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04-6423 (RC) r,_ �" I II�IIII VIII III�IIII III 34 IE O� BUILDING & SAFETY DEPARTMENT P,_- , ox 1504 (760).777-7012 H-�4�19M CALLE TAMPICO FAX (760) 777-7011 IRIA QUDNTA, CALIFo•RNIA 92253 INSPECTION REQUESTS (760) 777-7153 CIV 01r.�A BUILDING PERMIT C FINAI�O� Application .Number . . . . . �=04-000.0642_3 ) Date 10/25/04 Property Address 78900 AVENUE' 4'7 STEi11:2 APN: 643-090-016=286---24230 - Application description . . . REMODEL - COMMERCIAL Property Zoning REGIONAL COMMERCIAL Application valuation . . . . 90000 Owner Contractor ------------------------ • ----------------------- LATHROP THOMAS ORR BUILDERS C/O VISTA LA QUINTA LLC 39301 BADGER, SUITE #300 45524 TOWNE ST PALM DESERT . CA 92211 INDIO CA 92201 (760) 360-6632 WCC: STATE FUND WC: 1242824 07/01/05 CSLB: 693077 07/31/06 CCC: B ------ Structure Information COMMERCIAL OFFICE REMODEL -- - - - Construction Type . . . . . TYPE V - NON RATED Occupancy- Type . . . . . . BUSINESS <50 Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 30 . 00 FIRST FLOOR SQ FTG 2928 . 00 ----- --------------------------------------------------=--------------------- Permit . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . 73 . 56 Plan Check Fee 18 . 39 Issue Date Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 15 . 00 2928 .00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 58 . 56 --- --------------------7--------------------------------------------------- - Permit . . . . . BUILDING PERMIT Additional desc Permit Fee 594 . 50 Plan Check Fee 386 . 43 Issue Date . . . . Valuation. 90000 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 414 . 50 40 . 00 4 . 5000 THOU BLDG 50, 001-100 , 000 • 180 . 00 --------------------------------- ----------------------------------------- -- Permit MECHANICAL r, P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0q- & 4 A3 Date: �0 • �rj •(} Applicant: Architect.or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 C e,and my License is in full force and effect. 01300 '7 icensa Class I icense No. �13 00 Date /0 L.9 ontractor WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors'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 Contractors'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).): U 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 buildsor improves thereon,and who does the work himself or herself or 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.). U 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.). U I am exempt under Sec. BA P.C.for this reason Date Owner WORKERS'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 ued. y worl�rs'com ensation in nce carrier and policy umber are: artier SF�G L �i1M,L� p __---Policy Number �N m er e- I certify that,in the performance of the work for which this permit is issued,I shall hall 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,I shall forthwith comply with those provisions. / Date i'�Ly pplicant WARNING: FAILURE TO SECURE WORKERS'COMPENSATION C ERAGE 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. 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 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 to building construction,and hereby auth=ignatur ves of this cou y to enter upon the above-menf ned property for inspection purposes. D nt or Agen i' i• Page 2 Application Number . . . . . 04-00006423 Date 10/25/04 Additional desc Permit- Fee 19 . 50 Plan Check Fee 4 . 88 Issue Date . . . Valuation . . . . 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension . - BASE FEE 15 . 00 1 . 00 4 . 5000 EA MECH VENT INST/ DUCT ALT 4 . 50 ----------------------- --------------------------------------------------- - Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . . 48 . 00 Plan Check Fee 12 . 00 Issue Date Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 15-. 00 5 . 00 6 . 0000 EA PLB FIXTURE 30 . 00 1 . 00 3,. 0000 EA PLB WATER INST/ALT/REP 3 . 00 - ---------------------------------------------------------------------------- Special Notes and Comments Commercial Remodel "Office" TI (2 , 928 sgft) . "B" Occupancy, Type VN Sprinkled, Occupant Load 30 . ------------------------------------------------------------------------- --- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 18 . 90 .Fee summary Charged Paid Credited Due ----------------- ------ --- ---------- ---------- 7--------- - Permit Fee Total 735 . 56 . 00 . 00 735 . 56 Plan Check Total 421 . 70 . 00 . 00 421 . 70 ' Other Fee Total 18 . 90 . 00 . 00 18 . 90 Grand Total 1176 . 16 . 00 . 00 1176 . 16 To"Fo"fsl RIVERSIDE COUNTY IIIIIIIIIIIIIIIII IiIII 35 E1flE PROifCl/pH FIRE DEPARTMENT � _ IE In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris,California 92570 • (909)940-6900 Fax(909)940-6910 ar�or•c�� r - FIRS Tom Tisdale Fire Chief February 16, 2005 Proudly serving the To: La Quinta Building Department unincorporated areas of Riverside County and the Cities of: Banning Re: Final fire Clearance Beaumont Calimesa The Riverside County Fire Department is granting a fire life safety clearance for Canyon Lake Stewart Title 78{900 Avenue47 suite# 112LAQ-04TI122 Coachella Desert Hot Springs If you have any questions contact me at 760-345-6954 Indian Wells Indio Lake Elsinore La Quinta Respectfully, Moreno Valley Palm Desert Neal Stephenson Perris Fire Systems Inspector Rancho Mirage n San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, `cauFOAHIq� RIVERSIDE COUNTY ` w PAiicnoFIRE DEPARTMENT �IE 36 C ,. In cooperation with the 4 California Department of Forestry and Fire Protection f�E�5T0 E C p4A 210 West San Jacinto Avenue Perris,California 92570 • (909)940-69M • Fax(909)940-6910 P FIRE 9 PA�ITM�Ni' Tom Tisdale Fire Chief February 16, 2005 Proudly serving the To: La Quinta Building Department unincorporated areas of Riverside County and the Cities of. Banning Re: Final fire Clearance Beaumont ❖ Cahinesa The Riverside County Fire Department is granting a fire life safety clearance for Canyon Lake American Mortgage 78-900 Avenue 47 suite# 106& 108 LAQ-04TI120 Coachella Desert Hot Springs 44. If you have any questions contact me at 760-345-6954 Indian Wells Indio Lake Elsinore La Quinta Respectfully, Moreno Vallee L Palm Desert Neal Stephenson Penis Fire Systems Inspector :• Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, n:,.«.....n f t IIIIIIIIVIIIIIIVIIIIIII 37 t IE CITY OF LA OUI NTA BUILDING&SAFETY DEPARTMENT 'V OF T1 777-7012 ,•� INSPECTION REQUEST LINE L/t I Oy'.-- 777-7153 .rV; C.;}. o�L�Qui..�ct 81d S�r-e � t4 r La , uinta C'anital -b aAmm, 74 0'77-7 70 1 ttactor-,, ORA ',-gu/1.DS9S K• it Number 04-6423 cell S-76-101 POST ON JOB IN CONSPICUOUS PLACE NSPECTOR.MUST SIGN ALL APPLICABLE SPACES jqo-J 67 le ,r I ADDRESS__ 900 Avenue 47'Suite'112'- 1 �nercial Remodel "Office"TI(2,928 sqft) 93" upancy,Type VN Sprinkled, Occupant Load 30 TYPE OF INSPECTION DATE INSP. I: �ORARY POWER BACKS ' '•'LUMBING/WASTE -l LECTRICAL/GROUNDING TINGS/STEEL CRETE SLAB c. h DO NOT POUR CONCRETE UNTIL ABOVE SIGNED �,NAIL/PRE-ROOF f'TO WRAP AING COMBINATION 1,UGH ELECTRIC IUGH PLUMBING !UGH MECHANICAL 1:ATION iz COVER NO WORK UNTIL ABOVE SIGNED MOR GYP BD. DRYWALL AIOR LATH TEST iC ABANDONMENT ER CONNECTION pv> IC/GREASE INTERCEPTOR MASONRY INSPECTIONS a;17NGS/STEEL .3 BEAM POOL/SPA/WATER FEATURE INSPECTIONS GUNITE/SETBACKS '.LUMBING aAS 1LECTRICAL + 'CASTER(ALARMS/BARRIERS FINAL INSPECTIO14S USE OF PERMANENT POWER TRICAL 961NG iANICAL rIC WORKS DEPARTMENT UIUNITY DEVELOPMENT DEPT. k/JOB COMPLETED M ;ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING y F f t 'd bEZTEZi y2unquapRig aor JES :21 So 91 qaj