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06-5235 (TT)P.O. BOX 1504 78-495. CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: . Architect or Engineer: PIA BUILDING & SAFETY DEPARTMENT BUILDINGS PERMIT Owner: WPM LA QUINTA, 1000 EAST 80TH MERRILLVILLE, LLC PL. STE. 555 N IN 46410 VOICE (760) 777-7Q1'�2 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Contractor: WPM CONSTRUCTION CA LP O 1000'EAST 80TH PLACE,. #55 MERRILLVILLE, IN 46410 4 (219)680-5000 Lic. No.: 825987 OFC L �®,� lt� Date: 12/13/05 ---------------------------------------------------- LICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION Application Number:05-00005235 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Property Address: —PALM --ROYALE DR APN: 609-051-010- - - Application description: TEMPORARY TRAILER Property Zoning:. HIGH DENSITY RESIDENTIAL A00IICatlon valuatiury , 1500 Applicant: . Architect or Engineer: PIA BUILDING & SAFETY DEPARTMENT BUILDINGS PERMIT Owner: WPM LA QUINTA, 1000 EAST 80TH MERRILLVILLE, LLC PL. STE. 555 N IN 46410 VOICE (760) 777-7Q1'�2 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Contractor: WPM CONSTRUCTION CA LP O 1000'EAST 80TH PLACE,. #55 MERRILLVILLE, IN 46410 4 (219)680-5000 Lic. No.: 825987 OFC L �®,� lt� Date: 12/13/05 ---------------------------------------------------- LICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION ---------------------- ------ ------ WORKER'S COMPENSATION DECLARA/�� following declarations: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the o' hompens Section 7000) of Division 3 of the Bus' e s and Professionals C e, and my License is in full force and effect. - _ I have and will maintain a certificate of consent to self insure for workers ion, a rovided License Cl s: B - n e o.: 825987 - for by Section 3700 of the Labor Code, for the performance of the work which thi permit is f 2 b� ate: ontractor: _ issued. � I have and will maintain workers' compensation insurance, as required by Section 0 of the Labor - - - - -- --- , --- -- - Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the insurance carrier and policy number are: Carrier ZURICH Policy Number WC930464403 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a'permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I sho become sub•ect a orkers' compensation provisions of Section License law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or C hall ft mwithhose provisions., that he or she is exempt therefrom•and the basis for the alleged exemption. Any violation of Section 7031.5 by �7OLabor any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:nt: as owner of the property, or my employees with wages as their sole compensation, will do the work, and 'AND the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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: tj- LQPERA1IT 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 Ouinta, 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 app' ation and state that the bove information is rect. I agree to comply with all city and d ounty ordinances a state laws relating to buil i construction, a h eby authorize representatives 7ae'.ytVe he above-mentioned pro?7 (Applicant or Agent): Application Number . . . 05-00005235 Permit TEMP TRAILER / MOBILE HOME Additional desc . Permit Fee 200.00 Plan Check Fee .00 Issue Date Valuation' 1500 Expiration Date 6/11/06 Qty Unit Charge Per Extension BASE FEE 200.00 ----------------------------------------------------------------------------- Special Notes and Comments TEMPORARY CONSTRUCTION TRAILER PER MUP #,,2005-.707. MEDITERRA APTS. 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 - NUV-1Y—;= 005 15:04 Din # Permit # 5a3� Project Address: A_ P. Number; 13501 Contractor: WpM� Address; City, ST, Zip. ErQ11.3.. Telephone. 21 q _ State to. # : &Z 5- " Arch., Engr., Designer: Address: City, ST, Zip. Telephone: Slate Lic. #: Name of Contact Person: Telephone 0 of Contact person; # Plan Sets Structural Calcs. Truiv Calm. Energy Calca. Flood plain plan Grading plan' Subcontactor Lint Grant Deed II.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr Sellout *FM CANTERRA APTS 750 340 5126 P.02 City of La Quinta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BUiiding Permit Application and Tradtdrig Sheet Owner's bili ia: 1 (� .r Address: btu City, 5T, zip: me=, �� - G A L �• Telephone: L ��0 Z;. qF- 5j_j Proj=Description: Lic. #; ConstMdtion Type: pr6ject type (eircic Tol+� Sq- t.- fjalj Estimated Value of 'LICANT: DO NOT WRITE BELOW THI: nACKnvG Plan Check submitted Reviewed, ready Rbr corrections Called ContactherNon Plans picked up Plunb resubmitted 284 Itoview, ready for cnrreetionsllssue Colltd Contact I'erson Plans picked up Plane resubmlmd i'4 Review, ready for corrections/Issue Called Contact Person Date orpermit 13,1110 A 1L -%M_ Occupancy: O tL New Add.'n Alter Repair Demo # Storks: # Units! ' :ct: V911WUT TEES Item Amount Plan Chert Deposit Plan Chtec Balance Construction Ntcchonic�.l Electrical Plumbing S.M.X. Grading Developer Impact Ikcc Total Pcrinit 82E -d SOOMO'd 682-1 _NM WVPV:11 9002-N-AON ' ivuv-i r-�e�5 15.65 r CANTERRA *APTS 750 340 5126 P.03 P.U. Box ' 1 501 LA QUi_Nr,►,-'CALIFORNIn 02;247-1504 78.405 C m.u.s TAMPICIi {79ti 777-7Ah6 LA QUINTA, CALIFORNIA 03225:; PAX (7601) 777-7101 November 18, 2005 Mr. Dave Rawdon WPM Construction 1000 East 80th PI., #555N Merrillville, IN 46410 SUBJECT: MINOR USE PERMIT 2005-707 Dear.Mr. Rawdon: The Community Development Department hereby approves your application request to install a temporary construction trailer at the northwest corner of Palm Royale Drive and New Darby Road; as shown, on the attached exhibit, during the construction of the facility, 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. ?. 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 terrporary 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 104eet from the street unless otherwise approved by the Building and Safety Director, 5. A building address shall be installed on .the trailer to he p 'identlfy the temporary business location (e.g., minimum 2 -inch high letters in a contrasting color). r S. Provide one 2A108C fire extinguisher inside the constructionrailer and sign over the exit door which states 'Door to Remain Open During Business Hours.' 81E-� 900/E00'd 681-1 -NOH NOV:C1 900Z-8Z-AON ivuv--�bb5 15:05 CANTERRA RPTS 760 340 5126 P.04 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 ane -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 ques ' ns, please contact- me at (760) 777-7067. Very truly yours, JAY Assistant Planner c: Building and Safety Department Public Works Director . 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