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0102-140 (TT)H N rn W O CY � ' W r*- oZ� Zo 0' O H(JD Waw U) Z M 141N ON U °' a Q W Lo 0C LL X W — ,mUU O d rn "t Z oob 5 0 J LICENSED CONTRACTOR 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 # Lic. Class Exp. Date Signature of Contraotor Date � „j;�� y A� a!� rp ' OWNER-BUILDE,R'DEG�Ii4RJATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier Policy No. FFIL CONT C.OMPENO 3 -t�4S vf93 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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�gf'A ection 3700 of the Labor Code, I sh✓ II orth.with comply with tho's'eAprovisi, n ' Date: Applicant��w f Warning: Failure to secure Workers ,Ipensation coverage is unlawful and shall subject an employer to crlmink penalties and civil fines up to $100,000,'iri addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. " IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspec�4ion purposes. Signature (Owner/Agent) A ,+.��'+�' i`��" Date_ �= / �°'� BUILDING PERMIT PERMIT# DATE VALUATION LOT .�,s �i, TRACT JOB SITE APN ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER ,AWllz tko PALM DUIFIZT CA 92W USE OF PERMIT PALIM'DES MAZr CA 92261 C760)346-5228 CHU, 03031 i(1) TEMP.-ORA.RY CONOTFi`."lri^M014 MA f LM O1151�1'' AS PEE b9. IP 2000S .Ug '9FAist3ATiON SLIP. 00 1.41 -�,000420-000 $200,10 4 7 FE3 1 2-:1 Yt IMS EIRE-PAMMUD VXMIA PER-W—C king DUE HOW w <.ty �2C}t�,a`ECb �o�.CJli RECEIPT EI_D�r /!i �rlBY"w rww _r"' I DATA FINALEj�G/ INSPECT��P INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS -SPAS' Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Piaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit _ Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 November 6, 2000 Andrew Pierce Corporation 44-835 Deep Canyon Palm Desert, California 92260 SUBJECT: MINOR USE PERMIT 2000-249 Dear Applicant: (760) 777-7000 (TDD) (760) 777-1227 Off' 24P I-7 LO The Community Development Department has approved your request to establish a temporary construction office trailer at 78-280 Birkdale Curt pursuant to Section 9.60.210 of the Municipal Code, subject to the following conditions: Y �'f 1. Phi to building ermit ' uance, �$500.00 Ser hall po ed insuring that the I tem ora impr ents are remfore utilities ed to occu a house. 2. Mounted on the exterior of the office front door shall be a writte& notice providing emergency personnel your 24-hour emergency.phone number they can call in case problems I arise that need your prompt attention (i.e., minimum 1" high letters). 3. Trailer skirting is required. 4. A sign permit is required for any on-site advertising. 5. Install one 2A1 OBC fire extinguisher inside the front exit door of the office. 6. A dust control plan is required if on-site parking is proposed. 7. The trailer shall be removed by November 6, 2001, unless an extension is granted by the Community Development Director. 8. The City may elect to add Conditions -to this application request to mitigate any problems that arise not previously addressed herein. MUP249 Trailer - 44 greg (ok - C11, SS) This decision may be appealed to the Planning Commission provided the necessary paperwork and filing fee of $175.00 are filed with this office within 15 days. If you have any questions, please contact me at 760-777-7067. Sincerely, JEERMAN C ITY DEVELOPMENT DIRECTOR _QU,SDELL Associati Planner Enclosures c: Community Development Director Code Compliance Department Fire Department Betty Sawyer, Executive Secretary 0 MUP249 Trailer - 44 greg (ok - CII, SS) P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 November 6, 2000 Andrew Pierce Corporation 44-835 Deep Canyon Palm Desert, California 92260 SUBJECT: MINOR USE PERMIT 2000-249 Dear Applicant: f (760) 777-7000 (TDD) (760) 777-1227 The Community Development Department has approved your request to establish a temporary construction office trailer at 78-280 Birkdale Court pursuant to Section 9.60.2 10 of the Municipal Code, subject to the following conditions: 1. Prior to building permit issuance, a $500.00 security deposit shall be posted insuring that the temporary improvements are removed before utilities are released to occupy the house. 2. Mounted on the exterior of the office front door shall be a written notice providing emergency personnel your 24-hour emergency phone number they can call in case problems arise that need your prompt attention (i.e., minimum 1" high letters). 3. Trailer skirting is required. 4. A sign permit is required for any on-site advertising. 5. Install one 2A1 OBC fire extinguisher inside the front exit door of the office. 6. A dust control plan is required if on-site parking is proposed. 7. The trailer shall be removed by November 6, 2001, unless an extension is granted by the Community Development Director. 8. The City may elect to add Conditions to this application request to mitigate any problems that arise not previously addressed herein. MUP249 Trailer - 44 greg (ok - CII, SS) This decision may be appealed to the Planning Commission provided the necessary paperwork and filing fee of $175.00 are filed with this office within 15 days. If you have any questions, please contact me at 760-777-7067. Sincerely, HERMAN UNITY DEVELOPMENT DIRECTOR ELL Enclosures c: Community Development Director Code Compliance Department Fire Department Betty Sawyer, Executive Secretary MUP249 Trailer - 44 greg (ok - CII, SS) City of La Quinta Community Development Department 78-495 Calle Tampico La Quinta, California 92253 (760) 777-7125 FAX: (760) 777-1233 OFFICE USE ONLY Case No..�� - Date Recvd. crf� Fee: 7' Related Apps.:~ j`10 Logged in by: �4 CATION FOR MINOR USE PERMIT APPROVAL oo� MING >l PE"IT applications are reviewed and approved by the Community Development Director pursued gection 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land uses requiring the perrfiit do not have an adverse impact on surrounding properties, residents, or businesses. APPLICANT, (Print) MAILING ADDRESS PROPERTY OWNER (If different): (Print) MAILING ADDRESS: CITY, STATE, ZIP: Phone No. Fax No. PROJECT LOCATION: -78-2-so g 1 RK c)4LFGou GZT PROPOSED USE AND/OR CONSTRUCTION (Including operational information): LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): L,nT A _ :20eAt;9" �,"S470 AI8WIinor Use Permit n OCT 5 2400 U U CITY OF LAQUINTA PLANNING DEPARTMENT ; 0ti SUBMISSION REQUIREMENTS: 0 Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff). Five (5) sets of plans on 8'/z" x 11" sheet or folded down to 8'V2" x 11". O Filing fee for Minor Use Permit. If filing multiple applications, the most expensive application will be charged full fee, with remaining related applications discounted 50% for each. This discount does not apply to Environmental Information form. NAME OF APPLICANT (Please Pri SIGNATURE OF APPLICANT DATE /D ZS DO NAME OF PROPERTY OWNER (Please Print) SIGNATURE OF. PROPERTY.OWNER(S) IF NOT SAME AS APPLICANT: DATE (Signature provides consent for applicant to use site for proposed activity). DATE (Separate written authority by owner to submit application may be provided) NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE GROUNDS FOR DENYING APPLICATION. 0 A I Minor Use Permit -:::71 1 i i