07-0665 (RC)4
P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:"07,-:00000.615
Property Address: 78900 HIGHWAY 111
APN: .643-080-003-5 -000000-
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 4500
Applicant:
Architect or Engineer:
VOICE (760) 777-7012
FAX (.760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/13/07
Owner:
WASHINGTON ADAMS PARTNERSHIP
ATTN ANGELA KOENIG
43692 PIASANO PL
TEMECULA, CA 92592. -•
.r
Contractor:
JUST CONSTRUCTION & MANAGEMENT MAR2007
17383 SUNSET. BLVD, STE 350 L
PACIFIC PALISADES, CA 90272 ��OF QUINTA
Lic. Noo..:: 5 594992
(310) CE DEPT
94
--------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
---------------
---- --------------- --—
WORKER'S COMPENSATION DECLARATION
I
Section 7000) of Division 3 of the Business a;;We�o.: and my License is in full force and effect.
License CI B
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for
ss: 594992
_ workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for, which this permit is
' Date '� IContractor:� _
issued.
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
W ER -BUILDER DECLARATION
Code, for the performance of the work for which this permit is issued. My workers' compensation
'I hereby affirm under penalty of perjury that I'a exempt from the Contractor's State License Law for the
'following
insurance carrier and policy number are:
Carrier STATE FUND
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 the
Policy Number 0010452-2007
_ I certify that, in the performance of the work for which this permit is issued shall not employ any
requires applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
_I _
person in any manner so as to become subject to the workers' compensation laws of California,
. License Law (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Code) or
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I I
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
rthwith comply wi hose provisions.
�j
to a civil penalty of not more than five hundred dollars ($500).:
1—) 1, as owner
Dat _ l Applicant: -
of the property, of 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
WAR ING: FAILURE TO SECURE WORKERS'
Contractors' State License Lew does not apply to an owner of property who builds or improves thereon,
CO E ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended -for
TO CRIMINAL PENALTI A CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS S PROVIDED FOR
or offered sale:-ff, howev&,-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
---
IN
-SECTION'3106 OF -THE LABOR CODE,- INTEREST; AND ATTORNEY'S FEES.
.
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
APPLICANT ACKNOWLEDGEMENT '
IMPORTANT Application is hereby made to the Director of Building and Safety for
and Professions Code: The Contractors' State License Law does not apply to an owner of
a permit subject to the
conditions and restrictions set forth on this application.
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. Each person upon whose behalf this application is made, each person at whose request and for
(_) I am exempt under Sec. , BAP.C. for this reason
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
thew d
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:
LQPMIIT
o ner, an 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 and cou y ordinances and state laws relating to building construction, and hereby authorize representatives
of this coun to iter upon the above -mens, (property for inspection p oses.
Application Number 07-00000665
----- Structure Information (15). 6' HIGH STORAGE RACKS
Other struct info CODE EDITION
2001/2005
FIRE SPRINKLERS
----------.-----------------=-------------------------------------------
YES
Permit . . . BUILDING PERMIT
Additional.desc .
Permit Fee . . . . 72.00 Plan Check Fee
46.80.
Issue Date Valuation
4500
Expiration Date .9/09/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
-------------------
27.00
--------------------------
Special Notes and Comments
---------------
(15) 6' HIGH STORAGE RACKS. THIS PERMIT
.IS ONLY FOR STORAGE RACKS LOCATED IN
THE STORAGE AREA - T.I. BBQ GALORE.
2001 CBC. March 13,.2007 11:27:57 AM
AORTEGA
---------------------------------------------------
-
Other Fees ACCESSIBILITY PLAN REVIEW
---------------
4.68
STRONG MOTION (SMI) - COM
.94
Fee summary Charged Paid Credited
------------ ----------
Due
--------=- ----------
Permit Fee Total 72.00 .00 .00
72.00.
Plan Check Total 46.8.0 .00 .00
46.80
Other Fee Total 5.62 .00 .00
5.62
Grand' Total 124.42 .00' .00
124.42
Bin #
Permit
Project Address:%
A. P. Number:
ConkLIST C�
City of U Quinta,
Building &-Safety Division
P•0. Box 1 504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
r-7,75fd0
' wner'rName: � � ��—
Address:Gi14
d
City, ST, Zip:
Telephone: 9. 9-5a} O
G JJ Project Description:
4 & � $�
0
ty Lic. #:
Aaatess:
Occupancy:
City, ST, Zip'
New Addn Alter Repair ep Demo
727
OCIj�//C PS
Telephone: a
State Lie.�--
Estimated
Arch., Engc., Designer;
l0
Value of Project:
Address:
APPLICANT:
DO NOT WUM-BELOW
City; ST, Zip:
THIS UNE
Telephone.
Ree.'d
.
State Lic. #•
,
Plaa Check submitted
Name of Contact Persons
PERMIT FEES
Telephone # of Contact Person: 3
Reviewed, ready forsooeretiSi?s r"PLIG
# Submittal
Req'd
Amount .
Plan Sets
Plan Check Deposit
Structural Calcs.
Called Contact person
Truss Cale.
Energy Cale.
Plan Check Balance
Flood plain plan
Plans Picked up
Grading.pliin•
Subcodtactor Ust .
Construction
Grant Deed
H.O.A. Approval
Mechanical
IN HOUSE:-
2'' Review, ready for corrections/issue
--------------
Planning Approval
Called Coutaet Person
Pub. Wks. Appr
School Fees
City of U Quinta,
Building &-Safety Division
P•0. Box 1 504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
r-7,75fd0
' wner'rName: � � ��—
Address:Gi14
d
City, ST, Zip:
Telephone: 9. 9-5a} O
G JJ Project Description:
4 & � $�
0
ty Lic. #:
V
Total Permit Fees
Ni 3/07
Construction Type:
Occupancy:
Project. type (circle one):
New Addn Alter Repair ep Demo
727
OCIj�//C PS
Sq. Ft.: .
# Steri
Estimated
# Units:
l0
Value of Project:
APPLICANT:
DO NOT WUM-BELOW
THIS UNE
Ree.'d
TRACKIDIG
,
Plaa Check submitted
PERMIT FEES
Reviewed, ready forsooeretiSi?s r"PLIG
Item
Amount .
Plan Check Deposit
Called Contact person
Plan Check Balance
Plans Picked up
Construction
Plans resubmitted
Mechanical
2'' Review, ready for corrections/issue
--------------
Electrical
Called Coutaet Person
Plumbing
Pians picked up
S.M:L
Plans resubmitted
Grading
Review, ready for. correction.r.sue
Developer Impact Ve#
Called Contact Person
.
A.LP.Pr
.Date of permit issue
V
Total Permit Fees
Ni 3/07