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05-1342 (RC)Eff a, ° i307 50 BUILDING & SAFETY DEPARTMENT t� (760),777-7012 78-4 Q NE TA PICO - FAX (760) 777-7011 Clff:1i FORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . .J 05-00001342" Date 4/08/05 Property Address . . . . . 78902 HIGHWAY 111 APN: 643-080-051- - - Application description . . . REMODEL - COMMERCIAL Property Zoning.. . . . . ... REGIONAL COMMERCIAL Application valuation . . . . 8200 Owner ONE ELEVEN LA QUINTA • C/O SABBY JONATHAN 42620 CAROLINE CT STE 102 PALM DESERT CA 92211 Contractor CONSOLIDATED CONTRACTING, INC. •46753 ADAMS STREET LA QUINTA CA 92253 (760) 324-5488 WCC: STATE FUND WC: 1770749-2005 01/01/06 CSLB: 824183 09/30/05 CCC: B -C8 -------------------------- Structure Information ------------------------- Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . ASSY BLDG <300 NO STAGE Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES OCCUPANT LOAD* .00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE; .00 Permit . . . . . BUILDING PERMIT Additional desc - Permit Fee . . . . 108.00 Plan'Check Fee 70.20 Issue Date . . . Valuation . . . . 8200 Qty Unit Charge Per Extension BASE FEE 45.00 7.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001725,000 63.00. Special Notes and Comments COMMERCIAL- EXTERIOR PATIO WIND BREAK - 65 LIN.FT. X 5'-3" HGT. PANELS, 2001 CODES. **NOTE: WINDBREAK CANNOT EXCEED THIS CONFIGURATION UNLESS VENTILATION & EXITING IS REVISED** ---------------------------------------------------------------------------- Other Fees •. . . . . . . . STRONG MOTION (SMI) -'COM 1.72 Fee summary ----------------- Charged -.Paid Credited ---------- ------- Duo. .00 .00 108.00 ! � A P.O. Box 1504 • ��IIG� Irl VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: OS' 13LIa Date: -/q. o 5— Applicant: I Architect or Engineer: Applicant's Mailing Address: I hereby affirm under penalty of perjury that I am licensed de, and my Licejr se IS, f force and effect. License Class 7h ate —(R -OIZcontractor. Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION ;provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals No.92q/$3 OWNEBUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contracto 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, 9frepair 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 Cont ctors' 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 or 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).): 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.). U 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 am exempt under Sec. , BA P.C. for this reason Date 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. 1 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 ued. My ers' c ensation i nce carrier a d oli num r re: ,rrier�� /ar( 1.14 olicy Number 74271"% �,oL 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, 1 shall forthwith comply with those provisiipgs WARNING: FAILURE TO SECURE WORKERS' COMPENSATI N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1X0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOR EY'S FEES. r— 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 0 I l 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. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. toSignature (Applicant or Agent): 4�aq)=� Application Number . . . . . 05-00001342 Plan Check Total 70.20 .00 Other Fee Total 1.72 .00 Grand Total 179.92 .00 Page 2 Date 4/08/05 .00 70.20 .00 1.72 .00 179.92 r R Page 2 Date 4/08/05 .00 70.20 .00 1.72 .00 179.92 r 7 City ®f La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # 6')474La Project Address: 010 1/21 AI Owner's Name: CHC-�Lr ,::�Vfz�I L& Q LI i L U, A.P.Number: Address: I'AIVIAK4- L&J 6 Legal Description: Poe, 1,21 Fx .2 '-�e7(gl Contractor: eatiW- LJr)ATC-J) INC, Address: 4611 G�0 At2A14 -0 � City, ST, Zip: R41*6 H 0 t-4111 O&f _� I &A 01 .2-VTO . . . .......... Telephone: -T&O - 5.'2-+- -�A-Orq ... . ..... . ...... . ...... Project Description: &LA6�7 18M12 City, ST, Zip: L& QIIH-rX. (/,A H -r. oH -Evrr Telephone: . . . . . . . . . . . . . . . ... . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . ............... VAn 0 1 X-5 State Lic. City Lic. #: Arch... Engr,, Designer: (IMQ10 Address: City, ST, Zip: ... . ... ........ .................. .. ........ Telephone: ........... ........ ..... . ......... ........... ...... State Lic. #: ....... N I . ............ ............ ............... . ................ - ................ .. ........... ..... .. Name of Contact Person: L?Xwc- emow5-1" Construction Type: Occupancy: Project type (circle one): New Add'n) Alter Repair Demo Sq. Ft.: 4S tries: # Units: Telephone # of Contact Person: Estimated Value ofProjec . 104V 45 1 APPLICANT: DO NOT WRITE BELOW THIS LINE il Submittal Req1d Rec'd TRACKING PERMIT FEES Plan Sets A Plan Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections 1�? Plan Check Deposit Truss Calcs. Called Contact Person 2,7;1 Plan Check Balance Title 24 Calcs. Plans picked up — Construction Flood plain plan Plans resubmitted44/ 6k6 Mechanical Grading plan 2nd Review, ready for correction issue Electrical Subcontactor List CalledContact Person Plumbing Grant Deed Plans picked up S.M.I. 0 H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees L-7 Total Permit Fees i iPANEL-A 0 200 AMPA IMPT ME TS I mxw pZI APPROVED BY COMMUNITY DEVELOPMENT DEPARTMENY � B� �GJU1'i� DATE 3 wlcn CD EXHIBIT CASE N0. Sp 23 - -7 lass -70 �c� p�volr a�� tv S lkb �� e) (,!!.i (c c OO O O O 121-B" ®ATTIC ACCESS 22"x30" EXIT A A D [EClawE ni MAR - 1 2t�. O O O O i 1 II 171 II ®21 -lo ® , �. -8" 2 p �® 14'-0" THAI SMILE RESTAURANT 78-902 Highway 111, La Quin c One Eleven La Quinta Center ('nn.cnl�nto.�('nx,trn�t�rrn Tr,r