06-4190 (RC)P.O. BOX 1504
78-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
C06-00004190
78742 HIGHWAY. 111
643-220-016-15 -006000-
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
3000
Architect or Engineer:
4
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: License No.:
R
Date: Contractor:
OWNER -BUILDER DECLARATION
ire 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
n 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 f�r the projects with a contractor(s) licensed
pursuant to the Contractors' State Licens Law.). !//
am exempt under Sec. , B.f:P.Ctr this re�sorf�
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is 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
VOICE (760) 777-7012
. -FAX (760) 777-7011
INSPECTIONS (760) 777-7153.
Date: 12/14/06
Owner:
SANFORD ROBERT P.
78060 CALLE ESTADO
LA QUINTA, CA 92253
Other•struct info . . . . . C
Contractor: D [rte II
Owner nn u
DITION 2p01/'200514 2006
CITY OF LA
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.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor w
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: .
CarrierPolicy Number - - - - - - - - - - - - -
I certify that,.in the performance of the work for w c this permit is issued, I shall not employ any
person in any manner so as to beco e s )e t tl a orkers' compensation laws of California,
and agree that, if I should be me bje t t wor rs' compensation provisions of Section
3700 of the Labor Code, I al f co ly wi 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 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 . ork is not commenced
within 180 days from date of issuance of such permit, or cessation of . ork for 180 days will subject
permit to cancellation.
I certify that I have read this application and state thIdnst
abinformatio i c rrect. I agree to comply with all
city and county ordinances and state laws relating to cti a ereby au orize representatives
of this county toenter upon the above-mentioned pr0 pq e
Date:Signature (Applicant or Agent):
Y
Application Number .
. . . . ,06-00004190
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
54.00 Plan Check
Fee
35.10
Issue Date . . . .
Valuation
. . .
. 3000
Expiration Date
6/12/07 .
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 •9.0000
-----------------------------------------
THOU BLDG 2,001-25,000
----------------------------------=
9.00
. Permit
PLUMBING
Additional desc .
Permit Fee
22.50 Plan Check
Fee..
5.63
Issue Date . . . . .
Valuation
0
Expiration Date
6/12/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
.1.00 7.5000
-----------------------------=----------------------------------------------
EA PLB WATER HEATER/VENT
7.50
Special Notes and Comments
convert 2nd. bathroom
into storage area.
--------------------------------------------------
Other Fees
STRONG.MOTION (SMI)
-COM
-----
.63
Fee summary Charged
-----------------
Paid Credited
:Due
----------
Permit Fee Total
-------- ------------
76.50 .00,
----------
.00
76.50
• Plan Check Total
40.73 .00
.00
40.73
Other Fee Total
.63 .00
.00
.63
Grand Total
117.86 .00
.00
117.86
r
LQPERMIT
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
November 10, 2008
Mr. Robert Sanford
P 4 La Quinta
78060 Calle Estado
La Quinta, CA 92253-2960
Dear Mr. Sanford:
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
'The purpose of this letter is to confirm the building and suite addresses assigned
to your property on Assessors Parcel Number 643-220-016, in La Quinta,
California.
The parcel, situated at the northwest corner of Simon Drive and Highway 111,
currently houses a multi -tenant commercial building and associated parking.
The official address of the building is: 78742 Highway 111.
The suite address assignments are (from south to north):
78742 Highway 111, Suite A — Starbucks
78742 Highway 111, Suite B — Quiznos
78742 Highway 111, Suite C — (vacant)
78742 Highway 111, Suite D — Nails World
78742 Highway 111, Suite E — Golden Spoon Yogurt
Please use this letter to verify for any interested party the addressing scheme as
issued by the City of La Quinta.
Your. truly, .
Greg Butler
Building & Safety Manager
la
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection.
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the`Division- of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing t(I be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND
78-495 Calle Tampico
La Qyi ta, CA 92253
(76 7 7-7012
'S
PROPERTY ADDRESS
PERMIT NUMBER(S)
Bin f
G �g -City of La Quinta
Building U Safety Division
Permit It P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
® 7u Building
Permit Application and Trackin Sheet
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Project Address:��-
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Owner's Name: � ' ' C ` � t v�
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A. P. Number. `
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Address: =-d�'J lam► e
Legal Description: .
City, ST, Zip: Z�f 3
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Contractor: rLf� A
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Telephoner
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Address: �� �Z �'; W ♦ t
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Project Description: "�(a-(�,,�, �k(,t-
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Telephone: �j Dq�d
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State Lie. # : / City Lie. #:
P. -A
Arch., Engr., Designer:
Address:
------------
City;;$T, Zip: .
Telephone:
Construction Type: Occu an
P g:
State Lic. #:
Project type (circle one): New Add'n ;Alt Repair Demo
Name of Contact Person: a�� /�cLLS U
.
Sq: Ft: Z8 3 #Stories: #Units:
Telephone # of Contact Person:
Estiinaled value of Project: Lest A avt � B. Gv. 0.
APPLICANT: DO NOT
WRITE BELOW THIS LINE
#
Submittal
Req'd :
Rec+d
TRACMG .
PERMIT FEES
Plan Sets
A.
Plan Check submitted 0
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calm
Called Contact Person'
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading.plaa .
Review, ready for eocrec io �,csue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked tip
S.M.I.
..
H.O.A. Approval
Plans resubmitted.
Grading
IN HOUSE:-
'"Re"view, ready for correc ionstissue
oyer _ ac
Planning Approval
Called Contact Pecsoa
A.LP.P.
.Pub. Wks. Appr Date of permit issue,
RA
School Fees P
:......, .. :..., Total.PermitFeu .....
Y'
RrAi i� 4T o CT�I b
James M. Wright
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
cities of:
Banning
Beaumont
♦
Calimesa
♦
Canyon Lake
CUU0Ielld
♦
Desert Hot Springs
♦
Indian Wells
♦
Indio
♦
Lake Elsinore
♦
La Quinta
�r
Moreno Valley
♦
Palm Desert
♦
Perris
♦
Rancho Mirage
♦
San Jacinto
♦
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Tom Mullen,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 B (909) 940-6900 • FAX (909) 940-6910
March 30, 1999
City of La Quinta
Building Department
Re: Fire and Life Safety Clearance
The Riverside County Fire Department is granting a fire and life safety clearance for the group
B occupancy known as Quizno's located at 78-742 Highway 111, Suite B.
Respectfully,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
F:%PE2%WPDATA\LAW INTA%MISMTN_IMPRVIOZNS_FNL.W PD
EMERGENCY SERVICES DIVISION ♦ PLANNING SECTION ♦ INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 ♦ (760) 863-8886 ♦ Fax (760) 863-7072