14-0012 (RC)46650 Adams Street Suite 101
0
IIIIIIIIVIIIIIIVIIIIIII 56
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4 a
Q VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/27/14
Application Number: 14-00000012 Owner:
Property Address: 46650 ADAMS ST STE 101 COACHELLA SALON SUITES
APN: 649-820-999- - - 45 RIVERSIDE DR.
Application description: REMODEL - COMMERCIAL SILVERTHORNE CO 80498
Property Zoning: REGIONAL COMMERCIAL STEAMBOAT SPRINGS, CO 80487
Application valuation: 300000
Contractor: D
Applic j t: Architect or gineer: OCEAN WEST BUILDERS INC
/ ! 13811 DANIELSON STREET MAR
S
C POWAY, CA 92064 i•t1t R 1 20%
4 (858)486-0371
Lic. No.: 568530 CITY OF LAQjU1NTA
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.W Profession 6 Codp, and my License is in full force and effect.
License Class: B Ael e e.. 568530
Date. J 'w 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.).
(_) 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
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 BBSI Policy Number 2246
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 1 should be a subject hew ers' om enation provisions of Section
_ ,3700 of the Labor Code, I a forthwit provisions.
Date ^/VryApplicaanL
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 18 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov n rmation is re ee omply with all
city and county ordinances and state laws relating to buildin onst ction, a e representatives
of this county toe t r upon the above -mentioned -property f _ins ectio p
Signature (Applicant or Agent):
k*A
Application Number . . . . . 14-00000012
Permit . . .
ELECTRICAL
2013
Additional desc . .
Permit Fee . . . .
26.21
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1
8/26/14
Qty Unit Charge
Per
Extension
_1.00 23.8300
LS ELEC
FIXTURES, FIRST 20
23.83
1.00 2.3800
----------------------------------------------------------------------------
EA ELEC
FIXTURES, ADD'L
2.38
Permit . . . MECHANICAL
2013
Additional desc .
Permit Fee
35.76
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
8/26/14
Qty Unit Charge
Per
Extension
1.00 11.9200
EA MECH
APPL REP/ALT
11.92
2.00 11.9200
----------------------------------------------------------------------------
EA MECH
VENT FAN
23.84
Permit . . .
PLUMBING 2013
Additional desc .
Permit Fee . . . .
536.39
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
8/26/14
Qty Unit Charge
Per
Extension
40.00 11.9200
EA PLBG
FIXTURE/TRAP
476.80
1.00 11.9200
EA PLBG
WATER HEATER/VENT
11.92
1.00 11.9200
EA PLBG
WATER INST/ALT/REP
11.92
1.00 35.7500
----------------------------------------------------------------------------
LS PLBG
GAS SYS, 5+ OUTLETS
35.75
Permit . . . REMODEL 2013
Additional desc .
Permit Fee . . . .
334.62
Plan Check Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date- .
8/26/14
Qty Unit Charge
Per
Extension
1.00 71.5000
EA MISC
PARTITION
71.50
1.00 48.6200
LS MISC
REMODEL, 1ST 100 SF
48.62
10.00 21.4500
EA MISC
REMODEL, ADDL 500 SF
214.50
----------------------------------------------------------------------------
Special Notes and Comments
5312 SQ. FT. TENANT IMPROVEMENT
PHENIX
LQPERMIT
LQPERMIT
Application Number . . . . . 14-00000012
----------------------------------------------------------------------------
Special Notes and
Comments
SALONS SUITES. MECH
EXISTING.NEW
PARTITION WALLS,
PLUMBING, LIGHTING
AND
RELOCATE DUCTING.
February 5, 2014
9:52:06 AM
jjohnson.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
BLDG STDS ADMIN (SB1473)
12.00
HOURLY PLAN
CHECK
70.00
PLAN CHECK,
ELECTRICAL
23.83
PLAN CHECK,
REMODEL
304.59
PLAN CHECK,
MECHANICAL
14.31
PLAN CHECK,
PLUMBING
519.70
STRONG MOTION '(SMI) - COM
63.00
Fee summary
Charged
Paid
Credited
Due
-----------------
Permit Fee Total
----------
932.98
----------
.00
--------------------
.00
932.98
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1007.43
.00
.00
1007.43
Grand Total
-1940.41
.00
.00
1940.41
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 of the California
Building Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 46-650 ADAMS ST STE 101
Use classification: BUSINESS – PHENIX SALON SUITES Building Permit No.: 14-012
Occupancy Group: B Type of Construction: VB Land Use Zone: CR
Code Edition: 2013 Sprinkler Installed: YES Occupant Load: 53
Owner of Building: INLAND AMERICAN LQ PAV
Address: PO BOX 9271
City, ST, ZIP: OAK BROOK, IL 60522
____________ TOM HARTUNG_________________ By: AJ ORTEGA
Building Official (Interim) Date: JULY 18, 2014