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04-4946 (PAT)78015 Main St Ste 100 04-4946 BUILDING & NAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . 04-00004946 Date 8/12/04 Property Address . . . . 78015 MAIN ST STE 100 APN: 770-121-003- - Tenant nbr, name . . . . . . C100 STUFT. PIZZA _ a Application description . . . PATIO COVER - COMMER-IAL- PP P Property Zoning . . . . . . . . VILLAGE COMMERCIAL w, Application valuation . . . 8538 x TY OF LSA QUINTA Owner Contractor INANGi_`tir f ------------------------ ---------------a->- ----_- OLD TOWN LA QUINTA MARVIN INVESTMENTS, INC. 78080 CALLE ESTADO #200 78080 CALLE ESTADO SUITE 201 LA QUINTA CA LA QUINTA CA 92253 LA QUINTA CA 92253 WCC: STATE FUND WC: 14401252004 07/01/05 CSLB: 771883 11/30/05 CCC: B - ------------------------------------- -------------------------------------- Permit . . . . . . PATIO COVER PERMIT Additional desc Permit Fee 108.00 Plan Check Fee 70.20 Issue Date . . . . Valuation . . . . 8538 .Qty Unit Charge, Per Extension BASE FEE 45.00 7.00 .9.0000 THOU BLDG 2,001-25,000 63.00 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-MISCELLANEOUS Additional desc- Permit escPermit Fee . . . 30.00 Plan Check Fee 7.50 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC SIGN 1ST CIRCUIT 15.00 ----------------------------------------------------------=---=------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 105.00 Plan Check Fee 26.25 Issue Date. . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 Ot INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 4q4(o I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: 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 Code, and my License ' full force and effect. �% p cense Class i M cense No. :z Date ✓� u ontractor OWNER -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 builds or 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 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 y wpfRrr ' om ensation ' urance carrier and p�Ii�.y ryef ie �rner C policy Number /'7/ I certify that, in the perl'90Fmance 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. 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 //�� Lenders Address A Y 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, indemnity 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 160 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 property for inspection purposes. Date v�/ ignature (Applicant or Agent f Page 2 Application Number 04-00004946 Date 8/12/04 .Qty Unit Charge Per Extension BASE FEE 15.00 10.00 9.0000 EA MECH SUSP/WALL HEATER 90.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 37.50 Plan Check Fee 9.38 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00. .7500 EA PLB GAS PIPE >=5 7.50 1.'00 .15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Special Notes and Comments TRELLIS ADDITIONS - 616 SQ.FT.(2 AREAS) ,GAS HEATERS, WROUGHT IRON GATES AND ENCLOSURE AT OUTDOOR DINING. 2001 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 1.79 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total -------------------- 280.50 .00 ---------- .00 280.50 Plan Check Total 113.33 .00 .00 113.33 Other Fee Total 1.79 .00 .00 .1.79 Grand Total 395.62 .00 .00 395.62 Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Bannin 6 Beaumont e• Calimesa 4• Canyon Lake Coachella 4• Desert Hot Springs 4. Indian Wells 4• Indio 4• Lake Elsinore 4• La Quinta 4• Moreno Valley 4• Palm Desert 0 Perris 4• Rancho Mirage San Jacinto 4• Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Tim Venable, District 3 Roy Wilson, District 4 Marion Ashley District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 82-675 Highway 111, 2^d FI., Indio, CA 92201 . (760) 863-8886 e Fax (760) 863-7072 July 14, 2004 Southwest Concepts 78-120 Calle Estado, Ste 206 La Quinta, CA ..92253 Re.:' ..Non -Structural Building TA Plan Review LAQ-04-TI-005 / Stuft Pizza — Outside Trellis L78-015 Ave. Bermuda, Ste. 100 Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) Trellis shall be maintained open to the sky with a minimum of 75% clear opening to be exempt from present or future sprinkler requirements. 2) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By �0,1, Walter Brandes Fire Safety Specialist 4c:iCdy ofi-LTa QuintaEBuilding Dept, K%PEr1WP WaU OL*U%PRQIECTS%TUAG 4-TW05(b).doe EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2- FI., Indio, CA 92201 9 (760) 863-8886 • Fax (760) 863.7072