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08-1699 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 - T-ityl 4 4 a" Application Number: •_Q8.�0-0001699 11 Property Address: 46660 WASHINGTON ST STE .1 APN: 643-020-999-3 -30903 - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL V Application valuation: 15000 Applicant: ) Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ' 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 . License No.: 884711 'atei./z—yntractor:" 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).: (_) 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.). . (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penaltyofperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.I. Lender's Name: Lender's Address: r LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/12/08 Owner: WASHINGTON 111 LTD .0/O JACK TARR 30240 RANCHO VIEJO RD. STE. B SAN JUAN CARISTRANO, CA 92675 Contractor: MIRAGE DEVELOPERS INC D 100 SOUTH SUNRISE WAY D 17 PALM SPRINGS, CA 922 p' (760) 864-9448 NOV 2 0 Lic. No.: 884711 CITY OF LA QUINTA I'ta..— ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1- 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. F 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 GRANITE STATE Policy Number 009925116 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 subje the workers' compensation provisions of Section �1 3,7(00 of the L bor shall forth th mply with those provisions: ate: /-0—ltb A ;the WARNING: FAILU E 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. , 1 certify that have read this application and state that the above information is e I agree to comply with all city and my ordinances and to laws relating to building construction, a her y authorize representatives of this unty to enter upon t above-mentioned prope spection pu ose . te:/l 12 -of Sig cure (Applicant or Agentl: LQPERMIT Application Number 08-00001699 ------ Structure Information 1,495SF TI/M-OCC/47-OL/SPRINKLERED ----- Other struct info . . . . . CODE EDITION 2007CODES FIRE SPRINKLERS FULLY „ MIXED-USE OCCUPANCY M OCCUPANT LOAD 47.00 1ST FLOOR SQUARE FOOTAGE 1495.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . ". . 162.00 Plan Check Fee - 105.30 Issue Date Valuation, 15000 Expiration Date 5/06/09. 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 37.65 Plan Check•Fee 9.41 Issue Date . . . . Valuation 0 Expiration Date 5/06/09 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 17.00.4500 EA ELEC DEVICE/FIXTURE >20 7.65' ------------------------------------------------------------ Special Notes and Comments 1,495SF TI/VB/M-OCC/47-OL/SPRINKLERED [MARES .FOR MEN] THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE OR ALTERATIONS TO THE MECHANICAL SYSTEMS OR PLUMBING FIXTURES. 2007 CALIFORNIA BUILDING, ELECTRICAL, ENERGY. November 7, 2008 4:45:41 PM AORTEGA - -------------------- Other Fees . . . . . . ACCESSIBILITY PLAN REVIEW 10.53 ENERGY REVIEW FEE 10.53 Fee summary Charged Paid Credited Due --------------------------------- ------------ _ Permit Fee Total 199.65 00 .00 199.65 Plan Check Total 114.71 .00 .00 114.71 Other Fee -Total 21.06 .00 .00 21.06 LQPERMIT piiC r a �iA�-1� 7t 1�irii lO ,t 46 / c) -4 !1 o f a�3 Bin #� City, of La Quints - Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 .Building Permit Application and Tracking. Sheet Per # f. t(� 1 I 46 Project Address: -wCAs� • ..i� 'Je Owner's Name: i / 1a % A. P. Number: b � d _ Address: ,� a 0ad 'A IG%�C Legal Description: 0,,r C e — City, ST, Zip:. - �' a ID) Contractor: N Telephone: Address: 0c7 % e 44 I Project Description: �JIJs e sV`TJr City, ST, Zip: is Telephon"-760 76O State Lic. # : g City Lic. # S ZZ 9 yG1,t LT Arch., Engr., Designer: YDS �a 9 N•LI iii 'Q � ��" Address: S. 00rJ eQAVY0A1 Sil "fie City, ST, Zip: G o Y(AA 71 Telephone: Z] �- 76 ��,�-7 Construction Type: 'V •— N Occupancy: ^4 )(e State Lic. #: Project type (circle one): New nAddnAlter Repair Demo Name of Contact Person: C�� Sq. Ft.: L+�"� #Stories: I# Units: 57 Telephone # of Contact Person: 7 a 5 ` 5-;�A Estimated Value of Project: DOo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for correctio Plan Check Deposit Truss Calcs. Energy Calcs. A1Y I Called Contact Person Plan Check Balance Plans picked up14 Construction Flood plain plan Plans resubmitted. Mechanical Grading plan 2°d Review, ready for correctio s!i e Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IIOUSE:- 3rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person " All Pub. Wks. Appr Date of permit issue School Fees Uz POP - T U Total Permit Fees i ,- Certificate of Odcupancy IRATM Ma w _ OF Building & Safety Department _ This Certificate is issued pursuant to the requirements .of Appendix Chapter -1 Section 110 of the 2007 California Building Code, certifying that, at the time of, issuance, this structure was in compliance with the pgjrovisions of the Buildin'Code and the . various ordinances of the City ' regulating building construction and/or use. ; BUILDING ADDRESS: 46-660 WASHINGTON ST STE #1 Use classification: COMMERCIALMARES^FOR MEN t:. + f _ - Bulldmg Permlt No:: 08 1699 Occupancy Group: M Type of Construction- VB Land Use Zone: CR Sprinklers Installed: YES - Sprinklers -Required: YES Occupant Load: 47 • Owner of Building: WASHINGTON 111 LTD '.. Address: 30-240 RANCHO VIEJO RD. STE #B ; City, ST, ZIP: SAN JUAN CAPISTRANO, CA 92675 By: STEVE•TRAXEL Building Official Date: DECEMBER 5, 2008 POSTINA CONSPICUOUS PLACE