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RC (04-3581)78065 Main St Ste 102 04-3581 Tdf 4 44" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-49'5 CALLE TAMPICO FAX (760) 77777011 LA QUINTA, CALIFORNIA 02253' INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . r_-_04- 000-03-58-1-1: `Dat 6' 5/24/04 Property Address . . . . . . 78 -065 -MAIN ST STE 102 APN: 770 -121 -003- -Tenant nbr, name . . . . . . 102 ART GALLERY Application description . . . REMODEL.- COMMERCIAL Property Zoning . . . . . . . VILLAGE COMMERCIAL Application valuation . . . 7100 Owner' Contracftor ------------------------ 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: 1440125 07/01/04 CSLB: 771883 11/30/05 'CCC: B ---=---------------------- Structure Information - -------------------------- Construction Type . . . . . TYPE V 1 HR Occupancy Type . . . . . . MERCANTILE' Flood Zone. . . . . . . . . NON -AO FLOODZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY M OCCUPANT' LOAD 40.'00 7 - - - - - Permit . . . . - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - BUILDING PERMIT - - - - - - - - - - Additional desc Permit Fee . . . . 4. 99.010 1 1 PlcAn: Chedk Fee''.' .64.35 Issue Date . . . . Valuation . . . . 7100 Qty Unit Charge Per Extension BASE FEE 45.00 6.00' 9.0000 --------------------- THOU BLDG 2,001-25,000 54.00 ------------------------------------------------------- Permit . . . . . .. ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 57.28 Plan Check Fee 14.32. Issue Date Qty Unit Charge Per DIJ BASE FEE MAY 42 5 2004 CITY OF t-AQUINTA. FINAZACE DEPT. 0 Extension 15.00 /' V 1% P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CattE TAMPICo FAX (760) 777-701 I LA Qu►Nra, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 64- 3581 Applicant: Applicant's Mailing Address: Date: 5 - 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 is W full force and effect. cense Class IS dense No. Date S L 0 ntractor �„i \ , 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. 1 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 /S iss ed r -Ay wgfkers' compensation insurance carrier a7 pgl�y_u O L L i— Carrier vV� umber �/ _ 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, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ants` 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.). Lenders 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 Ouinta, 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 authorize representatives of this county tt'o //enter upon the above-mentioned property for inspection purposes. to S 2 O Signature (Applicant or Agent):4J I Page 2" Application Number 04-00003581 Date 5/24/04 Qty Unit Charge Per Extension 1189.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 23.78 1.00 18.5000 EA ELEC.SVC <=600V/<=200A 18.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 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 ------------------------------------------------------------------------- Special Notes and Comments COMMERCIAL INTERIOR T.I. - SUITE 102 - ART GALLERY. 1189 SQ.FT. M OCC. TYPE V-1 HRW/F.S.SUBSTITUTION."2001 CODES -------------------------------"--------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 6.44 STRONG MOTION (SMI) - COM 1.49 Fee summary Charged Paid Credited Due Permit Fee Total 189.28 .00 .00 189.28 Plan Check Total 86.92 .00 .00 86.92 Other Fee Total 7.93 ,.00 .00 7.93 Grand Total 284.13 .00 .00 284.13 Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning 4' Beaumont �t• Calimesa 6• Canyon Lake 6 Coachella Desert Hot Springs Indian Wells Indio d• Lake Elsinore _ 6• La Quinta e• Moreno Valley Palm Desert Perris c• Rancho Mirage e• San Jacinto 4• Temecula Board of Supervisors Bob Buster, District 1 Join Tavaglione, District 2 Jini 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 Fl., Indio, CA 92201 e (760) 863-8886 . Fax (760) 863-7072 March 29, 2004 E C E Q V E John Stanford L�`�R g 2004 Ir' pF LACUUINTA 73-350. EI Paseo, Ste. 207 cor�l�a NE 'OVROPMENT Palm Desert, CA 92260 Re: Non -Structural Building TA Plan Review LAO -04 -TI -051 / 78-065 Main St., #102 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) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a planAnspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 2) Provide either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring. 3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 5) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background. 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 afi(760) 863-8886. ; Sincerely, Cc:_City_of_La Quinta�Bldg. De WPUMP oeau• a *4;%MoJMMT uwa4--n-0si.d= FRANK KAWASAKI Chief Fire Department Planner Byi? l Walter Brandeesss Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 824375 Highway 111, 2W Fl., Indio, CA 92201 • (760) 86343886 • Fax (760) 663-7072 SEP -23-04 THU 02,48 PM MARVIN HOMES r 4 FAX N0. 7607715057' P. 01 F. GUY of LA QUANTA & SAFETY DEPARTMENT ; `• i F n ! r 777-7012 ECTION REQUEST LINE 777-7153 Owne Contfl;_ Permit Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-065 M 102 1189 S.F. COMM. INT. TI—.M OCC, TYPE V IHRW/F.S. SUBSTITUTION, 2001 CODES, TYPE OF INSPECTION- DATE INSP, U/G PLUMBING / WASTE I U/G EL ECTRICAL /GROUNDING FOOTIAGS / STEEL. CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY" O WRAP _NG F' COMBINATION ....UGH ELECTRIC ROUGH PL.UM8ING _ ' ROUGH MECHANICAL \n INSUIr\TION COVER NO WORK UNTI ABOVE SIGND Q INTERIOR GYP SD. DRYWALL EXTERIOR LATH GAS TI=ST • ter/ h G / % Dj/ X Un v AJC SEPTI(: ABANDONMENT SEWER CONNECTION (J SEPTI(; / GREASE INTERCEPTOR _MASONRY INSPECTIONS FOOTI VGS /STEEL BOND BEAM _ POOL / SPA / WATER FEATURE INSPECTIONS PRE -G JNITE / SETBACKS U/G PLUMBING U/G GnS U/G ELECTRICAL PRE -PLASTER ALARMS/BARRIERS _ FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL, PI I IME LNG r FINICAL PVdLIC WORKS DEPARTMENT COMM,JN TTY DEVELOPMENT DEPT. FINAL./ JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO • 1'1 IOAI ntl I ITII