BTTR2014-0001m
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BTTR2014-0001
Property Address:
55140 AUTUMN VALLEY CT
APN:
767860040
Application Description:
TEMP TRAILER FOR MONTERRA
Property Zoning:
Ca
Application Valuation:
$2,700.00
Applicant:
0
S R BRAY LLC DBA POWER
PLUS
1210 N RED GUM STREET
ANAHEIM, CA 92806
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 Professions Code,
and my License is in full force and effect.
License Class: B. C10, D31 License No.: 980589 n
(D j0�Z3� 1z'I Contractor �
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.).
(_) 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. . 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/23/2014
Owner:
WOODBRIDGE PACIFIC GROUP LLC
27285 LAS RAMBLAS
MISSION VIEJO, CA 92691
Contractor:
S R BRAY LLC DBA POWER PLUS
1210 N RED GUM STREET
ANAHEIM, CA 92806
(714)507-1881
Llc. No.: 980589
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 wI prk for which this permit is issued.
S� 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: Policy Number: _
_ 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, I shall forthwith
comply with those provisions.
Date: Applicant: ah.&I-t2
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 Building Official 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 city to enter upon the above-
mentioned property for inspection purposes.
Date:b Tia Signature (Applicant or Agent):t I i —4 juk2Z—
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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 wI prk for which this permit is issued.
S� 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: Policy Number: _
_ 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, I shall forthwith
comply with those provisions.
Date: Applicant: ah.&I-t2
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 Building Official 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 city to enter upon the above-
mentioned property for inspection purposes.
Date:b Tia Signature (Applicant or Agent):t I i —4 juk2Z—
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.00
$0.00
PAID BY . '.
METHOD -
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42403
0
$16.92
$0.00
PAID BY
METHOD,
RECEIPT#.
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $40.92 $0.00
TOTALS:0.00
- DESCRIPTION ACCOUNT QTY AMOUNT } PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
TEMP POWER SERVICE
PC 101-0000-42403 0 $16.92 $0.00
Total Paid for ELECTRICAL: $40.92 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE RETURNED STATUS REMARKS NOTES
Printed: Thursday, October 23, 2014 2:18:04 PM 2 of 2
CRI"
V717
BOND
INFORMATION
- ATTACH
M E NTS
Printed: Thursday, October 23, 2014 2:18:04 PM 2 of 2
CRI"
V717
Description: TEMP TRAILER FOR MONTERRA
Type: TEMPORARY TRAILER
Subtype: Status: SUBMITTED
Applied: 10/10/2014 SKH
Approved:
Parcel No: 767860040 Site Address: 55140 AUTUMN VALLEY CT LA QUINTA,CA 92253
Subdivision: TR 32742
Block: Lot: 40
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,700.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: ELECTRICAL -TEMP POLE. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
DESCRIPTION I ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CD
TEMP POWER SERVICE I 101-0000-42403 1 0 I $24.00 I $0.00 I I I I I L1
Printed: Thursday, October 23, 2014 2:18:04 PM 1 of 2 CR srsrea S
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Bin # ;.
Permit #
2C�t 4
Project Add
Cray of La QUinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
4tAtu v�V ( La Quinta, ca 92253 = (760) 777-7012
SSi 4p uildin k Permit Application and Tracking Sheet
Owner's Name: �rD11D��0 �ffC/f/C GiQ4U/d
A. P. Number: Tc0 7• �8D -Q��
Address: ?729; LAS�MBL�S
Legal Description:r1/E% •��C I�!'%�p s R 7�
City, ST, zip:'/s5/oN 1�/Pi Q
Contractor:
Plan Sets
Tcic hone: -
Address:
Project Description:
City, ST, Zip:
Structural Cales.
4 1 4or 6F//y
Telephone:
Reviewed, ready for corrections
:i' <>"'•.>:>: ;,:;,: ;>;..... :.:::;•;:•;:;;:
Plan Chcck Deposit
State Lic. # :
City Lie. #,;
Arch., Engr., Designer.
Called Contact Person
Address:
:�ity, ST, Zip:
Fele hone:
P
>s•:;;>::::>::> ;>:;,:<<:;>:::::<:>;;>:
Construction Type: Occupancy:
hate Lic. #:
Flood plain plan
Project type (circle one): New Add'n Alter. Repair Demo
0
lame of Contact Person: 5re ✓z ���
Sq. Ft:
#Stories:
# Units:
/D
. cicphone # of Contact Person: • 4W19_ • •�� g
Estimated Value of Proj cct:
APPLICANT: DO NOT WRITF RFI OW THIS I INF
# •
Submittal
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Chcck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2".Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
IT.O.A. Approval
Plans resubmitted
Grading
rN HOUSE:-
Rcview, ready for corrections(ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fccs
Total Permit Fees
Bin #
Qty of La Quinta
Building &r Safety Division
Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address:
Owner's Name:
q e
A. P. Number:
Address:2 z 6
Legal Description:
City, ST, Zip: k4f5tojjFigso
647
Contractor: c�
r Gl.%Y • l()
Telephone: H 3'fiS6L47--''�'�`�•�r>>>;>.>:.:�;:_:::::::..,.::._,..<.
Address: L v
Project Description:
oil.
City, ST, Zip: Y.% .�- f- �' �
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Telephone: 6D —
State Lic. # : R 8 (� ,j
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
s; >.>r >•
f
Construction Type: Occupancy:
YP-
State . #
S teLic
Project type (circle one): New Add'n Ater Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: Z -1 C
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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 Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd 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 IIOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P.O. Box 1504
LA QUJNTA, CALIFORNIA 92247-1504
78-495 CM..i.e Tt�',Nu,ico .
LA QUiNTA, CALIFORNIA 92253
October 7, 2014
Mr. Steve Zabala
Woodbridge Pacific Group
27285 Las Ramblas
Mission Viejo, CA 92691
SUBJECT: MINOR USE PERMIT 2014-1012
TEMPORARY CONSTRUCTION TRAILER
Dear Mr. Zabala:
N
(760) 777-7000
FAX (760) 777-7101
The Community Development Department has reviewed and approved your request for a
temporary construction trailer for Tract 32742, subject to the following Conditions of
Approval:
1 . Once the trailer is installed, it can remain on-site for a one year period. However,
an extension of the one year period may be applied for, withno additional fee, in
writing to the Planning Division before expiration. The Community Development
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, 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 Division 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 Official.
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 2A10BC fire extinguisher inside the trailer and sign over the exit doors
which states 'Door to Remain Open During Business Hours'.
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