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05-2852 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: l05_0000285T� 078995- HIGHWAY 111 STE 5 APN: 643-020-999-6 -30903 - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 14000 Applicant: Co /4-rK/A&TO(- DArchitea Engi4r: JUL 12 2005 CITY OF to QUINTA FINANCE DEPT. t BUILDING & SAFETY DEPARTMENT BUILDING'PERMIT -----------------------------7-------------------- 7 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm u er na ty ojSry that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the ' ess and Professionals Code, and my License is in full force and effect. icenseClas yB License :7543201 /•Lt� contractor: /4 Ji 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 1! 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, jand 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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: t Lender's Address: - LQPEPM1IT Owner: WASHINGTON 111 LTD C/O JACK TARR 30240 RANCHO VIEJO RD. STE. B SAN JUAN CAPISTRANO, CA 92675 Contractor: DESERT BAY CONSTRUCTION P O BOX 2623 PALM DESERT, CA 92261 (760)346-4801 Lic. No.: 543201 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/11/05 ----------------------------------------------- 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. 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 issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1769589 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�eke r'Code, I shall forth comp) wit ose provisions. t • ). App p ant:' WARNING: FAILURE TO SEC E 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 t the above information is correct. I agree to comply with all city and county ordinances and state laws r ng to uilding constructi ,and hereby aut a representatives of this co my ante upon the above- ntioned pro for inspec urp Date . t • ant (Applicanfor Agen �f Application Number . . . . . 05-00002852 Permit . . . BUILDING PERMIT Additional desc.. . Permit Fee . . . . 153.00 Plan Check Fee 99.45 Issue Date . . . . Valuation . . . . 14000 Expiration Date 1/07/06 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 10.75 Issue Date . . . . Valuation . . . 0 Expiration Date 1/07/06 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 Valuation 0 Expiration Date 1/07/06 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 . . . . Valuation . . . . 0 Expiration Date 1/07/06 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'EA PLB GAS PIPE 1-4 OUTLETS 3.00 LQPERMIT - y 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 . . . . . . STRONG MOTION (SMI) - COM 2.94 Fee summary Charged --------------------------- Paid -------------------- Credited ---------- Due Permit Fee Total 330.00 .00 .00 330.00 Plan Check Total 143.71 .00 .00 143.71 Other Fee Total 2.94 .00 .00 2.94 Grand Total 476.65 .00- d0 476.65 " ^R X A x PF� City of La QuInta S 7i� Building 8t Safety. Division. Permit # � � P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 sem' Building Permit Application and Tracking Sheet .Project Address:.2-7-75 Owner's Name: l✓�45����� L? A..P. Number: �' � A04 Address: 3 0 2 fD n.4r c.4 Legal Description: City, ST, Zip:. Contr'nctor: FTelephone• :Address: Project Description: City, ST, Zip: 411 Telephone:' State Lic. # : City Lic. #: Arch., Engr., Designer. Address: City, ST, Zip: (�3 Telephone: y , : = Construction Type: YP9: Occupancy: State Lic. #:<s! , Project type (circle one): New Add'n Alter Repair Demo Sg. Ft:: # Stories: # Units: mated Value of Project:. Name of Contact Person: Telephone # of Contact Person: 7 4A APPLICANT: DO,NOT WRITE BELOW THIS LINE /N r # Submittal Req'd ERec'd TRACKING PERMIT FEES Plan Sets A St,¢ Plan Check submitted ST, 04 f Item Atdoaat Structural Cates. Reviewed, ready for corrections?1141gol.Plaa, Check Deposit Plan Check Balance , Construction : Mechanical Tress Calu. Called Contact Person Energy Calcs, Z „G/ Pians picked up psi , Flood plain plan ' Plans resubmitted 1-20•03 Grading plan 20' Review, ready for orrectio issue Electrical Subcoatactor List Called Contact Person Plumbing S.M.I. Grant Deed • Plans picked up , II.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''� Review, ready for correc ns/�ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub: Wks. Appr Date of permit issue % 1 11 - School Fees } 3 . Total Permit Fees ,2 - 0LA4K S 7 Mfr- r �-� -v-47--v-47—�►-� t mars-�.rr � -!IP c-- f/,-oT eA T e,f "A., AIL'V.i �Gt�JesT �Q Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning 4. Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs .. Indian Wells Indio Lake Elsinore .;. La Quinta Moreno Valley Palm Desert 4. Perris 4. Rancho Mirage .;. San Jacinto 4. Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 82-675 Highway 111, 2 FI., Indio, CA 92201 . (7 0) 863-8886 . Fax (7 0) 863-7072 December 13, 2004 Khoi Tran 18324 Keswick St. Reseda, CA 91335 Re: Non -Structural Building T/I Plan Review LAQ-04-TI-136 / 78-995 Highway 111, Ste. E Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must beat the job site for all inspections; 2) Provide either a key(s) for inclusion in the general building Knox Box __ 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. _ 4) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background. ~' _ Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept. EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072 IL.----•.ohl 610• II C = WALL LEGENDL __ __ _ _ _ I -O• 4'-0• 4• 4 -0 '-B '-0' 4'-0• 4'-0- 4'-O' 9'• 9' 2'-6- : �J '-0 fl ® ';`'' O fir- . =_JL _—___III WALL wnLL wnu vaLL h - —1r WAITING NIGH NI NI NICHE r,»nxe rwi Ir --- AREA r -N' s' -I• 4a• wl j X� J'OILE.T - roncuK JL - C II IIIEl ® m OI '/�� /��♦ . a. - 1 I o�oon PA . STAFF I . 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