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TT (05-4238)78145 Main St 05-4238 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0_5,.00004238- Property Address: 78145 MAIN ST APN: 770 -124 -005 - Application description: TEMPORARY TRAILER Property Zoning: VILLAGE COMMERCIAL Application valuation: 4200 Applicant: . T414t 4 4 a" BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT Owner: OLD TOWN LA QUINTA 78015'MAIN ST #205 LA QUINTA CA LA QUINTA, CA 92253 Contractor: Architect or Engineer: PRIMUS CONTRACTING 1409 SO. 600 WEST, BOUNTIFUL, UT 84010 /(760) 123-4567 a Lic. No.: 814726 - -=----------------------------------------------- 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 is in full force and effect. `License Class: B License No.: 814726 Date: Contr 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 (5500).: 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 and 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 (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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 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: i Lender's Address: LQPEitMIT GRC SU] VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/21/05 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. I I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - Code, Jor 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 1705181 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. te: licant: 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 upori 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 Quints, 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; pon he above-mentioned property for inspection purp es. te: "' - gnature IAp 'ant or Agent LQPERMrr o Application Number . . . . . 05-00004238 Permit TEMP TRAILER / MOBILE HOME Additional desc . Permit Fee . . . . 200.00 Plan Check Fee 00 Issue Date Valuation 4200 Expiration Date 3/20/.06 Qty Unit Charge Per Extension BASE FEE 200.00 Special Notes and Comments TEMP. CONSTRUCTION TRAILER PER TUP # 2005-567 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 LQPERMrr V 41. 1 FA P.O. Boa 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 September 21, 2005 Mr. James Shelton Primus Contracting Group, Inc. 75-110 St. Charles Place, Suite 13 Palm Desert, CA 92211: SUBJECT: TEMPORARY USE PERMIT 2005-567 Dear Mr. Shelton: P (7,60) '777-7.000 FAX (760) 777-7101 The Community Development Department hereby app(oves your application request to install a construction trailer on the southeast corner of Desert Club Drive and Avenida Buena Ventura, 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 for a six-month' period. However, an extension maybe applied for, with no additional fee, in writing to the Community Development Department prior tn.the expiration of the permit. The Community Development Director may, :after reviewing the facts, extend the use of the trailer for another six-mohth period. 2. Use of the trailer shall be limited to the hours of Wnstruction 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 Sa.fAty Department. 3. A building permit is required far the temporary_trailer and..temporaryy.electric power. Please apply to the Building and Safety..:F, partment for a permit (760- 777-7012). Written permission from the property owner is required before a 'building permit can be issued: 4. The trailer shall be placed a minimum 10 -feet frord'ahe street unless otherwise approved by'the Building and Safety Director. 5. A building address shall be installed on the trailer to help identify 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 Gpen During Business Hours.' 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. No exterior lighting for the trailer is allowed uniess 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 af:the building shall.be a written notice informing -emergency personnel of.. yoO. `.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 a Certificate 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. The City may elect to add conditions to this application request to mitigate any problems that may arise and are not address herein.. If you have any questions, please contact me at (760) 777-7067. Very truly yours, JAY WUU Assistant Planner c: Building and Safety Department Public Works Director Code Compliance Department Sheriff's Department r) ,P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO ` LA QUINTA,. CALIFORNIA 92253 September 21, 2005 Mr. James Shelton Primus Contracting Group, Inc. 75-110 St. Charles Place, Suite 13 Palm Desert, CA 92211. SUBJECT: TEMPORARY USE PERMIT 2005-567 Dear Mr. Shelton: . N (760) 777-7000 FAX (760) 777-7101 The Community Development Department hereby approves your application request to install a construction trailer on the southeast corner of Desert Club Drive and Avenida Buena Ventura, 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 for a six-month period. However, an extension may be applied for, with no' additional fee, in writing to the Community Development Department prior to..the expiration of the permit. 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 donstruction as listed in the La Quinta Municipal rode (Chapter 6.08, Nuisances.).. A copy of this time schedule can be obtained frori the Building and Safety Department. 3. A building permit is required fpr the.tem:porary_frailer and temporary electric power. -Please apply to the Building and Safetydepartment for a permit (76.0- 777-7012). Written permission from the propeq:' owneris required before a building permit can be issued, 4. The trailer shall be placed a minimum 10 -feet frorn,1he street unless otherwise approved by the Building and Safety Director. 5. A building address shall be installed 'on the trailer to help identify 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 Gpen During Business Hours.' A; 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 shail'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 trailer is allowed un ess :approved by the Building and Safety Department. All security light fixtures shall be hooded to prevent dight 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 a Certificate 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. The City may elect to add conditions, to this application request to mitigate any problems that may arise and are not address herein. If you have any questions, please contact me at (760) 777-7067. Very truly yours; JAY WUU > Assistant Planner c:. Building and Safety Department r Public Works Director Code Compliance Department Sheriffs Department •: M 1, No.