BLCK (09-0157)78100 Main St Ste 104
09-0157
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:.
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
X09-00000157_-
78100 MAIN ST STE 104
770-121-010- -
WALL/FENCE
VILLAGE COMMERCIAL
2000
Tjht 4 4 Q"
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 in full force and effect.
License Class: License No.: '
Date: 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 r she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)::
( 1 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 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.).
I—) I am exempt under Sec. , B.&P.C. for this reason
sir
If 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:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/23/09
tFEB
2 3 2009
cITY OF LA QU►NTA
--------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier Policy Number --=------------
I c=at, 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 pr -sions of Section
37 0 of the La or Code/, Is/yall
/fo/rtpwith co p with those provisions.
ate:!A
WARNING: FAIL RE 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the.
conditions and Testrictions 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.
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 aut rize representatives
of this cou to en er upon the above-mentioned property for i tion rposes.
Date: y gnature (Applicant or Agent):
Application Number . . . . . 09-00000157
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 15.75 Plan Check Fee
3.94
Issue Date . . Valuation ..
0
Expiration Date 8/22/09
Qty Unit Charge Per
Extension
BASE =FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
- ----------------------------------------------------------------------------
.75
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee
.00.
Issue Date Valuation .
. 2000
Expiration Date 8/22/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
15.00 2:0000 HND BLDG 501-2,000
30.00
-----------------------------------------------=----------------------------
Special Notes and Comments
ELECTRICAL OUTLET AND SCREEN WALL FOR
PROPOSED KILN AT THE OLD TOWN ARTISAN
STUDIO. 2007 CALIFORNIA BUIDLING AND
ELECTRICAL CODES.
February 23, 2009 11:35:06 AM AORTEGA
-- ------------------------------------------------------
Other Fees ... . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
----- ---------- ---------- ---------- ----------
Permit Fee Total 60.75 .00 .00
60.75
Plan Check Total 3.94 .00 .00
3.94
Other Fee Total 1.00 .00 .00
1.00
Grand Total 65.69 .00 .00
65.69
LQPERMIT
M
.J
T_ -df °f 4aUlnfa
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(7 60) 777-7012
FAX (760) 777.-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An. application for a buildin ermit has been submitted in your name listing yourself as the builder of the property
improvements specified at /CO '06/
We are providing you with an Owner -Builder Acknowledgme t and In ormation Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial eachstatement below to signify you understand or verify this information.
P-1. I understand a frequent practice of unlicensed persons is to have .the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious finan 1 risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. 'My-It 4kwance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as. an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than Califom.1a licensed Contractors, and the total value
o my construction is at least.frve hundred dollars ($500),,including labor and materials, I may be considered an "employer"
under state and federal law.
6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
,'riissk.
g.I'/ f 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
. structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, .or all of the work is performed
under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that -result from any latent construction defects in the
workmanship or materials.
4rice,9I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party le ally d fmancially responsible for proposed construction activity at the following address:
-40
Q,11. I agree that, as the party legally and financially responsible for this proposed construction activity,.I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed. Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner 'If AXIA-) Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work): AAV 2,6W
Project Location or Address:
Name of Authorized Agent: 11&44 lff Tel
Address of Authorized Agent: —APIK) AOV/.,
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required!to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: w `' Date: .
N
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: February 23, 2009
From: Les Johnson, Director -Planning Due Date: ASAP
Permit #: 09-157 Status: 2"d Review
Attn: Andy
Building Plans Approval'
(This is an approval to issue a Building Permit)
The Planning Department has reviewed ithe Building Plans for the following
project:
Description: Install Exterior Fence
Address or General Location: 78-100 Main St. Ste. 104
Applicant Contact: Old Town La Quinta, LLC (760)777-1770
The Planning Department finds that:
❑ these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans requite corrections. Please forward a copy of the
attached - corrections to the applicant. When the . corrections are made
please return them to the Planning Department for review.
Z3 09
L s J son, Director -Planning Date
r
)
--- C"tz
NOW."
„ P 1tl
q' • \r"r„ RETAIL SPACE °asm RETAIL SPACE r1 RETAIL SPACE wrr,aN
105 106 107 '
1,972 SQ. FT. ❑ 1,697 SQ.FT. RETAIL SPACE
. O 1,000 SOFT. -rr-.o
" • 108
1,456 SpQ.FT.
. a
RETAIL SPACE ✓ _ o : . -
L l 91 ... .... ...
._
103
2,213 SQ. FT.. -
RETAIL SPACE
104 ✓
_ RETAIL SPACE ° 1,219 SMFT.v -
101—
Z039 S4 FT. i
.>M AREA TABULATION
j
SUITES
101 - 2,039 SQ.FT.
.
RETAIL SPACE •„' ' S` 102 1;255 SQ.FT.-
0 102 :` / 103 2,213 SQ.FT.
1,255 SQ. FT. ^ • -
104• 1,219 SQ.FT. .
A 105 1,972 SQ.FT.
106 1,000 SQ.FT.
107 1,697 SQ.FT.
108 1,456 SQ.FT.
i TOTAL 12,851 SQ.FT.
LOS ALTOS BUILDING - FIRST FLOOR PLAN
78-100 MAIN STREET I A QUINTA CA
-a
CITY OF LA QUINTA
BUILDINGA SAFETY DEPT..
APPROVED
FOR CONSTRUCTION
DATE
TM f 00ftgeD 1444*1 ,
OLO TOW fl
LA Qvini-A
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
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KM1027
KM1018
■ The KM1027 is our most popular and versatile ■ The KM1018 offers the wide capacity of a large
model. With its cone 10 power and 7 cubic -foot kiln coupled with the easy loading height of a
chamber capacity there are very few projects smaller kiln. Great for platters!
this kiln can't handle. ■ It fires to porcelain and stoneware temperatures
0 An optional 3" brick upgrade makes this model and has also become a popular glass fusing kiln.
a more efficient high fire kiln and raises the rat- ■ Optional 3" brick upgrade makes this model a
ing for 208 volt models to. Cone 10. (Please note more efficient high fire kiln. (Please note that
that with the added insulation, the chamber with the added insulation, the chamber Bi-
diameter is reduced by 1".) ameter is reduced by 1".)
KM1027(1
—240 __
48.0 11520
10
2350
7.0
23.38"
27"
290
6
60
6-50
`206-48.0
'9984
6
2250
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23JP
27'
290
6
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6-50
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29.3
11520
10
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7.0
23.38"
27"
290
8
40
15-50
208
31.7
11000
10
2350
7.0
23.38"
27"
290
8
40
15-50
KM1027-3
1
240
48.0
11520
10
2350
6.4
22.38"
27"
320
6
60
6-50
208
48.0
9984
10
2350
6.4
22.38"
27"
320
6
60
6-50
3
240
29.3
11520
10
2350
6.4
22.38"
27"
320
8
40
15-50
208
31.7
11000
10
2350
6.4
22.38"
27"
320
8
40
15-50
KM1018
1
240
39.4
9456
10
2350
4.6
23.38"
18"
250
6
50
6-50
208
40.0
8320
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2350
4.6
23.38"
18"
250
6
50
6-50
KM1018-3
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39.4
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10
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4.2
22.38"
18"
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6
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208
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22.38"
18"
275
6
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6-50
INC
MARVIN INVESTMENTS, INC.
City of La Quinta
P.O. Box 1504
La Quinta, CA 92253
Attention: Andrew Mogensen
A.J. Ortega
Re: Permit # 9-157, 78-100 Main Street, Suite 104, La Quinta
To whom it may concern:
As the agent for the landlord, Old Town La Quinta, LLC, I acknowledge that our
new tenant Old Town Artisan Studio is applying for a permit to place an electric
kiln on our premises. The kiln placement location has been approved by the -- .
landlord, and will be surrounded with appropriate fencing and panic hardware to
comply with building code, as per Exhibit's A, B, C and D.
If any further information is needed, please feel free to contact me.
Sincerely,
Noreen M. Tripp -Hudson
Director of Building for Old Town La Quinta, LLC
Wells L. Marvin as President of Marvin Investments, Inc. -
Managing Member for Old Town La Quinta, LLC
78-100 Main Street, Suite 206 • La Quinta, CA 92253 (760) 771-2567 • Fax (760) 771-5057 E-mail: wells@marvinhomes.com
Bln #
City of LaQ uinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Qtiinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
-J
\A
Project Address: /
Owner's Name U
A. P. Number:
Address:I'S 1(;0 MCL; n S-W j2 1—'- ZU&l
Legal Description:'
City, ST, Zip: • QV . ^ L C.jol el ZZ 53
Contractor: 1A
Telephone:-I11- rn
Address:
Project Description:
City, ST, Zip:
Telephone:
r
State Lic. # : City Lic. #:
Arch., Engr., Designer:
AeIA-
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
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 correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
i
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3H Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A,I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees