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11-0515 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 922-53 Application Numbery11-00000515 Property Addrens7 51105. AVENIDA VILLA 4 202 APN: 773-075-010- - - Application description: REMODEL - COMMERCIAL Property Zoning: VILLAGE. COMMERCIAL Application valuation: 3000 n Applicant: L�Mi�oit . Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date: 7/13/11 Owner: CORONEL ENTERPRISES INC 78150 TAMPICO LA QUINTA, CA 92253 Contractor: CORONEL ENTERPRISES ��I 42760 MADIO STREET I ND I O, CA 92201 a- (760)775-1234 f.{¢4A Lic. No.. 727199 r-_—.-�'_4y.`' ------------------------------------=------------------------- .LICENSED CON ACTOR'S LARATION ----------------------------------- - � -WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of p rq ry that am licens under prov' ion of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of th Bu 'ness nd Profes canals Cod and y License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for'workers' compensation, as provided License Class: B Licens No.. 727199 _ for by Section 3700 of the Labor'Code, for the performance of the work for which this permit is ' issued. - v Date: -7-\-j.\1 rContractor_ - _ 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 1948821-2011 . following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to mit is issued, I shall not employ any _ I certify that, in the performance of the work for which thi�r�k construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the neto as to become s t to the s' compensation laws of California, person in any so, permit -to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree thad subj ct to the -wor mpensationprovisions of SectionLicense Law (Chapter 9 (commencing with Section 7000) of Division 3 of•the Business and Professions Code) or 3700 of the L, I hall forth th comply wit provisions. 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 155001.: Date: -7-13 _\I U-45plica 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 , 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. .. . _ - 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, 1 _ 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 issucd as a result of this applicationbecomesnull 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 t the abov information correct. I ee comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to ding c struction, d hereby a horize representatives - of this county'to enter upon the above-mentioned pro r y for ipection pu poses. ' Lender's Name: ' (f - Signature (Applicant or Agent) Lender's Address: r'et7'-17- LQPERMIT - . Application Number. . . . . .11-00000515 ------ Structure Information SUITE 202 ----- other struct info CODE EDITION 2010 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B , OCCUPANT LOAD 9:00 ----------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 937.00 Permit . . . . BUILDING PERMIT Additional desc SUITE 202 T.I. Permit Fee 54.00. Plan Check Fee -.. 35.10 Issue Date,' Valuation 3000 Expiration Date 1/09/12 Qty Unit Charge..Per Extension BASE FEE 45.00 1.00 '9.0000 ------------------------------------------------------------------------------- THOU BLDG 2,001-25,000 9.00 ' - Permit. . . ELECT - ADD/ALT/REM , Additional desc . Permit Fee' '15.00 P1an:Check Fee 3.75 Issue Date Valuation- 0 Expiration Date -1/09/12 Qty ' Unit Charge Per Extension -------------------------------------------------- BASE FEE --------------------------- 15.00 Permit 'MECHANICAL Additional desc Permit Fee 24•.00 Plan Check Fee 6.00 Issue Date Valuation 0 Expiration Date.. 1/09/12 Qty Unit Charge Per Extension . BASE FEE 15.00 2.00 4,.5000 ----------------------------------------------------------------------------- EA MECH VENT INST/ DUCT ALT 9.00 Permit . . . PLUMBING Additional desc Permit Fee :33.00' Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date.. 1/09/12 Qty Unit Charge Per Extension. LQPE%NIIT Application Number 11-00000515 Permit . . PLUMBING Qty. Unit Charge-- Per Extension BASE -FEE 15:00 3.00 6.0000 EA PLB FIXTURE 18.00 Special Notes and Comments 937 SF INTERIOR T.I. AT.SUITE 202 FOR A MASSAGE SALON.2010 CODES. Other Fees BLDG STDS.ADMIN .(SB1473). 1..00 Fee. summary Charged Paid Credited Due Permit Fee Total .126.00 .00 .00 126.00 Plan Check Total 53.10 .00 .00 53.10 Other Fee:Total 1.00 .00 .00 1.00. Grand Total 180:10 .00 .00 180.10.. LQPERMIT - WWC4V.1 P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78,495 CALLE TAMPICO' (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX.(760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: 7 -�J .From: Les Johnson, Director -Planning Due Date: Permit #:Status: � Building Plans Approval (This is an approval to issue a Building Permit) F The Planning Department has reviewed the Building Plans for they following project: Description: 7-1 Address or General Location:.7 �' /D.S VXz16t 202 Applicant Contact: � c -e -t✓ 760.3%9..3367 The Planning .Department finds that: ❑ ...these Building Plans do not require Planning Department approval. A/ ..these Building Plans are approved by the Planning 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 Planning. Department for review. Les Johnso�f, Director -Planning r v iw II®®" �. a •e^• c CIDP s: 32 • �� ed MAY 17 2011 city of La Quinfa Planning DePQrhent t ate