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RC (07-0098)78100 Main St Ste 105 07-0098 4 P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07=00000098 - Property Address: 78100 MAIN ST STE 105 APN: 770 -121 -010 - Application description: REMODEL COMMERCIAL Property Zoning: VILLAGE COMMERCIAL Application valuation: 3000 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPAR' BUILDING PERMIT 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 in full force and effect. License class: B icense No.: 771883 -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 70001 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 ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the'owner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the .performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT FMof Owner: C` ,Q1r+E OLD TORN LA - TA 78015 MA2N ST 4205 LA QUINTA CA LA QUINTA, CA 92253 Contractor: MARVIN INVESTMENTS, INC 78015 MAIN ST STE 205 LA QUINTA, CA 92253 (760)771-2567 ' Lic. No.: 771883 VOICE (760) 777-7012 FAX (760) 177-7011 ;INSPECTIONS (760) 777-7153 Date: 1/22/07 - f 1007 - CIN 01: iFi Qiitr4$a FINANCE n;:P . . ------------------ WORKER'S 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 issued. My workers' compensation insurance carrier and policy number are: . Carrier STATE FUND Policy Number 1440125-2006 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 e, I shall fo with comply with those provisions. Date:'Applicant. yAA ..,. ( 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. 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 isnot 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 to enter upon the above-mentioned pro er y or inspec 'o urposes. Date: l 'y Signature (Applicant or Agent): Application Number . . . . . .07-00000098 Permit BUILDING PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date 7/21/07 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 9.00 Permit . . . ELECT - ADD/ALT/REM. Additional desc . Permit Fee . . . . •30.75 Plan Check Fee 13.38. Issue Date Valuation 0 Expiration Date 7/21/07 Qty Unit Charge Per Extension BASE FEE 15.00 .00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .00 u 35.00 .4500 EA ELEC DEVICE/FIXTURE >20 15.75 ----------=----------------------------------------------------------------- ' Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 7/21/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA - MECH APPL REP/ALT/ADD ---------------------------------------------------------------------------- 9.00 Permit .. . . PLUMBING Additional desc . Permit Fee . . . . 55.50 Plan Check Fee.. 13.88 Issue Date Valuation 0 Expiration Date 7/21/07 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 - Special Notes and Comments TENANT IMPROVEMENT 1926 SQ. FT. BEAUTY LQPE%-,IIT LQPEIL\'IIT Application Number . . . . . 07-00000098 --------------------------------------------------------------------------- Special Notes and Comments. SHOP. Other Fees . . . . . STRONG MOTION (SMI) - COM .63 Fee summary ----------------- Charged ---------- Paid -------------------- Credited ---------- Due Permit Fee Total 164.25 .00 .00 164.25 Plan Check Total .68.36 .00 .00 68.36 Other Fee Total .63 .00 .00 63• Grand Total 233.24 .00. .00 233.24 k P.O. BOX 1504 APPLICATION ONLY Building _ j 78-495 CALLE TAMPICO Address 1 LA QUINTA, CALIFORNIA 92253 Owner BUILDING: TYPE CONST. OCC. GRP. 122 Mailing � ' Addressf A.P. Number "' nM 2 I City Izip Tel. Legal Description Contracto _ � Project DescriptionY�1�i,— MXV1 lve3/✓// _ 15.1 7 1 �,1 �°� iA6A+(►1 V G Address City Zip Reed Tel. K#Submitta r1an Check submitted Sq.Ft. r2� ,, Size —U No. Stories No. Dw. Units State Lic. & Classif. Arch., Engr., Designer Address Tel. City Lic. # lca. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ VA4,1A 'T' T- CA�SDy / Y• PlaCheck Balance .. Ene 80 9 City Zi _ _ 4A Contraction State Lic. # Plans resubmitted Mechanical ° Grading.plan o APPLICANT: DO NOT WRITE BELOW THIS LINE 00, 2 6 Electrical l Req'd :: Reed TRACMG PERMI,T FEES K#Submitta r1an Check submitted v t7Item Amount al Calcs. Reviewed, ready tor! %-rections Plan Check Deposit lca. Called Contact Persona PlaCheck Balance .. Ene Pians pickedap Contraction lain p Plans resubmitted Mechanical ° Grading.plan Z'' Review, ready for eorrectio ue 00, 2 6 Electrical Subcontactor List + Called Contact Person ' Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE-- '`' Review, ready [or corrections/issue Developer Impact Fee Plannigg Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees t / (O ON BOARD r? h0Vee l�///07 CDD f1 PPROVFD 0 � L CertafiCate. of Occu anc i Incaroanrm ` OF T9—Building & Safet De artment 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 inrith the. provisions, , of the Building Code and- the various ordinances . •of the City regulating building construction and/or use. BUILDING ADDRESS: 78-100 MAIN STSTE #105• Use classification: COMMERICAL (EMBELLISH HAIR SALON AND BOUTIQUE)- Building Permit No.: 07-98 '.Occupancy Group:B Type of Construction: `VN- ,._ Land Use Zone: VC VC Owner of Building: OLD TOWN LA QUINTA Address: -78-015 MAIN ST #205 ' ' _ - • J City,,ST, ZIP 'LA QUINTA, CA 92253 ` By: STEVE TRAXEL Date: 02-22-2007 Building Official r ;7 ' POST IN A CONSPICUOUS PLACE '