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07-2586 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00002586 Property Address: 79220 CORPORATE CENTRE DR STE 104 APN: 649-820-016- - - Application description: REMODEL - COMMERCIAL Property Zoning: COMMERCIAL PARK Application valuation: 4000 Applicant: Architect or Engineer: � tk 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 CI ss: Licensee� No.: 856±739 ate: ' I c? omract.r: Uv �T f t& V,94 GJ�� t� �,`►--s 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).: I _ 1 1, 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 ISec. 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.). ( ) 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 ISec. 3097, Civ. C.). Lender's Name: � n I A - Lender's Address LQPERA11T Owner: JAMES PAUL 55525 CHERRY HILLS LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: ! 0 WHITAKER GENERAL CONTRCTNG IJC 832 BEAL-COURT � REDLANDS, CA 92374 (909)807-4745 Lic. No.: 856739 Date: 11/08/07 �� tl J 0v 0 92007 ! 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 EXEMPT Policy Number EXEMPT 49 1 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 1 should become sublet to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall fon c mply w' s rovisions. Data: L"[ A cant: /i /WARNING: F URE 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 dateof 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 co uct'on, and by a thorize representatives of this 9c ty o enter upon the ove-mentioned property f pec . n purp te: Y ature (Applicant or Agent): Application Number . . . . . 07-00002586 Permit . . . BUILDING PERMIT Additional desc . Permit Fee. 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . 4000 Expiration Date 5/06/08 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 --------------------------- THOU BLDG 2,001-25,000 7 ------------------------------------ 18.00 _------------ Permit ELECT - ADD/ALT/REM Additional desc . . Permit Fee 30.92 Plan Check Fee 7.73 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 796.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 15.92 Permit . . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/06/08 , Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 7 --------------------------------------------------------------------- Special Notes and Comments TENANT IMPROVEMENT RETAIL WOMENS ACCESSORIES 796 SQ. FT. STE 104 PRODUCTS INTERNATIONAL October 26, 2007 1:08:21 PM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) = COM .84 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total -----------------------`------ 117.92 .00 .00 117'.92 Plan Check Total 54.68 .00 .00 54.68 Other Fee Total .84 .00 .00 .84 Grand Total 173.44 .00 .00 173.44 LQPERD4IT Nov 08 07 03:36p Stanley Whitaker 9097926508 :RAL CONTRACTING P! i Fax Transmittal Farm-- 70 (�,;1 y c�� [q �// r� t`� wnrr'nr at t r=.NG.anr. i �N ntni:'nNG From Name:/�v!� Stan Whitaker Phone: 909 Rol -414$ Fax: 909-7926508 Fax number: Email: faithweliave@hotmail.com Date sent: t j- �s, • U 7 Urgent 'rime sent: a For Review Number of a Please Comment pages a Please Reply Stan Whitaker' including cover page: _ —. _................ - ..._._—.. Fax: 909-7926508 Message: 21,E l�',�� 4 s�� ,12ep1 _ i It/•f ICU I /1(n /l � �-�/YtISSr U"+ -7AG, le !> s /-Z,-- W - Phonc: 909• 6%1.4'*4,V Fax: 909.7926508 Entail: faithwehavc@hovriaiLcnn, ril o C� City of La Quinta Building U Safety Division P.O. Box 1504, 78495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # d� g 0 Project Address: 7'1— ZZo `Q t QJer r Owner's Name: pa k A. P. Number: 10.4 Address: 9,(r 291 Legal Description: Contractor ( (JW_ / Ciaa ty, `ST, Zip: a M �Q p�'� �/ 6 t Teitlephone: >! Address: z C Project Description: City, ST, Zip: 1� S G/4 2-3 71 Telephone: q 14401 O( — '"'G, 1 s7N- IOl� OQ •J Oa. uj 1( 641t State Lic. # : "7 3 City Lic. #: e Arch., Engr., Designer: Address: p- SID City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: jvu jj Construction Type: Occupancy: Project type (circle one): ew Add'n Alter Repair Sq. Ft.: # Stories: ( # Units: Demo Telephone # of Contact Person: Estimated Value of Project:. y pp O, APPLICANT: DO NOT WRITE BELOW THIS LINE # JXbmittal Req'd Recd TRACKING PERMIT FEES Plan Sets L Plan Check submitted Item Amount Structural Ciales.. Reviewed, readyfor corrections {'Q ..: Plan Check Deposit Truss Calcs. Called Contact Person w 9 Plan Check Balance Energy CaICS. Plans bicked up ��g p'% Construction Flood plain pla Plans resubmitted Mechanical Grading plan 2nd 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:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approvalabate ct Person 6� A.I.P.P. Pub. Wks. Apprt issue School Fees 1/4 IQ 007 K Total Permit Fees q/ate- 0-,D ' i �1