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RC (04-3329)78065 Main St Ste 200 04-3329 ClN pF pip S U r> • A 1 't'E .4 BUILDING & SAFETY DEPARTMENT ^ v P.O. Box 1504 (760) 777-7012 C .OF94` 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA,•CALIFORNI-A.92253 INSPECTION 'REQUESTS'.(7,60)=777-7153 BUILDING PERMIT Application Number . . . . . 04-000:03329 Date 4/08/04 Property Address x'78065 MAIN ST STE 200 APN: 770-121-003- - - Tenant nbr, name . . . . . . 200 HOGSBREATH - 1 HR CONSTR Application description `REMODEL - COMMERCIAL Application valuation . . . . 67000 Owner Contractor -- - - - - - - - - - - - - - - - - - - - - -- ----------------- - - - - - - 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 BUILDING "C" ---=- Construction Type . . . . . TYPE V - 1 HR Occupancy Type . . . . . . ASSY BLDG <300 NO STAGE Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 MIXED-USE OCCUPANCY Permit . . . BUILDING PERMIT Additional desc Permit Fee . . . . 491.00 y<'_ Plan Check;Fee 319.15 Issue Date . . . . Valuation 67000 Qty Unit Charge Per Extension BASE FEE 414.50 17.00 4.5000 THOU .BLDG 50,001-100,000 76.50 ---------------------------------------------------------------------------- Special Notes and Comments 1 HOUR FIRE -RESISTIVE CONST. OF RESTAURANT (HOGSBREATH)ON 2ND FLOOR PER CBC $303.2.2.2 SEPARATION FROM 1ST FLOOR CONSTRUCTION (BUILDING TYPE OF CONSTRUCTION REVISED TO V-1HR W/ FIRE SPRINKLER SUBSTITUTION FOR 1 -HR CONSTRUCTION]**SPECIAL INSPECTION REQUIRED FOR FIREPROOFING @ COLUMNS** SUPPLEMENTAL TO ISSUED PERMITS 0211-194(SHELLBLDG"C"), P.O. Box 1504 it 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Off' 3 3 29 Applicant: 50 H Al foto Applicant's Mailin dress: -7 � � Sp E L Phs FD '°°Zoi PALI,-) Desiyut;' cc-} % 2260 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer: y _ /2-0 514"% E $ 4V4041 C,y Architect or Engineer's Address: Lic. NO.: c l 6 ? 9-3 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 .s in full force and effect. �9 ibc—ens- class'` Lr `cense Nod % 7 X g 3 ` Date / � � � / .Conte yC," L 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.). (-.) 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 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 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 r— issued. My workers' compensation insurance-carri r and policy number re: Carrier ST14Te iO v D jpolicy Number'• ys% O / a? L - - -1 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 sh • d become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall /forthwith comply with those provisio �Da e/ plicant ) 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 p natty off e1' rylhiI there i a constru ion lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Named V �L 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 ag a 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 a ov - ntioned property for inspection purposes. ntspr Agent): DateL I ' O F Signature (Applica Page 2 Application Number 04-00003329 Date 4/08/04 ----------------------------------------------------------------------------- Special Notes and Comments 0310-267(T.I."HOGSBREATHREST.11) ----------------------------------------------------------------------------- Other Fees . . . . . . . . . HOURLY PLAN CHECK 311.50 Fee summary Charged Paid Credited. Due. ----------------- Permit Fee Total ---------- 491.00 ---------- 00 ---------- _00 ---------- 491.00 Plan Check -Total 319.15 .0.0 .00 319.15 Other Fee Total 311.50 :00 00 311.50 Grand Total 1121.65 .00 .00 1121.65- DEC -09-04 THU 10:25 AM MARVIN HOMES .FAX NO. 7607715057 P. 01 - •CITY OF LA GIUINTA BUILDING & SAFETY DEPARTMENT 777-7012 INSPECTION REQUEST LINE _ _ MASONRY INSPECTIONS _ FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING . UIG GAS U/G ELECTRICAL ' PRE -PLASTER ALARMS/BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PI I IMBING I 1ANICAL PUOLIC WORKS DEPARTMENT_ COMMUNITY DEVELOPMENT DEPT. _ FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 777-7153 Owner---- OLD TOWN LA QUINTA Contractor MARVIN INVESTMENTS, INC. 04-3329 Permit -Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 78-065 MAIN STREET 4200 Joe ADDRESS 1 HOUR F1R6-RESISTIVE CONST. M RESTAURANT (NOGSBREATII)ON 2NO FLOOR PER COC 5301.1.2.1 SGPAM770N FROM I'1 PLOOR CONSTRUCTION IOULLDING TYPE OF CONSTRUCRON RGVISEC TO V4 ' • WIFIRE SPRINKLERSUBSTITUTION FOR I -NR CUNSTRUCTIONI'•SPECIAL INSPECTION REQUTAGOFO ' FIRL•PROOFING®COLUIINS•'SUPPLEMLNTAL TOISSULDPERMITS0311.104(SITPSJ.RNG•C°)0310. 167(7 I.TIOOSBREATHREST.-) , 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 -ROOF OKAY TO WRAP ^_ f IING COMBINATION ,jUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR _ _ MASONRY INSPECTIONS _ FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING . UIG GAS U/G ELECTRICAL ' PRE -PLASTER ALARMS/BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PI I IMBING I 1ANICAL PUOLIC WORKS DEPARTMENT_ COMMUNITY DEVELOPMENT DEPT. _ FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING