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04-7122 (RC)TAW f444" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT Application Number . . . Property Address . . . . APN: Application description Property Zoning . . . . . Application valuation . . Owner ------------------------ MADISON PTM LA QUINTA 71361 SAN GORGONIO RD RANCHO.MIRAGE CA 92270 BUILDING & SAFETY DEPARTMENT . (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-00007122 Date 2/01/05 78370 HIGHWAY 111 STE 160 604-050-048- - - REMODEL — COMMERCIAL COMMUNITY COMMERCIAL 10000 Contractor ------------------------ PRIMUS CONTRACTING GROUP, INC 1409 SO. 600 WEST, SUITE D BOUNTIFUL UT 84010 WCC: STATE FUND WC: 1705181 10/01/0 CSLB: 814726 11/30/0( CCC: B ------ Structure Information TENANT IMPROVEMENT ----- 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 B ---------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 950.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . . 12/17/04 Valuation . . . . 10000 Expiration Date . . 6/16/05 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 ----------------------------------------------------------------"- THOU BLDG 2,001-25,000 72.00 Permit . . . . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 31.65 Plan Check Fee 7.91 Issue Date . . . . 12/17/04 Valuation 0 Expiration Date 6/16/05 Qty Unit Charge Per Extension BASE FEE 15.00 37.00 .4500 ------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 16.65 Permit . . . . . . MECHANICAL Additional desc . . P.O. Box 1504 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: Applicant: Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.. MUILUINU 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.). U 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. . BA P.C. for this reason Date Owner. WORKERS' 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 Policy Number 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. Date 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 ($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 Ouinta, 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 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 Signature (Applicant or Agent): Page 2 Application Number . . . 04-00007122 Date 2/01/05 Permit Fee . . 30.50 Plan Check Fee 7.63 Issue Date . . . . 12/17/04 Valuation . . . . 0 Expiration Date .6/16/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 6.5000 EA MECH VENT FAN 6.50 ------------------------------------------------------------------------ Permit . . . . PLUMBING Additional desc . Permit Fee 37.50 Plan Check Fee 9.38 Issue Date . . . . 12/17/04 Valuation . . . 0 Expiration Date 6/16/05 Qty Unit,Charge Per Extension BASE FEE. 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 --------------------------------------------------------------- Other Fees . . . . . . . . STRONG MOTION (SMI) - COM 2.10 Fee summary Charged Paid Credited Due ------------ 5 ---------- Permit Fee Total 216.6 216.65 .00 .00 Plan Check Total 100.97 100.97 .00 .00 Other Fee Total . 2.10 2.10 .00 .00 Grand Total 319.72 319.72 .00 .00 TAW f444" P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 January 31, 2005 To Whom It May Concern: Please be advised of an address -change for the following, structure. Effective immediately, the structure formerly addressed as 78-380 Highway 111, APN: 604-050-048, Par 9, Parcel Map 197/028 PM 29736, is now addressed as: 78-370 Highway 111 This address change affects the following building permits in process or issued by the.City of La Quinta Building & Safety Department: 04-3803 04-6175 05-68 05-195 04-6013 04=68069 05-113 05-258 04-6165 04-7122 05-196 It should also be noted that this parcel, along with assessor's parcels -049, -050 and -051, was part of Parcel Merger 2004-457, recorded on 4/30/04 by the Riverside County Recorder as instrument number 2004-0319136. It is anticipated that a new parcel number will be generated by the Riverside County Assessor's Office in the near future. Please note this change and contact me directly at (760) 777-7084 if I may be of further assistance. Sincerely, Kay Hensel Office Assistant i ern , BUILDING & SAFETY DEPARTMENT .w� P.O. Box 1504 (760).777-7012 ;OF ft�9 .a 78-495 CALLE TAMPICO FAX (760) 777-7011 tY1­�� +LA QUTNTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application-Number04=000071�22�'J Date 12/03/04 Property Add-r-es`s1 k7"8380-HIGHWAY_111 __STE 160' APN: 604=050-048-. - - Application description . . . REMODEL -:COMMERCIAL Property Zoning �...,. COMMUNITY COMMERCIAL Application.valuation . . . . 10000 Owner Contractor -- - - - - - - - - - - - - - - - - - - - - -- - - ' -- - - - - - - - - - - - - - - - - - - - - MADISON PTM LA QUINTA PRIMUS CONTRACTING GROUP, INC 71361 SAN GORGONIO RD 1409 SO. 600 WEST, SUITE D RANCHO MIRAGE CA 92270 BOUNTIFUL UT 84010 WCC:" STATE FUND iii: 1705181 10/01/05 CSLB: 814726 11/30/06 CCC: B ------ Structure Information TENANT IMPROVEMENT ----- Construction Type . . . . . TYPE.V - NON RATED Occupancy Type BUSINESS <50 Flood Zone . . . . . . NON -AO FLOOD ZONE d. Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B 1ST FLOOR SQUARE FOOTAGE 950.00 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 117.00 Plan Check Fee 76.05 Issue Date . . . Valuation 10000 Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 ---------------------------------------------------------------------------- Permit . . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee 31.65 Plan Check Fee 7.91 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge, Per Extension BASE FEE 15.00 37.00 .4500 EA ELEC DEVICE/FIXTURE >20 16.65 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL Additional desc Permit Fee 30.50 Plan Check Fee 7.'63 Issue Date Valuation . . . . 0 P.O. Box 1504 78-495 CALLE TAMPICO VOICE (760) 777-7012FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ Ot — ? % Z Z Date: /2 ' f7, Applicant: C) � Architect or Engineer: J N1— Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.. BUILDING 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 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.). t�Q 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' r 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. , BA P.C. for this reason Date .:..,Owner WORKERS' 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 Policy Number X 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, 1 shall forthwith comply with those provisions. rDate'A- %% Applicant 1�`l 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 Ouinta, 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 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 enter u on the above-mentioned property for inspection purposes. Date '"" (A _� Signature (Applicant or Agent): Page 2 Application Number . . . . . .04-00007122 Date 12/03/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 6.5000 EA MECH VENT FAN 6.50 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 37.50 Plan Check Fee 9.38 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension • BASE FEE 15.00 2.00. 6.0000 EA PLB FIXTURE 12.00 _+ 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ,- 1.00 3.0000 •---------------------------------------------------------------------------- EA PLB WATER INST/ALT/REP 3.00 Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 2.10 Fee summary Charged --------------=-- Paid Credited Due •---------- ---------- Permit Fee Total ---------- 216.65 ---------- .00 .00 216.65 Plan Check Total 100.97 .00 .00 10.0.97 Other Fee Total 2.10 .00 .00 2.10 Grand Total 319.72 .00 .00 319.72 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Oscar Orci, Planning Manager BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: 11-05-2004 Due date: 11-19-2004 Status: 1 sc Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: Merle Norman TI(use) Address or general location: 78-380 Highway 111 Suite 160 Applicant Contact: Ed Alderson 861-9541 The Co unity Development Department finds that: ...these Building Plans do not require Community Development Department approval. ❑ ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. ' , PlaAniiTg- Manager Date Craig E. Anthony Fire Chief Proudly serving the unincorporated. . areas of Riverside County and the Cities of: Banning 4. Beaumont 4. Calimesa Canyon Lake Coachella .; Desert Hot Springs e. - Indian Wells 4. Indio 4. Lake Elsinore La Quinta Moreno Valley Palm Desert Penis .. Rancho Mirage San Jacinto . 4. Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 82-675 Highway 111, 2 FI., Indio, CA 92201 . (7 60) 863-8886 . Fax (7 60) 863-7 72 December 13, 2004 Kristi Hanson Architects, Inc. 72-185 Painters Path, Ste'. A Palm Desert, CA 92260 Re: Non -Structural Building T/I Plan Review LAQ-04-TI-134 / Merle Norman r �78=370;Fiwy¢1�1<'F�#='F60 Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the follSwing conditions apply as a part of the conditions for the issuance of a building permit. 1) -Fire sprinkler system plans for the4e- nant improvement area must be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 2) Provide either a key(s) for inclusion in the general building Knox Box 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 4) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6° in height. All addressing must be legible and.of a contrasting color with the background. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Applicantlinstaller shall be responsible to contact the Fire Department to schedule inspections. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. ,Cc: City of La Quinta - Building Dept. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By '" �0,4' Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION . PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2n° FI., Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072 Certificate of Occupancy TWit 4 ha w Building &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: 78-370 Highway 111 Suite 160 Use classification: Commercial Remodel "Merle Norman Beauty Supply." TI Building Permit No.: 04-7122 Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR P� Owner.of Building: Madison PTM La Quinta —7 Building Official POST IN A CONSPICUOUS Address: 71361 San Gorgonio Rd City, ST, ZIP: Rancho Mirage, CA 92270 By: Daniel P. Crawford Jr. Date: 8/12/05