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06-4176 (RC)If- P.O. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004176 Property Address: 47875 CALEO BAY STE A105 APN: 643-200-001-3 -31248 - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 45000 Applicant: I hereby affirm and penalty of Section 7000) of D' ision 3 of 1 License Class: B T'At 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: OSCAR CHAVEZ 48-576 AGUACALIENTE COACHELLA, CA 92236 ( Contractor: MEDINA, JOSE AL r P.O. •BOX 153 INDIO, CA 92202 (760)567-4651 Lic. No.: 87090 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/05/07 JAN 10 2007 ID, CITY OF L.A Q INTANTA FINANCE -------------------------------------------------- ------------------------ 1ACTOR'S DEGLAR TION - WORKER'S COMPENSATION DECLARATION nder provisions of er 9 (commencing with I hereby affirm under penalty f perjury one of the following declarations: Is Code, and . ense is in full force and effect. _ I have and will m mtain a certificate of aaermtrself--self sure for workers' compensation; as provided icens : 87 902 for by Section 700 of the L or the p orrli a ce of the work for which this permit is I hereby affirm under nalty of perjur at am exempt from t ontractor's State License Law for the following reason (Sec. 7 1.5, B Hess and ofessions C Any city or county that requires a permit to construct, alter, improve, d ish, or repair an strt e, prior to its issuance, also requires the applicant for the permit to file a Zexem ement t censed pursuant to the provisions of the Contractor's State License Law (C(commencing with Section 000) of Division 3.of the Business and Professions Code) or that he or she i therefrom and the basis for a alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a vil penalty of not more than five hundred dollars ($500).: 1—) I, as owner of the property, or my employees th 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 build's 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 contractor(s) 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 (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT issued. have and will main in ers' compensation insuran e, as re wired by Section 3700 of the Labor Code, for the pert ance of the w k for which this permit is issued. My workers' compensation insurance carrier policy number r • Carrier EXEMPT Poli y mber EXEMPT _ I certify that, in th perf mance the or k or ich this permit is ssued, I shall not employ any person in any anner as to o e ct to the workers' co ens.tion laws of California, and agree that if I shou beco a 'to the workerp' compens tion provisions of Section 3700 of the La or Code, sh th o ply with those Date: 0 ApplicamS , �f WARNING: FAILURE TO SECURE W KERS' ION COVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN IES AND CIVIL FINES U O ONE HUNDRED THOUSAND DOLLARS ($100,000). IN A N TO TH T OF COMPE N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE OR CODE, INTERES A RNEY'S FEES. APPLIC NT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Direc r of Building and fly for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application ' , each person at se request and for whose benefit work is perform under or pu t to any permit issue as a sult of this application, the owner, and the applicant, e h agrees and shall defend, indemnify and ho harmless the City of La Quinta, its officers, agents d em yees.for any ac or omission related to a work being performed under or following issu ce this permit. 2. Any permit issued as a result of this plication becomes n 1 an void if work is not mmenced within 180 days from date of issu a of such permit, or c sation ork for 180 ays will subject permit to cancellation. I certify that I have read this application and s to th t the above i rm ' n ' c rrect. I agree to omply with all city and count ordinances and state laws rel ing to uilding cons an reby authorizer presentatives of this co my 7e�nter upon the above -menti ed prop y for ' e o p r Date: ' V�Signature (Applicant org tt) Application Number . . . . . 06-00004176 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 382.00 Plan Check Fee 248.30 Issue Date . . . . Valuation . . 45000 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 252.00 20.00 6.5000 THOU BLDG 25,001-50,000 130.00 ---------------------------------------------------------------------------- Permit . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 35.28 Plan Check Fee 8.82 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 1014.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 20.28 ---------------------------------------------------------------------------- Permit .. . . PLUMBING Additional desc . Permit Fee . . . . '49.50 Plan Check Fee 12.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 6.0000 EA- PLB FIXTURE 24.00 1.00 .7.5000 EA PLB WATER HEATER/VENT 7..50 1.00 3.0000 EA PLB WATER INST/ALT./REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments BARBER SHOP TENANT IMPROVEMENT.January 5, 2007 11:56:15 AM JJOHNSON Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 466.78 .00 .00 466.78 Plan Check Total 269.50 .00 .00 269.50 Grand Total 736.28 .00 .00 736.28 LQPERMIT Bin PA -City of La Quintael ` Building U Safety Division Permit *AfAt l, P.O. Box 1504, 78-495 Calle Tampico / La Quinta, CA 92253 - (760) 777-7012 o H17 Building Permit Application and Tracking Sheet Proje t Address: •e0 t Owner's Name: b l—.c.QIZ 2 A. P Number: Address: Le al Description: City, ST, Zip: ' / , t CA , W to C ntractor: �� s`�n ✓t��jv /� `� Telephone: ddress: Project Description: ,A V_'V- ity, ST, Zip: Telephone: --7 y YOJ State Lic. # : d / v _ City Lic. #: Arch., Engr., Designer: .0 Lv l� H oC Y Address: Q . City, ST, Zip: Telephon<� o fj"�8 • EjGj _ ' . Construction Type: V t Z Occupancy: State Lic. #: ry"t °�'" Project type (circle one): Add'n Alter Repair Demo .10 Name of Contact Person: le L v A� Sq. Ft : D� #Stories: #Units: Telephone # of Contact Person: >Gj� Estimated Value of Project. .� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Recd TRACKI2•J . PERMIT FEES Plan Sets 3 Plan Check submitted 11 Item Amount Structural Calcs. Reviewed, read or correction Plan Check Deposit Truss Calcs. Called Con ct Pers o II Plan Check Balance Energy .Calcs. Plans picked up 1 pb Construction Flood plain plan Plans resubmitted i:� Mechanical Grading.plan 2°° Review, ready for correctio sfissue ( Electrical Subcontactor List Called Contact Person 1 0 Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted.. Grading IN HOUSE:- ''" Review, ready for correctionstissue Developer Impact Fee. ; Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue. School Fees I.Total.Pcrmit Fees,.-... . 07 _04011-11135 V,10� l �t� r a4 i2 ,28%f*--t:7OA) BWUr1MHt* Car,Ke • 12 CVP (WYF1an9#( �- pp/ La��u,wr�`L•cy Certificate of Occupancy Tily COiFD4TFD ��Kl 7B2 G� OFBuilding & Safety Department This Certificate is issued pursuant to the requirements 'of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with - the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. ' BUILDING ADDRESS: 47-875 CALEO BAY STE #105 Use classification: COMMERCIAL (THE OLD FASHION BARBER SHOP) Building Permit No.: 06-4176 Occupancy Group: B Type of Construction: VN Land Use Zone: CC Owner of Building: STEVE RHAN Address: 44-139 MONTEREY AVE STE B City, ST, ZIP: PALM DESERT, CA 92260 By: STEVE TRAXEL Date: 02-06-2007 Building Official POST IN A CONSPICUOUS PLACE