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07-2424 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 07-00002424 78450 HIGHWAY 111 604 -050 -043 - SPECIAL INSPECTION COMMUNITY COMMERCIAL Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---7---------------------------------------------- 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 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 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 (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPEILVIIT Owner: ARIES INV INC C/O JONATHAN & 42620 CAROLINE PALM DESERT, C A Contractor: Owner ASSOCIATES INC CT STE 102 92211 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/29/07 ----------------------------------------------— WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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. 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 permitissued 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 city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cBount toe er upon the above-mentioned property for inspec ' n os Dae:* lla Signature (Applicant or Agent): Application Number . . . . . 07-00002424 Permit SPECIAL INSPECTION Additional desc CHANGE OF OCCUPANCY TO "M" Permit Fee . . . . 100.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/25/08 Qty Unit Charge Per Extension BASE FEE 100.00 ------------------------------ ---------------------------------------------- Special Notes and Comments CHANGE OF OCCUPANCY TO "CARPETERIA" RETAIL STORE. "M" OCCUPANCY, TYPE V -N CONSTRUCTION.FIELD VERIFICATION FOR OCCUPANT LOAD, EXITING AND NO STORAGE RACKS GREATER THAN 6 FT HGT. 2001 CBC: Fee summary Charged Paid Credited Due ----------------- --------- Permit Fee Total 100.00 .00 .00 100.00. Plan Check Total .00 .00 .00 .00 Grand Total 100.00 .00 .00 100.00 ' LQPERMIT - Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning - Beaumont Calimesa 4. Canyon Lake Coachella Desert Hot Springs Indian Wells 4. Indio Lake Elsinore La Quinta Moreno Valley 4. Palm Desert .; Perris 4 Rancho Mirage San Jacinto 4. Temecula Board of Supervisors Bob Buster, District John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 e RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue .• Perris, California 92570 • (951) 940-6900 Fax (951) 940-6910 Date City of La Quinta Building Department RE "r/' d The Riverside County Fire De ar ment'is ar location r7 A � �n Zi r I j/ /j . Please call if you should have q s cons 760-F the Fire Clearance for the following -8886 Respectfully Terry DeSoucy Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING'SECTION • INDIO OFFICE 82-675 Highway 111, 2"d FI.; Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 Cal; Certificate of Occupancy 4 G� OFTBuilding & 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: 78-450 HIGHWAY 111 Use classification: COMMERCIAL (CARPETER)A) _ Building Permit No.: 07-2424 Occupancy Group: M Type of Construction: VN Land Use Zone: CR Owner of Building: ARIES INV INC Address: 42-620 CVAROLINE CT STE 102 City, ST, ZIP: PALM DESERT, CA 92211 By: STEVE TRAXEL Date: 08-30-2007 Building Official r i 'c.' ►,E'..j } I �1- �7j Lrl pa4t L cp. , - --- � � �• --- . _. .� ' W :r i r !� "Ay kt I 4 I . i - i ... �_ - - -- - - - - - I .. k F• C`. :^4',� " � � � - �� ,� � � •� �, .tip , _ �. � t _. . 14 ILI I- t+ o r . +VVf 4-F IL . � ��# - � � . _. _ _ •� �- ��- � � _... . _... �yJt k C. V� rf r — � AD _+- G h IL 3 .. y��- cif r^^�,, p • � " RIVERSWE COUNTY FIREIMPAUT HENT � _ PPP SU-BdMY CONDITZON ro m ?` ZATZ1 CASE# - -- _ - FIRE ROY . F ANN IS VALID FOR O E YEAR F -