Loading...
06-3833 (TT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'yl'4 4 Q" BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT f VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 , __ Date: 10/27/06 Application Number: [ 06=00003833 Owner: Property Address: k--52672 MERIWETHER WY EAST OF MADISON LLC APN: 767-200-998-M -330762- 80955 AVENUE 52 Application description: TEMPORARY TRAILER LA QUINTA, CA - 92253 Property Zoning: LOW DENSITY RESIDENTIAL. Application valuation: 4000 Contractor: D I Applicant: Architect or Engineer: MCGRATH RENTCORP LOCT_. �'� 2000 ) 5700 LAS POSITAS R© LIVERMORE, CA 9455 (925)606-9250 CITY OF LA QUINTA Lic. No.: 450299 FINANCEDEPY ------------------ 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.: 450299 Date:. 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).: (_) 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.). (YN) 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 contractors) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this ren' ate:A I hereby affirm under penalty of perjury that there is a construction lending agency for the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT --------------- - - - 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 UNITED INS Policy Number 4086911412 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 sub' to the workers' compensation provisions of Section 3700 of the Labor Cotjerl•sgal1 fort ith,coKply with-tbnse-movisions. - - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FU ,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 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 correct. I agree to comply with all city and county ordinances and state laws relating to building constructs n, and hereby authorize representatives of this county to enter upon the abo entioned prop e spe on doses-: - �%d re (Applicant or Agent Application Number . . . . . 06-00003833 Permit TEMP TRAILER / MOBILE HOME Additional-desc.. Permit Fee 200.00 Plan Check Fee 00 Issue. Date . . Valuation . . 4000 Expiration Date 4/25/07 Qty Unit Charge .Per Extension BASE FEE 200.00 Special Notes and.Comments. ONE ADDITIONAL CONSTRUCTION TRAILER WITH 3 STORAGE TRAILERS PER MUP 2006-768 Fee•summary Charqed Paid Credited Due LQPERMIT Bin # City ®f La Quinta Building UT Safety Division , P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 52672 Meriwether Way Owner's Name: 'East of Madison., LLC. A. P. Number: 767-200-008 Address: 80955 Avenue 52, Legal Description: Portion. of Lot M of -33076-2 City, ST, Zip: La Quinta, CA 92253 Contractor: Mobile Modular Telephone (760) 391-5072' Address: 11450 Mission Boulevard Project Description: 4 additional construction site City, ST, Zip: Mira Loma, CA 91752 and storage trailers with decking and staff - Telephone: (951) 360-6600 `#: As approved under MUP 2006-768 Extension 1, State Lic. # : 450299 City Lica4161 Arch., Engr., Designer: (October 18, 2006 letter, attached) . Address: City, ST, Zip: . f Telephone: State Lic. #: Name of Contact Person: Jeff Prevost Construction Type: Occupancy: Project type (circle one): • New Add'n Alter Repair Demo Sq. Ft:: 1,,202* #Stories: 1 # Units: 4 addit Telephone # of Contact Person: ( 760) 391-5072 Estimated Value of Project: $4-000.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIgNG . PERMIT FEES' Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctIions/issue . Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading INHOUSE:- ''" Review, ready for correctionsrssue Developer Impact Fee , Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 2(� nal