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07-2253 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002253 Property Address: 79174 HIGHWAY 111 STE APN: 649-820-999-. - Application description: REMODEL - COMMERCIAL Property Zoning:GIONAL COMMERCIAL Application valuation: "/1 85000 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT' Owner: 102 THOMAS ENTERPRISES, INC. - 45 ANSLEY DR NEWNAN, GA 30263 (760)613-3783 Applicant: Architect or Engin r: C° LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am'censed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business a P fessio o , and my License is in full force and effect. License Class: B Lic a No.: 671201 Date: Contractor: OWNER -BUILD DECLARATION I hereby affirm under penalty of perjury that l 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 '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: _ Lender's Address: r' .LQPERMIT . Contractor: WISCONSIN LAKEVIEW CONSTR INC 10505 CORPORATE DR STE 200 PLEASANTON PRAIRIE, WI 53158 (262)857-3336. Lic. No.: 671201 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 tEP o 61007 �l CITY.OF” 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 TRANSPORT INS Policy Number 2077580667 _ 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 a mN+_ ctto th workers ompensation provisions of Section 3700of the Labor Code, h II h comply tho provisions. Date: Applicant: WARN( FAILURE TO SECURE W RS' COMPENSAT ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN.EMPLOYER TO CRIMINALLPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001 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 inform tion is correct. I agree to comply with all city and county ordinances and state laws relating t4ic st cti ,and hereb representatives of this co my to enter upon the above-mentioned pp 'on urposeDate: �Signature (Applicant or Agent . Application Number 07-00002253 ------ Structure Information 1,753SF TI/M-OCC/40-OL [FEDEX/KINKOS] ----- Other struct info . . . . . CODE EDITION 2001/2005 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY M OCCUPANT LOAD 40.00 --------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE ------------------------- 1753.00 Permit . . . BUILDING PERMIT Additional desc. Permit Fee . . . . 572.00 P1an.Check Fee 371.80 Issue Date Valuation 85000 Expiration Date 3/02/08 Qty Unit Charge Per Extension BASE FEE 414.50 35.00 4.5000 ---------------------------------------------------------------------------- THOU, BLDG 50,001-100,000 157.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 65.10 Plan Check Fee 16..28 Issue Date . . . . Valuation 0 Expiration Date 3/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 78.00 .4500 -----------------------------------------------------------=---------------- EA ELEC DEVICE/FIXTURE >20 35.10 Permit . . . MECHANICAL Additional desc . Permit Fee 62.00 Plan Check Fee 15.50 Issue Date Valuation . . . . 0 Expiration Date 3/02/08 Qty Unit *Charge Per Extension BASE FEE _15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 9.0000 EA MECH B/C.<=3HP/100K BTU 18.00 1.00. 6.5000 EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc . " Application Number 07-00002253 Permit . . . . . . PLUMBING Permit Fee . . . . 43.50 Plan Check Fee 10.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000"EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 1,753SF TI/M-OCC/40-OL [FEDEX/KINKOS] INTERIOR TENANT WORK ONLY, THIS PERMIT -, DOES NOT INCLUDE BUILDING SIGNS. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY. August 21, 2007 2:41:58 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . ... ACCESSIBILITY PLAN REVIEW 37.18 ENERGY REVIEW FEE 37.18 STRONG MOTION (SMI) - COM 17.85 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 742.60 .00 .00 742.60 Plan Check Total 414.46 .00 .00 414.46 Other Fee Total 92.21 .00 .00 92.21 Grand Total 1249.27 00 .00 1249.27 r LQPEffiNIT Bin # G� p City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ~Permit # G'G Project Address: 141. 1-74 Hwy 1 t 1 , Si -E t02 ' Owner's Name: �s Exlr�aasf� � A. P. Number: (Q c� . �2cj _psi 3 Address: 45 A,sLrzy Pz ZSam.Bim, Legal Description: Contractor: NoT Yr✓i $);LECTFp City, ST, Zip: j 154JAI+N 6*02 3 N DISQro MCA 9210b Telephone. ({0701423-54'12 Project Description: 110M IFR Q4 . M-IUAAfT /APaGI.GNFA Address: City, ST, Zip: NoAI— S1KI ojitAt. 17 7reio)L PAlennoPz Telephone: , IxtvMAX- 0) *C State Lic. # : City Lic. Arch., Engr., Designer. AH„Ap M V ftA7-A6/ �-A A4eMlb F— Qom, ,4150 /NCL U06f C2) NEW 1ZWF79P MVAC u py in /�SSGLIATJG p puclwo2K Address: 2'74-) 147TH Sr E1,rrc lCJ�r(� DIST ttTloa �iJhLEM®AT p= City,, ST, Zip: SRN f aANGISto Ck . 17411c) 1212 9Wt1p51A-1r {;11CNRF•t - r85"7 v?fir> >»:::<:>:z::#:>:.<.;_>:!<?::`::•'. .MTelephone:C4/S3%Z Construction Type: VN Occupancy: State Lic.#: Project type (circle one): New Add'n ter Repair Demo Name of Contact Person: 15v,4 DAvlg /TticT;qth Ft.: l,irj�j #Stories: #Units: Telephone # of Contact Person: 4-6) 3(P?-- 585 Estimated Value of Project: 8S.000. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted O Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for correction /i a Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0/1 -rr L --% wt rr vl 10107. � GSD• Carctr�.,�ett� i�A�S . 7 C.1' -*>D APPirojo�> 't- W -r t e'o-� `tBzzk, 360- 57 70 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project .4ddres . ` M, Owner's Name: A. P. Number: Address: Legal Description: ( Contractor: �,,,,c,•,� V � u.�l � � City, ST, Zip: Telephone: - - -_ Address: Project Description: City, ST, Zip: Telephone: :;x• s State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: -' j'r::r .. -; _ '3'" Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Yl/ X46 C Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: e( 1 s� ` (^ Estimated Value of Project: cs APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Req'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 10/j 4 Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2n' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: 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 Total Permit Fees /0 f q 00-9-,P — JJ. A,54 p Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Cal :mesa Canyon Lake Coachella Desert Hot Springs . .Indian Wells � Indi`o 24 Lake Elsinore Y i La Quinta Moreno Valley Palm Desert. Perris .Rancho Mirage San Jacinto Temecula Board of Supervisors Bob_ Buster, District I John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 y RIVERSIDE COUNTY FIRE' DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue Perris, California 92570 • (951) 940-6900 Fax (951) 940-6910 Date City of La Quinta ' Building Department RE; reC,/ PSC ti ��5 f.i_O CASE #7� '7' / D�� The Riverside County `Fire Department is granti location. q'9 `7 y //I the Fire Clearance for the following P / Dd. Please call if you should have 4uestions 760-863-8886 ' Respectfully Terry DeSoucy Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 REPORT # 1 t ARMSTRONG'S INSPECTION SERVICE Phone (909) 592-2334 SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636 CONTR. JOB # -4 OBSERVATION REPORT Fax (909) 592-9224 Building Permit No. Q%- Permit Date: Zoe % Department of Building & Safety - City of: Project Name/Address: -,C/iJk©s — W /7¢ /// 47c1 /i>,-., Structural Engineer/Address: --R,4 General Contractor/Address: Sub Contractor/Address: TESTS MADE:-- TYPE OF INSPECTION:�f/eldin Hi Tensile Bolting APPROVED MIX DESIGN#: -� - g g ❑Reinforced Concrete ❑Fireproofing ❑Masonry ❑Anchors ❑Epoxy ❑NDT ❑Other: ELECTRODE:JJP, � Off -Site Fabricator Address: Welder Certification No. Welder Certification No. HOURS: MON. TUES. R 8 FRI. SAT. SUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME _� HRS. PREMIUM TIME HRS. NDT HRS. Date of Inst ection N Inspection Summar • Location of Work, Detail & Sheet No., N y • • Material Description - Type, Grade, Research Report No., Work Rejected or Pending Approval ,zoo A _ fees and cost paid for tha spe is w k to Metro Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Metro Inspection P Approved By: Company: i:L IOZ- z o G E -C a ZAJ o CDS-/ CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge, with the information provided, all of the above reported work unless otherwise noted. I have found this work to comply with the approved plans, specifications, and applicable s,llactions of the governing building code. Registered Deputy Building Inspector's Certificate Signed by E Certification # Type t.C�C -/� -/,Q/f Inspectors Name: (Please Print) �UJ/ C,ksGd DATE:Iz- [=W=E=D_.:�T_H9/U;0 HOURS: MON. TUES. R 8 FRI. SAT. SUN. NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT LAB & HOURS SUMMARY: REGULAR TIME _� HRS. PREMIUM TIME HRS. NDT HRS. All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports shall be filed with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Metro Inspection on the project, Client agrees, to the extent permitted by law, that Metro Inspections liability to the -Client, in any way arising out of this agreement, shall be limited to 100% of the total fees and cost paid for tha spe is w k to Metro Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Metro Inspection Service, Inc. _ Approved By: Company: 1 _ vlo. — vvviv nc,,,or r•e.+.raie cnarge or ore—nan percern (i i/z r) per monin, (tt3i) per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party. WHITE- Building Dept. CANARY/PINK - Office