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05-3573 (RC)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 4. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsofChapter 9 (commencing with ' Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licensee Class: B License No:: 728868 bate;A Contractor. - J NT . OWNER -BUILDER DECLARATION. I hereby affirm under penalty of perjury that am exempt from the Contractor's. State License Lawfor the fallowing reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repairany 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 isnot 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 ofcompletion, the owner -builder will have the burden of proving that he or she did not build or. improve for the purpose of sale.). - 1 I 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(sl licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. B.&P.C. for this reason W, Date: Owner: CONSTRUCTION LENDING AGENCY OF 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.). j Lender's Name: Lender's Address: - - .LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: _ 10/12/05 Owner: LPP INC D 6 C/O RANT)A7, .D MILLER — 73745 EL PASEO PALM DESERT, CA 92260 OCT 1 1005 Contractor: CRYOF LAQUINTA KRAEMER GENL CONTRACTOR, DAIlrR.FINMCE DEPT. 2856 TROPICANA DRIVE RIVERSIDE, CA 92504 (951)785-4995 Lic. No.: 728868 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of'perjuryone of the following declarations: 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.issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number •EXEMPT _ 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 subject to the workers' compensation provisions of Section 37/0�0�offtthe Lat}pF@OQ�IgitaK rthwith comply with,those provisions. Dater (`J L/• Wpplicant(: �— WARNING: FAILURE TO SECURE WORKER 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,anypermit .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. I 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 buil struction, and heauthorize representatives of this coAqunt to en{te�_r upon the. above-mentioned perty for inspe tion pur ose ' Date: (/ i i/J Signature (Applicant or A f en - i Application Number: 05-00003573 Property Address: 47110 WASHINGTON ST STE. 104 APN: 643-200-999-A -03429 - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 70000 . Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionsofChapter 9 (commencing with ' Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licensee Class: B License No:: 728868 bate;A Contractor. - J NT . OWNER -BUILDER DECLARATION. I hereby affirm under penalty of perjury that am exempt from the Contractor's. State License Lawfor the fallowing reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repairany 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 isnot 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 ofcompletion, the owner -builder will have the burden of proving that he or she did not build or. improve for the purpose of sale.). - 1 I 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(sl licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. B.&P.C. for this reason W, Date: Owner: CONSTRUCTION LENDING AGENCY OF 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.). j Lender's Name: Lender's Address: - - .LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: _ 10/12/05 Owner: LPP INC D 6 C/O RANT)A7, .D MILLER — 73745 EL PASEO PALM DESERT, CA 92260 OCT 1 1005 Contractor: CRYOF LAQUINTA KRAEMER GENL CONTRACTOR, DAIlrR.FINMCE DEPT. 2856 TROPICANA DRIVE RIVERSIDE, CA 92504 (951)785-4995 Lic. No.: 728868 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of'perjuryone of the following declarations: 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.issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number •EXEMPT _ 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 subject to the workers' compensation provisions of Section 37/0�0�offtthe Lat}pF@OQ�IgitaK rthwith comply with,those provisions. Dater (`J L/• Wpplicant(: �— WARNING: FAILURE TO SECURE WORKER 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,anypermit .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. I 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 buil struction, and heauthorize representatives of this coAqunt to en{te�_r upon the. above-mentioned perty for inspe tion pur ose ' Date: (/ i i/J Signature (Applicant or A f en - i Application Number, 05-00003573 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 504.50 Plan Check Fee 327.93 Issue Date Valuation . . . 70000 Expiration Date 4/10/06 Qty UnitCharge Per Extension BASE FEE 414.50 2.0.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 90-.00 .Permit" .. ELECT - ADD/ALT/REM " Additional desc . -Permit Fee 61.36 Plan Check Fee:. 15.34 Issue Date . . . . Valuation 0 Expiration•Date 4/10/06 Qty Unit Charge Per Extension - BASE FEE 15.00 2318.00 0200. ELEC GARAGE OR NON-RESIDENTIAL 46.36 Permit .". . MECHANICAL Additional desc . Permit Fee . . 19.50 Plan Check Fee 4.88 Issue Date . . . Valuation 0 Expiration Date 4/10/06 Qty Unit Charge Per Extension 'BASE FEE .15.00' 1.00 4..5000EA MECH VENT INST/-DUCT ALT ". 4.50 Permit _. PLUMBING Additional desc . Permit .Fee 42.00 Plan Check Fee 10.50 Issue Date Valuation •.. 0 Expiration Date 4/10/06, Qty •Unit Charge .Per Extension , BASE FEE 15.00 4.00 6.0000 EA PLB FIXTURE 24.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ----------------------------------------------------------- ----------------- Special Notes and Comments Commercial Remodel 2,318 sqft "Countrywide Home Loans'" TI, "B" Application Number . . . . . •05-00003573 - ----------- Special Notes and Comments -------------- ------------- --I------------ Occupancy,.Type,VN Sprinkled, Occupant 'Load 24. --------------------------------------------------------------- Other. Fees . . . . . . . STRONG MOTION. (SMI) - COM --------- -Fee summary Charged Paid Credited - Due Permit Fee Total --------- 627.3600` -------------------- ---------- 00 627:36 Plan Check Total 358.65` .00 .00 358.65 . 'Other Fee Total 14.70 .00 .00 14.70 Grand Total 1000.7.1 .00 00 1000.71 LQPERMIT I •�, •Bin #. . Permit a;< ?� 5� City of La Quints e Building s Safety Division ` Cf, P.O. Box 1504, 78-495 Calle Tampico V La Quinta, CA 92253 - (760) 777- Building Permit Application -racking Sheet MMMM�X ProjectAddress: �l/U�5}llIr *Uvv1T 3 Owner'sNamc:/,,, J-/ A. P. Number: C Legal Description: X Contractor.PA L,IF— t,:� Sx Address: X City? ST, Zip: X Telephone,. 61 7 9 S7L[ q 9, AState (�♦ Lic. N: Arch., Engr., Designer: New Add'n Alter Repair Demo Address: Sq. Ft.: -Z $ City. ST. Zip: M Units: Telephone: State Lic. #: 1C Name of Contact Person: 1L�zp x Telephone # of Contact Person: PERMIT FEES Plan Check submitted Submittal Req'd 2 Plan Sets AteOYtlt Structural Cala. Reviewed, ready for corrections Plan Check Dtposit Truss Calcs. Called Contact Person (�/� Energy Cal.. Flood plain plan Construction Grading plan Plans resubmitted Li Mechanical SYbtOntactor List 2' Review, ready for eorrectio s!i_ssu Grant Deed H.O.A. Approval Plumbing IN HOUSE: - Plans picked up SALT. Planning Approval Plans resubmitted Pub. Wks. Appr School Fees Developer Impact Fee 0 yti w r - & O Address: 'f City. ST. Zip: ;' M1 ( . f Telephone:0d 5 -5 -7 Z 6 .Z <:�-A- FA Project Description: 9 7-5-0`7k1L-T7rt-)J IJ Citv Lic. #: ttt-ii t��®ietw Total Permit Fees $jll >C�� ��a31v5 1 �`� _ - • - - _ Construction Type: �� S�/�Gw��Sccupan 61-14 - - - Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: -Z $ # Stories: 2 M Units: r �� stimated Value of Project: 7Q O p a APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Plan Check submitted It AteOYtlt Reviewed, ready for corrections Plan Check Dtposit Called Contact Person (�/� Plan Check Balance Plans picked up Construction Plans resubmitted Li Mechanical 2' Review, ready for eorrectio s!i_ssu Electrical Called Contact Person `Q/6 6. A4W Plumbing Plans picked up SALT. Plans resubmitted Grading Review, ready for correctionslssue Developer Impact Fee Called Contact Person A.1.P.P. Date of permit issue ttt-ii t��®ietw Total Permit Fees $jll >C�� ��a31v5 1 P.O. Box 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 OF LA QUINTA, CALIFORNIA 92253 \ - FAX (760) 777-7011 -. F u " °. • .fit ° � , To: Greg Butler, Building & Safety Manager To CDD: August 11, 2005 From: Doug Evans, Director -CDD Due Date: August 23, 2005 Status: 1 st Check Building Plans .Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the'Building Plans'for the following project: o Description: p Tenant Improvement ° Countrywide Home Loans Address or General Location: 47-110 Washington Street p Suites 103 &104 Applicant Contact: Dale Kraemer 909-731-2225 The Community Development Department finds that. .These Building Plans Do 'Not Require Community Development a Department•Approval. �. ❑ ...These Building Plans Are Approved By The Community Development Department. ❑ ...These Building Plans Require Corrections. Please, Forward A Copy Of -The Attached Corrections To The Applicant. When The Corrections Are Made Please Return Them To The Community Development Department. For Review. AJLI_� r1_V,L 'afiq 0C Doug Evans, Director -CDD, Date 4 Craig E. Anthony Fire Chief Proudly serving the November 30,2005 unincorporated a areas of Riverside County and the L City f Cities of: O a Q uinta Building Department Beaumont Calimesa Canyon Lake Re: Countrywide Home Loan Coachella Desert Hot Springs. e• 'The Riverside County Fire Dept Department is granting a fire final Indim Wei ` for the following project located at 47-110 Washington St Suite 104 Indio Lake Elsinore , La Quints Moreno Valley r• „ Palm Desert By Perris -Rancho Mirage • � , San Jacinto - Temecula Terry DeSoucy ` Fire Systems Inspector Board of Supervisors Bob Buster, District 1 Jam Tavaglione, w District 2, Jeff Stone, . Y District 3 Roy Wilson, District 4 Marion Ashley,}' F District S. EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82.675 Highway 111, 2n° FI., Indio, CA 02201 •,(760) 863-8886 • Faz (760) 863-7072 ' ry s_ J. E CQ' ., ] : {. .. N 1 4 RIVERSIDE COUNTY : r FIRE DEPARTMENT » 82-675 Highways 111, 2n" R., Indio, CA 92201 (760) 863-8886 • Fax (760) 863-7072 c • DEPARTMENT / t ' t , 4 + ..Y August 13 2005 y Craig E. Anthony . . -e . r # Fire Chief 41. = 'the To: of La Qumta : r Proudly serving _City w ; `Unincorporated ... Building Department 1 ,„ s areas of Riverside 1, County and the ,. Cities of:: Re 'Release for Permit a y, LAQ-05 -TI-077,/ Contrywide Home Loans,` Tenant improvement Banning r x� ..a Beaumont. � 4. _ - 4, • • is . s t ,, _ f Calimesa "The Riverside County Fire Department' hereby releases the above referenced Ooject for issuance of a permit for construction, at the discretion.of the Building Department.. " Canyon Lake y r Coachella .i: wad,ri'-, -y - ,. - •;k' �• i~t S� �'F Respeci6ily, Desert Hot Springs 'C r '• Indian Wells , rr - _ - s. . '.4. -.. ••• .. , - •:�." ! ; • - _ Vis. } { . r 'Dale Indio r A. Evenson . r •� ` f , . _ Fire Safety Specialist ;• 1 r' Lake Elsinore 4. 'La Quinta 's s ;, r 4 i`` i Moreno Valley ,. '* ••• Palm Desert ' '�, r" f - 4 : r , Penis �t; ,. r� } _ s . Rancho Mirage ~'San Jacinto a Temecula ; Boetd of Supervisors „ • r' a ._ ri F L� 1.}/ ,0.•,y rr °nr y�, `� .f �• 3 � r i 3 �% tAw t „Bob Buster, •/ i .F. � 4 .ar ' District 1 � 4 _ - "+ v, . y s, , 4 ,� r ' John District 2 Jeff Stone, r. �. _ . • r ; ' p_ District 3' Roy Wilson * 4. District 4" , r .• , 1� S' . t ' Manon Ashley, • ` .,, i �_ ,r.-" � _ , ."a District 5 4r. J'. # f c t EMERGENCYSERVICESDIVISION • PLANNING SECTION • INDIO OFFICE ,t T 82-675 Highway 111, 2nd R Indio CA 922011- (760)863 8886 • Fax (760) 863-7072 r x'rV •1 � • i' ., �•. - .� .. �• z7ra+, i�JII'•;� rr t `,� t .r ' .. ....Y ri # CITY OF LA QUINTA SUB -CONTRACTOR LIST ����•';���-� JOB ADDRESS V7- /l b 1,v�5W1�t•1r 5T, PERMIT NUMBER E7S 3SV OWNER LA �I� �y al L �" �' BUILDER L�- K¢�► ` ' This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place.. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the BuildingDivii sion prior commenQceme't of work., Failure to comply will tabllelres stoppage' of work and/or the voidance A of building permit. For eacn appncaDie trade, an rnrurnration reyueDlGU Ue1UYv 111Ual vv vv,,,r.v ava. �+, uF,f.......••.• "•1 ••- •- ---- - W:orke�s Com ensation arisurance: Carrier Name Policy Number Exp. Date (e.g. State Fund, CalComp) (Format Varies) (xx/xx/)(x) .Busi Hess Licenser". Cit.. Y License Number Exp. Date. (xxxx) (xx/xx/xx) Trade / Classification Contractor' .;: :::::. - ;::State;.Contractor s License . Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) EARTHWORK,(C-12) CONCRETE (C-8) - FRAMING .(G-5) )�ptrE KRfIW'AER '¢A R B p 74 V%� / / �Q/3/!!� G.l�CI M;V ` Z�29/o(0 STRUCT. STEEL (C-51) MASONRY (C-29) PLUMBING(C-36)' FLUMe.IPA _'WOCI X157 S /0G• �'-3 to `�S(55�3 l�3/�0(0 12VN9 l r42j�:ZO ip%71��•� Oo7�O l 313,10(0 LATH, PLASTER (C-35) � % 28 $ iI0 S )J X 4311010 � M -� 1 P 0 (0- Z8 Z - 0 DRYWALL (C-9) . PAU- �A(;W1¢� . G♦ HVAC IC -20) ..:.:..:. ..: ELECTRICAL. (C-10) (t ELC- GTRLGMIN, F -V It O It tL Il -Lek ITkI /Ofug-&"to Ca. Z b(0& 90S'o7- 101,101, N 100 3 y 3l (� ROOFING' (C=39):;:::.`;~.>: . ;SHEET METAL (Q.43)./ 2� 810 �0�3/ !� �YyG�� 10 b i0 Za ZA- A A56 FLOORING (C=15):. �ALE_ )<9P,4Vk-��.. b a GLAZING (C-17) rr INSULATION (C-2) . tt I r (t t r ►I Vl n SEWAGE DISP; (1-42) . Q PAINTING (C-33) PsLf_ Y_fLh9-M(f(�- 't CERAMIC TILE (C-54) 1 r t t tr et d 1 i CABINETS IC -61 i t t U FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) •. 1 .' �rn,r ,,�rn •. �' �' } - � I� --�a�\\.71►VWfN"V • - /cI/Aam � �f�_ e t cate, of Occuponcy,ma- �o_- V_ :4 SOF Ik�� & Safety Department ,Building. This Certificate'is issued pursuant -to the,requirements,of Section 109 of the California Building''; ' Code,,, certifying `that, at- the. time of issuance,. this structure -was_ in compliance with , the provisions of, the Building ; Code` and the' various, ordinance's of the City regulating building,.---,, construction and/or use: �. BUILDING ADDRESS: 47-110 WASHINGTON STREET,'STE.' 104. Use;classification: SERVICE RETAIL. a . `. 1r4r s., c - ,'' _ Building° Permit No.: 05-3573'° Occupancy Group: B . Type of -Construction: VN -SPRINKLED FIj `'. ` ' 'Land Use Zone: `CC r , 'Owner of Building- LOP, . INC. _ Address: 73-745 EL'PASEO.7777 - '' •' City;;ST, ZIP:`PALM DESERT, CA 92260 By: KIRK KIRKLAND r - -1 &* "nl y ' r Date: ,NOVEMBER 30, 2005 n •r. .1 , �. r' BuildindOfficial _: r•. ;' POST IN A CONSPICUOUS'PLACE '' °