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10-0089 (TT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: - Application description: Property Zoning: Application valuation: Applicant: 6L�� ,10--00000089 52295 MERIWETHER WY 767-690-009- - - TEMPORARY TRAILER LOW DENSITY RESIDENTIAL 200 Architect or. Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1 hereby affirm under penalty of perjury that I am I' ensed under provisions of Chapter 9 (commencing with . Section 7000) of Division 3 of the Business and fessionals Code, and my License is in full force and effect. License Class: B C10 License No.: 746 i <--"Dat' -Contractor: 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 _ 1 I, as owner of theproperty, 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.). I—) I am exempt under Sec. B.&P.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: LOUIS & MICHU WELCH 52295 MERIWETHER WAY LA QUINTA, CA 92253 (760)391-5072 Contractor: A & M CONSTRUCTION P.O.. BOX 366 LA QUINTA, CA 92247 (760)564-4832' Lic. No.: 746198 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/18/10 FAM. TRUST ------------------ 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 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 497-0000854-09 1 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 s uld become subject to the workers' compensation provisions of Section ' 3700 of the Labor , I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURJ KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 bove information is correct. I agree to comply with all city and county ordinances and state laws relating to buil g construction, and hereby authorize representatives of this county to enter upon the above-mentioned prope or inspectioe purpos Date: 2—ti 0 Signature (Applicant or Agent): ' LQPERMIT Application Number . . . . 10-00000089 Permit . . . TEMP TRAILER / MOBILE, HOME' . Additional desc . Permit Fee. 200.00 P1an.Check Fee .00 Issue Date . . . . Valuation . . . . 200 Expiration Date 8/17/10 Qty Unit. Charge Per Extension BASE FEE 200.00 -------------------------------------------------------- Special Notes and'Comments _ ------------------- TEMPORARY TRAILER PER APPROVED PLAN & MUP 2010-1014. 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 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO (7 60) 777-7000 LA QUINTA, CALIFORNIA 92.253 FAX (760) 777-7101 February 17, 2010 ; Mr. Louis Welch t A&M Construction' P.O. 366 ` La Quinta, CA 92253 SUBJECT: MINOR USE PERMIT 2010-1014 CONSTRUCTION TRAILER; Dear Mr. Welch: The Planning. Department hereby approves - .your application. request to install a temporary construction trailer on a residential property located at 52-295 Meriwether Way in the City of 'La Quinta as shown on the attached exhibit, subject to the following Conditions 1. Once the trailer is installed, they can remain on-site for a one year ' period. However, an extension of the one year period may be applied for, with no additional fee, in writing to the Planning Department before expiration. The Planning Director may, after reviewing the facts, extend the use of the trailer for an additional 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 be issued.,, 4- The trailer 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 trailer to help identify the temporary business location (e.g., minimum. 2 -inch high letters in a contrasting color). I • 6. Provide one 2A10BC fire extinguisher inside the trailer and sign over the exit doors which states 'Door to Remain Open 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 trailer. 8. No temporary signs are permitted unless separately approved by this Department. 9. No exterior lighting for the trailer 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 trailer 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 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 trailer. 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, N E FRANCO sistant Planner C: Building and Safety Department 6. Provide one 2A10BC fire extinguisher inside the trailer and sign over the exit::,', -,w doors which states 'Door to Remain Open 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 t the trailer. 8. No temporary signs' are permitted unless separately, approved by this Department. 9. No exterior lighting for the trailer. 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 trailer 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 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 trailer. 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) 777-7.125. Si cerely, j N E FRANCO V sistant Planner. 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' �._.__-_���,__„a--. �I' 'f! / ; IIlurr�rrl 4 _n �' 1•. ^ap _ _ �' ISN... �a�,.� : ` � � t f_ �. ! ! ! ! ;:"If'•.�'?I [.�=,—rtro.` �vI r it "1 ili1II1!!f i Aa-, - 0 MER/WETHE�� µrq dR � ii1 aa ®A it A E ' B 9tE t. �a g ee®esoosoe s o j� � PPSIax CWc1..L PVN CBEPARED BN. THE WELCH RESIDENCE McCEN SURVEYMC, ►NC Q45-100 COLF CENTER PARKWAY LOT 17, TRACT 330762 BUILDING F. SUITE C INDIO CA 92201 "THE I.1/l & Dg8OM CLUB" (760) $42-2249 7 Z ego Bin # City of La Quinta Building a Safety Division Permit # ` P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet r Project Address:—// —q 5 R oeuwAAC �L Owner's Name: A. P. Number: 7-& 7 to 0 r®© w' " 7 Address: Z -Z 9 S f/�,(Qit( L-aeA7*Zw- Legal Description: / Contractor: i L '" J` i City, ST, Zip: LA C ACU' f (a� P 17�, Telephone s Address: © Project Description: City, ST, Zip: �ke�9vl,vr 97T1�- 3 8 7 Telephone: �� y7 �d ?i State Lie. # : �% -1 [�! Arch., Engr., Designer. "e',, •.. �. 3. > ~~:; v rro� F•: i. 1K. City Lie. #.: Address: City, ST, Zip: Telephone: : Construction Type: Occupancy: Project type (circle one): New Add' n Alter Repair Demo State Lie. #: .s' ;,w. .;,.". Name of Contact Person: ��� /� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7 Ll 2f "77 757 Estimated Value of Project: 2 zPe r_ APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan. Plans resubmitted Grading plan 2'! Review, ready for correctionstissue LPIumbing Subcontactor List Called Contact Person Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- ''' Review, ready for correctionstiissuc Devdoper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees