07-1470 (TT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number:
07-00001470
Property Address:
80737 BRISA MARINA
APN:
762-240-014-69 -34243 -
Application description:
TEMPORARY TRAILER
Property Zoning:
RL AG/EQ OVERLAY
Application valuation:
5000
T4ht 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 Li c nse No.: 763187
Dater dtractor:
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.).
(_ 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: Pt
LQPERMIT
Owner:
MADISON 58TH LA QUINTA,
1282 PACIFIC OAKS PLACE
ESCONDIDO, CA 92029
Contractor:
INNOVATIVE COMMUNITES,
200 E. WASHINGTON AVE,
ESCONDIDO, CA 92025
(760)839-8238
Lic. No.: 763187
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/16/07
LLC
------------------
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 0008209-2006
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 of Section
3700 of the Labor Code shall forthwith comply ith those provisions.
/Date: . �6 pplicant: ������
WARNING: FAILURE TO SEC E 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 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 construction, and hereby authorize representatives
of this c unty to enter upon Pe above-mentioned property r inspection purposes.
r
te: S �� nature (Applicant or Agent):
6
Application Number . . . . . 07-00001470
Permit . .
. TEMP TRAILER/
MOBILE HOME
Additional desc .
Permit Fee . . .
. 200.00
Plan Check
Fee
.00
Issue Date
Valuation
. .
5000
Expiration Date
11/12/07
Qty Unit Charge Per
.•Extension
BASE
FEE
200.00
----------------------------------------------------------------------------
Special Notes and
Comments
TEMP CONSTRUCTION
TRAILER FOR NEW
CONSTRUCTION, PER
MUP #2006-827
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
---=------
200.00
----------
.00
----------
.0.0
200.00
Plan Check Total
.00
.00
.00
.00
Grand Total
200.00
.00
.00
200.00
LQPERMIT
Bin #
City of La Quinta
Building 8r 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: v r,��" a p
Owner's Name: •Nn A Ll.
A. P. Number: .1too 2.1to •otkk
Address: k Paa •`
Legal Description:
Contractor:
City, ST, Zip: tre %6 LA q2G
Telephone: Coo • 526
Address: �2 ;` ?
Project Description:
City, ST, Zip: e a alto 2f'N
Telephone: -7W. o• 5'L 00
State Lie. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
�':�s:`>'::=`:»':z<<..................
:F>....
.
># 4>>s <:''.'.s'`: <'>:»»':::»
Construction Type: Occupancy:
Lie. #:
State Lt
type C Project a circle one): New Add'n Alter Repair J ) P r Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'•d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees
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37 .
i 45900 FGX 4�i i
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��n4
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
September 7, 2006
Mr. Brad Fomon .
Madison 58th La Quinta, LLC
200 E: Washington Avenue, Ste. 100
Escondido, CA 92025
SUBJECT: MINOR USE PERMIT 2006-827 — CONSTRUCTION TRAILER
Dear Mr. Fomon
.(760) 777-7000
FAX.(760) 777-7101.
The Community Development Department hereby approves your application request. to
install a temporary construction trailer on Lot 69 within the Pasa Tiempo Development, as
shown on the attached exhibit, subject to the following Conditions:
1. Once the trailer is installed, it can remain on-site for a six-month period. However, an
extension of the six-month 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 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, 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).
Written permission from the property owner is required before a building permit can
be issued.
4. The trailer shall be placed a minimum 15 -feet from the street unless otherwise
approved by the Building and Safety Director.
5. A building address shall be installed on the trailer to help identify the temporary
business location (e.g., minimum 2 -inch high letters in a contrasting color).
6. Provide one 2A1 OBC fire extinguisher inside the construction trailer and sign over the
exit door 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 (or may be stuccoed) 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 building shall be a written notice
informing emergency personnel of your 24-hour emergency phone number in case of
problems arise that need your prompt attention (i.e., minimum one -inch high letters).
11. The trailer shall be removed from the site prior to the issuance of Certificates of
Occupancy.
12: . Provide restrooms facilities to accommodate on-site workers.
13. Dust control measures shall be employed if construction parking is allowed adjacent .
to the trailer.
14. The City may elect to add conditions to this application request to mitigate any
problems that may arise and are not address. herein. .
If you have any questions, please contact me at (760) 777-7125.
Sincerely,
ERIC CEJA
Assistant Planner
C: Building and Safety Department
Public Works Department
Code Compliance Department
Sheriff's Department