07-1431 (RC)i^' o
P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTX -CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application descriptio
Property Zoning:
Application valuation:
l
07-00001431
46660 WASHINGTON ST STE.2.',
643-020-999-3. -30903 -
n: REMODEL - COMMERCIAL
.REGIONAL COMMERCIAL
80000
E
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
WASHINGTON 111 LTD.
C/O JACK TARR
30240 RANCHO VIEJO RD- STE. B.
SAN JUAN CAPISTRANO-, CA 92675"'
FA
Date: 8/08/07
Contractor: Ug
: 9
Applicant:: Architect or EngineerCAL-SPEC HOME INSPECTIONS INC
5 STE
PALM DESERT, CANF247
92211t)Q�//N
(760)770-7060.
/ Lic. No.: 891664
COO
------------------
LICENSED CONTRACTOR'S DECLARATION I• . WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I •hereby affirmunder 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:' 13 License No:: 891664 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: actor: CI---? L S (�(—� L.,.' - 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 E) EMPT . Policy Number EXEMPT
following reason (Sec. 7031 .5., Business and ProfessionsCode: 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 heor 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 abGCo�rthwith comply with those provisthat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by rany applicant for a permit subjects the applicant too civil penalty of not more than five hundred dollars 155001.: D /"0 plicant1, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure isnot intended or offered for sale ISec. 7044, Business and Professions Code: The WARNING: FAI URE TO SECURCOMPENSATION 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 1$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 ownerof- conditions and restrictions set forth on this application. - -
property who builds or improves theieon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this applicationismade, 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 Quinfa, 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 .1 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 c my to enter upon the ove-mentioned property for inspection purposes.
Lender's Name:
_ - te: Si ture (Applicant or Agent): '
Lender's Address: -
LQPERAIIT
LQPERMIT -
Application Number .
. . . . 07-00001431
" Structure"Information
1,496SF TI/B-OCC/43-OL/11WET
WOOF"
'Other struct info
CODE EDITION
2001/2005
FIRE SPRINKLERS
YES
'MIXED-USE OCCUPANCY
B
;OCCUPANT LOAD
43.00
1ST FLOOR SQUARE FOOTAGE
1496.00
Permit . . . .`.
BUILDING.PERMIT
Additional desc .
Permit,Fee
549.50. Plan Check Fee
357.18
- Issue Date
Valuation . .
. 80000
Expiration Date
2/04/08
Qty Unit Charge
Per
Extension
BASE FEE
414.50
30.00 4.5000
THOU BLDG '50,001-100,000...
135.00
Permit
ELECT - ADD/ALT/REM
Additional desc `.°.
Permit Fee...
55.65 Plan Check Pee
13.91
Issue Date
Valuation
0.
Expiration Date
2/04/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00 ..
57.00 .4500
EA ELEC DEVICE/FIXTURE >20
25.65
Permit
MECHANICAL
Additional desc
Permit' Fee
26.00 Plan Check Fee
6".50
Issue Date
Valuation .
. 0
Expiration Date
2/04/08
Qty 'Unit Charge
Per"
Extension
BASE FEE
15.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
1.00 6.5000
EA MECH VENT FAN
6.50 .
Permit . . .
PLUMBING
Additional desc .
Permit Fee.
81.00`= Plan Check Fee
20.25
Issue Date
Valuation"
. . 0
LQPERMIT -
Application Number .. . 07-00001431
Permit . . . . . . PLUMBING
Expiration Date 2/04/08
c
Qty Unit Charge Per
Extension
BASE FEE
15.00
8.00 6.0000 EA PLB FIXTURE
48.00
. '2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
1:00'. :• 3.0000 EA PLB WATER INST/ALT/REP
3.00
---------------------------------------------
Special Notes and Comments
--------------
1*496SF TENANT IMPROVEMENT/B-OCC/43-OL
"WET.WOOF". 2001 CBC, CPC, CMC, 2004.
CEC, 2005 ENERGY. THIS PERMIT DOES NOT
INCLUDE BUILDING SIGNS: July 30, 2007
10:05:57 AM `AORTEGA
---- - - - - -- -
Other Fees ACCESSIBILITY"PLAN REVIEW35.72
- -- -- - - --
ENERGY REVIEW FEE
35.72
Fee summary' Charged Paid Credited
Due
------- ---------- ---------- ----------
" - Permit Fee Total '712.15 :00 .00
712.15
Plan Check Total 397 84 .00 .00
397."84
Other Fee Total 71.44 .00 .00
71.44
Grand Total 1181.43 00 00
1181.43
LQPERMIT
Tj4,
L
"CITY 017'"LAAG UINTA-SUB-CONTENZ17011 LIST
PERMIT NVMBER, 0-7- it4t
.JOB-APDRESS OWNER BUILDE
This.form shall be posted on the iob with tKe'Building Inspection -Card at alltimes in- a conspicuous plice. Only persons appearing on this. list or their employees are 6uthoriied towork
on this job:. Any. chariges to this- list must be approved by the Building Division priorlo. commencement of work.- Failure- to comply will result in a stoppage of work and/or the voidance -
of -building perrriit. for each. applicable trade, all. information requested below must be Completed. by applicant. . plicanti.. - Fil'
e' is not an acceptable response*.
sfca
oTradeC
tCi�..
Wfk6r$:.0 mp
is
Company Name
Classification
(e.g. A,.B, C..
Lk-ense Number
(XX'xxxx)
Exp. Date
(xxlxxlxx)
Carrier Name
(e.g.Format-
e.g. State Fund, CalComp)
Policy Number: 'Exp.
Varies)
Date
(xi(/,Xx/xx)
License Number
(Xxxx)
Exp. Date
(xxlxx./")
EARTHWORK (G-12)...
FRAMING :(C-5)
-
SyF1
ASONRY.-(C-29)-
MASONRY. -(C-29)' '
kuMBINd (C-361`
PLUMBING
-VO( 0 .
(ATfi, PLASTER (0351
.PBYWAk.L,(q-9)
L VG
(03 ISC
WECTRWAL. (C 1 0),;,.J*t
OC)
e,
9FIN
SHEETETAL'(-.-!-43)-:'
K -p4'0' PJ*'N'G-IC'>i'*5i..".."'-'---5.--..,*...
GLAZING (9
INSULAT 00. .2
tEftdt b 2)-
PAINTI