RC (04-5065)78015 Main St Ste 201
04-5065
wa rw
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504
(760).777-.7012
78-495 CALLE TAMPICO FAX (760) 771-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS .(760) 777-7153
BUILDING PERMIT
Application -Number
'04=-000050651 Date 7/02/04
Property Address
78015 MAIN ST STE 201
APN:
770-121-003- - -
Tenant nbr, name
201 T.J. PRONET
Application description.-... REMODEL -'COMMERCIAL
.Property Zoning
.. VILLAGE COMMERCIAL
Application valuation 2325.8.
Owner
Contracto'r
<,
OLD.. TOWN. LA .QUI.NTAMARVLN
------------
INVES'T'MENTS;
INC.
.78080.'.CALLE ESTADO #200 78080..CALLE:ESTADO
..
SUITE. 201
LA:,QUINTA: CF;
LA: QUINTACA
92253
LA QUINTA . '
CA
,.
. .'
WCC : STATE. FUND
WC; 1440.125 ..:.
07/01/04
CSLB: 711883
Q oda
11%30/05
CCC: B
--------------=-=--------
r e Information ------=------------------
Construction Type
YPE V - NON RATED.
Occupancy Type . .
BUSINESS <50
Flbod Zone
NON -AO FLOOD ZONE
Other s.truct info.:..
CODE EDITION: 2001
FIRE SPRINKLERS. YES -
OCCUPANT.:
OCCUPANT: -LOAD s:
14.'00 .
SECOND FLOOR SQ FTG.:
1011':00
Permit
- - -
BUILDING PERMIT
- - ---- --- - --
Additional des.c
Permit Fee.243.00..``
Plan Check Fee
157.95
Issue :..ate
Valuation
23258
Expiration Date.,.'
7/02/05
Qty .: Unit Charge
Per.'Ext
ens ion' • - .
BASE FEE
. 45 . 00`-
0`..22.00
22.00. 9.0000
THOU BLDG 2,001725,000
198.00
Permit . . . . .
ELECT - ADD/ALT/REM
-- -- - -- -- - -- --
.Additional des.c ..
a
Permit. Fee
35.22 Plan .Check Fee
8.81
Issue Date . ; . ..
Valuation
0
Expiration Date
7/02/05
Qty. Unit .,Charge
Per -
Extension
P.O. BOX 1504 •
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFET,Y,DEPARTMENT
Application Number: f
Applicant:
Applicant's Mailing Address: fit
Architect or Engineer:
01
VOICE(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date% —
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 Cie Business and.. Professionals
Code, andmy License ' in full force and effect.
(License Clash 1. I license No._ ;L;Z14 WS_
1 hereby affirm under penalty of perjury that I am a OWNER -BUILDER DECLARATION
city or county that requires t permit to construct Ia exaltempt
from the Contractors' State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any
statement that he or she is licensed pursuant the Improve. demolish, or repair any structure. prior to ifs Issuance, also requires the applicant for the permit to file a signed
p 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 pemrit subjects
the applicant to a civil penally 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 (rd not build or Improve for the purpose of sale.).
U 1, 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 contractors) liicensed pursuant to
the Contractors' State License Law.).
.0 I am exempt under Sec. B.8 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 wig. maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
d•sation insuceranprier arldd a
Cartier Policy Number
_f certify that In the performance of the work for which this permit is issued, l shag 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, l shag
forthwith comply with those pro/viisiions:
Date
WARNING: FAILURETO 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
1 hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit isissued (Sec. 3097, Civ. C.).
Lender's Name
Lenders 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, indemnity and hold harmless the City of La Quinta, is
officers, agents and employees for any act or omission related to th)e 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.
1 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-prroojpeerrty for
/inspection purposes.
ure (App
DateSignatlicant or Agent):•' 7Ge %`---s/ '
J
Page.
2
Application Number .
. . . 04-00005065 Date
7/02/04
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1011.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
20.22
-------------------------------
Permit . . . . . .
------------------------
MECHANICAL
--------------
=------
Additional desc
Permit Fee . . . .
24.00
Plan Check Fee
6.00
Issue Date
Valuation
0
Expiration Date
7/02/05
Qty Unit Charge
Per
Extension
BASE
FEE -
15.00
1.00 9.000.0
EA MECH
APPL REP/ALT/ADD s
9.00
---------------------------------------------=------------------------------
Special Notes and Comments
COMMERCIAL INTERIOR T.I.
- 1,011
SQ.FT.
OFFICE, "B" OCC. TYPE
VN CONSTR..2001
CODES.
Other Fees . . . ..
-------------------------------
. . . ENERGY REVIEW FEE
15.80
Fee summary, Charged
Paid Credited
Due
Permit Fee Total
302.22
.00 .00
302.22
Plan Check Total
172.76
00 .00
172.76
Other Fee Total
15.80
.00 .00
15.80
Grand Total
490.78
..00 .00
490.78
Q
NOV-01-04 MON 02:41 PM MARVIN HOMES.,
C-
i
FAX N0, 7607715057 P. 01.
C"v I
LA QUINTA
UI IN S 1=TY DEPARTMENT
Of t+ ti 7 7.7012 q
v O IN ON REQUEST LINE 1
Show 777.7153
TWO f
Permit Numb -
POST 0"015 IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS
COMMERCIAL INTERIOR T.I.1,011 SQFT
OFFICE `B" OCC. TYPE 'VN CONST. 2001 CBC
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE. UNTIL ABOVE SIGNED
ROOF= NAIL /PRE=RObF
OKAY TO WRAP
FRAMING COMBINATION -
_ JGH ELECTRIC
. HUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD, DRYWALL
EXTERIOR LATH
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
'POOL. / SPA / WATER FFATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
cuIAl IAICCQl-rIr%MQ -
ABOVE APPROVALS.DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
- Certificate :of OccupancY
C
OF Building A Safety -Department -
r
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: 78-015 MAIN STREET SUITE 201
-,
,` ' •
. \ - 1 _ ,. _,
- rte-. ` .- Z' - -
Use: classification.- COMM - ,y V Building Permit No.: 04.5065
Occupancy Group; B _ Type of Co nstruction:''VN r x .7 Land Use Zone:' VC*" -'
Owner of Building: OLD TOWNE'LA QUINTA Address: 78080 CALLE ESTADO #200
`
-City, ST, ZIP:'LA QUINTA CA 92253`•
By: KIRK•KIRKLAND
df
Date: 10-28-2004.
Building Officidl a
j POST IN A CONSPICUOUS PLACE