05-2867 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
.7 Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
_<0'5-- Ct!]0.0-2 8,6r7�
78962 GHWA-Y 111
643-080-008-10 -000000-.
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
90000
44'
T4bt
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
DJ
JAN 0 4 2006
OF LA QUINTA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam 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: B License No.: 677894
Date: I Contractor:
OWNER -BUILDER DECLARATION
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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) .:
(_) 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 am exempt under Sec. , B.&P.C. for this reason
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/04/06
Owner:
MCDONALDS CORP
81544 HIGHWAY 111
INDIO, CA 92201
Contractor:
CRABB CONSTRUCTION COMPANY INC
15135 VALLEY CENTER AVENUE
'COVINA, CA 91724
(909)305-2088
Lic. No.: 677894
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 BURRETT Policy Number 3757846
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, I shall forthwith comply with those provisions.
Da�r-1 "4Applicant:
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 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 propertyforinspection purposes.
Date, Signal re pplicant or Agent):
Application Number .
. . . . 05-00002867
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
594.50 Plan Check Fee
386.43
Issue Date . . . .
Valuation . . . .
90000
Expiration Date . .
7/03/06
Qty Unit Charge
Per
Extension
BASE FEE
414.50
40.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
180.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee
29.84 Plan Check Fee
7.46
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
7/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
742.00 .0200
----------------------------
ELEC GARAGE OR NON-RESIDENTIAL
-----------------------------------------------
14.84
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
7/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
----------------------------------------------------------------------------
EA MECH B/C <=3HP/100K BTU
9.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
42.00 Plan Check Fee
10.50
Issue Date . . . .
Valuation . . .
0
Expiration Date
7/03/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 6.0000
EA PLB FIXTURE
18.00
1.00- 6.0000
EA PLB ROOF DRAIN
6.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
---- -- -------------------------------------------
Special Notes and Comments
742 sq. ft. addition
to mcdonalds
Application Number
. . . . .
05-00002867
----------------------------------------------------------------------------
Special Notes and
Comments
enclose patio.December
13, 2005
2:01:03
PM jjohnson
----------------------------------------------------------------------------
Other.Fees . . .
. . . . . .
STRONG MOTION
(SMI) - COM
18.90
Fee summary
Charged
----------
Paid
--------------------
Credited
----------
Due
-----------------
Permit Fee Total
699.34
..00
.00
699.34
Plan Check Total
412.64
.00
.00
412.64
Other Fee Total
18.90
.00
.00
18.90
Grand Total
1130.88
.00
.00
1130.88
CERTIFICATE OF COMPLIANCE �N<IFIFZS ,
Desert Sands Unified School District o��`� Ct_
47950 Dune Palms Road < BERMUDA DUNES
Cr
Date 1/4/06 La Quinta, CA 92253 RANCHO MIRAGE
INDIAN WEAN WELLS LS
LM
No. 28000 (760) 771-8515 `o., P LA QUINTA
�QINDIO y��•
U
Owner George Tadros APN # 643-080-008-10
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type Commercial Addition No. of Units 1
Lot # No. Street
Unit 1 78962 Highway 111
Unit 2
Unit 3
Unit 4
Unit 5
Comments Addition, McDonald's
S.F.
742 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does riot collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.36 X 742 S.F. or $267.12 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Cash - George Tadros Check No.
Name on the check Telephone
Funding Residential
By
Superintendent ,-'' r 'tet t�•
Fee collectAGovemme
harod66020(d1'('1).rtehiYs
� Payment Recd ;. , 0.00 f
$267.12 4ZIA
Signature T`
. may.••. ..�•r
r'rt •tr,:
NOTICE: Pursuion will a to notify you that the 90 day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the Districts) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting