05-4170 (TT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number.:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00004170
47875 CALEO BAY
643-200-001-3 -31248
TEMPORARY TRAILER
COMMUNITY COMMERCIAL
5000
Architect or
N 1A
T4-'y144Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D r
SEP 19 2005
,CiTY OF LA QIIiNTA
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: 13 Licens No.: 186863
•-
Date: ontractor:
N UILDER 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.).
(_ 1 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 Name:
Lender's Address: VS
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/05
Owner:
PHAN STEVE
44139 MONTEREY AVE STE B
PALM DESERT, CA 92260
(
Contractor:
AFFILIATED CONSTRUCTION CO INC
7790ON AVE OF THE STATE
PALM DESERT, CA 92211
(760)345-2626
Lic. No.: 186863
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 1769107-2005
_ 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 of the Labor Code,ysgall forthwith complynWith those provisions.
WARNING: FAILURE TO SECURE WORKE CO I�d9SATI0N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 county ordinances and state laws relating ui d' construction, nd hereby authorize representatives
of this county to enter upon a above -mention r r inspect n pii poses.
date/ gnature (Appl nt or /
Application Number . . . . . 05-00004170
Permit . .
. TEMP TRAILER / MOBILE HOME
Additional desc .
.
Permit Fee . . .
. 200.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 5000
Expiration Date
3/18/06
Qty Unit Charge Per
Extension
BASE FEE
200.00
7 -------------------------------------------------------------------
Special Notes and
Comments
8' X 20' TEMP CONSTRUCTION TRAILER PER
TUP # 2005-568
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
SEP -19-2005 MON 10:14 AM OLIPHANT COMPANIES FAX NO. 760 345 5501
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SEP -19-2005 MON 10:15 AM OLIPHANT COMPANIES FAX NO. 760 345 5501 P. 04/05
_. FM OOZIU04
09/19/2005 09:42 FAX 7807771233 LA QUINTA COMM, 0EU,
p.4, box 1504
L,% QUINTA, C:A1,1FORNIA 92247-1504
78-496 CAS ,L TaMv1('0
LA QVINTA, CA1A1.()R'41A 92255
September 16, 2005
Ms, Anna Gonzalez
Affiliated Construction
77-900 Avenue of the States
Palm Desert, CA 92211
SUBJECT: TEMPORARY USE PERMIT 2008-688
(76 0) 777-7000
FAX (%sn) 777.7101
Dear Ms. Gonzalez:
The Community Development Department hereby approves your application request
ton Street and
A install a construction o trailerhttached exhibit t duri gheast rer of the construction of the facility,
Avenue 46, as shown on
subject to the following conditions:
1. Once the trailer is installed, it can remain on-site for a six-month 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'traiier and temporary electric
power. Please apply to the Budding and Safety C)epsrtment for a permit (750-
777-7012). Written permission from the property owner is required before a
building permit can be issued.
4. The troller 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 2AOhrsn inside the construction
trailer .'
over the exit doowichta e Dooro Remain open During Business Hours.'
E
SEP -19-2005 MON 10;16 AM OLIPHANT COMPANIES FAX NO. 760 345 5501
09/19/2005 09,43 FAX 7607771233 LA QUINTA COMM, DEV.
P. 05/05
11003/004
7. The trailer, if elevated off the ground, shall be skirted with metal or wood siding
Material. The skirting matejal shall be exterior surfaces of the railerthe exterior shall be paintedr(or
the construction troller. T
may be stuccoed) and In overall good condition.
S. No temporary signs are permitted unless separately approved by this
Department.
S. No exterior lighting for the 11 sller is ecur't allowed
tQFxtures shallpbe hooded to prevent
d by the Building
and Safety Department. A Y 9
light glare from being cast onto adjacent residential properties.
10. Mounted close to the emeront gency a rsonnelthe u ofde of the your* 24bholurnemerrge emergency phone
shall be a written
notice informing emergency P
number In case problems arise that need your prompt attention (i.e., minimum
one -inch high letters).
11. The trailer and fence shall be removed from the site prior to the issuance of a
Certificate of ocoupancy.
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) 777-7067.
V" truly yours
JAY-WUU
Assistant Planner
c, Building and Safety Department
Public Works Director
Code Compliance Department
Sheriffs Department