05-3388 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00003388
Property Address: 78045 CALLE CADIZ STE
APN: 770-153-004- -
Application description: REMODEL - COMMERCIAL
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 35000
T --&t 4 4 Q"
Applicant: Architect or Engineer:
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 Licens o.: 692234
Date: Aj/��—Oontractor:
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 ($5001.:
(_ 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.).
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.I.
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/31/05
Owner:
LA QUINTA GRILL
41865 BOARDWALK NO 214
PALM DESERT, CA 92211 '
� Q
Contractor:
C & G CONSTRUCTI , OMP kn INS
965 N. 2ND STREE
UPLAND, CA 91786 ���1Ntj0►
(909)982-9965 C,�ON���gP?.
Lic. No.: 692234 FItQA
----------------------------------------------—
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.
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 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 manner so as to become subject to the workers' compensation laws of California,
and agree that, if I shou d become subject to the workers' compensation provisions of Section
3700 of the Labor Co I shall forthwith comdfp wit a ions.
J
Da. ` � pplicanC
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 bui 'ng construction, and ���???{{{eby authorize representatives .
of thip, oupty tp enter the above-mentioned grope for inspection purpq���
]FIR' L/(�!A) !u�
Dat v nature (Applicant or Agent):
Application Number . . . . . 05-00003388
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . .
317.00
Plan Check Fee
206.05
Issue Date . . . .
Valuation . . . .
35000
Expiration Date
4/29/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
10.00 6.5000
' ----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
65.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
29.96
Plan Check Fee
7.49
Issue Date
Valuation . . . .
0
Expiration Date
4/29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
748.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE
OR NON-RESIDENTIAL
14.96
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
19:50
Plan Check Fee
4.88
Issue Date . . .
Valuation . . . .
0
Expiration Date
4./29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
----------------------------------------------------------------------------
EA MECH VENT INST/. DUCT ALT
4.50
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
21.00
Plan Check Fee
5.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
4/29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
---------------------------------------------
Special Notes and Comments
--------------------------------
Commerical Remodel "Office" TI, 748
sgft, "B" Occupancy, Type VN, Occupant
Load 8 (Change of Use,
S-2 to B)
LQPERMIT - _ .
Application Number
. . . . .
05-00003388
------------------------------------------------
Other Fees . . .
. . . . . .
-
STRONG MOTION
---------------------------
(SMI) - COM
7.35
Fee summary
-----------------
Charged
Paid
Credited
Due
Permit Fee Total
----------
387.46
--------------------
.00
----------
.00
387.46
Plan Check Total
223.67
.00
.00
223.67
Other Fee Total_
7.35
.00
.00
7.35
Grand Total
618.48
.00
.00
618.48
0
LQPERMIT
JUL-14-2005 01:10 PM CARPENTER
909 980 9483 P.02
�' •
City of La Quanta
BWMI al
P.O. post 1504, 78-05 Cape TMOM
La Qu6sk CA 92253 - (760) M-7012
Building Permit Application and Trad king Sheet
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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
FEB -10-2006 08:40A FROM:CARPENTER I (909)946-9499 TO:17607778,31J r.1
FAX TRANSMITTAL
MICHAEL.
D. CARPENTER
DESIGN -DRAFTING
2009
PORTERFIELD WAY SUITE G UPLAND CA. 91786
FAX (909) 946-9499 (909) 724-9572
BVI LDABLEDESIGNSOAOL.COM
FAX TRANSMITTAL
TO: DAMON
FROM: MIKE
DATE: 2/ 10 / 06
PAGES: 11
INCLUDING THIS ONE
SUBJECT: SUITE7
I
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FAX TRANSMITTAL
FEB -10-2006 08:41A FROM:CARPENTER
11[ Iw :1100 LJ'vJ rn.% II4W0LL�40
ZYLSTRA
ambo"
COSTA RICA
eMCHOS MANIA
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HUNDAW
JAMUICA
To:�
Fax #:
From:
Subject�l�lVl�
COMMENTS:
(909)946-9499 TO:17607778313 P.2
t r i i i r • 4�j',V•
Tit"ShUSSION
Z & A
ASSOCIATES ENGINEERING, INC.
CML
KOREA S
CONSTRUCTION
WINIC0
LT. GAUGE STEEL
NICARAGUA
MARINE
MES
� HAM
COMM/RES STRUCTURES
UNnM STATES
18471 MT. LANGLEY STREET, SUFFE P
FOUNTAIN VALLEY, CA 92708
(714) 968-4770
(714) 962-2548 fox
Date: 24 c� I C)(_.p
Pages: iQ including this cover sheet
rp QCT d. �
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
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
ZIVERSIDE COUNTY
FIRE DEPARTMENT
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 a Fax (951) 940-6910
Date' l E
City of LaQuinta
Building Department
f
RE
The Riverside County Fire epart ent 's granting the Fire clearance for the following
location r' C. u , C�.
Please call i you should have questions 760-863-8886
Respectfully
By
1
Terry DeSouc i
Fire Systems Inspector