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RC (04-5439)78065 Main St Ste 202 04-5439 opo BUILDING,& SAFETY DEPARTMENT ---P—. Q B o x 1504 (760).777-7012 F1 9. 781 X915 CALLE TAMPICO FAX (760) 777-7011 D Ln QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 JUL. 15 2004 BUILDING PERMIT CITY OF IA WNTA. FINANCE pp A DEPT., ---- "lication Number X04_0000543.9 _}_ Date' 7/14/04 Property Address . . . 78065 MAIN ST STE 202 APN: 770-121-003= - - Tenant nbr,.name 202 B OCCUPANCY Application description .REMODEL.- COMMERCIAL Property Zoning VILLAGE COMMERCIAL Application valuation . . . . 9100. Owner U 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 LL + WCC: STATE -FUND WC: 14401252004 07/01/05 CSLB: 771.883 11/30/05 CCC: B. =-------- =------ ,----------- Structure Information ------------------------- `Construction Type . . . . . TYPE V NON .RATED Occupancy Type BUSINESS <50 Other struct info . . . . CODE EDITION 2001 FIRE SPRINKLERS YES OCCUPANT LOAD 9 00 SECOND FLOOR SQ FTG 815.00 ------------ ----------------------------- -------- Permit BUILDING PERMIT Additional desc Permit Fee . . . . 117.00 Plan Check Fee 76.05• Issue Date Valuation : 9100 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9:00.00 THOU BLDG 2,001725,000 72.00 -----.-----------------------------------------------------=--------------- Permit ELECT -ADD/ALT/REM Additional desc . Permit Fee .31.30 Plan Check_ Fee 7-.83 Issue Date Valuation •0 Qty Unit" Charge 815.00 .0200 Per' Extension BASE FEE 15.00 ELEC GARAGE OR NON-RESIDENTIAL .16.30 P.O. BOC 1504 - O Y�YIt�� 78-495 CALLE TAMPICO VOICE (760) 777-7012FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253, INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: r Date: Architect n�w��T/� Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9mmencing with Section 7010) of Division 3 of the Business and Professionals Code, and my Licensej<71 full force and effect. / o icen Lse Class � License No. ,Dat / /J� Contractor All/e4� 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 contractors) 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 1. 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 ue My w rs' corrd� nsation insurance carrier a p Carierl/ ��,�-iG% Policy Number5`C/ 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. /`� ;e�Date 'V,5 / Applicant /- / 4%Z e;k ��i 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 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 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. 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 property for inspection purposes. ,a 4Date ��-�V Signature ;.(Applicant Agent):+ /- ! �� (' Page 2 Application Number 04-00005439 Date 7/14/04 Permit MECHANICAL Additional desc . Permit Fee . . . . 19.50 Plan Check Fee .. 4.88 Issue Date Valuation .. 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000, EA MECH VENT INST/ DUCT ALT 4.50 Special Notes and Comments COMMERCIAL INTERIOR TENANT IMPROVEMENT - SUITE 202, 815 SQ..FT. "B" OCCUPANCY, TYPE V-1HR,W/ FIRE SPRINKLER SUBSTITUTION. 2001 CODES. --------------------------------------------------------- ' Other Fees ENERGY REVIEW FEE -----"--=------------ 7.61 Fee summary Charged Paid Credited Due Permit Fee Total 167.80. .00 .00 167.80 Plan Check Total, 88.76 .00 .00 88.76 Other Fee,Total 7.61 .00 .00 7.61 Grande Total 264.17 .00 .00' 264.17 i SEP -24-04 FRI 01:21 PM MARVIN HOMES,,; , FAX NO. 7607715057 P. 01 _ �s CITY OF LA QUINTA ? p01 DING & SAFETY DEPARTMENT 777-7012 V-7 ' ei�% _'r to (16'Kn INSPECTION REQUEST LINE �.;. I,..V.ir�',.r ;•,PT 777-7153 Owner Contre.ctor MAIRVIN 11 Permit Number ,_0Q 5439 — POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS780 ;5 MAIN STR ,ET # 202 COMMERCIAL INTERIOR TENANT IMPROVEMENT - SUITE 202, 815 SQ,FT. "ll" OCCUPANCY TYPE V -IHR W/ FIFE SPRINKLER SUBSTITUTION, 2001 CODES. TYPE OF INSPECTION DATE INSR 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 `M FP '4I:VG (COMBINATION) JGH ELECTRIC FROLGH PLUMBING ROI:GH MECHANICAL INSUL4TION COVER NO WORK UNTIL ABOVE SIGs INTERIOR GYP. BD, (DRYWALL) cT ® - EXTENOR LATH GAS TEST SEPTI ', ABANDONMENT SEWER CONNECTION SEPTI / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOT•NGS / STEEL BONG BEAM POOL. / SPA I WATER FEATURE INSPEC' PRE-GUNITE / SETBACKS U/G PLUMBING U/G C AS U/G ELECTRICAL } PRE -PLASTER ALARMS / 5ARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER d i - ELECTRICAL PLUMBING A' IANICAL Pt.__IC WORKS DEPARTMENT COMMUNITY DEVELOPMENT PEP7 FINAL / JOB COMPLETED [f•/_, ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING ' Cerdricate.of Occypancy,,, OFTk ' Bung.;& Safety, Department,,,. '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=065 MAIN,.ST #202 ,-Use classification: COMMERCIAL ,,- Building.Permit No.: 04-5439 Occupancy Group: B s Type of Construction: VN ;. ,ry Land Use,Zone: RC Owner of Building: OLD. TOWN LA QUINTA LLC Address: 78=080 CALLE ESTADO-STE 201 City, ST,'ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: SEPT 23, 2004,- ^' Building, Official yPOST a IN A CONSPICUOUS PLACE Do=