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13-0762 (RC)TiP.O. BOX 1504 Y 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT✓ Application Number: 13-00000762 Property Address: 47350 WASHINGTON ST, STE 101 APN: 643.-200-006- - - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application -valuation: 20000 Applicant: - Architect or Engineer: 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: 13 Licennse No.: 859158 Da ->_3 " Contractor: / /(N'!!7y' �(Ab$f. 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 statementthat he"or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter9 (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).: (_ 1 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7644, 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 contractorls) licensed pursuant to the Contractors' State License Law.). ' I _) I am exempt under Sec. B.&P.C. for this reason 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: ' Lender's Address: LQPERMIT - - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 8/06/13 Owner. WG PROPERTIES LLC 1 ADRIA CIR. PALM DESERT, CA 92211 Contractor: PREMIER CONSTR & REMODELI 61333•DEVILS.LADDER ROAD l� . MOUNTAIN CENTER, CA 92,561 p11P OG (760)275-2891 V Lic. No.: 859158 CI IF NANCor E DEPT A WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ -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. - ---I--•:..�e,ave 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 STATE FUND Policy Number 197807212 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manngsa'MeIme subject to the workers' compensation laws of California, and agree that, ifomes to the workers' compensation provisions of Section 3700 of the LOrth comply with those provisions. " Date Applicant:, _ WARNIN I FAILURE WORKERS' COMPENSATION COVERAGE S 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. . I certify that I have read this application and state a ab in ormation is correct. I agree to comply with all ' city and county ordinances and state laws rel ' g.to build' onst ction, and hereby authorize representatives of this count to enter upon the above -me oned grope r ins ction pur - Date: Signature lApplicant Application Number 13-00000762 Permit : BUILDING PERMIT- ERMITAdditional-desc.. Additional-desc.. Permit Fee 207.00 Plan Check Fee 134.55 j Issue Date Valuation. _ 200A0 Expiration Date .. 2/02/14 Qty Unit Charge Per Extension BASE FEE 45.00 -18.00 9.0000 THOU BLDG 2,001-25,000 162.00 Permit ELECTRICAL 20.13' Additional desc . Permit Fee 23.83 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 2•/02/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 Permit MECHANICAL 2013 Additional desc . Permit Fee 11..92Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 2/02/;14 " •Qty Unit.Charge -Per Extension 1.00 11.9200 EA MECH APPL REP/ALT 11.92 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 23.84 P1an.Check Fee .00 Issue Date Valuation 0' Expiration Date 2/02/14 Qty Unit Charge Per Extension " 1.00. 11.9200 EA PLBG"FIXTURE/TRAP 11.92 - 1.00 11.9200. EA PLBG WATER INST/ALT/REP 11.92 Permit . . . REMODEL 2013 Additional desc . Permit Fee 198:77 Plan Check Fee .00 Issue Date Valuation . . . . 0 " Expiration Date .' 2/02/14 LQPERMIT .. _, Application Number 13=000'00762 - Permit REMODEL 2013 Qty- Unit Charge Per Extension 1.00 48.6200 LS MISC.REMODEL, '1ST 100 SF 48.62 7:00- 21.4500 EA MISC REMODEL,••ADDL 500 SF 150..15 ------------------------------------------------------------------------ Special Notes and Comments TENANT IMPROVEMENT REVISE -EXISTING OFFICE SPACE TO INCLUDE NEW LUNCH COUNTER. PER CALIF. BUILDING CODES. July 26, 2013 2:5.8:17 PM JJOHNSON. --------------- - -------------------------------------- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - COM 4.20 Fee summary Charged Paid, Credited ---------- ---- Due ----------------- Permit Fee Total 465.36 .00 .00 465.36 Plan.Check Total—, .00 :00 134:55 , Other Fee Total 5.20 -.00 ;.00 5.20' Grand,Total 605..11- .00 00 605.11 LQPERMIT - .. .. NtLEIVED 1N3wa.,,_ . Bin' COI& JUN 18 2013 Q/ Of La [11C1� � Q CIO? CITY OF LA Building & Safety Division 8' r N(�r MMUNi7Y QUINTA P•O. Box 1504, 78-495 Calle Tampico DEVELOPMENtP Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracki Lt. Permit # 2 r� Project Address: � /5W A16t+1 JU *0V S1' Owner's Name: w1,&t- i,f' eFA6 A&44 A. P. Number: S (j�'"� , Q Address: L17?T1A)K,Qq14k) 4-;bA) Legal Description: S-61-4 Contractor: ROF .7L1-4 C7VD Address: City, ST, Zip: 6k iFv1 i1* C4 I ZZS3 Telephone: 760) � ! — 3 2! �`' :: ': `":•:':` <::;.. Project Description: E tilt% City, ST, Zip: '`?^';xx'ijis.;f'<:;;::•f:;�yfh,,', ri;4 }:y'yi Telephone: State Lic. # : 1�5 5 City Lic. #; 4 OAk*Y Arch., Engr., Designer: Address: 2 462.2 A V&COI .�u e T, tG City., ST, Zip: Telephone:(716J f3� " Y -r •,,:f.:<>:>s State Lic.#:<«l:>:'«^>%;<:>.;>»f:.r:<::>>;.zz::.:Y ::>:>: >:':,r•::<?•;::;<»;»s >%>: Construction TYPe: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Telephone # of Contact Person: Sq. Ft.: #Stories: #Units: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets . Plan Check submitted' Item Amount Structural Calcs. Reviewed, ready for corrections 712113 Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted b Mechanical V Grading pian Subcontactor List 20° Review, ready for correctio sue Called Contact Person Electrical Plumbing ax \ Ab Grant Deed Plans picked up S.M.I. \ H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/'issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees h • H ° 13.%)W tD fel kh 14j 7(2-1 �Cwls RF �j Permit Details PERMIT NUMBER City of La Quinta RC-13-762 Description: ten improvement, lunch counter and move walls Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: EXPIRED Applied: 6/19/2013 Approved: 7/30/2013 Issued: 8/6/2013 AOR Finaled: Expired: 2/2/2014 AOR Parcel No: 643200006 Site Address: 47350 WASHINGTON ST STE 101 LA QUINTA,CA 92253 Subdivision: PM 27892 Block: Lot: 6 Lot Sq Ft: Building Sq Ft: Zoning: Valuation: $20,000.00 Occupancy Type: Construction Type: No. Buildings: No. Stories: No. Unites: Details: TENANT IMPROVEMENT REVISE EXISTING OFFICE SPACE TO INCLUDE NEW LUNCH COUNTER. PER CALIF. BUILDING CODES. July 26, 2013 2:58:17 PM JJOHNSON. Process Summary 41 Applied to Approved Approved to Issued CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR PREMIER CONSTR & REMODEL INC 61333 DEVILS LADDER ROAD 92561 OWNER WG PROPERTIES LLC 1 ADRIA CIR 92211 All FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BLDG STDS ADMIN (SB1473) 10100002030600 $1.00 $1.00 8/6/13 Total Paid for BLDG STDS ADMIN (SB1473): $1.00 $1.00 PERMIT FEES I 0 I I $207.00 I $207.00 I 8/6/13 Printed: Wednesday, September 21, 2022 9:57:45 AM 1 of 2 CRWSYSTEMS Permit Details City of La Quints DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY PERMIT FEES 0 $23.83 $23.83 8/6/13 PERMIT FEES 0 $11.92 $11.92 8/6/13 PERMIT FEES 0 $23.84 $23.84 8/6/13 PERMIT FEES 0 $198.77 $198.77 8/6/13 Total Paid for PERMIT FEES: $465.36 $465.36 PLAN CHECK FEES 0 $134.55 $134.55 8/6/13 Total Paid for PLAN CHECK FEES: $134.55 $134.55 - COM STRONG MOTION (SMI) 10100002030800 $4.20 $4.20 8/6/13 Total Paid for STRONG MOTION (SMI) - COM: $4.20 $4.20 TOTALS: $605.11 $605.11 INSPECTIONS REVIEW TYPE REVIEWER SENT DATE DUE DATE I RE DATEED STATUS REMARKS NOTES BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 2/25/2015 AJ ORTEGA APPLICATION WITH DEPARTMENT APPROVALS 13-0762 - APPLICATION WITH DEPARTMENT APPROVALS.pdf 0 Printed: Wednesday, September 21, 2022 9:57:45 AM 2 of 2 CRWSYSTEMS