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08-0393 (TT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000393_ Property Address: 52672 .MERIWETHER °WY APN: 767-200-998-M -330762- Application description: TEMPORARY TRAILER Property Zoning: LOW-DENSITY RESIDENTIAL Application valuation: 6500 Applicant: Architect or Engineer: d 1,A �1 r BUILDING & SAFETY DEPARTMENT BUILDING .PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice sed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business.and Pro ssionals Code, and my License is in full force and effect. License Cla t ! sr:✓,B/r t1;10 license No`: -'7461 ract.r: .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 7631.5 by any applicant for a permit subjectsthe 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.). - (_ 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 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: LQPERA7IT Owner: EAST OF MADISON LLC PO BOX 1482 LA QUINTA, CA 92247 Contractor: D A & M CONSTRUCTIO P.O. BOX 366 LA QUINTA,.CA 9224 (760)564-4832 Lic. No.: 746198 VOICE (760) 777-7012 FAX .(760) 777-7011 INSPECTIONS (760) 777-7153 LIAR 06 2003 CITY (deaiTA Date:. 3/06/08 WORKER'S COMPENSATION DECLARATION 1 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 . 044-0028137-07 I certify that; in the performance of the work for which this permit is issued, I shall not employ any person in any manner as to become subject to the workers' compensation laws of California, and agree that, if I sh Id become subjgc[ to the workers' compensation provisions of Section 37707`f0 of the Labor C e, 1 shall forthwith comply with those provisions. plicanv 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 andfor 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 stat hat the above information is correct. I agree to comply with all city and county ordinances and state laws relat to building construction and hereby authorize representatives of this county to enter upon [ e above-mentiFw pr perry for inspection - .at. : 3 lO a nature (Applicant or gent): Application Number 08-00000393 Permit . . . TEMP TRAILER / MOBILE HOME Additional desc . Permit Fee 200.00 Plan Check Fee .00 Issue Date... Valuation 6500 Expiration Date 9/02/08 Qty Unit Charge Per. Extension , BASE FEE 200.00 ----------------------------'----------------------=------------------------- Special Notes and Comments TEMPORARY CONSTRUCTION TRAILER FOR NEW CONSTRUCTION, PER MUP # 2008-988 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 c LQPEB:N111' TZICK Moetls �mm; Bin # • Ci�. F ty of La ,Quanta r f � r n ,y�, •.. ,�,. +'�e �'��1 S. ' t �s o .,�'7t "V,,� r .r Building & Safety Division'. P.O. Box 1504, 78-495 Calle Tampico Permit .# La Quinta, CA 92.253 - (760).7.7,7-7012 ,dol &7A. Building Permit Application and Tracking Sheet' Project Address: ElZ 12 -1 W �j¢� f Owner's Name: P. Number: � DA. Address: • �'-�t ` t.py� a.;}. y, j.7'�'rf�'4.��"' '� Legal Description:` ,ST, Zip:.Ty� ��. Contractor: U"G L D�'jaJ�" Telephoner 3�% " �D'7 7 z: //, Address:' 7j S� _ r + ProjecfDescription.� • City, ST, Zip: Telephone.lJlr!2-1// City Lic:"#: p, ` State Lic. # . 7. Arch. Engr., Designer: , Address: r City, ST, Zip: Telephone: A. Constructiop Type:. �? Occupancy: Py: State. Lic.. #: " f Project type (circle one): • New Add'n_. ' Alter Repair .`. Demo Name of Contact Person`. ®' LG6�. Sq. Ft.: r #Stories: Telephone # of Contact Person: 7 d Z ZS Estimated Value of Project: !o j ' APPLICANT: DO NOT WRITE BELOW THIS LIN # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted .� Item - = Amount Structural Calcs. Reviewed, ready for corrections'. Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance„, , �. Energy Calcs. Plans picked'up �' ,, - Construction' Flood plain plan Plans resubmitted ` 3, + �i . . , Mechanical"; Grading, plan 2"d Review, ready Cor "corrections/issues - h _ry, Electrical ' Suhcontacfor List' Called Contact Person Plumbing, s` Grant Deed Plans picked up S. M'.1. ' H.O.A. Approval Plans resubmitted G. 4 k Grading' IN HOUSE:- ''" Review, ready for corrections/issue '. Developer Impact Fee Planning Approval Called Contact Person °^ , _ :• - 1. A.LP.P. + '- Pub. Wks. Appr - - Date of permit issue r School Fees .' ,'.. . Total Permit Fees rh �.. •+ ..r r f � r n ,y�, •.. ,�,. +'�e �'��1 S. ' t �s o .,�'7t "V,,� r .r 4 _ �4} , Frt`� �• * `J' i . . . .}� .,, t' YU r ( . � L.. �'-�t ` t.py� a.;}. y, j.7'�'rf�'4.��"' '� wN fir• _� y.. }.;A��.'%g i.,4fy. kms,- ,�`[�� s �`�.. �, N ' -..� s •q,. J 4” T '{, 1�. �.. Y � Y�`��'C •t "'� l` Z• t 1� � GC. ..�. �� .. ' VICINITY MAP