Loading...
05-2852 (RC) Revision 1P.O. BOX 1504 VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING -& SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 -��11��11►[rl,�:�l�ll�l Date: 9/02/05 Application Number: 4105-00002852 Owner: Property Address: 78995 HIGHWAY 111 STE 5. WASHINGTON 111 LTD APN:. 643-020-999-6 -30903'- C/O JACK TARR Application description: REMODEL - COMMERCIAL 30240 RANCHO VIEJO .RD. STE. B Property Zoning: REGIONAL COMMERCIAL SAN JUAN CAPISTRANO, CA 92675 Application valuation: 14000 Contractor: Applicant: Architect or Engineer: UNITED STAND CONSTRUCTION FFINA 7748 SANFRANCISCO STREETHIGHLAND, CA 92346 FP O '005/(909)709-0405rrtLic. No.: 840168 OF�QUINTANCE DEPT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700011 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B - License No.: 840168 Date: %Z v ntracetiq ,gel NER-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).: (_ 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.). (_ 1 1, 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 f 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: tj 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 STATE FUND Policy Number 1799912 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 or Code, I shALLG.,thwith comply with those provisions. atU e: �-� Applicant: WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 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 1 have read this application and state that the above information is correct. I agree to comply with all city and count�toenter nances a d state laws relating to building construction, and hereby authorize representatives of this county up the above-mentioned property for' ctiOfT purposes. /%�� Piate: Signature (Applicant or AgeCt1' Application Number 05-00002852 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 153.00 Plan Check Fee 99.45 Issue Date . . . . 7/12/05 Valuation . . . . 14000 Expiration Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 45.00 12.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 108.00 `Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 43.00 Plan Check Fee 10.15 Issue.Date . . . . 7/12/05 Valuation . . . . 0 Expiration Date.. 1/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1400.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 28.00 Permit . . . MECHANICAL Additional desc . Permit Fee 39.50 Plan Check Fee 9.88 Issue Date . . . . 7/12/05 Valuation 0 Expiration Date 1/08/06 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 1.00 6.5000 -------------------------=------------------------------------ EA MECH VENT FAN -------------- 6.50 Permit PLUMBING Additional desc . Permit Fee . . . . 94.50 Plan Check Fee 23.63 Issue Date . . . . 7/12/05 Valuation 0 Expiration Date 1/08/06 Qty Unit Charge Per Extension _ BASE FEE 15.00 11.00 6.0000 EA PLB FIXTURE 66.00 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 n EA PLB GAS PIPE 1-4 OUTLETS 3.00 LQPERMIT Application Number . . . . . 05-00002852 ---------------------------------------=------------------------------------- Special Notes and Comments Commercial Remodel " Happiness Nail Salon" TI, "B" Occupancy, Type VN Sprinkled, Occupant Load 46 ------------------------------------ Other Fees . . . . . . . ---------------------------------------- CHANGE OF CONTRACTOR 4.50 REPLACEMENT INSP CARD 15.00 STRONG MOTION (SMI) - COM 2.94 Fee summary Charged ----------------- ---------- Paid - --- ------ Credited ---------- ---------- Due Permit Fee Total 330.00 330.00 .00 .00 Plan Check Total 143.71. 143.71 .00 .00 Other Fee Total 22.44 2.94 .00 19.50 Grand Total 496.15 476.65 .00 19.50 Bin # Permit # Project Address: A. P. Number: Legal Description: Contractor: Address: City. ST, Zip: Telephone: State Lic. # Arch., Engr.. Designer: Address: City, ST, Zip: Telephone: State Ltc. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Ftood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees e/� 'd City Of La QUintd -- Building 8t Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BuildingPermit Application and Tracking Sheet S . Owner's Name: x Address: X vc— Ciry. ST. Zip: >L, ZAt STK-t� Telephone: JZj �T Project Description: X /I.v, Lic. #:.7 'Z Total Permit Fees ±MM Construction Type: P Occupancy: Project ect type (circle le one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: x APPLICANT: DO NOT WRITE BELOW THIS LINE Ree'd TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2"d Review; ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading ''d Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.1 P P Date.of permit issue Total Permit Fees V STOP �� J.0-Rdlor i)v Jtv"J STN :31VOS dVVY AiI N IOIA nm&�00)==�00-0da 3w-Lmonm d7 311S G 9IN titi n Certificate,of Occupancy q � � Inoorow�� O BuBding & Safety Department Y ,'3 1 f d 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 s provisions of the Building Code and the various ordinances of the City regulating building r construction and/or use. { r � t r s r E BUILDING ADDRESS: 78-995 Highway 111 Suite 5 S Use classification: Commercial "Happiness Nail Salon" TI Building Permit No.: 05-2852 v 3 Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR . e Y Owner of Building: Washington 111 LTD Address: 30240 Rancho Vieio Rd Ste B City, ST, ZIP: San Juan Capistrano CA 92675 4 By: Daniel P. Crawford Jr. g Date: 2/27/06 ' Building Offi al POST IN A CONSPICUOUS PLACE -- o