05-4585 (SPIN)w
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 05-00004585
Property Address: 50949 WASHINGTON ST STE
APN: 770-020-016-2 -000000-
Application description: SPECIAL INSPECTION
Property Zoning: NEIGHBORHOOD COMMERCIAL
Application valuation: 0
Applicant:
T,iht 4 4 Qulk&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
1E LQ INV -SUMMIT TEAM
n n 401 S BARRINGTON AVE 100
LOS ANGELES, CA 90049
Architect or Engineer:
OC% 13 ?005 Contractor:
Cary Owner
--------------------------------------------------
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: License No.:
Date: Contractor:
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 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).:
1 _ 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.).
1 _ 1 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 cunuactui(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 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
Date: 10/12/05
-----------------------------------------------
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 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 Policy Number
I certify that, in the performance of the work for which this permit is issued, I shall notemployany
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 whosc bchalf this application is made, each person at whose regriest 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 that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this count to nter upon the above-mentioned property f inspection poses. `
11 y
pe
Date: D Ii D�ignature (Applicant or Al
Application Number . . . . . 05-00004585
Permit . . . SPECIAL INSPECTION
Additional desc .
Permit Fee . . . . 100.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . . 4/10/06
Qty Unit Charge Per
Extension
BASE FEE
100.00
----------------------------------------------------------------------------
Special Notes and Comments
SPECIAL INSPECTION FOR CHANGE OF USE
FROM REAL ESTATE OFFICE TO DAY SPA
"TOUCHED BY AN ANGEL".
Fee summary Charged Paid
-----------------
Credited
Due
--------------------
Permit Fee Total 100.00
----------
.00
----------
.00
100.00
Plan Check Total .00
.00
.00
.00
Grand Total 100.00
.00
.00
100.00
LQPERMIT
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
4.
Beaumont
Calimesa
,f' -0.-
Canyon Lake
4.
Coachella
Desert Hot Springs
4 -
Indian Wells
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
3
Perris
4 -
Rancho Mirage
o.
San Jacinto
-le
Temecula
RIVERSIDE COUNTY
FIRE DEPARTMENT
82-675 Highway 111, 2nd Fl., Indio, CA 92201 • • Fax (760) 863-7072
October 13, 2005
City Of Coachella
Building Department
Re: Touch By An Angel
The Riverside County Fire Department is granting a fire and life safety clearance for
the following addresst49rV1lashirlgton-Ste 1,-E La Quinta . Please call if you should
have any questions.
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley, TD/jl
District 5
TRACY HOBDAY
Battalion Chief / Fire Marshal
By Terry DeSoucy
Fire Systems Inspectors
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2M R., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
q Certificate of Occupancy
4
4 COPY
INcowo1ATM
� 5
G�
OF 9� Building Y p & Safety Department
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 ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 50-949 Washington Street Suite 1E
Use classification: Commercial "Day Spa" Tenant (Change of Use Special Inspection) Building Permit No.: 05-4585
Occupancy Group: B Type of Construction: VN Land Use Zone: CN
Owner of Building: LQ INV -Summit Team Address: 401 S. Barrington Ave 100
City, ST, ZIP: Los Angeles, CA 90049
By: Daniel P. Crawford Jr.
Date: 10/13/05
Building Official
POST IN A CONSPICUOUS PLACE