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10-0077 (ELEC)P.O. BOX 1504- 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: {10,0000007-7- --�-~ Property Address: 50855 WASHINGTON ST STE 2E APN: 770-020-017-3 _000000- -T-ity 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LQ INV C/O ROSETTE CADRY VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/29/10 Application description: ELECTRICAL 401 S BARRINGTON AVE 100 Property Zoning: NEIGHBORHOOD COMMERCIAL LOS ANGELES, CA 90049 Application valuation: i500 Contractor: Applicant: plA J Architect or Engineer: DSD -ELECTRIC P.O: BOX 408 LA QUINTA, CA 92247 (760)77.7-8771 Lic. No.: 7.92057 ,,.• , �- , --- - - - - -- ---- --- -- -- -- --- --- --_ ----- ---------- - - -- ---- -- _-- --- ----- --- ---- --- --- =- - - - - - — LICENSED CONTRACTOR'S DECLARATION s WORKER'S COMPENSATION DECLARATION - . 1 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 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 LicenseClass: C10 License No.: 792057 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ;� %/+��r"�',issued. Date ,:�-• Contractor• - - I have and will maintain workers' compensation insurance,.as required by Section 3760 of the Labor k_... . 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 STATE FUND Policy Number 1705915 following reason (Sec. 7031 .5, Business and Professions Code: Any city 6r 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 a ,} person in any manner so as to become subject to the workers" compensation laws of California, .permit to file asigned statement that he or she is licensed pursuant to the provisions of the Contractor's State r• ^'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 Labor Cod with comply with those provisions that he or she is exempttherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ . ) te- - _ / any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: /.-C./�q-�-Applica . - •' .. (_) 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 3`.• WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 ($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 - f _ 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 contractorls) licensed 1 . Each person upon whose behalf this application is made, each personat 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 ' 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. Date: Owner: - 2. Any permit issued as a result of this application becomes null and void if work is not commenced - within 180 daysfrom date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY " permit to cancellation. Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I 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 county to enter upon the above-mentioned propert tion purposes. . Lender's Name: - - - — a Date: �. _Signature (Applicant orAge_ . - Lender's Address: � - LQPERMIT .. Application Number . . 10-00000077 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . Valuation 0 Expiration Date 7/28/10 o Qty Unit Charge Per Extension BASE FEE 15.00 ' 12.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 9.00 ----------------------------------------------------------------------------- Special Notes and Comments ELECTRICAL INSTALLATIONS FOR FUTURE TI _ . _. .- -__--- •----- ---.--._ [LA QUINTA SALON & DAY SPA] - 2007 - CALIFORNIA ELECTRICAL CODE. January 29, 2010 4:07:46 PM STRAXEL ------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADM3N.(SB1473) 1.00 Fee summary. Charged Paid Credited• ----------- Due - ----------------- ----------- ----------- ---------- -- Permit Fee Total 24.00 .0'0 .00 Permit 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 :00 31.00 LQPERMIT Bin # City of La Quinta BmIding 8T Safety Division y P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # v9- oo Project Address: O S5 A,5-4Aa,-701NJ Z .Owner's Name: A. P. Number: (Address: Legal Description: y City. ST, Zip: "L,(� /Ni✓4 ZZ Contractor-:i° Telephone: 760 -777— — 977 / Address: Project Description: City, ST, Zip: EiEG �1tM>D ' Telephone: State Lic. # : City Lie. C Arch., Engr., Designer. Address: City., ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: vsi<'' • ? " <. project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project; Q� APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Recd TRACKING PERMIT FEES Pian Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Tide 24 Cates. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionsfuuue Electrical AV 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 correcdons/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Feu Total Permit Fees Certificate of Occu anc I..00atroanTm �� OFBuilding & Safety Department i This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the t 2007 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 ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: E50=855'1NAS.H.IN.GT NN-ST✓STE=#-2E r� Use classification: COMM: (LA QUINTA SALON & DAY SPA) Building Permit No.: 10-77 r Occupancy Group: B Type of Construction: VN Land Use Zone: CN Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 15 b Owner of Building: LQ INV Address: 401 S BARRINGTON AVE 100 City, ST, ZIP: LOS ANGELES, CA 90049 -�" By: STEVE TRAXEL Building Official Date: MARCH 15, 2010 POST IN A CONSPICUOUS PLACE