The URL can be used to link to this page

RC (10-0539)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 +` yApplibation Number: A (Property Address: APN: ' Application description: '.. Property Zoning: Application valuation: - ,Applicant: ---- _ , r - ;r uPlIIW1� 10-00000539 52120 MERIWETHER`WY' 767-200-998-81 -330761- REMODEL - COMMERCIAL LOW DENSITY RESIDENTIAL 1000 Architect or Engineer: 94 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT _ Owner: EAST OF MADISON LLC PO BOX 1482 LA QUINTA, CA 92247 _-Contractor: A & M CONSTRUCTION P.O. BOX 366 t� LA QUINTA, CA 92247 (760)564-4832. Lic. No.: 746198 LICENSED CONTRACTOR'S DECLARATION ' J hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business a d Professionals Code, and my License is in full force and effect. Licensee Class: B� �C10 License No.: 746.198 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 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 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.). ( ) I am exempt under Sec. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153' 6/21/10 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 r 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 0002239-2009 I certify that, in the performance of the work for which this permit is issued, I shall not employ any: person in any mann r so as to become subject to the workers' compensation laws of California, and agree that, if I ould become subject to the workers' compensation provisions of Section 3700 of the Lab Code, I shalhfbrthwith comply with those provisions. xpaJ Z"C (V Applicant 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 1$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 r 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 h 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 applicati and state that the above information is correct. I agree to comply with all city and county ordinances and state ws relating to building construction, 'and hereby authorize representatives of this county to enter upon the abo - entioned propefty for inspection purposes. Date Z 1 � C` ignature (A scant or AgentR Application Number . . . . . 10-00000539 -----:- Structure Information9' HIGH INTERIOR PARTITION WALL ----- Other struct info CODE EDITION 2007CBC FIRE SPRINKLERS NA MIXED-USE OCCUPANCY- B OCCUPANT LOAD .00 1ST FLOOR SQUARE FOOTAGE .00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 25.00 Plan Check Fee 16.25 Issue Date. . . . . Valuation 100.0 . Expiration Date - Qty' Unit Charge Per Extension BASE FEE 15.00 " 5.00 2.0000 HND BLDG 501-2,000 10.00. Permit. . . ... ELECT - ADD/ALT/REM Additional desc . Permit Fee - 18.75 Plan Check Fee 4.69 Issue Date . . Valuation 0 Expiration Date 12/18'/10 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 3.75 ------------- - Special Notes and Comments 9' HIGH INTERIOR PARTITION WALL TO CREATE CARETAKER OFFICE. 2007 CALIFORNIA BUILDING CODES/2008 ENERGY. June 21, 2010 12:52:.21 PM AORTEGA FOR ST Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 1.63 -BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 1.63 Fee summary. Charged Paid Credited Due Permit Fee Total 43.75 .00 .00 43.75 Plan Check Total 20.94 .00 .00 20.94 Other Fee Total 4.26 .00 .00 4.26 Grand Total 68.95. .00 .00 68.95 LQPERAIIT --, - CITY OF LA QUINTA ' BUILDING &'SAFETY DEP71'. APPROVED FOR CONSTRUCTION w"T 4ew WALL ITS 1�7" "'101 g;itW OF R - c � AaF,-t. fi�;lm eNepu&16 plLoor Boom 0 f'L K PLAN A-Dh5;64 .6L.013 44-oL;p ADVII JON CAWTA R 5P- Pi 61 ICOM 5W NA •4 33 -7c -p , ;OF � ,3 w Din # Qty of La Quint -a Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 102420 Building Permit Application and Tracking Sheet Permit # ID -093q Project Address:-,� 146nWeftW Of (owner's Name: AA97- A. P. Number: 7* 7- -ZOO. 10 0 3 Address: 601557 Legal Description: City, ST, Zip-., II/Mv �t t?Z5114 Contractor: A% V�� 600. L�WIV Telephone(&9) ft 718 3 Address: 560(o M OF Project Description: City, ST, Zip- , 4 JUOMIV,-7 Tele phone -0 9'hW OAZ W Ai�x State Lic. # X Arch., Engr., Designer: Address: City., ST, Zip: Telephone: sa ConstructionOccupancy: Type: V—Al 7'Y 5- State Lic. #: Project type (circle one): New Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: Telephone# of Contact Person: FV •M5 ]Estimated Value of Project: Doo. APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd RWd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. V Called Contact Person Plan Check Balance. • Tide 24 CaIcs. Plans picked up Construction • Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical V/ -4� & 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 for corrections/issue Developer Impact Fee Planning Approval Called Contact Person 1A.I.P.P, Pub. Wks. Appr Date of permit issue School Fees I Total Permit Fees 0174 Lal CST,US ATT pew r