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13-0810 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: . Application valuation: Applicant: 13-00000810 78400 HIGHWAY 111 604 -050 -045 - REMODEL - COMMERCIAL COMMUNITY COMMERCIAL 40000 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------ 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: C10 , A, B, C3 License No.: 550747 Date" 3 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).: ( ) 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 contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERAI IT Owner: BANK OF AMERICA 275 VALENCIA BREA, CA 92823 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/26/13 Contractor: 4,113 U EVANS & SON INC Au- ,1- 25815 SPRINGBROOK AVENUE- .i � j 2013 SANTA CLARITA, CA 91350 (661)254-8787 CITY OF LAQUINTA I Lic. No.: 550747 �--- ^fAlA�f�`FnFQr ----------------------------------------------— 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. 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 TRVL PROPTY• Policy Number DTJUB9B13644813 _ 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 -Cod I shall forthwith, mply with those provisions: sir Date Z 1-1-3 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. 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 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 i city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned proper for inspection puposes. Date:.''LiaJ lam' Signature (Applicant or Agent) , LQPERMIT Application Number . . . . ...13-00000810 f Permit . . . REMODEL 2013 Additional desc . Permit Fee . . . . 91.52 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/22/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 2.00 21.4500 EA MISC REMODEL, ADDL 500 SF 42.90 ---------------------------------------------------------------------------- Special Notes and Comments INSTALLATION OF SECURITY GLASS IN TELLER AREA.PER 2010 CALIF BUILDING CODES. July 19, 2013 9:26:37 AM jjohnson. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 HOURLY PLAN CHECK 105.00 PLAN CHECK, REMODEL 167.31 STRONG MOTION (SMI) - COM 8.40 Fee summary Charged Paid Credited I IDue ------------------------------ --------------------------- Permit Fee Total 91.52 .00 .00 91.52 Plan Check Total .00 .00 .00 .00 Other Fee Total 282.71 .00 .00 282.71 Grand Total 374.23 .00 .00 374.23 Bin. # City of La Quints Building u Safe Division ty P.O. Box 1504,78-495 Calle Tampico 1-a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l3- 4 Project Address: Owner's Name:. A. P. Number: Address: %S 11,41mr,, i /4G Legal Description: City, ST, Zip: Contractor: �> Telephone ad Address: Project Description: City, ST, Zip: Telephone:; �� mi �k�I.- M.State i/7 VCtioe Lie. #: City Lie'//. #;jJ/j� Arch., Engr., Designer /7�t!Ailr6 Address: City., ST. Zip: TA *i4 Telephone: y-�1�•/fy/UU� Y Construction Type: , Occupancy: State Lic. #: `" Pte -G s% ;�';�;:� Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: *loo We S/r% Sq. t.: /QUO # Stories: #Units: Telephone # of Contact Pe on: /Q -!7W - Es ' ated Value of Project: jQ y,4 Q�/0 APPLICA RITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Pian Sets Plan Check submitted. 7 Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit, . Truss Calcs• Called Contact Person Pian Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Pians resubmitted.. hanica C" AJT- Grading plan 2`! Review, ready for correctionsfisswe Flectrlcal N A Subcontactor List Called Contact Person Plumb g V Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Gradin p IN HOUSE:- '^' Review,' ready for correctisRssne !� Develop pact Fee Called Contact Person 7�1�I3 A.I.P.P. Date of permit issue Planning Approval Pub. Wks. Appr School Fees fin Total Permit Fees 01) Y. �'�T�1.TnfF -� •Y I I�ArlA�1 CM ®F� L.QW:ANTA �' DEVELOPMENT SWUM ww"I".3a A. P o • d �_ , It , ma.m -- -- — - - T -if Building & Safety Department i 78-495 Calle Tampico PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice — (760) 777-7011 fax To: Greg Butler, Building Official From: Les Johnson, CDD Director Permit # - 13-0810 /3 To PD: Due date: ASAP Status: ,1 s� t Review Building Plans Approval (This is an approval to issue a Building Permit) The Planning Division has reviewed the Building Plans for the following project: Description: Installation of security glass in teller area Address or general location: 78-400 Highway 111 Applicant Contact: Jacob Webster (310)702-7857 The Planning Division finds that: ❑ ...these Building Plans do not require Planning Division approval. I& ...these Building Plans are approved by the Planning Division. ❑ ....these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made ease return the to the Planning Division for review. Le's,iohn'sk\,q�mnlunity Development Director Date Note: PLEASE RETURN PLANS WITH GREENSHEET TO THE BUILDING DIVISION.