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
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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���
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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