04-4426 (RC)pt w
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BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION. REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 04_-00004426 Date 8/03/04
Property Address . . . 1 QUARRY_LN_
APN: 761=070-002- - -
Application description . . . REMODEL - COMMERCIAL
Property Zoning LOW DENSITY RESIDENTIAL
Application valuation . . . . 160000
Owner Contractor
QUARRY RANCH, LLC C & G'CONSTRUCTION COMPANY
1 QUARRY LANE, LA QUINTA 965 N. 2ND STREET
LA QUINTA CA 92253, UPLAND CA 91786
WCC: STATE FUND
WC: 00143192003 10./01/04
CSLB: 692234 07/31/04
CCC: B
------ Structure Information- EXIST'G CLUBHOUSE -----
Construction Type . . . . . TYPE V- NON RATED
Occupancy Type . . . . . ASSY BLDG <300 NO STAGE
Other struct info . . . . CODE EDITION 2001
FIRE SPRINKLERS YES
MIXED-USE OCCUPANCY A3/B
FIRST.FLOOR SQ FTG 14702.00.
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc
.Permit Fee 849..50 Plan Check Fee 552.18
Issue Date . . . .. Valuation . . . . 160000
Qty Unit Charge Per Extension
BASE FEE 639.50
60.00 3.5000 THOU BLDG 100,001-500,000 210.00
------------------=---------------------------------------------------------
Permit . . . . . . ELECT - ADD/ALT/REM
Additional-desc
Permit Fee . . . . 309.04 Plan Check Fee 77.26
Issue Date Valuation . . . 0
Qty Unit Charge Per —Extension
BASE FEE n '5.00
14702.00 .0200 ELEC GARAGE OR NON-RESIDENTI-AL 294.04
--------------------------
--- --- ----
Special Notes and Comments. AUG 12 20t�4
COMMERCIAL INTERIOR REMODEL -OF EXISTING
v
CITYFINANCE DEPT QUINTA
P.O. Box 1504
78-495 CALLE TAMPICO �GGi�u
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: 2 {
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
\.>
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)777-7153
Date:
Architect or Engineer's Address:
Lic. No.:
tSUILUING PERMIT DECLARATIONS
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. - �9ZZ3
License Class PA License No.
Date 0 12 -19L/ ' Contractor C�"G
OWNER -BUILDER DECLARATION
thereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U 1 am exempt under Sec. BA P.C. for this reason
Date Owner
WORKERS' 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 pytorkers' compensation insurance carrier and policy number are:
Carrier $T7 4•TL' r1dAJ� Policy Number CD_ CPm03
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 shoul come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�( r
Date /
Applicant.
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.
CONSTRUCTION LENDING AGENCY
1 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
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, indemnity and hold harmless the City of La Ouinta, 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 t comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon th above -m o ed prope for ins n rposes.
/
y- 1-0� r'
Date F Signature (Applicant or Agent):
Page 2
Application Number
04-0000.4426
Date 8/03/04
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Special Notes and
Comments
CLUBHOUSE. 14,702
SQ.FT. A-3 /
B
OCCUPANCY, 2001 CODES.[A
SEPARATE PERMIT
FOR MECHANICCAL AND PLUMBING WORK WILL B
EREQUIRED]
Other Fees . . .
. . . . . .
ENERGY REVIEW
FEE
55.22
STRONG MOTION
(SMI) -
COM 33.60
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1158.54
.00
.00
1158.54
Plan Check Total
629.44
.00
.00
629.44
Other Fee Total
88.82
.00
.00
88.82
Grand Total
1876.80
.00
.00
.1876.80
P.O. Box 1504
78-495 CALLE TAMPICO (7 60) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
August 5, 2004
Riverside County Fire Department
82675 Highway 111, 2°d Floor
Indio; CA 92201
ATTN: Dale Evanson
Re: Quarry Clubhouse remodel — Building Permit status
1 Quarry Lane
The Building and Safety Department has concluded the review of the Renovations to the Quarry
Clubhouse. The plans are approvable pending a release by the Fire Department.
If you require any additional information, Please call me at (760) 777-7023.,
Respect lly,
Bur
anada
Plans Examiner
t
Craig Anthony
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
4.
Indian Wells
:•
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
:•
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910
.. August 12, 2004
To: City of La Quinta
Building Department
Re: Release for Permit
LAQ-04-BP-110
The Quarry Clubhouse
The Riverside County Fire Department hereby releases the above referenced project for issuance of a
permit for construction, at the discretion of the Building Department.
Respectfully,
Dale A. Evenson
Fire Safety Specialist
EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072