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13-0907 (DEMO)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address:. APN: Application description Property Zoning: Application valuation: Applicant: 13-00000907 47100 WASHINGTON ST 643-200-023- - DEMO - COMML/OTHER COMMUNITY COMMERCIAL 3500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MCDERMOTT COLIN J 75200 CHIPPEWA .INDIAN WELLS, CA 92210 Contractor: D Architect or Engineer: ORR BUILDERS VOICE (760) 777-7012 FAX (760) 777-70111 INSPECTIONS (760) 777-7153 Date 7/18/].3 rJ V— 39301 BADGER, SUIT 3 0 JULZ�1� PALM DESERT, . CA 92 U 18 (760)360-6632 LIC. No.: 693077 CI?YOFLAgUINTA rQPT. FINANCE -=----------------------------------------------------------------------------------------------- • 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 an rofessionals 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 Cla s: B license No.:. 693077 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �7 %X 2 L /7 issued. D_a[e: ` v Contractor 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 n OWNER -B DER 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 NTNL UNION Policy Number 1960920-2012 following reason (Sec. 7031 .5, Business and Professions Code: 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 70001 of Division 3 of the Business and Professions Code) or 700 of the Labor Code, hall fort ith 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 4p 2 /3 3 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Dater �v Applicant:,! ( 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and j ' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO CURE WORKERS' COMPENSATION OVERAGE 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 provingthat he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, 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 under or pursuant to any permit issued as a result of this application, (_ 1 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 . r of La Quints, its officers, agents and employees for any act or omission related to the work being performed under or followin9 issuance of this permit - ^ • 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: n Lender's Address: � LQPERMIT 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 ciir..h permit, nr cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above ' formation is correct. I agree to comply with all city and county ordinances and state laws relating to building o truction, and hereby authorize representatives of this cou9ty tcyenter upon the above-mentioned property inspe urposes. �7 Date:� // Signature (Applicant or Agen Application Number 13-00000902 Permit . . DEMO PERMIT Additional desc. Permit Fee . . 35.75 Plan Check Fee .00 Issue Date . . Valuation . . . 3500 Expiration Date 1/14/14 Qty Unit Charge Per Extension 1.00 35.7500 LS, MISC DEMOLITION, INT, 35.75 --------------. "Special Notes and Comments DEMO PERMIT - INTERIOR ONLY, NON-BEARING WALLS PER APPROVED PLAN (SHEET A2) ONLY.. ; ,.Other Fees . . . . . . PLAN CHECK, DEMOLITION 95.81 ^ Fee summary Charged Paid Credited Due Permit Fee Total 35.75 .00 .00 35.75 Plan Check Total .00 .00 00 .00 Other Fee Total 95.81".00 .00 95.81 Grand Total 131.56 00 .00• 131.56 LQPERMIT Bin # Qty of La Qulnta Building 81: Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760)" 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: Cd L %,V C�G°f�/�'te�7'� A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: Address:. 3 / 3Q / ��lr /�2 S%Q f(//j,� Project Description: City, ST, Zip:P,*A,_ l% �/t �'i� %Z -z - Telephone: Tele hone: 2- P G3 7 Go 3 GG r rte. / J State Lie. # City Lie. #•: - Arch., Engr., DesignerS� l/e/V %*4y(/// Of,� . Address:/ ZZ / /�, V4, 36A1 Sf City., ST, Zip:,$�F Telephone: / — `j (o �2 f S �. .. Construction T e: Occu ane : YP P Y State Lie. #• C3 Project tYPa (circle ne • New Add'n Alter Repair Demo Name of Contact PersonGp/' (�//Ly Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: •76Q 2—)7 Estimated Value bf Project Q(J APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subeontactor 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 correctionstssue . Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees TD . • I'� - - Pat-nDeSeRDroe: WmTsOe DNina: 2330 Nt&—t SL. Ste. M, Rn--rsiis• LA 02931 Pk (951) 9551.M Fax (951) 9554896 77.93311 Montanan Rd..;' 201Pahn Desert, CA 92211.4131 Pty (7601 Bo3-0996 Fax 069) 863.7072 • � :, dire Department Clearance/Release � _ Date: 10/16/2013 0 To: LA QUINTA AS Fax, cis, Tract/Parcel Map 40 N ° o P.ermitlLot#: _ LAQ-13-Ti-024 . 1 • .... Job Site Address: 47'100 WASHINGTON AVE M M zn City, State, Zip LA QUINTA CA o . - rn r o ® Final For Recordation c z ' _El Release For Building Permit(s) ( ❑ Shell Final Only (No Tenant) �. f -i Clearance for" Security Glass" - ❑ Release For Residential• Sprinkler Installation T) x ❑ Building Plan Check Fees Paid, Water Requirement Met- if water applicable ❑ Building Plan Check Fees.Nol Paid co o) ❑ Residential Sprinkler Plan Check Fees Paid o ❑ yResidential Sprinkler Plan Check Fees Not Paid N.) ❑ Other fees ❑ Fees Not Required . ` If you should have any questions, please contact the appropriate Riverside. County Fire Protection Planning office for -e further assistance. ` CD -KOHL HETRICK ry • P2int Name of Plan Reviewer!)nspector Approved Release - - Q-1 R— Print Alamo _