10-1084 (SOTB)l P.O. BOX 1504. _ VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/11/11
Application Number 10-00001084 Owner:
Property Address- 43632 WASHINGTON ST LEVITAN DEV LLC
APN: '609-070-047- - 11501 DONA EVITA DR
Application description: STRUCTURES OTHER THAN BUILDINGS STUDIO CITY,. CA 91604
Property Zoning: COMMUNITY COMMERCIAL i
Application valuation: 56685 - � D _
Contractor:
` g 2U1�
Applicant: Architect or Engineer: a WASSERMAN. II INC,
P.O. BOX 5909 -
['� LA QUINTA, CA 9224 CIfYOF �(ZUiNTA
(760) 775-6000 FINA'W-E ?EPT.
Lic. No.: 935644
LICENSED CONTRACTOR'S DECLARATION 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 I s: B. ee-No.: 935644 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date 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 thispermit 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
fallowing reason (Sec. 7031'.5, Business and Professions Coder Any city or county that requires a permit to - I certify that, in the performance of the work for which this permit is issued, I shall not employ any
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 should become subject to the workers' compensation provisions of Section .
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of. the Labor Code, I. shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any, violation of Section 7031.5 by /O b /
any applicant for a permit'subjects the applicant to a civil penalty of not more,than five hundred dollars ($500).: Date' _1;Applicant: .
(_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 TO CRIMINAL PENALTIES 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 ($100,000). IN ADDITION 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 -
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_ 1 1, 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 contractor(s) 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 underor 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
performed under or following issuance of this permit.
Date: Owner: - 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
CONSTRUCTION LENDING AGENCY - permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the _ I certify that I 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
of this ccouuryto Fter upon the above-mentioned property f6r, inspection purposes. '
Lender's Name: - r�ate::! �r/ ignature (Applicant or Age
Lender's Address:
LQPEILIIIT ,
Application Number . . . 10-00001084
Permit BUILDING PERMIT
Additional desc .
Permit Fee 459.50,
Plan Check
Fee..
298.68
Issue Date
Valuation
59212
Expiration Date 10/08/11
Qty Unit Charge Per
Extension
BASE
FEE.
414.50
10.00 4.5000 THOU BLDG
50,001-100,000
45.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . 35.85
Plan Check
Fee
8.96
Issue Date . . . .
Valuation
. . . .
0
Expiration Date 10/08/11
Qty Unit Charge Per..
Extension
BASE
FEE
15.00
20.00 .7500 PER ELEC
DEVICE/FIXTURE 1ST
20
15.00.
13.00 .4500 EA. ELEC,DEVICE/FIXTURE
>20.
5.85
Permit . . . MECHANICAL
esc
Additional desc-
Permit
Permit Fee 21.50
Plan Check
Fee
5.38
Issue Date
Valuation
0
Expiration Date 10/08/11
Qty. Unit Charge- Per
Extension
BASE
FEE_
15.00
1.00 6.5000 EA MECH
OTHER VENT SYSTEM`
6.50
Permit . . . PLUMBING
Additional desc
_.
Permit Fee 15.00
Plan Check
Fee
3.75.
Issue Date _
Valuation
_
0
Expiration Date 10/08/11
Qty Unit•Charge Per
Extension
BASE
FEE
15.00
Special Notes and Comments
SHADE CANOPY (4262)SF GROSS AREA)
W/
INTEGRAL VACUUM SYSTEM. 2- 40 HP
TURBINE
PUMP MOTORS. 30 QTY ARCH STANCHION Q
LQPERD4[T., - ,.
....
Application Number
. . . . .
10-00001084
Special Notes and
Comments
PARKING STALLS, 4
ARCH. STANCHIONS
Q
POINT OF SALE PER
ENGINEERED
FOUNDATION.
2007 CODES.
Other Fees . . .
. . . .
BLDG STDMIN (SB1473)
DS A
2.00
HOURLY PLAN
CHECK
87.15
STRONG MOTION (SMI) - COM
12.43
Fee summary
Charged
Paid,
Credited
Due
Permit Fee Total
531.85
.00
.00
531.85
Plan Check Total
316.77
.00
.00
316.77
Other Fee Total
101.58
.00
.00
101.-58
Grand Total
950.20
.00
.00
950.20
Bin # n ��
l�
Qty Of La Quinta
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
t� d, `�
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Project AddresS:42 S
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:'ASS`.
e,Plm- � OJ I. ( V4,—
..: {
Telephone:. I �.,
Address: bcbc --!5 51
Project Description:
p�
City, ST, Zip: L d � z1O"UMC
t
+%-
_
Telephone: -'% l'� A ;,• X. <
State Lic. # : 'yy City Lic. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: , + • Y."';:' �3
P :. v �.?;>:�i..f;i< .�: •';
State Lic. #: :� • :.�"%%{fx?jr ,:'
Name of Contact Person: %C-64 D
Construction Type. Occupancy.
Project type (circle one): ne Add'n Alter Repair Demo
Sq. Ft.:#Stories: # Units:
Telephone # of Contact Person:(�� —lj �- —�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd_
PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Caics
Reviewed, ready for cor(VA417Plan Check Deposit
Truss Calcs.Called
Contact Person /O Plan Check Balance.
Tide 24 Calcs.
Plans picked up �t Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready tocorrectio issue t ( ElecMcal �
Subcontactor List
Called Contact Person + #71 01 Plumbing
Grant Deed
OF
Plans picked up ( ( S.M.I.H.O.A.
Approval
Plans resubmitted �� Grading
IN HOUSE:
1n° Review, ready for correction issue Z IP! Developer Impact Fee
Planning Approval
Called Contact Person i A.I.P.P.
Pub. Wks. Appr
Date of permit issue -
School Fees
Total Permit Fees �1'i • ZOc
¢11( llaKK%v% 1PVt1/&11
TIN
oo �W L.;
L F
9 Building' & Safety Department .8 l�4
78-495 Calle Tampico
5 PO Box 1504 A QUID a �,OF Cl EA�'s13T`ci� �y 9i.. _.
La Quinta, CA 92253
(760) 777-7012 voice — (760) 777-7011 fax
To: Greg Butler, Building & Safety ManagerTo: SPD: FEB 17, 2011
From: Les Johnson, Planning Director Due date: ASAP
Perm it,#'10-1084: Status: 3rd Review
Bui,lding Plans Approval
(This -is an.approval to issue a Building Permit)
The Planning Department has reviewed the -Building Plans for the following.
project:
Description: DESERT EXPRESS CAR WASH FABRIC CANOPIES
Address or general location: 43-632 WASHINGTON ST.
Applicant Contact: RICHARD WASSERMAN Ph" 760-578-1405
The Planning Department finds that:
❑ -...these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
;_ ❑ ...these Building Plans require corrections. Please forward a copy of the
attache orrections to the applicant. When the corrections are made
please rrn them to the Planning Department for review.
Lila A I
Les Johnson, PI'l i e for Date
NOTE: T of ,' ns forwarded with Green Sheet on 2/18/2011