12-1483 (TT).a
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
1001483,
80723 BRISA MARINA
762-240-014-70 -34243 -
TEMPORARY TRAILER
RL AG/EQ OVERLAY
600
T,i4 4 4 Q"
Architect or Engineer:
air
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe ry ry that I am licensed under pro. ' ions of Chapter 9 (commencing with
Section 7000) of Division 3 of the B iness and Professionals C de, an License is in full force and effect.
License Claasss (B i Licens : 9 219
-•.,Date: LS - ontractor:
I hereby affirm under penalty of perjury thal 1 am exempt from fhe Contractor's tate license Law for the
following reason (Sec. 7031.5, Business a d Professions Code: Any city o unty that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to i s 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.).
(_ 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.).
(_ 1 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:
MADISON 58TH LA QUINTA,
1282 PACIFIC OAKS PLACE
ESCONDIDO, CA 92029
Contractor:
ALTA VERDE BUILDERS, IN
71905 HIGHWAY 111, SUIT
RANCHO MIRAGE, CA 92270
(760)776-1111
Lic. No.: 969219
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
LLC
1/17/13
D 0rr-,
GL
JAN 25 2013
CITY M.Lq QUINTA
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 9006140
I certify that, in the pe rmance of the work for which this permit is issued, I shall not employ any
person in any manna o as to become subject to the workers' compensation laws of California,
and agree that, if I s Id become subject to the ars' compensation provisions of Section
/ 3700 of the Labor Ifs\,hall forthwith comply with ose provisions.
Date: -1 A-plidant:
WARNING: FAIL E TO SECURE WORKS S' COMPENSATION CCVERAGEJIS NLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FI E HUNDRED THOUSAND
DOLLARS ($100,000)• IN ADDITION T 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 issuanc of such permit, or cessation of work for 180 days will subject
permit to cancellation.
1 certify that I have read this application and state the a above information is cP';ff
h all
city and county ordinances and state laws relating to i ing construction, and s
of this ouenty ,renter upon the above-mentioned pr for inspection purpos
�d e: I `� Signature -(Applicant or Agent): `
Application Number . . . . . 12-00001483
Permit .
. TEMP TRAILER / MOBILE HOME
Additional desc .
.
Permit Fee . . .
. 200.00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
. . .
. 600
Expiration Date
7/16/13
Qty Unit Charge Per
Extension
BASE FEE
200.00
----------------------------------------------------------------------------
Special Notes and
Comments
TEMPORARY CONSTRUCTION TRAILER FOR NEW
SFD CONSTRUCTION
PER MUP 2013-1054. 2010
CODES.
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
Bin.#
✓
Permit #
City Of La Qili(1td
Bulldlrlg u Safety Division
3 P.O. Box 1504,78-495 Calle Tampico
j3U4AI4.Qulnta, CA 92253 - (760) 777-7012
ngi Pe,nnit Application and Tracking Sheet
Project Address: "
Owner's Name:. v .Ch
Address: O � 1 \_1
q
A. P. Number. (� 2_ 21A0 0 I
Legal Description:
City, ST, Zip: Z
Contractor.
Telephone: Q —(
Address:''
Project Description::
nnqAA
City, ST, Zip: : V V1, V� �� Q
CJokN I (W tj
Telephone
Lic.
WOL Or'
State Lic. # :
Arch., Engr., Designer.10
Address:
Q yi 1 ' " vviu tJ
City., ST, Zip:
2 -246— - 7cJ w (7
Telephone:v �"
State Lie. #: � .� <.,.,.„ "A . • `�
Name of Contact Person: -�(� SQ�r
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Projects co
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
SubmIttal
Req'd
Rec'd
TRACKING PERMIT FEES-
Plan Sets
Pian Check submitted Item Amount
Strudural Cafes.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Pian Check Balance
Title 24 Cities.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2`' Review, ready for coricotionsfissue Electrical
Subeoatactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
'r° Review, ready for correctionsfissuc Developer Impact Fee
Planning Approval
Called Contact Person A.1-P.P.
Pub. Wks. Appr '
Date of permit Issue
School Feu
Total Permit Fees
3.
J
f
N
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 'FAX (760) 777-7101
January 15, 2013
Mr. Russell Jones
Alta Verde Builders
71905 Highway 1 1 1, Suite G
Rancho Mirage; CA 92270
SUBJECT: MINOR USE PERMIT 2013-1054 - ALTA VERDE CORAL MOUNTAIN
CONSTRUCTION TRAILER; LOT 70, TR 32432
The Planning Department hereby approves your application request to install a
temporary construction trailer on residential Lot 70 of TR 32432, addressed as
80723 Brisa Marina (formerly Pasatiempo) in the City of La Quinta. The trailer shall
be installed in conformance with the application and subject to the following
Conditions:
1. The temporary construction trailer can remain on-site for a one year period,
from its final occupancy approval date. 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, Nuisarmes). 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 20-feet..from the street unless
otherwise approved by the Building and Safety Director.
5. The building address shall be installed on the :trailer to help identify. the
temporary construction office location (e.g., minimum 2 -inch high letters in a
contrasting color).
J
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. The exterior surfaces of the trailer shall be painted and in
overall good condition.
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. Provide restroom facilities to accommodate on-site workers.
12: Dust control measures shall be implemented if construction parking is allowed
on Lot 70. Otherwise, parking for the use shall be limited to the existing
street system.
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,
WALLACE NESBIT
Principal Planner
c: Building and Safety Department
Code Compliance Department
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