RC (06-2932)56850 Madison St
06-2932
y
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application" Number:
06 - 00002932'
Property Address:
56850 MADISON ST
APN: y
762=300-034- - -
Application description:
REMODEL - COMMERCIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2600
Tu!t 4 aCP "
BUILDING & SAFETY DEPARTMENT .
BUILDING PERMIT
Applicant: " -Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of per' ry that I am licensed under provisions of Chapter 9 (commencing with
Sectio 7000Vof Division 3 of th Bu a nd fessionals Code, nd my License is in full force and effect.
License (a,slst B LicenseP2.: 684857
ate. i a ontractor.
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).:
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
y 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 _ I 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—) 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
Owner:
PGA WEST FAIRWAYS ASSN
C/O CYNTHIA ZAMOREZ
55920 PGA BLV
LA QUINTA,, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: . 8/07/06
Contractor: 2006
EDWARDS CONSTRUCTION, BO fill 2[
51455 DESERT CLUB DRIVE f'
LA QUINTA, CA 92253C'OF A®UIHTA
(760) 777-8202 FttaAN"CED
EPT-
Lic.°No.: 684857
WORKER'S COMPENSATION DECLARATION
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 CALIFORNIA INS Policy Number .460023330102
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, i s u become subject to the workers' compensation provisions of Section .
%(3700 of the od sh rt with comply wi hose provisions.
ate. pplicant:
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 180 days will subject
permit to cancellation.
I certify that I have read this application and state tha th above information is correct. I agree to comply with all
city and c unty rdinances and state laws relating to uil ng c ns ru o ,and hereby authorize representatives
of this nay enter upon the above-mentioned pro ' y r n cp p ses.
-9-11e Signa -rApplicant or Agent):
LQPERMIT
Application Number 06-00002932
Permit -BUILDING PERMIT-
Additional'desc .
Permit Fee . . . . 54.00 Plan ,Check Fee
35.10
Issue Date Valuation
2600,
Expiration Date 2./03/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9'.0000 THOU BLDG 2,001-25,000.
9.00
Permit . . ELECT ADD/ALT/REM
,-
Additional desc .
' Permit Fee 18.75 Plan Check Fee
4.69
Issue Date Valuation . . .
. 0,
Expiration Date 2/03/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00• .7500 PER ELEC-DEVICE/FIXTURE 1ST 20
3.75
Special.Notes and Comments
ADD NON STRUC. INTERIOR WALLSAugust 7,:
2006.10:50:29 AM jjohnson
Other Fees . . . . . . STRONG MOTION (SMI) - COM
54
Fee summary Charged Paid Credited
Due
Permit Fee Total 72.75 .00 .00
72.75
Plan Check Total 39.79 .00 .00
39.79
Other Fee Total- .54 .00 .00
.54
Grand Total -113.08 .00 .00
113.08
LQPERMIT
. 2?
0C
6 Z
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: v
Owner's Name:
A. P. Number:.
Address: j 6 —
Legal Descriptio •
Contractor: ,
City, ST, Zip:_5
Telephone: 7;: p i
Address:
Project Description:
.City, ST, Zip:
I
Telephone:
State Lic. # : CityLic. #: Z
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: ° f ' ''
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
.
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 2
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
I/
Item
Amount
Structural Calcs.
Reviewed, ready r corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person 11173
Plan Check Balance
Energy Calcs.
Plans picked up
. Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctio r.ssu
3
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
1N HOUSE:-
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of per it'issue
School Fees
r
Total Permit Fees
IN
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'.'aiqot o stia'
'ihaksNe a
ALL DOOR5 & WINDOWS
5HOWN ARE EXI5TING
UNLE55 NOTED OTHERWI5E
(UNO)
10'-4 1/2"
MATCH EXI5TING - VERIFY
EXI5TING
VERIFY
NEW DUPLEX
OUTLET EA N /
SIDE OF NEW NEW STORAGE
WALL
PLAN O F F I C E
REV I5ED 10'-0" CEILING
A
NEW SWITCHING TO
EXISTING FLOUR.
LIGHTING
NEW 3'-0" X 6'-8" 5C
DOOR W/ TIMELY FRAME
NOTE: ALL NEW WALLS
ARE 2X4 WALLS (UNO)•
'v
SCOPE OF WORK:
ADD NEW WALLS &
EXISTING
VERIFY DOOR TO CHANGE EXISTING
SPACE INTO NEW STORAGE /
OFFICE SPACE
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REVISIONS BY
1 PLAN CHECK
CORRECTIONS
7/31/06
/2\OWNER
RVIS
9/15/06N5
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DRAWN
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DATE
JULY 18, 2006
SCALE
1/2" = 1'-0»
JOB NO.
9 0 1. 2 4 2
SHEET
OF SHEETS
------_-
h. = .. EX15TING
VERIFY
M
EXISTING FRONT
NOTE: ALL CONSTRUCTION
SHALL
OFF I CE=
-----
COMPLY WITH THE 2001
CALIFORNIA
10'-0" CEILING
e _ •
BUILDING, PLUMBING►
MECHANICAL,
31-0"LOC
A
XE6'-8" 5c
2004 ELECTRICAL, AND
2005 ENERGY
DOOR
W/ PR I V . LOCK
1 EX I ST I NG RESTR00 1
CODES AND ALL OTHER
LOCAL CODES
AND ORDINANCES
X10'-0" CEILING
28" MIN. EXI5TING
fE11
Ell
EXTERIOR LIGHTING TO BE
CONTROLLED BY PHOTO CELL
F L 0 0 R P LAN
SCALE: 1/2" = 1'-0"
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CORRECTIONS
7/31/06
/2\OWNER
RVIS
9/15/06N5
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DRAWN
CHECKED
DATE
JULY 18, 2006
SCALE
1/2" = 1'-0»
JOB NO.
9 0 1. 2 4 2
SHEET
OF SHEETS
------_-
^+JO
B BARD ,IRE t
1.d
130ILD114U GAF
FOR 001N EtOi
\5 0
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REVISIONS BY
1 PLAN CHECK
CORRECTIONS
7/31/06
/2\OWNER
RVIS
9/15/06N5
f1 N
1— ul
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V W N
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DRAWN
CHECKED
DATE
JULY 18, 2006
SCALE
1/2" = 1'-0»
JOB NO.
9 0 1. 2 4 2
SHEET
OF SHEETS