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11-0380 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: . . Tit!t 4 4 Q" 1`-00000380 78138 CALLE`TAMPICC STE L20.. 770-020-012- STRUCTURES 70-020-012 STRUCTURES OTHER THAN BUILDINGS VILLAGE COMMERCIAL 4500 Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING. PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 o the Business and Professionals Code, and my License is in full force and effect. License Class: D03 License No.: 504818 o ractor.' � ' OWNER-BUI ER DECLARATION ITrere y affirm under penalty 'ury that I am exempt the Contractor's State License Law for the following.reason.(Sec. 7031 .5, Business ssions 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 ($5001.: (_ I 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.). (_) 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 (Sec. 3097, Civ. C.). Lender's Name: A .Lender's Address: LQPERAIIT Owner. HIGHLAND LA QUINTA 80 S LAKE AVE STE PASADENA, CA.91101 ,II LLC 660 Contractor: PALMS TO PINES CANVAS 69640 SUGERLOAF MOUNTAIN CENTER, (760)568-3993 Lic. No.: 504818 AVE CA 92561 .VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/21/11 WORKER'S COMPENSATION DECLARATION 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 STATE FUND . Policy Number 0789192-2010 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 L� 37000 of the Labor Co hwith comply with those provisions. ateY Z `� plicant WA ING: FAIL RE TO SECURE COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001• 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 LaQuinta, 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 statethatthe above information is correct. I agree to comply with all city and -um: ordinances and state laws relating to building construction, and hereby authorize representatives of thi ounty to enter upona operty for inspection purposes.. ate: S' ature pplicant or A Application Number 11-00000380 Permit BUILDING PERMIT Additional desc... Permit Fee 72.00 Plan Check.Fee 46.80 Issue .Date Valuation 4500 Expiration Date 10/18/11 Qty Unit Charge Per -Extension BASE FEE.:. 45.00 3.00 9.0000 THOU. BLDG 2,001-25,000 27.00: Special Notes and Comments ' 1 AWNING PER MBA #2011-038 AND APPROVED PLANS. 2010 CODES ----------- _-_ ------------------------------------------------ - . Other Fees . . . BLDG STDS ADMIN (SB1473) - - - -- -- 1.00 ENERGY REVIEW FEE 4.68 STRONG MOTION' (SMI) - COM .95.' Fee -summary' Charged Paid Credited Due Permit Fee'Total 72.00 .00' .00 72.00 Plan Check Total 46'.80 00 .00 46.80 Other Fee.Total 6.63 00 00 6.63 Grand Total 125.43 .00- .00 125.43 WPERMIT , P.O. BON 1504 LA QUINT, CALIFORNI-A 92247-1-004 78-495 CAI LI TAiNIVIco . LA QUINT, C-ALIFORNIA 92.253 March 7, 2011 Ernest Brooks Palms to Pines Canvas 69640 Sugarloaf Avenue Mountain Center, CA 92561 (760) 7i7-1000 FAX (760) 777-710.1 RE: Modification By Applicant 2011-038, Plaza at Calle Tampico Awning Dear Mr. Brooks, This letter .is to inform you of our decision to approve Modification by Applicant 2011-038, a request to construct an additional canvas awning above the arched .window on the. north elevation of Suite C of Shops 1 at the Plaza at Calle Tampico, located at 78138 Calle Tampico, Suite 130, under the. condition that the color and material of the proposed canvas dome awning be identical to the existing adjacent awnings. This. approval is based upon .the finding that` the proposed awning identified in the submitted. plans constitutes a minor addition to the building, will not result .in a significant architectural, aesthetic, or visual impact to: the existing project, or result in any changed conditions of approval to Village Use Permit 06-035. This approval will be forwarded to the Building and Safety- Department for their information. If you have any questions regarding the approval of this.request, please contact me at (760) 777-7125_ .Sincerely, es Johns ; Planning irector C: Greg Butler, Building & Safety Manager /� k 4 y Bin # City -of La Quinta Building &r 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 I % Project Address: t C. L- tc Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:Telephone: r 'Xh ?�$�%�^ :u: ,?r:"`. Address: Lo A. -b- Project Description: City, ST, Zip: 2 - Telephone: pU 6 9,Y 3 State Lic. # : City Lie. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:;,,,y,��'E,;,��?�i�'�'..•..•.�<:4+C�%<: State Lie. #: 4a t;.f js:�..:,> ;c€;`:':�� , Name of Contact Person: Telephone # of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: r C - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets " Plan Check submitted Item Amount Structural Cafes. "Reviewed,ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correction slue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees