10-1157 (DEMO)'S.P.O: BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: a 10-00001157" ` Owner:
Property Address: 78590 -HIGHWAY 111 SHOVLIN MICHAEL J
APN: 604-080-999- - -
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 0 -
Contractor:
Applicant: Architect or Engineer: KARMAN GENERAL CONTR, JC
9375 ARCHIBALD AVENUE
RANCHO CUCAMONGA, CA 917
• � � ^ (909)944-5274
Lic. No.: 769556
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: ense N 769556
Date:` ? ontractor.
449-.Y�
WNER-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.).
(_) 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. , 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
y .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/02/10
WORKER'S 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. A
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 SPARTA INS Policy Number 003WK06641
_ 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
700 of the Labor Code, I/shall forthwith comply with those pr i . S.
cant:
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
city
inanc
and co ty ordes and state laws relating to building construction, and hereby authorize representatives
of this cou �fy to nter upo he above-mentioned property for insp ction purposes.
of this
2 gnature (Applicant or Agent):
LQPERMIT
Application Number 10-00001157
Permit . . . DEMO PERMIT
Additional desc .
Permit Fee 45.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . . 5/01/11
Qty Unit Charge Per
Extension
BASE FEE
45.00
----------------------------------------------------------------------------
Special Notes and Comments
DEMO PARTITION WALLS, SOFFIT, EXISTING
COUNTERS & T -BAR. DEMO BATH FIXTURES.
2007 CODES.
Fee summary Charged Paid
----------
Credited
--------------------
Due
---------------------------
Permit Fee Total, 45.00
.00
.00
.
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
.00
.00
45.00
I � I?.�10 - 0��{ TD 15511E moo. i
1
TRACING
Check submitted
,wed,
PPlanspicked
ed
Plans
cd
Bin #
Submittal
Req•d
---�_
— - -
• - ---
.-- -- City of La Quinta �-
Plan Set
Permit #
Cosstraetion
resubmitted
Building & Safety DM*n
P.O. Box 1504, 78-495 Calle Tampico
Mechanical
evkw,ready for eorrectionglaue
Electrical
Plan
Plumbing
La Qtdnta, CA 92253 - (76o) 777-7012
S M L
resubmitted
+
Bulldil}g Permit APP11cation and Tracking Sheet
Grading
LL
Pm,ct Adder:
Developer Impact Fee
O
Owner's
Trun Cates.
A. P. Number.
Legal ,Desarphon.
Address:
Cline
Contractor. Ji
Z,
Total Permit Fees
CRY. ST, Zip: 940U-
U- `co
Telepbone: . e. pd, X313
D
Address:
City, ST, Zip:
Flood plain plan
Project Description: .S✓ i✓4.
/�
> �
Telephone. D � y/
I Oki
Grading plan
Stare Lic, # : 76 _
City iia �: rz
2-4 R
Arch. Ew. Designer
Address:
Call
Demo ; �. Com ' 4 - 3a ti
Grant Deed
City. ST. Zip: j n �T7Qi
CA. ZS
Jr
Telepbone: 2O0 Z
P iia 4 FrS -
Plans
Construction Type: Occupancy:State
Lid. #: .
•
Name of Contact Person;
Projectol
type (circle one): New Add'n Atter Repair Demo
Pla
Rr HOUSE:-
A Sq. Ft:
N Stories:
N Units:
Telephony # of Contact Person: Z
3 -'D 3
Estimated Value of Project:
APPLICANT:
DO NOT WRITE 13MOW THIS UNE
I � I?.�10 - 0��{ TD 15511E moo. i
1
TRACING
Check submitted
,wed,
PPlanspicked
ed
Plans
cd
N
Submittal
Req•d
Ree'd
Contact Person
Plan Cheek Balance
Plan Set
Cosstraetion
resubmitted
Mechanical
evkw,ready for eorrectionglaue
Electrical
Plan
Plumbing
Structural Cake.
S M L
resubmitted
Grading
ew, ready for eorrectionsliasne
Developer Impact Fee
Revs
A.LP.P.
Trun Cates.
Cline
Total Permit Fees
Mile 24 Cates.
Flood plain plan
Plans
Grading plan
2-4 R
Subcontactor LI.at
Call
Grant Deed
Plans
H.O.A. Approval
•
Pla
Rr HOUSE:-
3" Revt
Planning Approval
Call
Pub. Wks. Appr
Date
School Fees
I � I?.�10 - 0��{ TD 15511E moo. i
1
TRACING
Check submitted
,wed,
PPlanspicked
ed
Plans
cd
PERMIT FEES
Idem Amount
ready for corrtcdons
Pian (heck Deposit
Contact Person
Plan Cheek Balance
up
Cosstraetion
resubmitted
Mechanical
evkw,ready for eorrectionglaue
Electrical
Contact Person
Plumbing
picked up
S M L
resubmitted
Grading
ew, ready for eorrectionsliasne
Developer Impact Fee
Contact Person
A.LP.P.
of permit issue
Total Permit Fees
I
I
REMOVE CONDUIT & WIRES 9 DEMO MALLS.
� V• I�<�' 2 CUT BACK WIRING INTO A J-80X. PAINT AS
REQUIRED
PATCH AND REPAIR AREAS AFFECTED BY DEMO
WORK- MATCH ADJACENT SURFACE. 13
79` G .nE5IGP. rr—
• 5• , , 2� REM DVE ALL EXISTING VCT FLOORING. GRIND & M-KO�t1- 1f.l ;u6L_ 472':53
FROM
- --- -........................ ........._......... m, ........ ............,,,,,,.,.-,,., ,. „- �,._ �.,. -�_._�� EI L L ALA 1 NEEDED. T��� TINC.
9 A�FS BASEQ ON PLANS RKENED
_.._.W-........
._. -- - --- - -- ---- - --— — - — T.mmm...._.._.,..., �._
4. �; ; rT- - - -.. - - - .-�� _................. - - - -_-_- .........,..,,..,. - - --- ---- -- -- - -�.. - _ _ _ ,t. m,.,_,_ LEVEL R &SMOOTH EXISTING FLOORING A
......... .
`�' �� ► I ! I I l I I G DE$10N, INC,. EXPRE55LY
REQUIRED RESFRVE-� In C0MAAQx4 LAW
COPYRIGHT&OTHERPROPER'Y
RIGHTS IN THIS DOCVmEjNT.
REMOVE AND SAOELOFF ANY ELECTRICAL I I � TINE OF SOFFIT \. � NEW J FLOOR FINISH TO BE SEALED -COLORED THISDOCUMENTpuNOTN
I ITEMS ALONG WA I TO BE REMOVED I I � TO BE RE�10VE❑ � � � REP�2D1JUCen, C�rEC, CHANGED
I R�AQVEx157TIVG _ I I� I I CONCRETE - COLOR BY OWNER. aR❑15CLQS`DiFJANY For�+�tcR
PLUMBING FIXTURES, { I I I I 1 l - WMFR W-LA75O R W THOUT
ACCESSCBLE GRAB— I I I I I l I E) Ia' 41(;� STOREFRONT FIRSTOBTAIN INGTHE EWRFSS
BARS $ ACCESSORIES ; € — CONSENT OFGDlliaON•ANC,
(CAP REMAINING i i rr i I rr—� _ i � � � �� 7 DEMO CEILING, GRID LIGHTING AND (HARD LIDS 2010
PLUMBING LINES)I i Ili I I II `� I I AT AFFECTED AREAS.
.............. c Pr GM,
If
NOT USED.
LL — � i EXISTIMG SUSPENDED CEILING 1
� TILES AND Gf21q TO DE REh4�VED � ,•� EX]�T1hIG COUNTER � PRX�JECT Na.
I..,,,. TC BE REMOVE€] } �}
r_—_--:_-----------------------------� 7 '� �� _ ' _ 9
EXISTING LIGHTING TO BE REMOVED & SAFE —OFF.
7_1 � ', 1❑ CONTRACTOR To VER;FY THAT STRUCTURAL
2X4 SUSPENDED CEILING FRAMING IS NOT AFFECTED BY REMOVAL OF
I I REMOVE AND SAFE —OFF ANY ELECTRICAL' 71L1 s TO BE REMOVED WILLS.
I I ITEMS ALONG. WALL TO BE REMOVED
f 11 RIFIVIOVE ALL UMBINiG FIXTURES (AT AFFECTED
AREAS).
— — —
----------------�
................_:-,..�.....-„-„.....,-„-„-,,......................—_�.!_r............ .. ,_,...,....,Y..�.., ----- �—
.......... ........,........,.-...-.------------_,..._.�„-..-.---------.------.----..-..-......-....,.....--..-........,.....-,.-.,....,..,..........__............,...........,...,.............. , .�.�..,..,.�.�._....� ._.....�.....,.... � ,.....----.-.._----------.,.,..,...,..��.....,..,,..,....,.,,. - - - ..--�------------�------- 1 2 E R WALLS,DOER AND FRAMES A REMOVE INTER' M .L
1 R
INDICATED.
,l 77_
142 :3
13 CAP OFF ALL LUMBING AT AFFECTED AREAS. oy
Cu c+7
J L
4 REPAIRREI*INI., H EXISTING STOREFRONT. N �
15 NOT USED,
16 FIRE SPRINKLE DEMO & RELOCATION IF REQUIRED
BY FIRE PRIN° LER CONTRACTOR (NOT A PART). �
17 E}ISTING 1+V�T`' GEAR TD REMAINI, a' a°
sl
MIADEM LITI N PLAN SCALE: 114°= � �-o1� 1 D � � 0 0
LITI N N TE � [ncoC
00
to I-- �EZ�as�
a
X. STING WALL TO BE DEMOLISHED
IF
-A STING DEMISING WALL TO REMAIN
EXISTING EXTERIOR WALL TO REMAIN!
E' ISTING SOFFIT TO BE REMOVED
....................... """ EXISTING FI ED COUNTER AND BASE
Td BE REMOVED
E ISTINO PLUMBING FIXTURES AND
A C�SSORIES TO BE REMOVED
ALL LEGEND
CO NOT SCALE [DRAWINGS
ISSUED
DATE REASON
SEP, 2osq PLAN C111ECK
DRAWN PG
CHECKED D HALE
DEMOLITION
PLAN
D1