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07-2857 (CONR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: ,,Applicant: T4'yl 4 4 Q" BUILDING & SAFETY DEPARTMENT :SIJ I � X71 �Cci»:�►��T` 07-00002857 Owner: 79860 AVENUE 52 WATERMARK GRANITE LA 776-220-010- - - 200 E WASHINGTON AVE NEW COMML - OTHER NON-RESIDENTIAL ESCONDIDO, CA 92025 NEIGHBORHOOD COMMERCIAL 16603 * Work without a permit - fees Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 QUINTA LL #100 a s s e s seC ontractor: INNOVATIVE COMMUNITES, 200 E. WASHINGTON AVE, ESCONDIDO, CA 92025 (760)839-8238 Lic. No.: 763187 Date: 11/29/07 ---------------------------------------------------------------------------- LICENSED C ACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I m licen ed u der provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business a d Pr f Sion s Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 763187 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ,,� issued. Date: j Z.' $10 Contractor: _ 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 OWN -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury t I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy N6-0000304-07 r 75 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance f the wo for hich this 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 manner so as become ubjec to the 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, if I should b meleubjfct to he workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the or de, I s I f hw th c mply with those provisions. 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).: // /Date: Z 2 Til d4pplicant: `' (_) 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 WORT RS COMPEI SATION COVERAGE 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 CRIMIN PENALTIES A D CIVIL 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 ADDITION TO THE COST OF COMPENSATION, 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, 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 contractors) 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, (_) 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 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 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 c s ion of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above i or tion i correct. I agree to comply with all city and county ordinances and state laws relati ilding cons uct n, an hereby authorize representatives of this county to enter upon the above-mentione roperty insp ctio ur ses. Date: Z'2iFt ignature (Applicant or Agent): �—J Application Number . . . . . 07-00002857 ------ Structure Information GUARDHOUSE ----- Other struct info . . . . . CODE EDITION O1BMP04E05EN FIRE SPRINKLERS NO MIXED-USE OCCUPANCY B OCCUPANT LOAD 2.00 PATIO SQ FTG 515.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 167.00 Permit . . . BUILDING PERMIT - ADA INV FEE Additional desc . . ENTRY GUARDHOUSE Permit Fee . . . . 360.00 Plan Check Fee 117.00 Issue Date . . . . Valuation 16603 Expiration Date 5/27/08 Qty Unit Charge Per Extension BASE FEE 90.00 15.00 18.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 270.00 Permit . . . ELEC-NEW COMMERCIAL INV FEE Additional desc . Permit Fee . . . 57.28 Plan Check Fee 7.16 Issue Date . . . . Valuation 0 Expiration Date . . 5/27/08 Qty Unit Charge Per Extension BASE FEE 30.00 682.00 ---------------------------------------------------------------------------- .0400 ELEC GARAGE OR NON-RESIDENTIAL 27.28 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/26/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 6.50 Permit . . . . . PLUMBING INV FEE Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 14.63 LQPERMIT Application Number Permit . . . . . . Issue Date . . . . Expiration Date . . . . . . 07-00002857 PLUMBING INV FEE 5/27/08 Valuation . . . Qty Unit Charge _ Per Extension BASE FEE 30.00 3.00 12.0000 EA PLB FIXTURE 36.00 1.00 30.0000 EA PLB BUILDING SEWER 30.00 1.00 .15.0000 EA PLB WATER HEATER/VENT 15.00 1.00 6.0000 EA PLB WATER INST/ALT/REP ---------------------------------------------------------------------------- 6.00 Permit . . . GRADING PERMIT INV FEE Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/27/08 Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------------------- 30.00 Special Notes and Comments 167 SF GUARDHOUSE, "B" OCCUPANCY TYPE V -N CONSTRUCTION, 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES. 11/29/2007.INVESTIGATIVE FEE FOR WORK WITHOUT A PERMIT ASSESSED PER CBC SECTION 107.5.25. -------------------------------- --------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW - 11.12 ART IN PUBLIC PLACES -COM 63.01 DIF CIVIC CENTER - COMM 23.21 ENERGY REVIEW FEE 11.12 DIF FIRE PROTECTION -COMM 3.34 STRONG MOTION (SMI) - COM 3.48 DIF STREET MAINT FAC -COMM 21.71 DIF TRANSPORTATION - COMM 622.73 Fee summary, Charged Paid, Credited ----------------- Due ---------------------------------------- Permit Fee Total 603.78 .00 .00 603.78 Plan Check Total 148.67 .00 .00 148.67 Other Fee Total 759.72 .00 .00 759.72 Grand Total 1512.17 .00 .00 1512.17 LQPERMIT