07-2051 (TT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00002051
Property Address:
79793 HIGHWAY 111
APN:
600 -020 -033 -
Application description:
TEMPORARY TRAILER
Property Zoning:
COMMERCIAL PARK
Application valuation:
10000
Ta�/ 4 4 Q"
Applicant: Architect or Engineer:
Pik
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License Class: B. C9 License No.: 436418
D�tts: o'17� tractor:
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 _ 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.).
( ) I am exempt under Sec. , BAP.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:
KOMAR INV
23 CORPORATE PLZ STE 247
NEWPORT BEACH, CA 92660
J
Contractor:
BERGMAN COMPANIES, E
4300 EDISON AVENUE
CHINO, CA 91710
(909)627-3651
Lic. No.: 436418
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 177-7153
Date: 7/13/07
JUL 171007 ID
CITY OF LA QUINTA
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 AMERICAN INTL Policy Number WC5312540
_ 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' compensation provisions of Section
�y.3700 of the Labor Code, 1 shall forthwith comply withthoseprovisions.
D ��'"�licant:7
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 ag a to comply with all
city and county ordinances and state laws relating to building construction, and hereby au orize representatives
of t%h's county toenterupon the above-mentioned propert ction purposes
bate: %' ature (Applicant or Agent):
.
Application Number . . . . . 07-00002051
Permit . . . TEMP TRAILER
/ MOBILE HOME
Additional desc .
Permit Fee : . . . 200.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 10000
Expiration Date 1/09/08
Qty Unit Charge Per
Extension
BASE FEE
200.00
-----------------------------------------------------------------------------
Special Notes and Comments
TEMPORARY CONSTRUCTION TRAILER PER
TUP#
2007-733
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
LQPERAIIT
,
Bin #
City of La Q uinta
Building & 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: —
3
Owner's Name: 4:�&
(A4_\k
A. P. Number: o,20
-
a0.
Address:
Legal Description:
Z 0
339(po
City, ST, Zip: A OA
Contractor-
Address: '-13 tD
��
Telephone:
Project Description:
City, ST, Zip:
Telephone:
Q1f7 10'
N..
a �•
State Lic. # :
City Lic. #:
- -- - -
Arch., Engr., Designer:
Address:
q
Inno
City, ST, Zip: I
` 0
I
Telephone:
State Lic. #:
'
` s
Construction Type: Occupancy:
Project type circle one : New Add'n Alter Repair
. Demo
Name of Contact Person:
Sq. Ft.:
# Stories:.
# Units:
Telephone # of Contact Person:
Estimated Value of Project: /0 .
APPLICANT: DO NOT WRITE BELOW THIS -LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
I p
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.1.
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
16
THE BERGMAN
COMPANIES
CONS4lf,NG CbNSTRIJCTII i1 PROJECT MANAGEMENT
LEVE KURTZ
CORPORATE OFFICE:
'ERINTENDENT
1 3745 SEMINOLE DRIVE
CHINO, CA 91710
TEL: 909.627.3651
`
FAX: 909.627.5425
_L: 951 .347.9935
LIC#43641 B
RTZ@TMEBERGMAN.COM
WWW,TI-IEBERGM AN.COM
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THE BERGMAN
COMPANIES
CONS4lf,NG CbNSTRIJCTII i1 PROJECT MANAGEMENT
LEVE KURTZ
CORPORATE OFFICE:
'ERINTENDENT
1 3745 SEMINOLE DRIVE
CHINO, CA 91710
TEL: 909.627.3651
`
FAX: 909.627.5425
_L: 951 .347.9935
LIC#43641 B
RTZ@TMEBERGMAN.COM
WWW,TI-IEBERGM AN.COM
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July 12, 2007
Mr. Steve Kurtz
Bergman Companies
13745 Seminole Drive
Chino, CA 91710
SUBJECT: TEMPORARY USE PERMIT 2007-733
CONSTRUCTION TRAILER
Dear Mr. Kurtz:
The Community Development Department hereby approves your application request to
install one construction trailer on the future site of the Komar Desert Center commercial
center at La Quinta, 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 one-year period. However, an
extension may be applied for, with no additional fee, in writing to the Community
Development Department prior to the"expiration of the permit. 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
obtained from the Building and Safety Department.
3. 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.
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 trailers to help identify the temporary
business location (e.g., minimum 2 -inch high letters in a contrasting color).
6. Provide one 2A10BC fire extinguisher inside the trailers and sign over the exit doors
which states `Door to Remain Open During Business Hours.'
P.O. Box 1504 • LA Qu[N-rA, CALIFORNIA 92247-1504
78-495 CALLE T.AMPICO • LA QuINTA, CALIFORNIA 92253
(760) 777-7000 -FAX (760) 777-7101
0J
7. The trailer, if elevated off the ground, shall 'beskirted 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.
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 trailers 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 be removed from the site prior to the issuance of a Certificate 'of
Occupancy.
12. Provide restrooms facilities to accommodate on-site construction 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 questions, please contact me at (760) 777-7125.
Sincerely,
YVONNEFRANCO
Assistant Planner
C: (Building"and'JSafety-Department
Public Works Department
Code Compliance Department
Sheriff's Department
0
July l l , 2007
City of La Quinta
Building Department
P.O. Box 1504
La Quinta, CA 92247-1504
To Whom It May Concern:
Please accept this letter as authorization for Steve Kurtz to obtain a business license and
permits in the City of La Quinta on behalf of B & B Contractors Inc. dba The Bergman
Companies.
Thanking You in Advance,
Daniel L. Bergman
Vice President
Corporote office : Olner Offices:
14097 Norton Ave, Chino, CA. 91710 a Gea:gia
909.627.3651 phn. 909.67.7.5425 fox rdorndo
www.lheUergman.com 1106dn
LIC.y 426-18