephone: q - pV _ O 2
State Lic. # :.% 3 S- g
City Lic. #:
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Arch., Engr., Designer:
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Address: 2$ °
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City,: ST, Zip:
2—(. S
Telephone: ?2q,4--
Constrwtion Type: Occupancy:
State Lic. #: G
Project type (circle one): New Add'n Alter .mRepair Demo
. .
Nae of Contact Person:
Sq: FL:#Stories:
#Units:
Telephone # of Contact Person:
'
Estimated Value of Proj
3202 15
APPLICANT:
DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd :
Rec'd
TRAC[QNG
PERMIT FEES
Plan Sets.
Plan heck submitted
Item
Structural Calc$.
Reviewedcorrections, ready for
Amount
•
Plait Check Deposit
Truss Cates.Called
Contact Person'
Plan Check Balance
Energy .Calc#.
Plans picked up
Flood plain plan
Plans resubmitted
Construction
Mechanical
Grading.plan'
•
2" Review, ready for eorrecf-sue i-1
Electrical
Sabrnntactor hist
Called Contact Person
Plumbing
Graat Deed
.. ..
Plans picked tip
S.M.I.
H.0A. Approval
Plans resubmitted
.
Grading
IN HOUSE:-
'`' Rcvicw, ready for correctionstissue
Developer Impact Fee.
elanning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue.
A.I.P.P.
School Fees.
.;
Topxl.Permit Fees ... .
ADDRESS MAP.
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