07-1030 (RC)T
I IIIIIII VIII III VIII (III
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
61 4 4
• "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00001030
Property Address: 46650 ADAMS ST STE 02
APN: 649-820-999- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL . COMMERCIAL
Application valuation: 35000
Applicant: I _ jv(� Architect or Engineer:
�Df""P�4e
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 ode, and my License is in full force and effect.
License Class: B i e e No.: 891026
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).:
(_ 1 1, 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 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:
LQPEPMlT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/13/07
Owner:
FOURTH QUARTER PROPERTIES
45 ANSLEY DR
NEWNAN, GA 30263 R �`
(760)613-3783
I [ AUG ] . 2007
Contractor:
PINEDA, JORAM CITY Or LA%A;J,.JV
302 VIA NAPOLI i FINAori=17'�'
CATHEDRAL CITY, CA 92234
(760)770-9378
Lic. No.: 891026
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 229-39254-06
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 subjec to the workers' compensation provisions of Section
3700 of the Labor Cede, I shall forth i omply with those provisions.
Date: "I Applicant:
./f10
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 ouinta, 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 county to enter upon the -above-mentioned grope y for inspec[iose�
Date: IV Signature (Applicant or Agent): y
j. '
Application Number . . . . . 07-00001030
Structure Information EXISTING SHELL BLDG SUITE 102
Other struct info . .
. . . CODE EDITION
01BMP04E05EN
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
B
•OCCUPANT LOAD
35.00
1ST
FLOOR SQUARE FOOTAGE
1160.00
----------------------------------------------------------------------------
2ND
FLOOR SQUARE FOOTAGE
00
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
317.00
Plan Check Fee
206.05
Issue Date . . . .
Valuation . .
. . 35000
Expiration Date
2/06/08
Qty Unit Charge
Per
Extension
BASE
FEE
252.00
10.00 6.5000
----------------------------------------------------------------------------
THOU BLDG
25,001-50,000
65.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
45.75
Plan Check Fee
11.44
Issue Date . . . . •
Valuation . .
. . 0
Expiration Date . .
2/06/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
20.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
35.00 .4500
----------------------------
EA ELEC
------------------------------------------------
DEVICE/FIXTURE >20
15.75
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
2/06/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 4.5000
EA MECH
VENT INST/ DUCT ALT
4.50
1.00 6.5000
-----------------------------------------=----------------------------------
EA MECH
VENT FAN
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
112.50
Plan Check Fee
28.13
LQPFRMIT
Application Number . . . . . 07-00001030
Permit . . . . . . PLUMBING
Issue Date . . . . Valuation . . .
. 0
Expiration Date 2/06/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
12.00 6.0000 EA PLB FIXTURE
72.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
1160 SF INTERIOR TENANT IMPROVEMENT
SUITE 102 -"CREATIVE NAILS" B OCC, TYPE'
V -N CONSTR.35 OCC. LOAD. 2001 CBC,
CMC,CPC, 2004 CEC, 2005 ENERGY CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
20.60
ENERGY REVIEW FEE
20.60
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 501.25 .00 .00
501.25
Plan Check Total 252.12 .00 .00
252.12
Other Fee Total 41.20 .00 .00
41.20
Grand Total 794.57 '.00 .00
794.57
I,QPF,RMIT
46650 Adams Street Suite 102
all Certificate a of Occupancy
xx
'0 9w5 OF Buildin & Safety Department
'1
This Certificate is issued pursuant to the requirements of Section 109 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 #102
Use classification: COMMERICAL ("CREATIVE NAILS") Building Permit No.: 07-1030
Occupancy Group: B . _ Type of Construction: VN _ .Land.Use Zone: RC
Owner of Building: FOURTH QUARTER PROPERTIES
Building -0 icial
IN A CONS
Address: 45 ANSLEY DR
City, ST, ZIP: NEWMAN, GA 30263
By: STEVE TRAXEL
Date: November 28, 2007
US PLACE