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11-0866 (RC)k P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 11-00000866 47875 CALEO BAY STE 103 643-200-001-3 -31248 - REMODEL - COMMERCIAL COMMUNITY COMMERCIAL 1200 F(I"* (Xmr% r& Z Architect or Engineer: gor so -- 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: License No.: Date: Contractor: 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 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason XDate: I / 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: CALEO BAY 39250 REGENCY WAY PALM DESERT, CA 92 (760)340-4494 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/08/11 LL �P 08 2011 1 Crfy OF ! A QUINTA 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 Policy Number jet 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 /33700 of the Lab , I shall fort with comply vy t those provisions. Dater /1 Applica WARNING: FAILURE TO S R RKERS' 0 PEN TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO SAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this ou4ty to enter upon the above-mentioned pr e y r inspectio purposes. jDate:� G Signature (Applicant or Agen r Application Number . . . . . 11-00000866 Structure Information Construction Type . . . . . TYPE V, UNPROTECTED .Occupancy Type . . . . . BUSINESS <50 Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS YES OCCUPANT LOAD 16.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 784.00 Permit . . . BUILDING PERMIT - ADA INV FEE Additional desc . . Permit Fee . . . . 58.00 Plan Check Fee 18.85 Issue Date . . . . Valuation . . . . 1200 Expiration Date 3/06/12 Qty Unit Charge Per Extension BASE FEE 30.00 7.00 4.0000 ---------------------------------------------------------------------------- HND BLDG 501-2,000 28.00 Permit . . . ELEC-MISCELLANEOUS INV FEE Additional desc . Permit Fee 42.00 Plan Check Fee 5.25 Issue Date Valuation 0 Expiration Date 3/06/12 Qty Unit Charge Per Extension BASE FEE 30.00 8.00 1.5000 ---------------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 12.00 Permit . . . MECHANICAL INV FEE Additional desc . . Permit Fee . . . . 66.00 Plan Check Fee. 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date : . 3/06/12 Qty Unit Charge Per Extension BASE FEE 30.00 2.00 9.0000 EA MECH VENT INST/ DUCT ALT 18.00 1.00 18.0000 ---------------------------------------------------------------------------- EA MECH APPL REP/ALT/ADD 18.00 Permit . . . PLUMBING INV FEE Additional desc . . Permit Fee 54.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 LQPERMIT Application Number . . . . . 11-00000866 Permit . . . PLUMBING INV FEE Expiration Date . . 3/06/12 Qty Unit Charge Per Extension BASE FEE 30.00 1..00 12.0000 EA PLB FIXTURE 12.00 1.00 6.0000 EA PLB WATER INST/ALT/REP 6.00 1.00 6.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 6.00 ---------------------------------------------------------------------------- Special Notes and Comments 784 SF T.I FOR BEAUTY SALON. NOTE: SUITE IS DIVIDED INTO 2 SPACES. 784 SF VACANT AREA REMAINS. 2010 CODES. WORK PERFORMED PRIOR TO OBTAINING A BUILDING PERMIT. INVESTIGATIVE FEES ASSESSED PER CBC 109.4. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 1.89 BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 1.89 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 220.00 .00 39.10 .00 4.78 .00 263.88 .00 Credited Due .00 220.00 .00 39.10 .00 4.78 .00 263.88 LOOT#N4q AAA5 -7 64 ex. +*D -- l(.# ve4- Lop. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED 6AT 0 NJ 4o W tel AWRI Ljb C,.V (&ONE a - FT ST I PC 9 Af 9 AS '(0- o 1� CY 9 StA m tj a;k C? 0 W' ;4 S TtA 0 0 4 A wjAVL P-rol: .J*O.D It 0 AXF PINS D. L tt-?q .mob 0- allow - A der 420 Iwo 'fTM 4"4e'STfT(. TvArppgqr,.,/#af-S ON DYAONAt 04 F%40 -rWfL V1 4st,A%f, Ai "ua coAtvtra4 riFo rp &, I Yap 4b ". FeX5"i:/V� p.wef R,90 Zo©� WAM PC* GALEA SAY CIN OF LA QU9iVTA BUILDING & SAFETY DEPT. APPROVED PROUDLY SERVING THE ' UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT C ALI M ESA CANYON LAKE C OAC H ELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUX CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 RI ERSIDE COUNTY ARE DEPARTMEW . IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION John R. Hawkins - Fire Chief 210 West San Jacinto Avenue - Perris, CA. 92570 (951) 940-6900 - www.rvcfire.org August 29, 2011 RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-1 I -TI -029 Sekado 47-875 Caleo Bay #A103 La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. It is prohibited to use/process or store any materials in this occupancy that would classify it as an occupancy per Sec. 307 of the 2010 CBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per Chapter 10 of the 2010 CBC. A minimum 2AIOBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location within 75' walking distance from any point in your building or suite. Fire extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher company must service extinguisher yearly. All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. Approved suite address shall be placed in such a position to be plainly visible and legible from the street. Said numbers shall contrast with their background. A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting background. Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. Key(s) shall be provided at time of final inspection. As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. An approved audible interior notification alarm device shall be provided in approved location. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation Applicant/installer shall be responsible to contact the Fire Department to- schedule inspections. A re -inspection fee will be required if more than one (1) inspection is necessary. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff at (760) 863-8886. Sincerely, By: V—Ulg Jason Stubble Fire Safety Specialist P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning Permit #: To CDD: 9 - oV IF' ! / Due Date: q' .I- - f I Status: v2A-04-' CG .Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: �..Z Address or General Location: 'q'7 -a 75 Ye A 103 Applicant Contact: 0sC'A-,L' O O 760 - CEO q - 7 $ � The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ...these Building Plans are approved by the Planning Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant: When the corrections are made please return them to the Planning Department for review. Les Johns I � ' iJ , Director -Planning r. r celve AUG 2 9 2011 city of La QA;4nta planning Daf Wime'nt Date Disclosures & & SAFETY DEPARTMENT (7 60) 7 77 -70 12 FAX (7.60) 777-7011 t• Forms for Owner -Builders Applying for Construction Permits ME! NOTICE TO PROPERTY OWNER Dear Property Owner. An application for a buildin permit as sub tted in your ame lis ' yo e f as the udder of the rty improvements specified at Q(�',�►9�j,, f; We are providing you with an Owner -Builder Ackndwleiomt and Information Vehficatioft FO_rrt(tOALTe you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OV R'S ACKNOWLEDGMENT ARID VERMCATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 6I. I undeisfand+a frequent practice of ullticsnsed'peisons is to have �; property owner obtain an Owner -Builder -1building permit that erroneously implies that the propeity owner is providing his10iher own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious findncial risk fdr any injurie%.sust'dined by an unlicensed person and his or her employees while working on my property. My homeown'er's insurance m2tynot,provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. AM 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. (T3I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that 1 tray protect if from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 6 1. "0 : , ,.. S 4. I undeFstind'Con"ctors-are ragvite"d by Irma 'n be licens6d and boned ".Californiait and to list their license numbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value f my construction is at least five hundred dollars ($500), including labor and materials, t may be considered an "employer' under state and federal law. #6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federa government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemploymen compensation fer eacjl "employee." I also understand ml failure to Abide by,these laws may subject me to serious financit trl 7. I understand under California Contra[at Contractors' Se'''L•icens9`,LaR, an Owner -Builder who builds single-family residenti s ctures cannot legally build them with the intent to offer them for sale, unless all work is performed by license subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is perform, under contract with a licensed general building Contractor. t8: 1:understand as:an.O,wner-Buildei if I sell the property for which this permit,is issued; �l may .be held.liable for any financial or personal injuries sustained. by any. subsequent owners) that result from any latent construction defects .in the workmanship or materials.,, 9. I understand I may.obtau .:more 'information regarding my obligations as an "employee' from the Internal Revenue ervice, the United' Siates Small 1 siness Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. !so understand 1 may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (27 52) or.vww.c ca.gov for more information about licensed contractors. 010. I am aware of and t cent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for . proposed construction activity at the following address: 6-11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, l will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. 12: 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information 1 ave provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss yp.0 maisustain. s�drsiIt of a-compI int. iso ly a! agairist� r Eoimt�actors may he in civil courtIt is also v, , aw'� '� Y frm OF YOU to understand that if an ntractoror emp'1Syee of thit indiQual or firm is injured while working on your property; you may be held liable for damages. If'you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuingthe permit. Note: A copy of the property owner's driver's R"rise; form notarizaftt4 or other verification acceptable to the ag is required to be presented when the permit is iasua- to verify the property owner's signature. Q 1. Signature of property vme� P/1, Dater w Note: The following AuthorizatiKn Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. il (G AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understandis my personal responsibility, I hereby authorize the following person(s) to act as my-agent(s) to apply for, sign, and file the documents necessary to obtain an O'�-Builder Permit for my project. Scope of Construction Proiect (or Description of Work) - Project Location or Address: Name of (Authorized Agent: Address of Authorized Agent. I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the abc information and certify its accuracy. Note: A copy of the owner's driver's, license, form notarization, or otherWifrcation acceptable to the agency is requir to be resented when the permit is issued to verify the proppeerty owner's signature. r rProperty Owner's Signature: � _ Date: 1 J Bin # City of La Quinta Building Sr 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 Address: "7 , t8'7�_ LA t 60 SAV Sm' Owner's Name: T [/ j-_7- VV FAJV i4) cnfu���a A. P. Number: Address: q-7 - $7 SAL - gA V, u; Legal Description: City, ST, Zip: I -A OVINTA LA, J -Z Z.S Contractor: (Z LOS Telephone: Address: Ll '9IAI Project Description: City, ST, Zip: 0j'0 �� C227 b) — A U '/ Telephone:MMW fi ?�``<.; c.: <?<n:;%f<:< State Lic. # : f� �I e CityLic. #: Arch., Engr., Designer: 1 1 _._ �� SPL'Jl 1 GA 1I- Address: A _5AU A) City, ST, Zip: .. Telephone: ^'}�?.'•:'':S4ii'{i'?v:viv i:Yjii� z:h , fN ,t. •xx::::.. r. �> �<�'""�z�::�?54^: �A;`HAn;.z"c s:<::s<:: . •$' Z w.n^l'.' i 4;ny yvirii `q}:i.'.:�hi:'v vv '•%i';.:Y;: rEXyi {2�.C,r i::;:y:i::;vi:SY :, 5:::}i:ii:v.:::. '<>''`t •:><^`"" >> `''V'% > :*z<:: ii^i:.i yid{+'i: i:'f'.jiYi: iF l:::i::l.•.::i�: . Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: D _ _ g - l Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Ose4cz L l Estimated Value of Project: 4'12 00 ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted L ?iD Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. 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:- '"' 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 ll — "ti "ao rb .8v.,.o-pi w 8(30 ,vs &-p-es