The URL can be used to link to this page

OFC (04-3403)51025 Avenida Mendoza 04-3403 BUILDING& SAFETY DEPARTMENT 1504(760)777-7012 ELLE TAMPICO FAX (760):777-7011 A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 G, "BUILDING PERMIT r 04-00003403 Date' .5/27/04 Property Address 510"2-5 AVEN`IDA MENDOZA APN:''" 773-073-012- - - Application description NEW COMML - OFFICE/BANK Property Zoning . . . . . . . VILLAGE COMMERCIAL Application valuation 251389 Owner Contractor PATRICK & MONICA ADAMS OWNER 45795 PUEBLO.ROAD LA QUINTA CA 92253 ------ Structure Information COMM -OFFICE "SHELL" W/ SFD - ----- Construction Type . . . . . TYPE V'- NON RATED Occupancy Type • BUSINESS <50 Flood Zone . . . . . . NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY SHELL -B/R3 ° PATIO SQ FTG685. 00' • , FIRST FLOOR SQ FTG 3023.00 ------------------------------------------------------------------------------ SECOND FLOOR,SQ FTG ,1009.00 r. Permit BUILDING PERMIT Additional desc PC MANUAL REDUCTION: $721.85 Permit Fee . . . 1171.50 '"Plan ,Check Fee 39.63 Issue Date . . . . Valuation . . 251389 Expiration Date 11/27/04 Qt Unit Charge Y 9 Per Extension BASE FEE. 639.50 152.00 3.5000 THOU BLDG 100,-001-500,000 532.00 Permit . . . MECHANICAL ------ Additional.desc PC MANUAL REDUCTION: $30.25 Permit Fee 121.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 11/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9,.0000 EA MECH FURNACE <=100K _ 27.00 3.00 9.00.00 EA MECH B/C <=3HP/100K BTU 27.00 P.O. BOX 1504 i VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 62t- ,31" O Applicant:? Applilu nt's.Mailing Address: - _7_\ AA Date:.S Architect or Engineer-fjjhl•f onaf1 Architect or Engineer's leeS i '..►- '1! :r sG( -i= Lic: No: tsUILUING 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 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 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.). (--) 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.). U I am exempt under Sec. B.& P.C. for this AIP—VIA. eason Date CD`u .--a 4 rOWner >AI-Q..o .',l`1-C_L 44 avv WORKERS' 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 tr which this permit is issued. My workers' compensation insurance carrier and policy number are - Carrier STi4T 011AID f Policy Number LZA* 6/"e) -2003 _ 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. Datelo" Uq 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). .tender's Name I Lenders Address w £'$oDne t}O CK1 O(ZUZ 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 a 1. Each person upon whose behalf this application is made, eachwork pPl ation' issued as a result of this application, the owner, and the applicant each agreeswhose . and shall, defenndd,sna indemnify and hold haris mless under City of La Ou nta any 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. Date / 14-04 /` Signature (Applicant or Agent): -=l V1 N ICG 7 1VV1S Page 2 Application Number . . . 04-00003403. Date 5/27%04 Qty Unit Charge Per Extension 8.00 6.5.000 EA MECH VENT FAN 52.00 Permit ELEC-NEW RESIDENTIAL • Additional desc PC MANUAL REDUCTION: $16.33 Permit Fee 65.32 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 1009.00 .0350. ELEC NEW RES.- 1 OR 2 FAMILY 35:32 1.00 15.0000 EA ELEC'TEMPORARY POWER POLE 15.00 Permit . . ELEC-NEW COMMERCIAL Additional desc PC MANUAL.REDUC.TION: $22.29 Permit'Fee . . 89.16 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 11/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 3708.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 74.16 Permit . . . PLUMBING Additional desc PC,MANUAL REDUCTION: $34.13 Permit Fee 136.50 Plan.Check Fee'. .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/04 Qty .Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00' 15.0000 EA PLB BUILDING SEWER 15.00 3., 00 7.5000 EA PLB WATER HEATER/VENT 22.50 1.00. 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 Permit GRADING PERMIT ---------- Additional desc Permit Fee 15.00 Plan Check Fee .00 'Page 3 Application Number . . . . . 04-00003403 Date 5/27/04 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/04 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------------------------ Special Notes and Comments COMMERCIAL - 4032,SQ.FT. 2 STORY OFFICE ",SHELL" W/SFD. B "SHELL" W/R3 OCCUPANCY. TYPE VN CONSTRUCTION. 2001 CODES.- PERMIT DOES. NOT INCLUDE BLOCK . WALLS,TRASH ENCLOSURE, LIGHT STANDARDS. $1000 PLAN CHECK DEPOSIT ACCOUNTED FOR AS FOLLOWS: MANUAL REDUCTION OF PLAN REVIEW FEES"A CUMULATIVE TOTAL OF $900 ($75.15..REDUCTION TO ENERGY REVIEW FEE.)." REMAINING $100 OVERPAYMENT REFUNDED VIA CHECK REQUEST FROM BUILDING & SAFETY DEPARTMENT ON 5/27%04. Other Fees ART IN PUBLIC PLACES -COM 1236.94 DIF COMMUNITY CENTERS -RES 97.00- -DIF CIVIC CENTER - RES 366.00 DIF CIVIC CENTER - COMM 163.24 ENERGY REVIEW FEE 1.00 DIF FIRE PROTECTION -RES 97.00 DIF FIRE-PROTECTION=COMM 175.33 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 STRONG MOTION (SMI) - COM 52.79 DIF STREET"MAINT FAC -RES• 15.00 DIF STREET MAINT FAC -COMM 84..64 DIF TRANSPORTATION - RES 1098.00 DIF TRANSPORTATION - COMM 6396.66 Fee summary Charged Paid Credited Due Permit Fee Total 1598.48 .00 .00 1598.48 Plan Check Total 39.63. .00 .00 39.63 Other Fee Total 10013.60 .00 .00 10013.60 Grand Total 11651.71 .00 .00 11651.71