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13-0039 (RC)4 P.O. BOX 1504 VOICE (760) 777-7012 78495 CALLE TAMPICO C 'FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT l �- INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/26/13 Application Number: 13-00000039 Owner: Property Address: 78110 CALLE TAMPICO FINE COLBERT 'APN: 770-020-005- _000000- C/O TOSCO MARKETING CO DC17 Application description: REMODEL - COMMERCIAL - P O BOX 52085 Property Zoning: VILLAGE COMMERCIAL PHOENIX, AZ 85072 Application valuation:. 10000,. D Contractor: Applicant: Architect or Engineer: ISLAND PETROLEUM BULDERS IN 7470 SVL BOX ' `AR 2013 VICTORVILLE, CA 92395 (909) 923-9373 C"ryOFtAgU1RlT Lic. No.: 776846 FWAMCEDEPT A ------------------ 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: B C10 D40 License No.: 776846 3!' Date: Contractor: 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).: ' 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 _ 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 WORKER'S COMPENSATION DECLARATION I heieby 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. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfoimance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier INS CO OF WEST Policy NumberWSD502002T01 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 4elv �ij 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. _ 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 county to enter upon the above-mentioned property for ins tient' oses. Date: -3 —Z _( Signature (Applicant or Age Application Number 13-00000039 --- -- Structure Information EXISTING RETAIL *--CIRCLE K ----- Construction Type..• . . . . , TYPE V, UNPROTECTED Occupancy Type . . ... . . . MERCANTILE Other struct,info CODE EDITION 2010 FIRE SPRINKLERS yes „ - ----------------------------------------- OCCUPANT LOAD ---------------------------------- .00 » -- . •Permit• . . . BUILDING PERMIT - ' - Additional desc ' Permit Fee 117.00• Plan Check.Fee 76.05 Issue Date Valuation 10000. ' Expiration Date ` 9/22/13 J ' Qty Unit Charge Per Extension BASE FEE 45:00 - 8.00 9.0000 ,Y. THOU BLDG 2,'001-25,000 72.00 ' Permit . . ELECT - ADD/ALT/REM- Additional desc . Permit -Fee 16.50 Plan Check Fee 4.13 i ' Issue Date . . . . Valuation . . . . 0 Expiration. Date 9/22/13 N Qty Unit Charge Per. Extension BASE FEE 15.00 2.00 .7500 PER,-.ELEC DEVICE/FIXTURE.IST'20 1.50 ; Permit , MECHANICAL.' - ' Additional desc Permit Fee 24.00 Plan -Check Fee 6.00 Issue Date Valuation 0 ' Expiration Date 9/22/13 ' Qty, Unit Charge Per Extension BASE FEE 15.00 i 2.00 4.5000 EA MECH VENT INST/ DUCT ALT 9.:00 Permit PLUMBING• •, Additional ,desc - - Permit Fee 36.00 Plan Check Fee,.. 9.00' Issue Date . . Valuation . . . . 0 . Expiration Date 9/22/13 . Qty Unit`Charge Per Extension WPERMIT .. • • _ • . Application Number _' 13-00000039.,. Y _ Permit . . PLUMBING • Qty Unit.Charge Per Extension - BASE FEE 15.00 - 2.•00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP _ .3.00 t2.1 00. '3.0000 EA • PLB FIXTURE•DRAIN/VENT REP/ALT 6.00 . -- -- - - ------ - - - - -------------------- -- --- - --- -- ________-------------- .. .S Special Notes and Comments.,. REMODEL OF EXIST.'TOILET ROOM TO OFFICE ' AND NEW ADA UNISEX TOILET,ROOM IN •. i ADJACENT AREA.2010 CODES. ARCHITECT:, VERONICA ROMERO WEST C22316 Other Fees ACCESSIBILITY PLAN REVIEW 7'.60 ' < BLDG STDS ADMIN (SB1473) • 1.00 ' ENERGY. REVIEW FEE •.7.60 Fee summary Charged Paid, Credited, Due, ' Permit Fee Total 193.50 00' .00 1.93.50 Plan Check Total 95.18 .00 .00 95.18 ! Other Fee.Total .•16.20' .,.00 .00 16.20 Grand Total 304.88 .00 .00 r 304.88 RInIt �,� Qty of Quulta BgRft 81 Sar Msfon P.O. Banc 1504. •71)-475 Cage Tampko LA.Qt*" CA 92253 .•'(760) M-7012 Building Permit A 01cadon and Traddng Sheet Pym* 9 ' b PtajcoAddtcn: 7911 OLIO 7,LA-A f Qwnce3 Nam:.LZT A. P. Nmtber. Adder=��� C , rJ�A.i SulT�e l L4gd n on: c►a. ST. Zip: Gh Convector. Teiepl ow. `SSI - ZOO —S1 1 AAdmss: �ealeanoca+puon ViIaGPA-OC �►�o�"� Tckpbo= Sm Li- 0: CiW Lir tl: yam. •C ae? ) o A'. 6LerJ0Aqcg 8L�,fo' SLA -la c+ly. st zl CA 6fI�Z Tali* a'g CansauctionTypa Occupancy: Shoo L.ic. R: PwjM Wpc (pude oac): New Add'a • Ansa• Repair Demo Name of Coamecf Perm:�PAsn,C� 17� W�!-� tJ�'� . Sq, FL-. R Stories p unitx Tekphaae R oYCanact Pasoa: BsnnaotsL Vdi c of Pmjcet © t APPLICANT: DO NOT WRITE B&OW THIS UNE Y 8*bagm RWd Reed TRACIMO PBRIdiT p8&S Pkl seg llaa Geek mmalued 10 Lao Am"M Sa tarns CUM Reck reC pad, for correalaas Plan CYo� Dyobt. Tan CakL caged Cana Pmol► Pisa Citedr 8alaurc . Zee 20 dks. Ilam pidcad *p aaronetlo* Floodpiatt+plea Paaresabe*IueA Ildrela:lal Gnrdat plea S*beoalletor lirt r! R.,—. rcm ft formut tomarAnt cAutd Contact Pena* Ybasblag Graw Deed Plans tikfmd ap H.O.A. Approval Plus resabmltlrd Casdiot IN HOtJSB:• "Berkw. nadp far wrM&msflss*e: Owdla r Impact Pcc Pa.d" AMpraral auod costate Pero* P*tt. Wh.Appr Date dpenidtktsw 1 SlfialFea � � • - . Tout Pcrnh Pees TO/ TO 39Vd id3Q MIS tilNIf10 vi ITOLLLL09L 9V:9T ZTOZ/LZ/ZZ P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT C� 9sy5 78-495 CALLE TAMPICO •(760) 777-7012 OF Tl�_ LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Burt Hanada, Plans Examiner, Inspection Supervisor - To CDD:3 From: Les Johnson, Planning Director Due Date: /- /7-0 Status: 1�stc Building Plans Approval The Community Development Department has reviewed the Building Plans for the following project: Description: T! Address or general location: liQ . Applicant Contact: 8i8 �,SGow • �ddd 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. ❑ ...these Buil ng ans require corre--,tions Please forward a copy of the attached corrections t the ap licant. When the corrections are made please return them to ' mm ity Dev opment Department for review. Les J"'P r ct Date . a City ing D� D e Ptment • � Plann-