BTTR2018-000178-495 CALLE.TAMPICO D ",i - VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760)777-7011',
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/27/2018
Permit Type/Subtype:
TEMPORARY TRAILER/
Owner:
Application Number:
BTTR2018-0001
INDIAN SPRINGS GOLF CLUB .
Property Address:
80065 WESTWARD HO
79940 WESTWARD HO DR
APN:
600070010
INDIO, CA 0
Application Description:
GALLERY AT INDIAN SPRINGS./ TEMP TRAILER
Property Zoning:
Application Valuation:
$25,000.00
D
Applicant:
Contractor:
RICK HAUSERFE�.
9,7 2018
GALLERY BUILDERS INC
31618 RAILROAD CANYON
RD'
31618-1 RAILROAD CANYON ROAD
LA QUINTA, CA 92253CANYON
CIiY0FjA0UIN�A
LAKE, CA 92587
COMMUNITY DEVELOPMENT DEPARTMEMf
(951)244-7713
Llc. No.: 958681
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 Professions Code, and
my License is in full force and effect. U
License Class: B License No.: 95822 6��K
Date:- —-I' L 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).:
(J 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.).
(_J 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.).
(_J I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
ORKER'S COMPENSATION DECLARATION
I hereby affirmer penalty of perjury one of the following declarations:
in e and will maintain a certificate of consent to self -insure for workers'
compe a on, as provided for by Section 3700 of the Labor Code, for the performance
of a rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se tion 00 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 COMPENSATION INSURANCE FUND Policy Number: 9115856
_ 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 Sect' 3700 the Labor C e, I shall forthwith
comply with those provisions.
Date: '2-- 27 I Applican .
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 Building Official 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
Lender's Name: 1
Date: Z — `Sighature (Applicant or Age
Lender's Address:
- Date: 2/27/2018
Application Number: BTTR2018-0001
Owner:
Property Address: 80065 WESTWARD HO
INDIAN SPRINGS GOLF. CLUB
APN: 600070010
79940 WESTWARD HO DR
Application Description: GALLERY AT INDIAN SPRINGS / TEMP TRAILER
INDIO, CA.0
Property Zoning:
Application Valuation: $25,000.00
- A licanf: f
pP
Contractor:
RICK HAUSER
GALLERY BUILDERS INC
31618 RAILROAD CANYON RD
31618-1 RAILROAD CANYON ROAD
LA QUINTA, CA 92253
CANYON LAKE, CA 92587
(951)244-7713
Llc. No.: 958681
Detail: TEMPORARY CONSTRUCTION TRAILER FOR GALLERY AT INDIAN SPRINGS. THIS PERMIT INCLUDES TEMPORARY POWER ATTACHED TO ADDRESS
46080 JEFFERSON. THIS PERMIT WILL FOLLOW CONDITIONS OF APPROVAL PER MUP2018-0002.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
Credit Card Fee
101-0000.-43505 0 $1.67
Total Paid for Credit Card Fee: $1.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
TEMPORARY TRAILER
101-0000-42400
0
$78.02
Total Paid for TEMPORARY TRAILER: $78.02
. '
v
GE, ................
PERMIT # ft=l6 \
PLAN LOCATION:
Project Address: gejZ(V5. /NL-37i,,vA/L p kf-p
Project Description: Pool, Remodel,.Add't, Elect-, Plumb, Mech
APN #:%
C�TLI �. CJN S / /"� JyJ C ✓Li`lZ G L1�
Patio/Porch SF
7 zvt- c1 "`' L=YE v csY> F� ✓L
pp �.'' ..
Applicant Name: )`rg- /k�;, ;
S V& 000 Sv/i
Address: 3 l �Ol.� . ithl1, it -0 ADCAw yaN
State Lic: City Bus Lic:
City, ST, Zip:
Telephone:
Email: �/'�G�G. _ C4 /1e1' ` 044-e j , /✓) �D
Valuation of Project $
Contractor Name:
-New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF.
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: �j S8 (o gj ( City Bus Lic:
'Arch/Eng Name: n f !�.
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type:. Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:'
State Lic: City Bus Lic:
Property Owner's Name: N f�.�i/L/ e
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type:. Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
#
Submittal
Req'd
•Reed
Plan Sets r
Structural Calcs
Truss Calcs
Title 24 Calcs
r.
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List -
Grant Deed
HOA Approval.
School Fees.
Burrtec Debris Plan
Planning approval
Public Works approval. -
Fire approval
City Business License
) "'
r.
'IND. N SVP GS GOLYCLUR
January 30, 2018
City of La Quinta
Design and Development Department
78-495 Calle Tampico
La Quinta CA 92253
RE: Permission to Place Construction Trailer on the South side of Westward Ho
IID Meter Address:
48080 Westward Ho
La Quinta, CA 92201
To Whom it May Concern,
I grant permission to Gallery `Indian Springs Partners, LLC to place a construction
trailer at the above referenced site for a period of, 18 months.
Thank you for your immediate attention.
Regards,.
Ken Hanna
Owner
Indian Springs Golf Club
79-940 Westward Ho, Indio, CA 92201 7601423-5230
T 8 vv '(cam