04-4245 (RC)P.O. Box 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS'(760) 777-7153
Application Number
04-0.00.042.45 ;%
Date 6/09/04
Property Address
APN:
50540 JEFFERSON ST
772-250-.028-D -303
Tenant nbr, name ...
. . . . GUARDHOUSE /
Application description
REMODEL - COMMERC.IAL
JUN 09 2004
Property Zoning . . .
... . . LOW.DENSITY RESIDENTI
Application valuation
.14367
CITY OF LA QUINTA
Owner
Contractor
FINANCE DEPT.
TOLL CA V
TOLL BROS, INC.
C/Q KEVIN D DUERMIT
73121 FRED WARING DRIVE, #100
$90.1-E MOUNTAIN VIEW
200 PALM DESERT
CA 92260
SCOTTSDALE
AZ 85258
WCC: LIBERTY
MUTUAL
WC: WA26D004723013 09/01/04
CSLB: 777699
04/30/06
CCC: B
-----------------------_-_-_-_Structure
Information =-_-_---.-_-----
-.
--------
Construction.Type . .
. . TYPE V - NON RATED
_--=
Occupancy Type
BUSINESS <50
Flood Zone . . . .. .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE.EDITION
2001
FIRE SPRINKLERS
Y
MIXED-USE OCCUPANCY
B
OCCUPANT -LOAD t
2:00
------7-----------------7----------=------------7-----------------=---------
FIRST FLOOR SQ FTG,
114.00
Permit . . . . .
BUILDING PERMIT.
Additional desc
Permit Fee . . . .
162.00- Plan Check Fee
105.30
Issue Date
Valuation
14367
Qty Unit Charge
Per.,
Extension
BASE FEE
45.00
13.00 9.0000
----------------------------------------------------------
THOU BLDG 2,001-25,000
117.00
Permit . . . . . .
---------------------
ELECT - ADD/ALT/REM
Additional desc
Permit Fee . . . ..
17.28 Plan Check Fee
4.32.
Issue Date'Valuation
. .
. . 0
Qty Unit Charge Per Extension
P.O. Box 1504 • l�G��
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 44
BUILDING & SAFETY DEPARTMENT
Application Number: 0
Ap lica t'
p n CO /VT(L.4E7D2—
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.:
BUILDING 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 Licen s in full force and effect. 7 q�
License Class License No./
I hereby 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. B.8 P.C. for this reason
Owner
WORKERS' 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
iued. My worker� com ensation insurance carrier and policy number ar� ^t;
Cartier o /7✓It/QL-- policy Number 4,0AAk10 1 J
_ I certify that, ikhe performance of the work for which this permit is issuell, 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.
--�-natp . 4f;—% -el/
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT16N COVERAdIt 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
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
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.
1 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 repre`sentativeAf this county to enter upoythe above,-maptloned property for inspection purposes.
(/Date../ Q �7
I
'
Page
2
Application Number 04-00004245
Date
6/09/04
` Qty Unit.Charge Per
Extension
BASE
FEE
15.00
114.00 .0200 ELEC
----------------------------------------------------------------------------
GARAGE OR NON-RESIDENTIAL
2.28
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee 24.00
Plan Check
Fee
6.00
.Issue Date . . . .
Valuation
. . . .
0
Qty Unit Charge Per
Extension
BASE
FEE
15.00
'-1.00 9.0000 EA MECH
----------------------------------------------------------------------------
APPL REP/ALT/ADD
9.00
Permit PLUMBING
Additional desc . .
Permit Fee . . . . 18.00
Plan Check
Fee
4.50
Issue Date
Valuation
. . . .
0
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 3.000.0 EA PLB
----------------------------------------------------------------------------
FIXTURE DRAIN/VENT
REP/ALT
3.00
Special Notes and Comments
REMODEL TO EXISTING GUARDHOUSE -
ADDED
114 SQ.FT. CLERESTORY AREA, 565
SQ,FT,
TRELLIS. PERMIT DOES NOT INCLUDE
BLOCK
WALLS. B OCC. TYPE VN CONSTR. 2001
` CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY
REVIEW FEE
10.53
STRONG
MOTION (SMI)
- COM
3.01
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
.Permit Fee Total 221.28
----------
..00
----------
.00
221.28
Plan Check Total 120.12
.00
.00
120.12
Other.Fee Total 13.54
.00
.00
13.54
Grand Total 354.94
.00
.00
354.94
BurtHanada
From: Martin Magana
Sent:.Thursday February 26, 2004 737 AM
To: Burt=Hanaaa
Subject: Mountain View Country Club
Burt: "
Good Morning!
After further review and
discussions with Oscar, the revised gatehouse, as proposed, is okay does n t need to go to the Planning
Commission for review and approval. I will draft a letter today to Kelly at Mountain View and route a copy to you
for your records. I will also, notify Kelly this morning. Sorry for the inconvenience.
Martin Magana
City of La Quinta
Community Development Department
760.777.7068.phone
760.777.1233.fax
mmagana@ la-quinta.org
Burt Hanada
Plans Examiner
Building & Safety City of La Quinta
Ph: (760) 777-7023
Fax: (760) 777-7011
email: bhanada@la-quinta.org