SOTB (06-0320)78065 Main St Ste 200
06-0320
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ( 06-00000320
Property Address: - 78065 MAIN ST STE 200
APN: .770-121-012-' -
Application description: STRUCTURES OTHER THAN
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 3000
BUILDINC
Applicant: Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 00) of Division 3 of the Business and Professionals Code, and m en Licrce and effect.
License0ass: 03 license No.: 18
Date: I1 -n /n /h, Contractor:
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).:
(_ 1 1, 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
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.).
( 1 I am exempt under Sec. , B.&P.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:
OLD TOWN LA QUINTA
78015 MAIN ST #205
LA QUINTA CA
LA QUINTA, CA 92253
Contractor:
PALMS TO PINES
69640 SUGERLOAF
MOUNTAIN CENTER
(760)568-3997
Lic. No.: 50481
CANVAS
CA 92561--
8
2561-8
VOICE (760) 777-7012
FAX (760) 77777011
INSPECTIONS (760) 777-7153
Date: 1/27/06
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 STATE FUND Policy Number 0788182
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
per n in any manner so as to become subject to the workers' compensation laws of California,
an agree that, if I should become subject to the workers' compensation provisions of Section
3 00 the Labor Code, I shall forthwith comply with those provisions.
> 0 11LA
Date: - Applicant:-- i
WARNING: FAILURE TO SECURE WORKERS' CO N COVERAGEFUL, 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 that the above information is correct. la e to comply with all
city and county ordinances and state laws relating to buildi construction, and hereby au orize representatives
of this c my toe er upon the above-mentioned or inspection, purposes.
Dater ignature (Applicant or Agent):
Application Number . . . . . 06-00000320
Permit BUILDING PERMIT
Additional desc
Permit Fee 54.00 Plan Check
Fee
35.10
Issue Date . . . . Valuation
. . .
. 3000
Expiration Date 7/26/06
Qty Unit Charge Per,
Extension
" BASE FEE
45.00
1.00 9.0000 THOU "BLDG 2,001-25,000
9.00
-- ---- - -7-----------------------------------------
--------- ------------------ 7 ------------ -------------------
Special
Special Notes and Comments
---------
METAL -FRAMED CANVAS CANOPY AT EAST SIDE
OF BUILDING OVER EXTERIOR STAIRS.ANY
SIGNAGE ASSOCIATED WITH CANOPY REQUIRES
A SEPERATE SIGN PERMIT.
Other Fees" ENERGY REVIEW FEE
3.51
STRONG MOTION (SMI)
- COM'
.63
Fee summary Charged Paid Credited
Due
Permit Fee Total 54.00 .00.
.00
54.00
Plan Check Total 35.10 .00
.00
35.10
Other Fee Total" 4.14 .00
.00
4.14
Grand Total 93.24 .00
.00
93.24
LQPERMIT - -
Bin #
G1
Permit #
-3 2,o
Project Address: -Z8--(06f - /
A. P. Number:
Legal Description:
Contractor: Q
Address:
City, ST, Zip:
Telephone:d 6 J 9 4 3
Y
City of La Quinta
Building u Safety Division
P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
Building Permit Application and Tracking -Sheet
Owner's Name:
Address:
City, ST, Zip:
q -:) ?
Project Description:
Total Permit Fees
•ERN y fi5f7 /V1 :/ Wr :<N ;/vet?/` . - s eR .tykj.
1 /Z6 06 s / r3 '!Z7 64
Amount
State Lic. # :
rb
IQ-- 5(9/,P
City Lica#:
'
Arch., Engr., Designer.
Address:
ST, Zip: ,n, nn
e.
LTelephone:-L, 12,
Construction Type:
u
Lie. #:
Project J type (circle one
ew Add'n Alter Repair
Name of Contact Person: i
^<.!
Sq. Ft.:
# Stories:
# Units:
Telephone #9f Contact Person: 2Gd
' x.39 .Estimated Value of roject:
c P
APPLICANT: DO NOT WRITE BELOW THIS L E
# Submittal Req'd
Recd TRACMG
PERMIT
Plan Setsf
.l (
Plan Check submitted
Itbm
Structural Calcs.
Reviewed, ready for corrections i2.
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans. picked up
Construction
Flood plain plan
Plans resubmitted. .
Mechanical
Grading.plan
2"" Review, ready for correctio issue
Electrical
Subcontactor List:
„
Called Contact Person
7
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
ofpermitsue
School Fees
Total Permit Fees
•ERN y fi5f7 /V1 :/ Wr :<N ;/vet?/` . - s eR .tykj.
1 /Z6 06 s / r3 '!Z7 64
Amount
P.O. BOX 1504
78-495 CALLr TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler; Building & Safety Manager
From: Doug Evans, Director -CDD
BUILDING & SAFET)' DEPARTMIENT
(760) 777-7012
FAX (760) 777-701 1
To CDD: 1-26-2006
Due date: ASAP
Status: 1 ST Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for the
:following project:
Description: CANOPY WITH SIGNAGE (HOGSBREATH)
Address or general location: 78-065 MAIN ST
Applicant.Contact: Ernie Brooks 568-3993/Kaiser 219-1234
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
approval_
these Building Plans are approved by the Community Development
Department.
❑ ...these Building Plans require corrections. Please forward a copy of the attached
" correction to;the applicant. When the corrections are made please return them to
the Con nity Development Department for review.
Z oho
ug 'Eva s, Director -CDD Date
7
YOUNG ENGINEERING' SER VICES
,Engineering •Architecture -Surveying- Building & Safety Services
Letter of Transmittal
To: ' ,1 ( I . ' 1LD► T 4 Date:
Project:
Attn:PC#: C -32o
Tel No.: Tract No.:
We are forwarding:_ By Messenger By Mail Your Pickup
No. of Copies Description:
I
Comments:
THANK YOU
This Material Sent for:
Your Files Per Your Request
Your Review Approval
. Checking At the request of:
0lther
By: -i
Phone # (760) 360-5770 EXT.
77-804 Wildcat Drive, Suite C, Palm Desert, CA 92211 (760) 360-5770
Bronz Young
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13CITY OF LA QUINTA
,BUILDING -&'SAFETY DEPT.
-FORzCONSTRUCTI N
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A RE-INSPECTIO 4 FEE OF $30 ,
WILL BE CHARGED F THE APPROVED
PLANS AND JOB C RD ARE NOT ON`
THE SITE FOR A SCHEDULED
INSPECTION.
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BOILING &F DR AN MA
T LINE
'4777-7153
OwneLOLD TOWN LLC
Contractor PALS TO PINES CANVAS
Permit.Number0—k-120 ?
POST ON JOB IN CONSPICUOUS PLACE .
INSPECTOR MUST SIGN_ALL.APP_LI.CABLE SPACES
JOB ADDRESSr8065 MA[N_ST # 200-_/
lN91-TAL-FRANlED CANVAS CANOPY AT EAST SIDE OF
BUILDING OVER EX'T'ERIOR STAIRS.ANY SIGNAGE
'ASSOCIATED WITH CANOPY REQUIRES A SEPERATE SIGN
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G'PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS/ STEEL
CONCRETE SLAB
:tg' DO -NOT POUR CONCRETE UNTIL ABOVE SIGNED
nJOF NAIL / PRE -ROOF
OKX1' TO WRAP
FRAMING COMBINATION
ROUGH 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
U/G GAS . i'
U/G ELECTRICAL"
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL '
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED 6
•No G, .'
ABOVEAPPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING