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06-4351 (RER)• �� mil ti C.10&- - - • - P.O. BOX 1504 ^� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 fj BUILDING PERMIT Date: 1/24/07 Application Number: =060- 40 351 j" Owner: Property Address: 50921 WASHINGTON ST �• • t LQ INV APN: 770-020-019-5 -000000- C/O ROSETTE CADRY Application description: REMODEL - RESIDENTIAL 401 S BARRINGTON AVE 100 Property Zoning: NEIGHBORHOOD COMMERCIAL LOS ANGELES, CA 90.049 Application valuation: 5500 ' Contractor:,, . Applicant: Architect or Engineer: W C C S INC 9021 RANCHO PARK 'COUR •-RANCHO CUCAMONGA, CA t (909)982-6979 LiC, No.: -655509 • - 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 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and. effect._ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided B - Lice Class: C10 -C License No.: 655509 for by Section 3700 of the Labor Code, fortheperformance of the work for which this permit is Date:- I i-��' Contractor:�{����' , 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 ' - 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 46700003 97 • - 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 . 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 Code, I shall forthwith 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 - any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: 11A& % plicant: - ( 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - -01- . the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The 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 ,. (_) 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. r ' • - " • 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 permitissuedas a result of this application, ' (_) 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 days from date of issuance of such permit, or cessation of work for 180 days will subject ' CONSTRUCTION LENDING AGENCY permit to cancellation. , ' I hereby 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 up n the above-mentioned property for inspectionu�rposes. < Lender's Name: - - - Date: - ignature (Applicant or Agent): . Lender's Address: - LQPERMIT Application Number . . . . . 06-00004351 Structure Information EXISTING STARBUCKS TENANT SPACE Other struct info CODE EDITION 01BMP04E05EN # BEDROOMS .00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 36.00 Plan Check Fee 23.40 Issue Date . Valuation . . 5500. Expiration Date 7/23/07 Qty Unit Charge Per Extension - 4.00 9.0000 THOU BLDG 21001-25,000 -36.00 Permit . ... ELECT --ADD/ALT/REM Additional desc . Permit Fee . . . . 23.25 Plan Check Fee 5.81 Issue Date Valuation 0 - Expiration -Date, 7/23/07 Qty. Unit Charge,: Per Extension BASE FEE 15.00 3,00 .7500 PER ELEC DEVICE/FIXTURE '1ST 20 - 2.25 2.00 3.0000 EA ELEC APPLIANCES 6.00 - ------------------------- Special Notes and Comments ---------------- ALTERATION TO EXISTING STARBUCKS.TENANT ` SPACE FOR NEW MICRO/CONVECTION OVEN & COUNTER REFRIGERATOR.•(HOOD FOR OVEN IS CURRENTLY NOT REQUIRED.NO GREASE, SMOKE OR STEAM SHALL BE PRODUCED UNLESS,. CONFORMING TO CMC SECTION 509.1)2001 CBC,CMC, 2004 CEC. Other Fees ENERGY REVIEW FEE 2.34 Fee summary Charged Paid Credited Due Permit Fee Total 59.25 .00 .00 59.25 Plan Check. Total 29.21. .00 .00 29.21 Other Fee Total 2.34 .00 .00 2.34 . Grand Total 90.50 .00 00 90.80 LQPERMIT TAi!t 4 P.O. BOX 1504 ^' . VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 . LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11.24/07 Application Number: 06'-00004351 Owner: Property Address: 50921 WASHINGTON ST LQ INV APN: 170-020-019-5 000000- C/O ROSETTE CADRYFtJ Application description: REMODEL - RESIDENTIAL 401 S BARRINGTON AVE Property Zoning: NEIGHBORHOOD COMMERCIAL LOS ANGELES, CA 90049 Application valuation: 5500 • Contractor. t Applicant: Architect or Engineer: W C C S INC -77- Architect �' E 9021 RANCHO , PARK COURT C1T�IY9��'-aAss _,_._mom► RANCHO CUCAMONGA, CA 9 ('909)982-6979 al Lic: No. 655509 -------------------------------------------------------------------------------------------------— 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 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 Lice Class.. B -C10 -C LicenseNo.: 655509 for by Section, 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor. I have andwill 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 , .. - 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 4670000397 - 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 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, 1 shall forthwith 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 any applicant fora permit subjects the applicant io.a civil penalty of not more than five hundred dollars ($500).: - ate: " ' " plicant: - " ( 1 1; 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 .. 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 ($100,0001. 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 I 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, ( ) 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 Quints, 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 days from date of issuance of such permit, or cessation of work for 180 days will subject ' CONSTRUCTION LENDING AGENCY - - permit to cancellation. I hereby 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 up n the above-mentioned property for inspection purposes. _ Lender's Name: _ - Date: nature (Applicant or Agent): Lender's Address: - - - LQPERMTT - Application Number. . . . . . 06-00004351 ------ Structure Information EXISTING STARBUCKS TENANT SPACE ----- Other struct info . . .. CODE EDITION O1BMP04E05EN # BEDROOMS ----------- ----------------------------------------------------------------- .00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 36.00 Plan Check Fee 23.40 Issue Date . . . . Valuation . . . . 5500 Expiration Date 7/23/07 Qty Unit Charge Per Extension 4.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 36.00 Permit . . . ELECT --ADD/ALT/REM Additional desc . Permit Fee . . . . 23.25 Plan Check Fee 5.81 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/23/07 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 2.00 3.0000 EA ELEC APPLIANCES 6.00 =------ -------------------------------------------- 7 ------------------------- Special Notes and Comments ALTERATION TO EXISTING STARBUCKS TENANT SPACE FOR NEW MICRO/CONVECTION OVEN & COUNTER REFRIGERATOR. (HOOD FOR OVEN IS CURRENTLY NOT REQUIRED.NO GREASE, SMOKE OR STEAM SHALL BE PRODUCED UNLESS CONFORMING TO CMC SECTION 509.1)2001 CBC,CMC, 2004 CEC. ---------------------------------------------------------------------------- Other Fees . . . . . ENERGY REVIEW FEE 2.34 Fee summary Charged Paid Credited Due -------------------------------------------- ---------- Permit Fee Total 59.25 .00 .00 •59.25 Plan Check Total 29.21 .00 .00 29.21 j•,. Other Fee Total 2.34 .00 .00 2.34, Grand Total 90.80 .00 .00 90.80 LQPERMIT ,Bin co City of La Quinta Building u Safety Division Permit {f .,1 P.O. Box 1504, 78-495 Calle Tampico La 3J Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �Q. �� S�— Owner's Name: Lvis A - 6,44ct A. P. Number. Address: `pj &,,eZ, Legal Description: City, ST, Zip:GG lhL Gdc4H"df otic Contractor: W��+•Coa15�CorJS><�vc �o� 5c12vic-C, Telephone: 979. Address:. 4021 fRANc L, ioi4R� f Project Description: _'414"c. ti % �l�7�o .City, ST, Zip:tqe1':9 ±2( f�i7DiN Co.✓c/-G7(oN ��.✓ Telephone: C� 4 7 9 '2 - - O State Lie. # :. (Q S 55 O C City Lie. #: Arch. Designer: Adder: City,. -ST, Zip: Telephone: Construction Type: occupancy: State Lic. #: Projeef type (circle one): New Add'n Alter 'Repair Demo Name of Contact Person: (Z.o,u G` S9. Ft.: #Stories: #Units: . Telephone # of Contact P ti: 92- 69 ? 9 x' uta abed Value of Project. , : S O APPLICANT: DO NOT WRITE BELOW THIS UNB # Submittal Req'd . Reed TRACMG . PERMIT FEES Plan Sets Plan Check submitted Amount Structural Calcs. Reviewed, ready for corrections Ptan Check Deposit Truss Calcs Called Contact Person Plan Cheek Balance Energy Calcs. Plans picked tip Construction Flood plain plan Plans resubmitted Mechanical Grading.plaa• 2"c Revie�r, reElor,,,orrecio sueL� (jElectrical Subcontactor List Called Contaci1 Plumbing Grant Deed Plans picked ap . S.M I H.O.A. Approval Pians resubmitted . Grading INHOUSE:- Review, ready for eorrectionslissue Developer Impact Fee. . Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue, School Fees ... .......: 4 ,..: :...... ....-. ... Total.PermitFees . .. (2 2 ( Oso =--� OiV BOARD iiv. f•iov,� .. ..._ . pp 'OD '12-12/.IC& 7 -COP ///6/07 OT 1yPR0V&7 Plan Check # RIVERSIDE, COUNTY COMMUNITY HEALTH ACENdY DEPARTMENT ENVIRONMENTAL HEALTH FOOD ESTABLISHMENT PLAN APPROVAL NOTICE Date 11/16/2006 Project Name Starbucks # Address 57 C9 c7:2 J &oq IWoj v /..V LN Plans Submitted by Elisa Sohn/Jones Lang La Salle Phone Owner Starbucks Address Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet This approval is only for the Starbucks warming station counter (oven and refrigerator) 1) One Turbo chef model # NGC microwave convection oven is approved for this facility. 2.) Area around the oven must have sufficient space to dissipate the heat from the oven Call Ian Dalgetty at 951-358-5172 for a final inspection of the equipment (5) days prior to its use CONSTRUCTION INSPECTIONS: Contact the Plan Checker -for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not. be granted, or remodeled areas approved to. operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS CHECKED BY Ian Dalgetty Phone _(951) 358-5172 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature. Company Name Date DEH -SAN -178 (Rev 2106) Corona Hemet Indio Murrieta Palm Springs Riverside 2275 S. Main St Suite 204 (951) 273-9140 800 S. Sanderson (951) 766-2824 47-950 Arabia St "A" (760) 863-8287 38740 Sky Canyon Dr (951) 461-0284 2500 N. Palm Canyon Dr 4065 County Cir Fax (951) 520-8319 Fax (951) 766-7874 Fax (760) 863-8303 Fax (951) 461-0245 (760) 320.1048 Fax (760) 320-1470 (951) 358-5172 Fax (951) 358-5017 Department Web Site — www.r1vcoeh.org