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05-5084 (TT)P.O. BOX 15044 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: X05=00.005084", 0 LEGP,CY—DR 658-130-011'-1 -31379 TEMPORARY TRAILER LOW DENSITY RESIDENTIAL 350 Architect or ;I: 4,D CIQUINTA -------------------------------------------------- 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. Licprb Class: B C2 C9 4Lic �:599789. Ctor. &Y;lAA(0 C0 on r, 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).: (_ 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.). (_ 11, 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 contractorls) licensed pursuant to the Contractors' State License Law.). I—) 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: CENTEX HOMES 2275 CORPORATE CIR #230 HENDERSON, NV 89074 Contractor: HOWARD CDM 3777 ANNEX LONG BEACH, CA 90807 (562)427-4124 Lic. No.: 599789 VOICE (760) 777-7012 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/18/05 ----------------------------------------------- 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 ur the Labor Code, for the performance of the work for which this permit is issued. ave 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 ZENITH INS Policy Number Z06645902 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 subjec the workers' compensation provisions of Section 3700 of the La r4%d I shall forthwi co ly with tho provisions. ate: —i of icant: t WARNING: FAIL RE 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 to comply with all city and unty ordinances and state laws relating to building construction, a ereby authorize representatives of th' ounty to enter upon the ve-mentioned propert for ins ection p pos Date: ` -�'�Si ;u -re (Applicant or Agent): Jd LQPERMIT Application Number . . . . . 05-00005084 Permit TEMP TRAILER / MOBILE HOME Additional desc . Permit Fee 200.00 Plan Check Fee .00 Issue Date Valuation 350 Expiration Date 5/17/06 Qty Unit Charge Per Extension r BASE FEE 200.00 ---------------------------------------------------------------------------- Special Notes and Comments TEMPORARY CONSTRUCTION TRAILER, PER MUP # 2005-663 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 r From: 5624279864 Page: 1/4 Date: 10/31/200511:22:32 AM AUG 0 42005 P.U. Box 1504 LA QIIINTA, CALIFORNIA 92247-1504 78-495 CAr.1.F. TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 July 29, 2005 Howard CDM 3777 — ANNEX Long Beach Blvd. Long Beach, CA 90807 SUBJECT: MINOR USE PERMIT 2005-663 Dear Applicant, The Community Development Department hereby approves your application request to install a temporary construction trailer on 48-800 Legacy Drive of Tract No. 31379 in La, Quinta, California, as shown on the attached exhibit during the construction of the facility, subject to the. following conditions: z, 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 obtainz-d fron-, the Sui;ding and Safety Depariment. 3. A building hermit 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 10 -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). 9c 0cc��� t6n �. �II f1r`' From: 5624279864 Page: 2/4 Date: 10%31/200511:22:33 AM 6. Provide onP 2 B fire extinguisher inside the construction trailer and n. -= over the exit door which states 7)b -c— F{er aiti- Open'--6unng .1 Business Hours. 1 7. The exterior surfaces of the trailer shall be in overall good condition and painted (or stucccoed) if necessary. 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. 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 ororX1Pt .� entio� 1 1. The trailer and fence shall be .removed from the site prior to the issuance of Certificates of Occupancy. 12. Provide restrooms facilities to accommodate on-site construction workers. C6 tib- Ok - P° 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) 777-7067. Very truly lot4rs,. JAY WUIN \1 Assistant Pl nner C:. Building and Safety Department Public Works Director Code Compliance Department Sheriff's Department w a P Z CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT M °F 777-7012 INSPECTION REQUEST LINE 777-7153 Owner CENTEX HOMES Contractor HOWARD CDM Permit Number, 05-5084 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 48-800 LEGACY DRIVE TEMPORARY CONSTRUCTION TRAILER, PER MUP # 2005-663 TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS), FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED 1// .,01 0 1 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING