08-0396 (RC) IIIIIIIIIIIIIIIIIIIIIIIII 17 .
IE
P.O. BOX 1504 4 ^� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA; CALIFORNIA 92253' BUILDING &. SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/06/08
Application Number: 08-00000396 Owner:
Property Address: 78900 AVENUE 47 STE 106 LATHROP THOMAS
A'PN: 643-090-016-286 -24230 - C/O VISTA LA QUINTA LLC
Application description: REMODEL - COMMERCIAL 45524 TOWNE ST
Property Zoning: REGIONAL COMMERCIAL INDIO, CA 92201
Application valuation: 21400
Contractor:
Applicant: Architect or Engineer: ASARO BUILDERS,
' 42220 GREEN WAY, MARN PALM DESERT, CA 9 2 1 10 2003
(760) 776-0043
Lic. No_ : 58892.0 CITY OF
LA QUINTA
FINA N E DEPT.
- - - - - - - - - - - -- - - - - - - - - - - - - -- --- - - - - - -- -- - - - - - -- - -- - --- - - - - - - - ---- - - - - - - - - - --- - - --- - - - - -- - - - - - - --
LIC SED NTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that am licens under visi Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the B and Professi al s C nd my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License Class: B Lic No.: 588920 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
G�C—�_
issued.
✓DateGG<. � ontr ctor: _ 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
OWNE - ILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of per' that I am exe pt from the Contractor's State License Law for the Carrier STATE FUND Policy Number4, 000-'L6 4
following reason(Sec.7031.5,Bu ess and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for w fc is permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any mar so o e e subject t workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that I shoul ecome s 'ect to w rkers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 700 of the abor Cod , shall forth h m y th those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r' ��
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: .Date:. Applicant:
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 WARNING: FAILURE TO SECURE OR ERS'CO ENSATIO OVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIM N PENALTIE AND CI FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDIT11 0 THE COST MPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
1_I 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects,with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person.at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1_) I am exempt under Sec. B.&P.C.for this reason 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.
Date: Owner: - 2. Any permit issued as a result of this application becomes nu"
-
a
n
d
voi if work is not commenced
within 180 days from date of issuance of such permit,or cessation f work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application an tate t t the bove inf ation is or ect. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state la relating to ui ing construct n,and h reby authorize representatives
of this co ty t enter upon the above- entioned pro ty for inspection rp s.
Lender's Name: `1 /f, _
Date:• Ok Signature(ApplicLL91 Agent):
Lender's Address: '
r '
LQPERMiT '.i
-� n
Application Number . . . . . 08-00000396
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee. . 225.00 Plan Check Fee 146 .25
Issue Date . . . Valuation 21400
Expiration Date 9/02/08
Qty Unit Charge Per Extension
BASE' FEE 45.00
20 .00 9.0000 THOU BLDG 2, 001-25, 000 180.00
------=----------------------------------------------------------------"-----
PermitELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . 90.60 Plan Check Fee 22 .65
Issue Date Valuation 0
Expiration Date .9/02/08
Qty Unit Charge Per Extension
BASE FEE 15. 00
2160 .00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 75.60
---------------------------------------------------------:
. . MECHANICAL
Additional desc .
Permit Fee . . . . 24 .00 Plan Check Fee 6 .00
Issue Date . . . . Valuation . . 0
Expiration Date 9/02/08
Qty Unit Charge Per Extension
BASE FEE 15 .00
1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00
----------------------------------------------------------------------------
Special Notes and Comments
CHANGE THREE ROOMS INTO TWO PER PLANS
--------------------------------------------------------------------- ------
Other Fees . . . . . .. . . . STRONG MOTION . (SMI) - COM 4.49
Fee summary -Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 339.60 .00 .00 339.60
Plan Check Total 174.90 .00 .00 174 .90
Other Fee Total 4 .49 .00 .00 4 .49
Grand Total 518.99 .00 .00 518 .99
LQPERMIT
Bin #
City of La Quinta*
Building ax Safety Division
Permit.# P.O. Box 1504, 78-495 Calle Tampico
�, La Quinta, CA 92253 - (760) 777-7012
o Building Permit Application and Tracking Sheet
Project Address: 78--900 .AVE 147 5 106 Owner's Name: RE—AVe.<r"� T-NG
A.P.Number: Address: 'zg�aj f-�.V C 4Z SUATU 10(.
Legal Description: City,ST,Zip: LA UI gT^ CA. '3225 3
Contractor: AS� �4.h.�t �5 Telephone: ZC�-39(,- 7625
Address: 42_220 GMER J �yti SW I:� Project Description:
City,ST,Zip: ;bIM bebe-sq_ CA 9221( tzoJENr"1�.
Telephone: 760-776 _60443
State Lic:#: g 2-O
City uLic.#: (off s
Arch.,Engr.,Designer: t)lt�N �s V ip d�
Address:
City,ST„Zip: /fit 1 IN
Telephone: Construction Type: Occupancy:
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: N,q I ASH-4% %N Cr Sq.Ft.: #Stories: 1 #Units:
Telephone#of Contact Person: 7766—306 — 76?S Estimated Value of Project: 21 400, 1-
0-APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs. Reviewed,ready for corrections Plan Check'Deposit
Truss Calcs. Called Contact Person Plan Check Balance
Energy Calcs. Plans bicked up Construction
Flood plain plan. Plans resubmitted Mechanical
Grading,plan 2"'Review,ready for correctionsdssue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '"'Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
IIIIIIIIVIIIIIIVIIIIIII 24
5
Certificate of 'Occupancy {
.
Building & Safety Department
OF
x
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: 78-900 AVENUE 47th #106
Building Permit No.: 08-396
Use classification: COMMERCIAL
Occupancy Group: B Type of Construction: VN Land Use Zone: CR
Owner of Building: THOMAS LATHROP Address: 45-524 TOWNS ST
City, ST, ZIP: INDIO, CA 92201
x By: STEVE TRAXEL
l Cdr Date: APRIL 14, 2008
Building Official
POST IN A CONSPICUOUS PLACE