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BTTR2014-0002Applicant: Contractor: DISCOVERY BUILDERS DISCOVERY BUILDERS 80955 AVENUE 52 D 80955 AVENUE 52 LA QUINTA, CA 92253 V �! a VOICE (760) 777-7125 78-495 CALLE TAMPICO (760)391-5072 D FAX (760) 777-7011COMMUNITY LA QUINTA, CALIFORNIA 92253 DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT ' Date: 12/1/2014 Application Number: BTTR2014-0002 Owner: Property Address: 53965 HUMBOLDT BLVD EAST OF MADISON APN: 767700029 P 0 BOX 1482 Application Description: TEMPORARY TRAILER LOT 77 MUP2014-1014 LA QUINTA, CA 0 Property Zoning: Application Valuation: $1,000.00 Applicant: Contractor: DISCOVERY BUILDERS DISCOVERY BUILDERS 80955 AVENUE 52 D 80955 AVENUE 52 LA QUINTA, CA 92253 V �! a LA QUINTA, CA 92253 DEC p 1 2414 (760)391-5072 Co MUNl1Y0I QUINTA Llc. No.: AEC252 - - - - - - - - - - - - - - - - - - - - - - - - - - -- -r• - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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: _ License No.: AEC252 YDate: I I (� contract OWNER-BUILDERAMARATiON I hereby affirm under penalty of perjury thatram 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 Divisior�3 of the Business and Professions Code) or that he or she is exempt therefrom and the /7( 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 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: _ 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 sho become subject to the workers' compensation provisions of Section 3700oft Labor Code, I shall forthwith comply wiitth those provisions. Date: ) L ( I' _ Applican WARNING: FAILURE TO SECURE WORKER/INAPL EN A ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TOC PE LTIES 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 rel ing to building construction, and hereby authorize representatives of this city to en pon the above- mentioned property for inspection purposes. Date: 1� I I Signature (Applicant or Agent):_ tax g CL ul Us Im ul Us FINANCIAL ,• 1 DESCRIPTION ACCOUNT QTY ,. AMOUNT PAID PAID DATE CASH OVER 101-0000-42300 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCASH OVER: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $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: $41.09 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0• Permit Details PERMIT NUMBER City of La Quinta BTTR201'4=00.02 "' Description: TEMPORARY TRAILER LOT 77 MUP2014-1014 Type: TEMPORARY TRAILER Subtype: Status: SUBMITTED Applied: 12/1/2014 PJU Approved: Parcel No: 767700029 Site Address: 53965 HUMBOLDT BLVD LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 77 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: TEMPORARY TRAILER FOR TEMP POWER TRAILOR 24'X 60' APPROVED PER PLANS & AJ & MINOR USE PERMIT 2014-1014. CONDITIONS DESCRIPTION ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CD CASH OVER 101-0000-42300 0 $1.00 $0.00 Total Paid forCASH OVER: $1.00 $0.00 Printed: Monday, December 01, 2014 4:27:21 PM 1 of 2 CRWYSrEMs INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BOND INFORMATION ATTACHMENTS Printed: Monday, December 01, 2014 4:27:21 PM 2 of 2 CRW YSrfMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.92 $0.00 PC Total Paid for ELECTRICAL: $41.09 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.8S $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" BOND INFORMATION ATTACHMENTS Printed: Monday, December 01, 2014 4:27:21 PM 2 of 2 CRW YSrfMS Bin. # City. Of %a Quin' to - 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 # ProjectAddtess: 53 Owner's Name:. A. P. Number. (0 }_ 0 0 _ D ZGl Address: . 0 3 1 �( �f Z Legal Description: Contractor:Al5-0—+-1- i,COvti• (�✓- ��) C r �.. City; ST, Zip:C C ZZ(-( - y v i'ti Telephone: 60-3`1I - 5-0—+2 Address: Address: Is 0 - 1 5y -A-1 4� S z- Project Description: � �f yy�♦ /p. �� City, ST, Zip: C, Qj,,A� CA Telephone: a - � <= ' �,,.., lob �, ,...s>,� , So. � �►� State Lic. # : s 33 6 City Lic. }i: y J60,4 Arch., Engr., Designer:pin Address: City., ST, Zip: ` Telephone:`c State Lic. #: Name of Contact Person: RZk ' Cr Construction Type: ��(�S� Occupancy: Project type (circle one . No Add'n Alter Repair Demo Sq. Ft.: 4 q O # Stories: Telephone # of Contact Person: '760+-'L" li - yl� ti 8 Estimated Value of Project: 1 e9 o 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIiCnVG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Pian Check Balance Title 24 Cales. Pians picked up Construction Flood plain plan Plans resubmitted.'.Mecharilcal Grading plan r' Review, ready for corrections%tsue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.MX H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr - Date of permit issue School Fees Total Permit Fees C/;� V4./ November 25, 2014 Mr. Zachary Hanan Discovery Builders California 80955 Avenue 52 La Quinta, CA 92253 SUBJECT: MINOR USE PERMIT 2014-1014 MADISON CLUB - CONSTRUCTION TRAILER; LOT 77, TR 33076-2 53965 HUMBOLDT BOULEVARD. Dear Mr. Hanan: The Community Development Department hereby approves your application request to install a temporaryconstruction trailer located on residential Lot 77 of TR 33076-2, on the within the Madison Club development in the City of La Quinta. The trailer shall be installed in conformance with the application and subject to the following Conditions: 1. Thetemporary 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 Community Development Department before expiration. The Community Development Director may, after reviewing the facts, extend the use of the trailer for arl 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 Division. 3. A building permit is required for the temporary trailer and temporary electric power. Please apply to the Building 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 generally be placed on Lot 77 as shown on the site plan, and shall maintain all property line setbacks as shown, unless otherwise approved by the Building Division. 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). 6.' Provide one 2A10BC fire extinguisher inside.the trailer and sign over the exit doors which states 'Door to Remain Open During Business Hours' 78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 - www.La-Quinta.org ti 7. If the trailer is elevated, it 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. All exterior security light fixtures shall be hooded/shielded 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. The trailer shall provide restroom facilities to accommodate on-site workers. 12. Dust control measures shall be implemented for the construction trailer parking area and construction access drive. Design and construction shall be as outlined in the PM 10 mitigation plan as approved and in effect for Madison Club. The City may elect to add conditions to this application request to mitigate any problems that may arise and are not addressed herein. Should you have questions regarding the content of this letter, please contact the undersigned at 760-777-7069 or via e-mail at wnesbit(a)la-auinta.6m. Sincerely, Wallace Nesbit Principal Planner c: Public Works Department Community Development - Building Division Community Development - Code Compliance Division r