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05-0771 (RC)BUILDING & SAFETY DEPARTMENT P.O. Box 1504, aw R (760),777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 t BUILDING PERMIT Application Number . . . . 'C -05-0.000'D771 Property Address. . . . . . . 78696 HIGHWAY 111 APN: 643-220-014-16 .-000000- Application description . REMODEL - COMMERCIAL Property Zoning REGIONAL COMMERCIAL Application valuation . . . . 5000 Date 3/07/05 Owner Contractor � ------------------------- ----------- ----- 1 s-- 111 LA QUINTA CENTER PARTNERS OWNER D C/O ROBERT P SANFORD MAR 10 2005 •78060 CALLE ESTADO L -A -QUI NTA-.—_. — CA 9 2 2 5 3 • FINANCE DEPT• ------ Structure Information 1500 SQ. FT. T.I ----- Construction Type . . TYPE V.- NON RATED Occupancy Type MERCANTILE Flood Zone NON -AO FLOOD ZONE Other struct info . . CODE EDITION 2001 CBC ,! FIRE SPRINKLERS YES MIXED-USE OCCUPANCY M ; OCCUPANT LOAD 48.00' 1ST FLOOR'SQUARE FOOTAGE 1443.00 ------------------------------------------------------------=--------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 72.00 Plan Check Fee 46.80 Issue Date Valuation . . . . 5000 Qty Unit Charge Per Extension BASE FEE 45.00 3.00'. 9.0000 THOU BLDG 2,001-25,000 27.00 ---------------=------------------------------------------------------------ Permit . . . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 26.25 Plan Check Fee 6.56 Issue Date Valuation 0 Qty Unit Charge. Per Extension BASE FEE 15.00 25.00 .4500 EA ELEC DEVICE/FIXTURE >20 11.25 ---------------------- ------------------------------------------------------- .'Permit . . . . . MECHANICAL Additional desc Permit Fee .24.00. Plan Check Fee 6.00 Issue Date . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 1�Gw VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 444INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 05-77/ Applicant: Applicant's Mailing Address: Date: 3-8-05 Architect or Engineer: 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 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 fora 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.). 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.). U I amexempt under Sec. B.& P. fqr this rea Date 01 I OwneN/f--1- 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. 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 Lenders 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 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. 1 certify that I have read this application and state that the above info ion 's correct. re to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t r u n th ab a-- tioned p opertyfor inspection purposes. /Date �D` • Y Signature (Applicant or Agent): J c Page 2 Application Number . . . . . 05-00000771 Date 3/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments split existing 5000 sq. ft. unit into 2 units 1443 sq. ft. and 3557 sq. ft. 3/7/ 05 1:22:55 PM jjohnson ---------------------------------------------------------------------------- Other'Fees . . . . . . . . STRONG MOTION (SMI) - COM 1.05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- ------ ---------- Permit Fee Total 122.25 .00 .00 122.25 Plan Check Total 59.36 .00 .00 59.36 Other Fee Total 1.05 .00 .00 1.05 Grand Total 182.66 .00 .00 182.66 lull 11 LVVU WLI/ uow rlli nivGnJibE Wumi rIKC rHx [Yu. llbuati3lufl P. 01/01. Craig E. Anthony Fire Chief Proudly st: vifls the areas of Riverside County and the Cities of Banning $ot►utnonL Calm nesa Canyon Lake Coachella a Desom Hot Springs Indian wells a Indio Lake Elsinore , eA La Quinta .9 - Moreno Valley Palm Desert O penis Rancho Mirage San Jacinto 4, Temecula Board of Supervisor) Bob Buster, District L John Tavaglionc, District 2 Jeff Stone, Aistrict 3 Roy Wilson District 4 Marion A.shicy, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT 210 West San Jacu►to Avenue • Perris Califomia 92570 • (951) 944.6900 . Fax (951) 940.6910 May 10, 2005 City'Of La Quinta Building Department t Re: Help You Sell 78696 Hwy 111 LAQ-05-TI-023 The Riverside County Fire Department is granting a fire and life safety clearance for the following_ address 78696 Hwy 111,,La Quinta. Please call if you should have any questions. TW11 FRANK KAWASAKI Battalion Chief / Fire Marshal By 7eSoucy Fire Systems Inspectors N W ;C OF LA QUINTA , ftIL & SAFETY DEPARTMENT OF o Ouj a 777-7012 ^+ I CTION REQUEST LINE. CCd e 777-7153 Owner A d&T RTNERS Contract r U DERS Permit Number OS - POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-696 HWY 111 T.I 1443 SQ. FT. HELP -U -SELL I TYPE OF INSPECTION DATE INSPP, TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION jf ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION I S►' c COVER NO WORK UNTIL A OV SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTI NS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED MINIMUM OF 2" BELOW WEEP SCREEDS. P.O. BOX 1504 78-495 CALLL• 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 l To CDD: 01/24/05 N Due date: 02/04/05 Status: IST 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: BLOCK BUSTER VIDEO Address or general location :78-(% JY 111 `q6 0 Applicant Contact: JOHN C. MARVICK 714-5.49-7554 community Development Department finds that: ❑ ....these Building Plans do not require Community Development Department approval. if ...these Building Plans are approved by the Community Development Department. 4 D ... 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. S l Doug Evans, Planning Director ate 4 CITY OF LA QUI NTA SOB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER OWNER 1 I LA QW -16 CUA &4cli'BUILDE This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous cuous place. Only persons appearing on this list or their employees are authorized to work on this iob. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance . of building permit. For each applicable trade, all information requested below must be computed by applicant. "On File" is not an acceptable response. .las ..Trade.......................... 0 . . ..... ... ........ . ......... W ........... ns .. ............ 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V................ ....... % .................................... . ... ... ... t N .. tic Certificate of Occupancy 44 COPY i G� OF�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. 9 BUILDING ADDRESS: 78-696 Highway 111 Use classification: Commercial Office "Help -U -Sell" TI Building Permit No.: 05-0771 Occupancy Group: B Type of Construction: VN Land Use Zone: CR Owner of Building: 111. La Quinta Center Partners Address: 78-060 Calle Estado p ' City, ST, ZIP: La Quinta, CA 92253 By: Daniel P. Crawford Jr. Date: 5/11105 t Building Official € POST IN A CONSPICUOUS PLACE