06-1572 (RC)4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-0000.1572
Property Address: 79220 HIGHWAY 111
APN: 649-820-999- ' -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 50000
Applicant:
T4ht 4 4 Q"
Architect or Engineer:
pig
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
Licens lass: 13 License No.: 812364
ate: -tato ontractor:
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 (5500).:
(_ 1 1, 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 contractor(s) licensed
pursuant to the Contractors' State License Law.l.
( 1 I am exempt under Sec. , BAP.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: Ar
LQPERMIT
Owner:
FOURTH QUARTER PROPERTIES.
45 ANSLEY DR
NEWNAN, GA 30263
(760')613-3783
Contractor:
COAST TO COAST CONTE
644 GUKKCREST DRIVE,
WAUPACA, WI 54981
(715)256-0476
Lic. No.: 812364
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/23/06
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 1726067
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, I shall forthwith comply with those provisions.
,cant-.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 actor 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 c unty ordinances and state laws relating to building construction, and hereby authorize representatives
of thi ou,�FA;pplicant
above-mentioned property for inspect, purposes.
\ate: or Agent): 1
- _ row,
Application Number . . 06-00001572
------ Structure Information BUILDING UNDER CONSTRUCTION
-----
Other struct info . . . . . CODE EDITION
O1BMP04E05EN
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
M/S3
OCCUPANT LOAD
.00
1ST FLOOR SQUARE FOOTAGE
.00
-------------------------------------------------------------1
----------------
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 414.50 Plan -Check Fee
269.43
Issue Date Valuation . .
. . 50000
Expiration Date 11/19/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
25.00 6.5000 THOU BLDG 25,001-50,000
162.50
----------------------------------------------------------------------------
Special Notes and Comments
STORAGE RACKS FOR "BEST BUY" RETAIL
,STORE. 2001 CBC CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . STRONG MOTION (SMI) - COM 10.50
Fee summary. Charged Paid Credited
-----------------------------------------_------
Due
Permit Fee Total - 414.50 .00 .00
----------
414.50
Plan Check Total 269.43 .00 .00
269.43
Other Fee Total 10.50 .00 .00
10.50
'Grand Total 694.43' .00 .00
694.43
LQPERMIT .
11/12 2003 10:05 7607777011 LA QUINTA PAGE 02/02
Bin #
dei City of La Quinta
Building at Safety Division
"e'ermlt # �f• P.O. Box 1504, 76-495 Gyle Tampico
La Quinta, CA 92253 . ( 760) 777.7012
Building Permit Application and Tracking Sheet
Project Address `M6 Owner's Name:
A. P. Number: L -YA4 A A s .. _ • -
City, ST,
Address: Protea besctiption.
City. ST. Zip: s e
Telephonc:
State Lic. 9 : City Lic. 9: r
Asch.. ngr. Design;:Ai �M J1K_T
Address: it A / DMIll .AJ.%J--
Cin. ST.'ZiP:0/i Mtx 0A OU o
%0US
1 Total Permit Ftes2
'C D4ti-�4G'i7ls"
M.VL-I -
-� Construction ±5
9!A rkiw1uncy m
State Lic. p: 2 to
Project type (circle one):
New Add'n Alter Repair Dcmn
X
Name of Contact, Person:
t: Units:
X
Telephone H of Contact Perso
Q• Value
stimated of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
t< Submittal Req'd
Recd TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Structural CaICs.
Rimiewed, ready for corrections
Item .lmount
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked tip
Construction
Flood plain plan.
Plans res■bmNted
Alcchanicat
Grading plan
2id Review. ready for corrtctio issue 5 Q�j
Electrical
5ubconraetor List
Called Contact Person
Z p
Plumbing
Grant Deed
Plans picked up
SAI.1.
R.O.A. Approval
Plans resubmitted
Grading
IN HOUSE;-
Review• ready for corrections/issue
Developer impact Fee
Plahning Approval
Called Contact Person
A.I.P.P.
Pub, why. Appr
pate of permit issue
School Fees
%0US
1 Total Permit Ftes2
'C D4ti-�4G'i7ls"
Craig Anthony. May 9, 2006
Fire Chief
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue •ems, aliforn(a 92570 • (909) 940-6900 • Fax ( 9) 940-6910
Proudly serving the Seizmic Material Handling Eng., Inc.
Unincorporated 161 Atlantic Street
Areas of Riverside Pomona, CA 91768
County and the
Cities of Re: HPS Plan Review
Big LAQ-05-BP-052 / Best Buy — La Quinta
44. 79-050 Hwy 111
Beaumont
• Fire Department personnel have reviewed and approved the plans you submitted for the above
Calimesa referenced project.
Canyon Lake All questions regarding the meaning of these conditions should be referred to the Fire Department
Coachella Planning & Engineering staff at (760) 863-8886.
Desert Hot Springs
Sincerely,
Indian Wells
❖ FRANK KAWASAKI
Indio Chief Fire Department Planner
Lake Elsinore
La •Quinta B
Y 'M
Moreno Valley Walter Brandes
Fire Safety Specialist
Palm Desert
4.
Perris
g.
Rancho Mirage
San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
H:%PE2%WP DatalLa Qukda%PRQJECTVJkd g PC LAQ-06 13P-052 HPS(2).doe
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2"d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072