06-3360 (RC)P.O. BOX 1504
78-49� CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
L
Application Number: 4 06100003360
Property Address: 77955 CALLE TAMPICO
APN: 773-078-032-22 -000000-
Application description: REMODEL - COMMERCIAL .
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 8000
Applicant: Architect or Engineer:
atoo�f l
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RAY BARLAUI
PO BOX 4302
PALM DESERT, CA 92261
Contractor:
LFM CONST
2420 W. SUNNYVIEW ROAD
RIALTO, CA 92377
(909)428-6828
Lic'. No.: 589530
VOICE (760) 177-7012
FAX (760) 777-7011
INSPECTIONS (760) 777=7153
Date: 9/26/06
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---------------
-
- LICENSED CONTRACTOR'S DECLARATION
----------------------------------
i WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that -I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 589530 -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
- -
issued. - -
- Date: Contractor: ` <
_ 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
' OWNER -BUILDER DECLARATION
insurance carrier and policy number are:` -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
-
.Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
in the performance of the work for which this permit is issued, I shall not employ any
I c=at,
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws:of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
,and agree that, if I shout become subject to the workers' compensation Iprovisions of Section
License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
700 of th Labor Cod(hall forthwALaoMp_!y with those provisions '
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
�V
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollar's ($500).:
e: fico
• ('_ 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 (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TOfELCUR/E1ORKE 'C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,.
SUBJECT AN EMPLOYER -PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS (5100,000). 1 TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are ,not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder -will have the burden of proving that he or she did not build or
for the purpose of sale.). - *
APPLICANT ACKNOWLEDGEMENT
_improve
( I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
• property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
1 . - Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). _
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason `
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
y % ,•�
performed under or following issuance of this permit.
ate: her: -
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
ONST CTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of pert "t there i truction lending agency for the performance of the -
I certify that 1 have read this application and state that the above information is correct. I agree to comply with all ,
work for which this permit is issued (Sec. 3097, Civ. C.).,
city and county ordinances and state laws relating to building construction, and hereby °authorize representatives
• -
Lender's Name: � �
of this coun�r uRpn the above-mentio pro ertyfoc•i ion purposes.
c��t // L/(9 \.
'
ate: / ZF9 S' ature (Applicant o ge I: —
Lender's Address:
-
LQPERMIT' -1
- -
Application Number . . 06-00003360
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 99.00 Plan Check Fee
64.35
Issue Date Valuation . . . .
8000
Expiration Date 3/25/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
.6.00 9.0000 THOU BLDG 2,001-25,000
54.00
Permit . . . ELECT - ADD/'ALT/REM
Additional desc -
Permit Fee . . . . 29.80 Plan Check Fee
7.45
Issue Date . . . . Valuation . . . .
0
Expiration Date 3/25/07
Qty Unit Charge Per
Extension
BASE FEE
15.00-
740.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
14.80
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Special Notes and Comments
ADDITION OF (1) DOOR AND (1) OPENING
BETWEEN EXISTING (2) UNITS TO COMBINE
SPACES. OCCUPANCY B WITH LOAD OF 18,
TYPE V -NR. "TRULY NOLEN". September 21,,
,
2006 10:00:15 AM AORTEGA
- - -------------------
- Other'Fees . . . . . . . . . STRONG MOTION (SMI) - COM
1.68
Fee summary Charged Paid Credited
----------------- ---------- -------- -- ---------- ----------
Due
Permit Fee Total 128.80 .00 .00
128.80
Plan Check Total 71.80 .00 •'.00
71.80
Other Fee Total 1.68 00 .00
1.68
Grand Total 202.28 .00 .00
202.28
LQPERMIT
L
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 922`3 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD:September 15, 2006
From: Doug Evans, Director -CDD Due Date:September 25, 2006
Status: 1 st Review
Building Plans: Approval'
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for
the following project:
Description: Office Expansion for Truly Nolen (T. I.)
Address or General Location: 77-955 Calle.Tampico
Applicant Contact: Ira Boiko (760) 861-7706
The Community Development Department finds that
❑ ...these Building Plans do not require Community Development
Department approval.
these Building Plans are approved by the Community Development
Department.
• G 4
❑ .....these. Building Plans require ccrrections. Please'. forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Community Development Department for
review.
zs
Dou vans, Director -CDD Date
o�
5
MEMORANDUM
Fc� OF
TO: Building and Safety Department
FROM: Andrew Mogensen, Associate Planner.
DATE: 9/26/06
RE: T.I. 77-955 Calle Tampico (Truly Nolan)
x 1. Tenant improvement plans are approved as submitted. These plans
identify an interior modification only and thus do not require a Village
Use Permit.
Plans are approved by Community Development Department as submitted.
Other 'departments may have additional comments or revisions. If you have
any questions, please contact me at X7068.
C: File, THE WUU
P:\Andy's\Plan Check\Truly Nolan.doc
REQ111'RED INSPECTION
MAINTENANCE
5"ETBACKS4 .
_: FLOOR:.:NA(L1NG
TEMP POWER
GREASE INTERCEPTOR
SEWER CONNECTION .
HEALTH:DEPT FINAL.
UNDERGROUND ELECTRICAL
`: PIERS.::_ .
UNDERGROUND GAS
PRE -GUNIT
UNDERGROUND MECHANICAL
PRE -PLASTER
U:ND,ERGROUND PLUMBING
,
PRE -ROOF
TEMPLATE'. FOOTING
:.:... PRE.=SITE:
,.'._.. DRYPACK
ROOF
GRADE BEAMSEPTLC
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ABAN:DON,MENT
SEPTIC.SYSTEM
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SPECIAL:INSPECTION
:.
ROOF':N
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WATERLINE.
FIZAMNG;..
ROUGH `ELECTRICAL
- `ROUGH` MECHANICAL
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,'SHOWER PAN
INSULATION
LATH.
; OP's. L NAIL
:..:.::..GAS =1.N E /GAS TEST
TEMP VSE°OF PERMANENT POWER
CDD FINAL::.
:.:...:.:..:�::.:' .'..:. PU6LIC WORKS FINAL
C�TRICAL FINAL.
;: ..
MECHANICAL FINAL
LUM BVN.G FI NA L
GRADING FINAL
FINAL
AQMD FINAL
BOND .BEAM
CODE COMPLIANCE .FINAL
CVWD FINAL
FIRE DEPT FINAL '
APPLICATION # 0(�.'-(pp.:.. ADDRESS 'j1-�IgS. C.L�7�wt�1(�BY j
FT`.
UNIT COUN'T'S. /. GAS
IAtFLOOR MD. AGd= kth3A to
E"" T1
.
TOILETS
2.na . FI00R
BIDET .
COVERED PATIO.SHOWERS
GARAGE`:=
BATHTUBS .
TYPE .;CONST;:
SINKS
OCCIIPANCY ... �.
lS {o. CoSc�
BAR SINK
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FIRE SPRINKLER. E5
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OVEN
# OF 'B'EDROOM
RANGE
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#
DRINKING FOUN
C.ODE...EDITION Iml 12ms
WASHER
ROOF TYPErlGx.
DRYER = .
WATER HEATER
TMECiiANICAL �15}i>
ROOF DRAINS
FLOOR DRAINS
# VENT FANS
KITCHEN SINK
# EXHAUST HOOD
VEG SINK
A/C <3 TON
LAUNDRY SINK
A/C >3 TON
FIREPLACE
FAU <100,000 -BTU
FAU >100,000 BTU.
DUCT ALTERATION
ELECTRICAL CEXi�t✓19)
SQ. FT .. LIV J
PLUMBING �
GARAGE SQ. FT
TEMP POWER
# OF FTXTURES
FIXTURE #.
SEWER
SEPTIC SYSTEM
GRADING (19�1
ROOF DRAINS
WATER HEATER
<50 CII YDS
WATER PIPING
>50.CU YDS
LAWN SPRINKLER
GAS.PIPING 1-4
GAS PIPING >4
CDD APPROVAL
GAS METER
ENGINEER APP.
BUILDING AND SAFETY DEPARTMENT
BNT
INTERNAL CHECKLIST
Today's Date: 0911510(, I
Project. Address: 955-Al'LET M P ca
Applicant Name: RU LY MO,
L.E�j
Permit #: .
Bin N ber;
Included:
lans
QRedlined plans
❑Revised
Plans
❑Approved Plans •
❑ Struct
11-Redlined Struct 0Revised .Struct pApproved Struct.
. C7 Truss ❑.Redlined Truss
❑Revised Truss pApproved Truss
Moils ❑Redlined Soils
❑Revised Soils pApproved Soils
C7 Energy Q Revised Energy
O Correction. List
mother
Green_ Sheetto:. CDDwith plans Q Public .Works
Location on Board: _Leff_�X
Middle Right
-- -
Assigned non structural to:_
-
Comments:: Oof TCr ,4�-5I 514eq- To
LDS v T
LV pr?
U:\Therese\Internal Checklist.doc 2 N Aw�- CTIW
Bin #
City 0f La QUinta
' Building gt Safety Division
P.O. Box 1504, 78-495 Calle Tampico
. La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
o � 3 3 �O
Project Address:
Owner's Name:
A. P. Number: p �' �?)
Address: o • �ir� oZ
Legal Description:
Contractor: /wEZJS
City, ST, Zip: e
Telephone:
Project Description:
Address: LK I.fII sfr�A
City, ST, Zip:
Telephone:
State Lic. # : City Lie.
Arch., Engr., Designer.
Address: ll
City,, ST, Zip: I '
Telephone:
ce>>
:�iF' •'rt:'v. rY �• .vM... U. i
S+f,(4\'niFrit �:»>i rin.i:,::� A;\4;:• f
:•?k.%,a' ��•',`v�;3a;�>;e„::�< <: ��;•/%r�. #:'3':i':::a#fif.r,„;:sra'
sruconype:
onOccupancy:
State Lie. #
�
Project type (circle one): NeAdd'n Alter Repair Demo
Sq.Ft : #Stories: # Units:
Name of Contact Person: P 44
Telephone # of Contact Person: 7 d - S7 —S& 4
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACKING PERMIT FEES
ZPlan
Sets
Plan Check submitted 9 Item
Amount
Structural Cafes.
Reviewed, ready for corrections Plan Check Deposit
Truss Coles.
Called Contact Person Plan Check Balance
Tithe 24 Cales.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2°d Review, ready for corElectrical
Subcontactor List
Called Contact Person 1P 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 p.p.
Pub. Wks. ApprDate
of permit issue
School Fees
Total Permit Fees
`I 119 1, (Xo ou ac,41-zD
q11/0�' =? cn0 MlXrl �Pl��L C04
�{�AL� ('jp • 3360