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08-1789 (TT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001789 Property Address: 4-4225 JEFFERSON ST APN: 604-521-005- - - Application description: TEMPORARY TRAILER Property Zoning: NEIGHBORHOOD COMMERCIAL Application valuation: 3000 Applicant- / Architect or Engineer: A -4- ----------------- LICENSED - — LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 m 'cense is in full force and effect. License Class:: B p 1/J/% _ Li se No.: 892 A� Moate �r`� ra7 V 1Y Contractor. /'7//�f/��/L� D i%Od!/ 7 31 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 r4air 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).: 1 _ 1 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: REGENCY MARINITA LA QUINTA 36 EXECUTIVE PARK STE 100 TENANT / FRESH & EASY IRVINE, CA 92614 Contractor: MOOREFIELD CONSTRUCTION, 600 N. TUSTIN AVENUE STE SANTA ANA, CA 92705 (714)972-0700 Lic. No.: 397892 VOICE (760) 777-7012 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 10/30/08 LLC -------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 MAJESTIC INSURA Policy Number 020070379102' 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' co n ation provisions of Section 3700 of the Labor Code, 1 §ball forthwith cAply with thoseArgp4sions. 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 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 t comply with all city and county ordinances and state laws relating to building construction, and hereby author re resentatives of this �county to enter ��upon the above-mentioned or pert inspection purpo es. �.,./ nara/U ��D• �Gitn W, _A /JY // / // �/2 LQPERMIT Application Number . . . . . 08-00001789 Permit . . . TEMP TRAILER / MOBILE HOME Additional desc . Permit Fee . . . . 200.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3000 Expiration Date 4/28/09 Qty Unit Charge Per Extension BASE FEE 200.00 ---------------------------------------------------------------------------- Special Notes and Comments TEMPORARY CONSTRUCTION TRAILER AT JEFFERSON SQUARE PER APPROVED PLANS & TUP 2008-843. 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 W, ADDRESS SHOPS I - 44.2.15 JEMCi s 6—T SUITE lot (c4) SUITE io - — — — SUITE Io5 — �— SUITE tot (rc>) — MAJOR - 14.215 JcRssw -'h-1 SHOPS 2 . M -155 !YF•!••I 5i"t — SUITE iot— SUITE o SUITE ..3 — SUITE 1..1(FUIURE POTENTTAL)6Wst� — — FRESH AND EASY -4t-t351.((a-15ruq SHOPS 3 •4-o•+S-rTTms-�Sita( .....n SUITE to, btn) SUITE las SUITE to3 SUITE lot SURE 1.5 Cw+6 DRUG - 44.075 -KRm�•1 react PAD A- 41 -IX JtfFfsel *+-T CONTACT CATHERINE REYES OF KTGY GROUP INC. FOR ANY ADDITIONAL INFORMATION. 949-221-6293 JEFFERSON SQUARE La QulnM CA REGENCY CENTERS MHvf..•4 ».ICO Mt O ffiIC 60891 x z N vuti nv..0 Q �� .o.��. •tom Mvmss Mse LEGAL DESCRIPTION`° n.w+..w• usw o...�a. r.s.d a..Io+• u..w.. 1•. -gym StrE >..e..o.�. �......,q.. PLAN - A-100 Bin # City of La Qulnta Building U 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: ��ovs c N +. _ Owner's Name: A. P. Number:Address: 2 ty� If S -t' Legal Description: City, ST, Zip: C/ Q R D Contractor: m od l,Telephone: 710 -3 411 /39-5—ININNOWN' Address: �Q Project Description: City, ST, Zip: . 027 OS" TCv`7 Telephone: -!,17,1-0 7 D State Lic. # : City Lic. #: Arch., Engr., Designer: Address:. `, s City, ST, Zip: s'-tr. J4 06 ra Telephone: Construction Type: Occupancy: State Lic. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Mt ' Sq. Ft.: # Stories: AA#Units: Telephone # of Contact Person: Q - S3 Estimated Value of Project: 3 �� .�) " 0 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 Energy 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 HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees t P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 October 29, 2008 Mr. Mike Perazzo Moorefield Construction, Inc. 600 N. Tustin Avenue, Ste. 210 Santa Ana, CA 92705 SUBJECT: TEMPORARY USE PERMIT 2008-843; TEMPORARY COSTRUCTION TRAILER AT JEFFERSON SQUARE Dear Mr. Perazzo: The Planning Department hereby approves your application request to install a temporary construction trailer at Jefferson Square, at the southwest corner of Fred Waring Drive and Jefferson Street, as shown on the exhibits, subject to the following Conditions: 1. Once the trailer is installed it can remain on-site for a six-month period. However, an extension may be applied for, with no additional fee, in writing to the Planning Department prior to the expiration of the permit. The Planning 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 temporary construction fence is permitted with this application. The materials and location of the fence shall conform to the submitted plans on file with the Planning Department. The fence may be in place only during the period of construction and shall be removed prior to sign-off's by the Building & Safety Department. 4. 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. 5. ' All driveways within the development shall be maintained. 6. . The trailer shall be located a minimum of ten (10) feet from all surrounding property lines. i7 7. 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). 8: Provide one 2A10BC fire extinguisher inside the construction trailer and sign over the exit door which states 'Door to Remain Open During Business Hours.' 9. 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 construction trailer. The exterior surfaces of the trailer shall be painted (or may be stuccoed) and in overall good condition. 10. No temporary signs are permitted unless separately approved by this Department 11. No exterior lighting for the trailer or storage container 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. 12. 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 problems arise that need your prompt attention (i.e., minimum one -inch high letters). 13. The .trailer and storage unit shall be removed from the site prior to the issuance of a Certificate of Occupancy. 14. Provide restrooms facilities to accommodate on-site construction workers. 15. Dust control measures shall be employed if construction parking is allowed adjacent to the trailer. 16. 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: tBuilding-and-SafetyDepartment, Code .Compliance Department Sheriff's Department . . f� r kC,�'" o4,.-�r City of La Quinta, 78-495 Calle Tampico, P. . Box � DATE r EIVED FROM_47 1RESS OF -, CASH )UNT PAID ICHECK NCE MONEY Y DOLLARS $ 02, La Qu, CA 92247 c 1!/Y_89188 •"---- --------..-��c�carx�xx*ytfFiF**ik*�Ikilt**�k****************'*** D. 1. Business Name: Moorefield Construction, Inc. Business Address:. 600 N. Tustin Avenue, suite #210 City/State: Santa Ana, CA Zip Code: 92705 2. Mailing Address: 3. _ Business Phone: 714/972-0700 4. Owned by: Corporation X Partnership: City/State Zip Code: Individual: 5. If Corporation or Partnership, Federal Tax I.D, is required: 95-3419477 6. Name of Owner'or Officers and Title: Mike Moorefield, President 7. Vehicle License Plate Number Permit Number (Finance Dept. Use On 8. A. Type. of Contractor: General or Subcontractor (circle one) B. Contractor Classification: s C. State License Number: 9. Authorized Persons) to Sign Permits: _. Mike Perazzo HEREBY CERTIFY that all information supplied by me is correct and any licenses required by the County, State or Federal Governme ve been issued to me and are in full force and effect. Signature: Title: President Date: 1% Mike Mooref ' d Send Completed Form(s) to: CITY OF LA QUINTA BUSINESS LICENSE DIVISON P.O. Boz 1504 La Quinta, CA 92247-1504 (760)777-7000