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05-1939 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: a5-00'001939 ftW 78030 CALLE BARCELONA 770-153-004- - REMODEL - COMMERCIAL VILLAGE COMMERCIAL 875 c&ty/ 4 4& Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7.012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/19/05 Owner: STE E LA QUINTA OFFICE PARK 78030 CALLE BARCELONA LA QUINTA, CA 92253 Contractor: Architect or E er: (N C & G CONSTRUCTION COMPANY U 965 N. 2ND STREET M�l2 4 2005 UPLAND, CA 91786 1.1 (760)123-4567 �QUIN7A Lic. No.: 692234 CITY - - _r nEPT. ----------------- 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 nd Professionals C e, and my License is in full force and effect. License Class: B Lice t� N : 692234 Nov ��Z (� Contractor tjtj✓✓�(�/�� 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).: 1 _ 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 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 contractors) 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 ISec. 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 STATE FUND Policy Number 1799267 _ 1 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 1 should ecome subject to the rkers' compensation, provisions of Section 3700 of the Labor Code,sl Xall forthwith compig v1ith tp$se provisions. 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 buildimanstruction, and herebx authorize representatives of this county to enter upon the above-mentioned property inspection purposes./ ) Application Number . . . . 05-00001939 Permit BUILDINGIPERMIT Additional desc . . Permit Fee . . . . 23.00 Plan Check Fee 14.95 Issue Date . . . . Valuation . . . . 875 Expiration Date 11/15/05 . Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HIND BLDG 501-2,000 8.00 ----------------------------------------------------- Special Notes and Comments ----------------------- ADD INTERIOR DOOR -NON -EXIT, NON -EGRESS IN NONBEARING WALL. Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 23.00 ---------- .00 ---------- .00 23.00 Plan Check Total 14.95 .00 .00 14.95 Grand Total 37.95 .00 .00 37.95 LQPERMn �'MMY-42-2005 01:53 PM CARPENTER 909 980 9483 P.01 MICHAEL D. CARPENTER DESIGN AND DRAFTING 8923 IRONWOOD STREET RANCHO CVCAMONGA CA. 91730 FAX OM 980-9630 (909) 724.-9572 I . ��Gi . � ..IY�.r•r ��Rf� `1� f - v 101. 4fo i' ° i 78630 ►� ,� _sk CA PROPOSED ADDITION OF NON --EXIT NON-EGRE55 I NTERIOR DOOR ( 3,—O" X 6'-8" ) AT AND FOR OWNER: LA QVINTA OFFICE PARK L.L.C. 78030 CALLE BARCELONA LA QVINTA CA. 92253 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA / BY MO?Y-1�2-2005 01:54 PM CARPENTER 909 980'9483 P. 02 MICHAEL. D CARPENTER DESIGN AND DRAMNG 8923 IRONWOOD STREET RANCHO CVCAMONGA CA. 91730 FAX (909) 980-9630 (909) 724.-9572 78026 CALLE $AkCELONA SVITE "A" 5VITE "6" REST ROOMS 7 78034 CALLE HERE BARCELONA KEY PLAN NO SCALE 78030 CALLE BARCELONA :.MAY -48-2005 03:36 PM CARPENTER 909 980 9483 P.05 MICHAEL. D CARPENTER DESIGN AND DRAT TING 8923 IRONWOOD STREET RANCHO CVCAMONGA CA, 91730 FAX (909) 980-9630 OFFICE OFFICE c - N (909) 724.-9572 OPEN OFFICE (I<xIST►�I� �.lo�l O�FICE I OFFICE E FZ- . C'..•► S 6 112 , c0 Is OFFICE OFFICE RECORDS BREAK ROOM i PROPOSED DOOR NEW 3'-0` X 6'-8" SOLID CORE DOOR r WITH LEVER HANDLE AND NO CLOSER M.FLOOR-P-LAN SCALE 1/0.. I;'o"T 78030 CALLE BARCELON CITY OF LA QUINTA BUILDING & SAFETY DEPT. .APPROVED FOR CONSTRUCTION DATE :01-609113Y "MAY—$2-200,5 01:55 PM CARPENTER 909 980 9483 WM 0� �baim WN.- 4 dw ow .Modw* SLIDING DOOR I Re MAX iLalloLj--- --Jl--W DOOR Fig.09-A FOLDING DOOR r� jr MaL via r. � •. pUI pya pmaD eAlli mm �e r'DAmML w n pMUM it WE bff, y MAtptpp:EMM " own nowl70 00� T s Or 1Nt urcN FIp.60-D no circa cgmwn • /CC P. 04 i'-VjAY .t2-2005 01:56 PM CARPENTER 909 980 9483 1 YA/L NOT 0lNid Ram T tNlRf1101b. 1 IM�T�IMO mm UAL LOOP ?RNVWM LOOP LM Mwou � 1LWIL :a 1 iO0MT MDPT K i'CIABT AMMIIM wro 00 LAMOND P.05 T1r C�DA9 4t la 0lNIAMd A/0 �WAI�Obk x0= POO 223