Loading...
05-2933 (RC)P.O. BOX 1504 •78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0.50.00-02.9.3.3 Property Address: 78045 CALLE CADIZ STE APN: 770-153-004- - Application description: REMODEL - COMMERCIAL - Property Zoning: VILLAGE COMMERCIAL Application valuation: 4000 Tdilt 4 4 a" Applicant: Architect or Engineer: pip 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. License Class: B Li se No.: 692234 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 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 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: LQPERMIT Owner: LA QUINTA GRILL 41865 BOARDWALK PALM DESERT, CA t5z to sQ F7 Contractor: C & G CONSTRUCTI 965 N. 2ND STREE UPLAND, CA 91786 (760)123-4567 T4 ?IT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/23/05 NO 214 --------------- - - - 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. VAI 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 1799267-2005 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manne o as to become subject to the workers' compensation laws of California, and agree that, if I s o become subject toIrl workers' compensation provisions of Section / 3700 of the Labor d , shall forthwith co p it th visions. te• C � pplicant: 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 t0 buildin construction, and hereby authorize representatives of this county to enter upon thea ve-mentioned property f inspection purpose tura (Applicant or Agent): Application Number . . . . . 05-00002933 ------ Structure Information - ----- Other struct info . . . . . CODE EDITION 2001' FIRE SPRINKLERS NO 1ST FLOOR SQUARE FOOTAGE 526.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc Permit Fee . . . . 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . . . 4000 Expiration Date 5/22/•06 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,•000 18.00 ----------------------------------------------------------------=----------- Permit . . . ELECT - ADD/ALT/REM Additional desc Permit Fee 25.52 Plan Check Fee,6.38 Issue Date Valuation . . . . 0 Expiration Date 5/22/06 Qty Unit Charge Per Extension BASE FEE 15.00 526.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.52 ------------------------------------ : . . . MECHANICAL Additional desc .. Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/22/06 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 ---------------------------------------------------------------------------- Special Notes and Comments Commercial Remodel "Office" Tenant Improvement 526sgft, "B" Occupancy, Occupant Load 6. ----------------------------------------------------------- 7 ---------------- Other -------------------=------------------------------------------------------ Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM .84 Fee summary Charged Paid Credited Due LQPERMIT . LQPERMIT Application Number 05-00002933 --------------------------- Permit Fee Total 121.52 -------------------- .00 ---------- .00 121.52 Plan Check Total 55.58 .00 .00 55.58 Other Fee Total .84 .00 .00 .84 Grand Total 177.94 .00 .00 177.94 LQPERMIT RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 HighwayIndio, Fax (760) 863-7072 DEPARTMENT Craig E. Anthony October 28, 2005 Fire Chief Proudly serving the City of La Quinta unincorporated Building Department areas of Riverside County and the Cities of. Re: Fire and Life Safety Clearance Banning 78-045 Calle Cadiz, #5 . LAQ-05-TI-064 Beaumont ❖ The Riverside County Fire Department is granting a fire and life safety clearance for the group Calimesa B occupancy located at 78-045 Calle Cadiz, #5. Canyon Lake Coachella Respectfully, 4.1 - Desert Hot Springs Tracy Hobday Indian wells Chief Fire Department Planner Indio 4. Lake Elsinore ''• BY l� La Quanta Walter Brandes 4. Moreno Valley Fire Safety Specialist Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 HAPEMP DMXU QW¢a1PR01M111.. Fml.doe EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (160) 863-7072 Page 1 of 1 Greg Butler From: Paul Goble Sent: Tuesday, November 22, 2005 5:29 PM To: Greg Butler Subject: La Quinta Grill - Suites 5 & 7 Pursuant to your request, please consider this email notice for Public Works green sheet approval.for Suites 5 & 7 improvements at the La Quinta Grill. The precise grading plan revisions for PCN 05201 approved by Building today will now be forwarded to Tim for signature. Many thanks, Paul Goble, PE Public Works Senior Engineer City of La Quinta (760) 777-7087 pgoble@la-quinta.org 11/23/2005 JUL-14-2005 01:09 PM CARPENTER 909 980 9483 P.01 C City of La Quints elamig it.saf" oMOM P.O. kat 1504, 78-495 Calk Tamplco La QWrK4 CA 92253 - (760) 777-7012 Bullding Permit Application and Tracking Sheet Perm #3 .� 05" iect64$5, t At l e CAP -1-2- mr'sNave: L1DZJ1"'M oFFtG� `APS L ,. A..P. Number: �V 1T� �.� -7 b, D 23 C> e -AL LJD- DAVL4 LA AA lAaddma; i n sci sT,zip: lA &OWTFF .GA - :Addraw �i(O �✓ !� . 2 A✓1B ccl Description: M AOT V fc city• ST. Zip, U r t—AtJ C7 • ' C�A - F=0& 1 Ce 5 !Sl TelepbWe: