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05-0611 (RC)T4hf 4 4 a" )x 1504 CALLE TAMPICO NTA, CALIFORNIA 92253 )er . . Property Address APN: Application description Property Zoning . . . . Application valuation . BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 05-000,00611 _ _Date 51625 DESERT -CLUB DR STE 101 770-182-007-7 -000000- . . . REMODEL - COMMERCIAL . . . VILLAGE COMMERCIAL 75000 3/23/05 Owner Contractor NISPERO PROP INC SUN VISTA DEVELOPMENT CORPORAT P 0 BOX 1144 P.O. BOX 1144 LA QUINTA CA 92253 LA QUINTA CA 92247 (760) 771-4722 WCC: HRH INS WC: 17054605 01/01/06 CSLB: 744091 .12/31/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . . . BUSINESS <50 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 33.00 _ 1.1STFLOOR SQUARE FOOTAGE 3.275.00 2ND FL•ObR SQUARE FOOTAGE' .00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc r Permit Fee . . . . 527.00 Plan Check Fee 342.55 Issue Date Valuation 75000 Qty Unit Charge Per Extension BASE FEE 414.50 25.00 4.5000 THOU BLDG 50,001-100,000 112.50 ---------------------------------------------------------------------------- Permit . . . . . . ELECT - ADD/ALT/REM Additional desc .. Permit Fee . . . . 80.5Q Plan Check Fee 20.13 Issue Date Valuation 0 .Qty Unit Charge Per Extension BASE FEE 15.00 3275.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 65.50 ------------------------------------------------------------ Permit . . . . . . MECHANICAL -• Additional desc P.O. sox 1504I4 4 CE VOICE (760) 777-7012 78-495 CALLS TAMPICO ' FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O s' CG I I Date: .3 ' - 0:5 Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS R LICENSED CONTRACTOR'S DECLARATION 1 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 de, and my License is� force and effect. License Class icense No. /ate :3—,;�3 0 �; 5ntramr !�;CJIPIJ 2)lhJ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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 contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason WORKERS' 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. 41 have and will maintain wo cers' co pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is s d. My "kers' co e n insur a carrier and certify that, in the pe rmance f the work for which this permit is issued, shall not employ any 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 withthose provisions. 1 WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N 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. 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 Lenders Address 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 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 county to enter u e above-mentio property for inspection purposes. ate _b Si�(Applicant or Agent): Page 2 Application Number . . . . . 05-'00000611 Date 3/23/05 Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 ---------------------------------------------------------------------------- Special Notes and Comments COMMERCIAL - SUITE 101, REAL ESTATE OFFICE T. I . [ENTIRE FIRST 'FLOOR] 3275 SQ.FT.."B" OCCUPANCY, TYPE V -N CONSTRUCTION, 2001 CODES -------------7-------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 34.26 Fee summary Charged. Paid Credited ----------------- ---------- Due ---- - ----- Permit Fee Total 627.00 ----=----- .00 .00 ---------- 627.00 Plan Check Total 367.56 .00 .00 367.56 Other Fee Total 34.26 .00 .00 34.26 Grand Total 102.8.82 .00 00 1028.82 J City of La Quinta Building 8t Safety Division . P.O. Box 1504, 78-495 Calle Tampico Permit # La Quints, CA 92253 - (760) 777-7012 09 — 0/ Building Permit Application and Tracking Sheet Project Address: Ss f¢ vb (, Owner's Name: X A. P. Number: 31414c" Address: X ?a� Legal Description: Contractor: X � �� 51A !J City, ST, Zip: X 14 Telephone: o Z Address: 0 !3/ Project Description: X City. ST, Zip:V T'Pn Jqw Telephone: hone: P x�o / r~ oC w � N e S to S d � N State Lic. # : X, Citv Lic. , Arch.. Engr.. Designer: Address:/r/�� ;,�< �N'�2 f �, G _S' City. ST. Zip: Me r- f L 7-Gj Lic. Name of Contact Person: x f Z Construction ancy:TelePhone: Type: Occupancy: ,. Alter Repair DemooState Project tYPa circle one): Ne%% Add'n Sq. Ft.../y,f�� # Stories: # Units: Telephone # of Contact Person: )C Estimated Value of Project: x - 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Fes, Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. 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