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09-0895 (RC)4 4 P.O. BOX 1504 Qum& VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/15/09 Application Number: o 009 000008957 Owner: Property Address: 78742 HIGHWAY 111 STE C LA QUINTA LLC APN: 643-220-016- - - 78742 HIGHWAY 111 STE. C Application description: REMODEL - COMMERCIAL CONTACT ROB SANFORD Property Zoning: REGIONAL COMMERCIAL LA QUINTA, CA 92253 D Application valuation: 7000 Contractor: �� Applicant: Architect or Engineer: XIN, SIPENG 504 N. LINCOLN AVENU #A U I MONTEREY PARK, CA 91 5 C1 OF� (626)848-2736 �A1�0� QUINT Lic. No.: 890143 OEPT l 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/: A B License No.: 890143 C tractor. OWNER -BUILDER DEC RATION I hereby affirm under penally of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 contractors) licensed pursuant to the Contractors' State License Law.). 1 I 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.I. Lender's Name: _ Lender's Address: LQPERAIIT 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 Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT _ 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 became subject to the wor4Ip&&LQgm2ensation provisions of Section �n 37 bf the Labor Code, I shall forthwis t comply with ose provisions. Applicant: �, WARNING: FAILURE TO SECURE W ' 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 henrfit work is pP.rfnrmpd Ilndw nr piirs[tant 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 th all city and county ordinances and state laws relating to buildingconstruction, and hereby authorize repre tatives o'ffthis . my entt�jy the above-mentioned property for inspection p poses. / DL ate: _ !ignature (Applicant or Agent)* ,1 Application Number . . . . . 09-00000895 ------ Structure Information 969 SF T.I. ----- Other struct info . . . . . CODE EDITION 2007 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 10.00 1ST FLOOR SQUARE FOOTAGE 969.00 2ND FLOOR SQUARE FOOTAGE .00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT' Additional desc . . JJ'S SPA T.I. Permit Fee . . . . 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 7000 Expiration Date . . 3/14/10 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 ---------------------------------------------------------------------------- Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 16.50 Plan Check Fee 4.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/14/10 Qty Unit Charge Per Extension. BASE FEE 15.00 2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50 ----------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/14/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00 ---------------------------------------------------------------------------- Special Notes and Comments y 969 SF INTERIOR T.I. REMODEL FOR A MASSAGE BUSINESS (JJ's SPA- JACK & JENNY ZHANG 82-935 PORT WINE LANE, INDIO CA 92203). "B" OCCUPANCY TYPE V -B CONSTR. } LQPERMIT .... Application Number . . . . . 09-00000895 --------------------------------------------------------=------------------- Special Notes and Comments OCC. LOAD=10.2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 5.85 BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 5.85 STRONG MOTION (SMI) - COM 1.47 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 130.50 .00 .00 130.50 Plan Check Total 68.63 .00 .00 68.63 Other Fee Total' 14.17 .00 .00 14.17 Grand Total 213.30 .00 .00 213.30 Certificate of Occupancy Tht44Q w Building & Safety Department This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the 2007 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: 78-742 HIGHWAY 111 STE C Use classification: COMMERICAL WS SPA) Building Permit No.: 09-895 Occupancy Group: B Type of Construction: VN Land Use Zone: CR Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 10 �t'4, 46 Building Official Owner of Building: LA QUINTA LLC Address: 78-742 HIGHWAY 111 City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: OCTOBER 23, 2009