13-0291 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/03/13
Application Number:
.13-00000291
Owner:
Property Address:
46805 DUNE PALMS RD
DESERT PALM MGMT
GROUP
LLC
APN:
649-020-999-A. -02377 -
P.O.BOX 14055
Application description:
REMODEL - COMMERCIAL
PALM DESERT, CA
92255
Property Zoning:
REGIONAL COMMERCIAL
(760) 969-1062
Application valuation:
10000
Contractor:
DE
°
Applicant:
Architect or Engineer:
SO CAL BUILDERS
�-, ^A
PO BOX
c� 201
N O qRANCHO
(V�4" y -
''
MIRAGE, CA 2V�Y
MIRAGE,
(760)343-1134
Lia. No.: 713168
CITY OF LAQUINTA
LICENSED CONTRACTOR'S DECLARATION
Ihereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing .with
Section7000) of Division 3 of the Business and'Professionals Code„ and my U is in full torce,and effect.
License_ Class: B 2 Li. 71 68
Date:. ^� _ j 7 Comrac4or:
OWNER -BUILDER DECLARATION
1 hereby affirm underpenalty 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, demofth,or repair any structure,,prlor to its issuance,; also requires the applicant for the
permit to file a signed statement that he or she Is licensed pursuant to the'provislons of the: Contractor's State
License Law' (Chapter9 (commencing: with Section 7000) of Division 3 of the Business and Professions Code) or
that he or sheds exempt,therefrom and the basis for the alleged exemption. Any violation of'Seddon 7031.5 by
any applicant for a`permit subjects the applicant to a civil;penalty of not more than five hundred dollars ($500).:
(_) 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does"the work himself orr 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044,Business arta 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.wA a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I ani 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 lendingagency for the performance of the
work for which this permit is issued, (Sec. 3097, Civ. C.).
Lender's Name:
LendaPs Address'
LQPERMIT
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-4nsure for workers' compensetion,.as provided
for by Section3700,ofthe 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 Sectiom3700'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 PAYC Ikk INS' Policy Number SOWC359711
I certify that, in the performance of the work for which this permit is Issued, 1 shall not employany
person in any manner aO,ae-to become:subject to the workers' compensationlaws of California,
and agree that if. I should become Subject to the workers' compensationovisions.of Section
/� 3700 of the Labor Code, I shall forthw' ply w se provision
k Date:(7�),-/5 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 (6100;000). IN ADDITION TO THE,COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 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 whose behalf this application is made, each person_at whose request and for
whose benefit work is performed under or pursuamto any permlt,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 Le'Quints, its; officersragents,and employees for any act or"omission related to the work being
performed under or following ofthis permit.
3. Any permit issued as a resultof this application becomes'.null and void If work is not commenced
within 180 days from date of issuance of such permit, orcessadon 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 presentati s
of this[county to enter upon the above-mentioned property forinspection pur`
Date -6-1- 2 Signature (Applicant or Agent): _
'00-
Application Number . . . . . 13-00000291
------ Structure Information. EXIST RETAIL BLDG 15933SF
-----
Construction Type . . . . TYPE V, UNPROTECTED
Occupancy Type . . . . . MERCANTILE
Other struct info . . . CODE EDITION
2010
FIRE SPRINKLERS
yes
Permit. . . . BUILDING PERMIT-
Additional desc .
Permit Fee . . . . 117.00 Plan Check Fee
76.05
Issue Date . . . Valuation
10060
Expiration Date . . 11/30/13
Qty Unit Charge Per .
Extension
BASE FEE
45.06
8.00 9.0000 THOU BLDG 2,001-25,000
72.00
Permit. . . . DEMO_ PE_R_MIT
Additional desc .
Permit Fee . . . 45.00 Plan Check Fee
.00
Issue Date ,. Valuation
10000
Expiration Date 11/30/13
Qty Unit Charge. Per
Extension
BASE FEE
45..00
- ---------------------------------------------------------------
Special Notes and Comments
SHELL :IMPROVEMENT TO INSTALL INTERIOR
PARTITIONS ALONG EXIST. STOREFRONTS.
PARTIAL DEMOLITION OF INTERIOR WALLS AND
CABINETS. EXISTING SHEAR WALL TO HAVE
PERFORATIONS AND ADDITIONAL SHEAR TO BE
ADDED PER ENGINEERED PLAN.
ENGINEER: CRAIG ANDERSON SE2609. 2010
CODES.
-- --------•-----------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMI_N (SB1.473)
1.00
HOURLY PLAN CHECK
217.00
STRONG MOTION (SMI') - COM 2.10
Fee summary Charged Paid Credited
Due
-- --- - -- -- --- -----
Permit Fee Total 162.00 .00 .00
----------
162.00
Plan Check Total 76.05 .00 .06
76.05
Other Fee Total 220.10 .00 .00
220.10
Grand Total 458.15 .00 .:00
458-.15
LQPERMIT