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11-0623 (TT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000623 Property Address: 52420 ROSS AVE APN: 767-670-003- - - Application description: TEMPORARY TRAILER Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 0 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- �ass* NTRACTOR'S DECLARATION I hereby affirm under penalty of perjerme- d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of onals Code, and my License is in full force and effect. Licensee Class: B License No.: 457228 X Datd4 -U' ( Contractor: 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).: (_) 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 _ 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 1 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 VOICE (760).777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/08/11 Owner: HARNISH KEITH 7305 SOUNDVIEW DR #602 GIG HARBOR, WA 98335 �Contractor: ` fa,4 L32 1 MONARCH HOMES DESERT DIV;S INC 49950 JEFFERSON ST, #130-134 -�V,r4?�'(( INDIO, CA 92201 (760)413-8863 Lic. No.: 457228 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 STATE FUND Policy Number 719000322 I certify that, in the pe orm ae the work for which this permit is issued, I shall not employ any person in any ma ter o as to a ome subject to the workers' compensation laws of California, and agree that, if ec subject to the workers' compensation provisions of Section 3700 of the Labor ode, I s orthnwith- comply with those provisions. �Date: �� �� Applicant: /?VGtIfTV 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 of 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 th information is correct. I agree to comply with all city and county ordinances and state laws relating t nt ilding n ruction, and hereby authorize represeatives of this county to enter upon the above-mentioned pr perty i ection purposes. Date/' 71 1 Signature (Applicant or Agent) bJ C7 Application Number . . . . . 11-00000623 Permit . . TEMP TRAILER / MOBILE HOME Additional desc . Permit Fee . . . . 200.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/05/11 Qty Unit Charge Per Extension BASE FEE 200.00 Cpccial Notco and Conzients TEMPORARY CONSTRUCTION TRAILER - MUP 2011-1030 June.8, 2011 4:47:20 PM AORTEGA 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 June 8, 2011 N P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLF TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 Mr. August Iacono Monarch Homes, Inc. 49950 Jefferson St, #130 Indio, CA 92201 SUBJECT: MINOR USE PERMIT 2011-1030 CONSTRUCTION TRAILER The Planning Department hereby approves your application request to install a temporary construction trailer on a residential property located at 52-420 Ross Avenue within the Madison Club in the City of La Ouinta as shown on the attached_ exhibit, subject to the following Conditions: 1. Once the trailer is installed, they can remain on-site for a one year period. However, an extension of the one year period .may be applied for, with no additional fee, in writing to the Planning Department before expiration. The Planning Director may, after reviewing the facts, extend the use of the trailer for an 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 and Safety Departmeit. 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 trailer 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 trailer and sign over the exit doors which states 'Door to Remain Open During Business Hours' 7. 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 exte,rior.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. 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 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 be removed from the site prior to the issuance of Certificates of Occupancy. 12. Provide restrooms facilities to accommodate on=.site workers, 13. Dust control measures shall be employed if construction parking is allowed adjacent to the trailer.- The railer: The City may .elect to add conditions to this application request to 'mitigate any Problems that may arise and are. not addressed herein. If you have any questions, please contact.me at (760) 777-7125. Sincerely, YVONNE FRANCO Assistant Planner C:. Building and Safety Department . Code Compliance Department .. .... .... . .... .... ... 6. ... ... .. .. ... .... .... .... ...... ..... . ■ ■ MAI bore- .. .. .... ... ... W -WE wx "*w♦w♦wn N♦A * * M♦N Mo. I eo Win 1 J!tli�, I w► IN' 0 Lw 'URN Bin # City of LQ • Quinta Building 8T 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: SZ - 17—o- 45r Owner's Name: A. P. Number:(r 7 (P70 • DO 3 Address: e p Legal Description: City, ST, Zip: Contractor:! err XAiTelephone: ()� C � >.a>:fh::.:�:..r�r::�•ax.,:�:::.:ac:.::;:s. Address: q FSOY30 Project Description: City,.ST,Zip: �G%O Z'ZOl IA�Jf%hiV%/D�iifLE'7"- Telephone: `�S-' � 3 sl - � 3 $ ►, "<>• State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #:><} r,:.. <z'r»:£zz<^ 3n•:.v. 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: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Am unt Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" 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 b Q School Fees Total Permit Fees 4"0, r—