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06-3650 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 06-00003650 78900 HIGHWAY 111 643-080-003-5 -000000- REMODEL - COMMERCIAL REGIONAL COMMERCIAL 125000 Ti"4t 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business d P f ssionals Code, And my License is in full force and effect. License Class: B Lice e : 5949 2 ate:1 ntractor: OWNER -BUILDER DEC RATI I hereby affirm under penalty of perjury that 1 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.). (_) 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.). 1 _ 1 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 constructionlendingagency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). - Lender's Name: Lender's Address: - LQPERMIT Owner: [f - VOICE 111 LA QUINTA10 ORCHARD RD. LAKE FOREST, CA 9263 (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/01/07 FEB 012007 Contractor: I CITY OF LA JUST CONSTRUCTION & 17383 SUNSET BLVD, STE 350 PACIFIC PALISADES, CA 90272 (310)566-1733 Lic. No.: 594992 ----------------------------------------------- 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. VI 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 STATE FUND Policy Number 0010452-2007 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 t come subject to the workers' compensation laws of California, and agree that, i I should com s ject to the o ers' compens ion provisions of Section 3700 of the or Cod shall f with comp h those provi s. ZQ Date• pplicant: loo - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RIf —FAGE 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 Ouinta, 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 ve in rmation is&corrct.agree to comply with all city and county ordinances and state laws relating to buil ng const tion, andhoriz r resentatives ooff tt>Wcounty tooenter upo he above-mentioned prope y for ins ion purpo Date. gnature (Applicant or Agent): LQPERMIT Application Number . . . . . 06-00003650 Permit . . . 'BUILDING PERMIT Additional desc . . Permit Fee . . . . 727.00 Plan Check Fee 472.55 Issue Date . . . . Valuation . . . . 125000 Expiration Date 7/30/07 Qty- Unit Charge Per Extension BASE FEE 639.50 25.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 87.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 114.20 Plan Check Fee 28.55 Issue Date . . . Valuation . . . . 0 Expiration Date ., 7/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 4960.00 ---=------------------------------------------------------------------------ .0200 ELEC GARAGE OR NON-RESIDENTIAL 99.20 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 62.25 Plan Check Fee_ 15.56 Issue Date Valuation . . . . 0 Expiration Date 7/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000 EA PLB GAS METER 15.00 Application Number . . . . . 06-00003650 --------------------------------------------------- Special Notes and Comments ------------------------ TENANT IMPROVEMENT BBQ GALORE.January 31, 2007 11:53:20 AM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 26.25 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- .933.95 -------------------- .00 ---------- .00 933.95 Plan Check Total 524.29 .00, .00 524.29 Other Fee Total 26.25 .00 .00' 26.25 Grand Total 1484.49 .00 .00 1484.49 in Qty of ' La Quinta Building &r Safety Division Permit #P.O. 0 Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 '0La Building Permit Application and Tracking Sheet Project Addrem: Owner's Name: ------------------ A. P. Number: J.,51irl, Address: LV-6Vja Legal Description: City, ST, Zip: Contractor Telephone: Nq 5-1-7 2�togy.34 g Address: Project Description- 1!2!V rtNewvv,� City, ST, Zip: _T-e Telephone: f..;:............. H V At, Aew dud State Lic. # City Lic. hew I F L W144 uj,U`f Arch., Engr., Designer. 6Skim', S4L, d T4A C a 61 0 atfu-�O s4 (v1i6Jtetb.,, Address:• 4v I W- Acy*y 4al-4-445'Ith. City, ST, zip: CA— L'ok Telephone: ?4 Lf" I q-7 0 Construction Type: Occupancy: (VI StateLic.#: Project type (circle one): New Add'n Alter Repair temo) Name of Contact Person: bvl& (23 k -I VV.L!R Sq. Ft.: qq&o I # Stories: # Units: Telephone # of Contact Person: Lt q 61170 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqldl Reeld TRACKING PERMIT FEES 3 Plan Check submitted Item Amount — Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction A 012.1a Flood plain plan Plans resubmittedAL Mechanical .1y Grading plan 2" Review, ready for�cft issue Electrical SuTCntac'tor List Called Contact Person Plumbing Grant Deed Plans picked upS -7 qj ILIL) H.O.A. Approval Plans resubmitted 'ZIp Grading rx IN HOUSE:- 3rd Review, ready for corMctionissue ),.,— ±!!!!M Impact Fee Impact Planning Approval 'Called Contact Person T A.I.P.P. 07,' Pub. Wks. Appr Date of permit issue C e S yQtit (O School Fees mit e 1/2- )c 2-q. � be e- T-,q41;a_ a_,+-9 -AoLct,&- V_Aa_z7Ce 10/ )7; 10[12 121211.6A -Z - to, `�/I �� �if/!J � COtJTI N U E. O�1 j*A40'& 9V,, 112-107 91T, R.` C, -M4 C=- r^ &-V Q nF�_ F I-, - ,- Certificate- of Occupancy, a -- jNCA ,%MZ TID 9Bi G� OF Building Y p & 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: 78-900 HIGHWAY 111 Use classification: COMMERCIAL (BBQ'S GALORE) Building Permit No.: 06-3650 Occupancy Group: B Type of Construction: VN Land Use Zone: CR Owner of Building: 111 LA QUINTA Address: 10 ORCHARD RD. City, ST, ZIP: LAKE FOREST, CA 92630 By: STEVE TRAXEL tea►' Date: 03-23-2007 Building Official POST IN A CONSPICUOUS PLACE