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BTTR2019-000178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: TEMPORARY TRAILER/ Tityl 4 w6P Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BTTR2019-0001 80202 AVENUE 58 762230040 TEMP CONST. TRAILER / WEISKOPF MAINT. FACILITY $150,000.00 Applicant: ORR BUILDERS 39-301 BADGER STREET STE 300 PALM DESERT, CA 92211 PQo� All 15 2019 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B. A License No.: 693077 Date: 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, 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. . 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 Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/15/2019 Owner: LQR GOLF 1 BUSH ST STE 1100 SAN FRANCISCO, CA 92253 Contractor: ORR BUILDERS 39-301 BADGER STREET STE 300 PALM DESERT, CA 92211 (760)360-6632 Llc. No.: 693077 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 thewy,k for which this permit is issued. I'lfave and will maintain workers' compensation insurance, as required by e on 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 gOWEENSATION INSURANCE FUND Policy Number: 9213286 _ 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 3700 ofthe Labor Code, I shall forthwith comply with those revisions. Date: Applicant: i �� WARNING: FAILUR TO SECURE WORKERS' C MPENSATION COVE AGE i5 UN FU L, 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 setforth on this application. 1. Each person upon whose behalfthis 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. L Date: ignature (Applicant or Age Application Number: BTTR2019-0001 Property Address: 80202 AVENUE 58 APN: 762230040 Application Description: TEMP CONST. TRAILER / WEISKOPF MAINT. FACILITY Property Zoning: Application Valuation: $150,000.00 Applicant: ORR BUILDERS 39-301 BADGER STREET STE 300 PALM DESERT, CA 92211 Date: 4/15%2019 Owner: LQR GOLF 1 BUSH ST STE 1100 SAN FRANCISCO, CA 92253 Contractor: ORR BUILDERS 39-301 BADGER STREET STE 300 PALM DESERT, CA 92211 (760)360-6632 Llc. No.: 693077 -------------------------------------------;------------------------------------------------ Detail: THIS PERMIT INCLUDES THE CONSTRUCTION TRAILER DURING BUILDING REPAIRS FOR THE WEISKOFF MAINT. FACILITY. ELECTRICAL TO BE PULLED UNDER A SEPERATE PERMIT. FINANCIAL INFORMATION 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 $80.00 DESCRIPTION ACCOUNT QTY AMOUNT TEMPORARY TRAILER 101-0000-42400 0 $0.05 Total Paid for TEMPORARY TRAILER: $80.05 ta Qa�tra PERMIT # 0 City, St, Zip &/,07 ,5 '/ el -7 71 -- (:A1AH)RN1 A - PLAN LOCATION: Project Address: Project Description: APN #:tel State Lic: 307 % City Bus Lic: # Units: Email: Applicant Name: State Lic: C -15-1( 3 City Bus Lic: Address: 3 ..�� /A� 3e'.5 City, ST, Zip:Ale7 Telephone: 744:91�S�Q `��O cvxa Email: GJ�� 4��•/ Valuation of Project $ CW Contractor Name: 04!2- Address: 32501 ,, s 1 New SFD Construction: Conditioned Space SF City, St, Zip &/,07 ,5 '/ el -7 71 Garage SF Telephone: 76U Lfry Z-� Patio/Porch SF Email: Fire Sprinklers SF State Lic: 307 % City Bus Lic: # Units: /-/1, i- e -K v s ,I- Architect/Engineer Name: �/�� Construction Occupancy: Address: -5vh,-15 Z 749 Grading: City, St, ZipeV1// ,C4 y'S 4 Construction Type: Occupancy: Telephone: 7J Bedrooms: Stories: # Units: Email: State Lic: C -15-1( 3 City Bus Lic: Property Owner's Name:ae f 1�- New Commercial / Tenant Improvements: Address: _ (� ,e Dr Total Building SF City, ST, Zip 11S Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License '0� e .4"- � � r � �C� 1''od1-V'7, b I A I e ur CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Commercial Modular Decal: CCB7441 Manufacturer [D -\ante 90lilUGtiLi;E.`-��ris� ti�.6 Trade Nam: Model DO, I G�jl1_?E\ UOLDE�, IL;8? DFS M4 Rl ic)84 Exp. Date Sep 30-2019 Serial Number Labelllnsignia Niumber weight Lent W;dth Issued 576= ;i7;0 6,500 401' k, Sep_,.__:. Addressee GOLDEN 0� FILE TRAILERS INC PO BOX 669 �k'ILDO),LXR. CA 9 5)5 Registered Owner(s) GOLDEN OFFICE TRAILERS I- C PO BOX 669 WILDOMAR, CA 92-595 Situs Address 18257 GRAND AVE LADE ELSINORE, CA 92530 ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRL CTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQL ENCY. IF YOU DO NOT RECEIVE A RENENV-kL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE. CONTACT H.C.D. FOR RENENNAL INSTRUCTIONS. IMPORTANT THE OWNER INFORNIATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND CO:NIMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEVARTMEt\T. D"F'% 19158481 R n92720l8 - I -3s . . . . . . ---- POSNER' 04 IM ol 1*11*11 11#1 N M I. IN 10 1 1 �r —*� m*Ng III CrOOMMENA WOMAN WMEMN N N I Oil L&MMISMURMON =d- F w 101 2W A ler a w 9,875 SF E