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BUILDING & SAFETY DEPARTMENT
P 0-B.O.X-1SO4 (760) 777-7012
`SOF Q 78-995 CA TAMPICO FAX (760) 777-7011
LA QUINT BALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
JUL 0 8 2004. •
BUILDING PERMIT
CITY OF LA QUINTA
FWATICE D9rPT.
App kation XEL— e 04-00.005385 Date 7/08/•04
Property Address . . . . . . 79355 HIGHWAY 111
.APN: 649-030-999-5 -30420 -
Application description ...TEMPORARY TRAILER
Property Zoning . . . . . . REGIONAL COMMERCIAL
Application valuation.. 300
Owner Contractor
STAMKO DEV CO CONSTRUCTION DESIGN SYSTEMS, I
C/O PROVIDENT FINANCIAL MGMT 78401 HIGHWAY 111, SUITE F-2
10345 W OLYMPIC BLVD 2 FL LA QUINTA CA 92253
LOS' ANGELES CA 90064 (760) 771-3593
WCC: STATE FUND
WC: 1709785-03 02/01/05
CSLB: 767086 08/31/05
CCC: A -B
Permit TEMP TRAILER / MOBILE HOME
Additional desc
Permit Fee 200.00 Plan Check Fee .00
Issue Date Valuation. . . . 300
Qty Unit Change Per Extension
BASE FEE' 200.00
-------------.-------
Special Notes. and Comments
RELOCATION OF EXISTING TEMP CONSTRUCTION
TRAILER PER MUP 2004-464.
Fee summary
-----------------
.Permit Fee Total
Plan .Check Total
Grand Total
Charged Paid Credited' Due
200.00 .00 :00 200.00
. . 00 . 00 . .00 . 00
200.00 .00 .00 200.00
,.
P.O. Box 1504 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: �3 Date:
Applicant Architect oEngineer:
/ T—
/A—
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LI CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I licensed u e�Nosi07�;7,0 p br N mmencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my License is in full force and effect. License CIasB .ff incel
Date — ' i% Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am rpt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, al 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 visions of the Contractors' 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).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the stricture 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 or 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.).
U 1, 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.).
U 1 am exempt under Sec. a , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to selfAnsure 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. M work��((ss' compensation insurance carrier and polis number are:
Cartier `f�'t/0 Policy Num — O
_ I certify that, in the performance of the wo r w ' this pernit is issue ,'tsh�not employ any person In any manner so as to become subject to the workers'
compensation laws of California, and a e th , mf I should become subject tothe wtorkers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date
WARNING: FAILURE TO SECURE WORKERS'MP NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND OL RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AFV ATTORNEY'S FEES.
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
Lenders Address
. 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, indemnity and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission r o e wo mng erform d under or following issuance of this permit.
2. Any permit issued as a result of this application baso s null and ' id if work is not commen 'thin 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to c ncellatio
I certify that I have read this application and state that the above i ormati ms correct. I agree to comply with all city county ordinances and state laws relating to building
construction, and hereby authorize. representatives of this county to -ft-above-rationed property for inspect purposes. r
Date 07 1& G ` Signature (Applicant or Agent):
a
P.'O. Box 1.504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
June 22, 2004
Ms. Chris Clarke
Stamko Development
2205 N. Poinsella Avenue
Manhattan Beach, CA 90266
(760) 777-7000
FAX (760) 777-7101
SUBJECT: TEMPORARY USE PERMIT 2004-464 (CONSTRUCTION TRAILER)
Dear Mr. Clarke:
The Community Development Department hereby approves.your application request to install
new temporary construction trailer on site as shown the attached graphic subject to the
following Conditions:
1. Once the trailer is installed, they can remain on-site for a one year period. Removal of
the temporary construction trailer is required on June 22, 2005. However, an extension
of -the one year 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 a one
year 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).
4. The trailer shall be located as shown on the attached graphic. The Trailer shall not be
located in any landscape setback.
5. A building address shall be installed on the trailer to help identify the temporary business
location (e.g., minimum 3 -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 open during business hours." The Fire Marshall
can be reached at 863-8886.
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7.. Mounted close to the front. doors on the outside of the buildings 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).
8. 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.
9. No temporary signs are permitted unless separately approved by this Department.
10. Exterior lighting for the trailer is not 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 properties.
11. Provide restroom facilities to accommodate on-site construction workers.
12.. No lighting is allowed unless approved by the Building Department prior to on site
installation. Should security lighting' be required for .the project, all light fixtures shall be
hooded to prevent light glare from being cast on adjacent properties or affecting the
vision of passing motorist. Tamper resistant light fixture covers are required to reduce
vandalism.
13. Developer agrees to indemnify, defend and hold harmless the City of La Quinta in the
event of any legal claim or litigation arising out the City's approval of this project. The
City of La Quints shall have the right to select its defense counsel at its sole discretion.
14. 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 760-777-7065.
Sincerely,
JERRY HERMAN
COMMUNITY DEVELOPMENT DIRECTOR
FRED M. BAKER, AICP
Principal' Planner
Enclosure
c: Lisa Bailey, CDS construction
Building and Safety Director
Public Works Director
Code Compliance Department
Sheriff's Department
G:\Files\!Word docs\TUP 2004-464. new construction trailer.doc
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