05-3896 (RC)141
\11'O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
V
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00003896 j
Property Address: 78995 HIGHWAY 111 STE 4
APN: 643-020-999-6 -30903 -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 70000
Applicant: Architect or Engineer: D
PIP -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/21/06
Owner:
WASHINGTON 111 LTD
C/O JACK TARR
30240 RANCHO VIEJO RD. STE. B
SAN JUAN CAPISTRANO, CA 92675
r7 Contractor:
u NEW WEST CONSTRUCTION
P.O. BOX 1461
FEB 2 12006 (76H)8RAL9CITY, CA 92235
Lic. No.: 590133
OF. LA
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: B License No.: 590133 -
Dater 7/_" ntractor• .
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.).
(_) 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.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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
-------------------
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 become subject to the workers' compensation provisions of Section
3700 of the Labor Code, 1 shall forthwith comply with those provisions.
-24-40nn�-24-40icant:
'D
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 property for inspection purposes.
Pee -da�' ure (Applicant or Agent):
LQPfiRMPf - i
Application Number .
. . . . 05-00003896
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
504.50 Plan Check. Fee
327.93
Issue Date_ . . . .
Valuation . . . .
70000
Expiration Date
8/20/06
Qty Unit Charge
Per
Extension
BASE FEE
414.50
20.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
90.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
39.00 Plan Check Fee..
9.75
Issue Date . . .
Valuation . . . .
0
Expiration Date
8/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1200.00 .0200
------------------------------------=---------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
24.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
39.00 Plan Check Fee
9.75
Issue Date . . .
Valuation
0 '
Expiration Date..
8/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
3.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
19.50
Permit
PLUMBING
1 Additional desc .
Permit Fee
82.50 •. Plan Check Fee
20.63
Issue Date . . . .
Valuation
0
Expiration Date
8/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4. 0.0 6.0000
EA PLB FIXTURE
24.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
LQPfiRMPf - i
Application Number 05-00003896
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 15.0000.EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
COMM. INTERIOR T.I. 1,200 SQ.FT. HAIR
SALON [SUPERCUTS]. B OCCUPANCY, TYPE
V -N CONSTRUCTION. 40 OCC. LOAD. 2001
CODES.
NOTE: AN EMPLOYEE DESIGNATED FULL-TIME
TO ASSIST CUSTOMERS WITH ACCESSIBLE
COUNTER SPACE.
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 665.00 .00
.00
665.00
Plan Check Total 368.06 .00
.00
368.06
Grand Total 1033.06 .00
.00
1033.06.
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Qtunta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
210 West San Jacinto Avenue . Perris, California 92570 • (951) 940-6900 • Fax (951) 940-6910
Date -'-ol
City of La Quinta
Building Department
The Riverside County Fire Departrqent is granting the Fire clearance for the following
location 7 R 9 5
Please cifif you should h ve questions 760-863-8886
Respectfully
By
Terry De oucy
Fire Systems Inspector
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-701.1
i
To: Greg Butler, Building & Safety Manager To CDD: 9-7-2005
From: Doug Evans, Planning Director Due date: 9-14-2005
Status:1 st Review
Building Plans Approval
S
1
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Supercuts
Address or general location: 78-995 Highway 111, Ste. 4
Applicant Contact:. Bill Weaver 567-8560
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
approval.
..these Building Plans are approved by the Community Development
Department.
❑ ...these Buildin Plans require corrections. Please forward a copy of the attached
corrections to th applicant. When the corrections are made please return them to
the Co unity evelopment Department for review.
Dpug E s, Planning Director Date
I
-*LITTLF_ DOG INC. DSA
SEPTEMBER 26, 2005
TO WHOM IT MAY CONCERN,
REGARDING OUR LEASEHOLD IMPROVEMENTS FOR THE SUPERCUTS TO BE
LOCATED AT 75995 HIGHWAY 111 SUITE 4, LA QUINTA:
IT IS IN OUR BUSINESS PROTOCAL TO HAVE AN EMPLOYEE SERVICE CUSTOMERS
AT THE FRONT DESK AT ALL TIMES. IF A HANDICAP CUSTOMER NEEDS THE SHELF
FOR WRITING CHECKS PULLED OUT, WE HAVE AN EMPLOYEE WHO CAN EASILY
'WALK AROUND THE DESK AND ACCOMIDATE THAT CUSTOMER, AT ANY TIME.
IF YOU HAVE ANY FUTHER QUESTIONS, PLEASE DO NOT HESITATE TO CALL US AT
(760) 777-4357.
OU,
/ �BILLI& KAT WEAVER
LITTLE DOG INC. DBA SUPERCUTS
PO Box 981
La Quinta, CA 92247
(760)567-8560
i
Certificate of Occu ancy P
TarIvcoc+oinTm�
X96[
! .
y
z
is
O Buildin & Safety Department
F �y Deg -p
4
Tt
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: 78-995 Highway 111 Suite 4
2
Use classification: Commercial "Supercuts" TI Building Permit No.: 05-3896
E
Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: Washington 111 LTD Address: 30240 Rancho Vieio Rd. Ste B
B
City, ST, ZIP: San Juan Capistrano, CA
By: Daniel P. Crawford Jr.
Date: 4/24/06
Building Official COPY
'
POST IN A CONSPICUOUS PLACE