05-2775 (RC)R.O. BOX 1504 D U
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92 JUL 2 9 1005
Application Number: OS -000027 5 CIS OFCC
C
Property Address: 47120 D
APN: 649-030-038-2 -000000-
Application description:. REMODEL'- COMMERCIAL.
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 31500
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
NG & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RINKER HARRY S
C/O RUTH WALLACE.
I hereby affirm under penalty of perjury that 1 am licensed under pro ' ' s of Chapter 9 (commencing, with
Section O) of Division 3 of the usiness Professionals Cod , an my. License is in full fores'and effect.
License lass:: No. 464856
c
Contractor•
OWNER -BUILDER DECLARATION
I hereby affirm under penalty, of perjury that I am,exempt from the,Cornractor's State License Law for the
following reason (Sec. 7031.5, Business'and Professions Code: Any city or county that requires a,permitto
eonstiuct; :alter; improve, demolish, or repair any structure; prior touts, issuance, also requires the applicant for the
permit to file a signed statement that he or she s; 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 (8500)::
(_) 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 whobuilds 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 thathe 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 and Professions Code: The Contractors' State License Law'does not applyto 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.).
(�) I am exempt under Sec. BAP.C. for this reason
Date: Owner::
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury "that thein 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:
LQPERNaT
Contractor:
ULTRA CONSTRUCTION
3065 E. VERONA.ROAD
PALM SPRINGS, CA 92264.
(760)320-2113
Lia. NO..: 464,856
VOICE (760) 777-7012.
FAX (760) 777-:7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
Date: 7/25/05
l.hereby affirm under penalty of.perjury one of the following declarations:
_ I have;and will maintain a certificate of consent to saWins re 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.
1 have.and`will maintain workers' compensation insurance, as required by Section 3760 ofthe Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FLTND Policy Number - 1615446
I certify that, ce of the workin the performanfor which this permit is issued, I shall,notemploy any
person in any manner so as to oma subjectto thew 1 mpens& on f of California,
and "nee that, if 1. should beoo sibjectto the rkers' nsation pro 'ons of Section
37 of the 1 steel orthwith carp 'w t rovisions.
D Applica
WARN G: F LURE TO SECURE:WORKERS' COMPENSATION COVERAGE IS'UNLAW L, AND SHALL
SUBJ AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100;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 thisapplication.
1. Each person upon,whose behalf this application is made, each personst whose request end 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 agress.to, and shall defend, indemnify and hold harmless the City
of La Quints, its officers, agentsand;employees forany act or omission related to the work:being
performed under or following issuance of this.parmlt:
2. Any permit issued as a result of this application becomes null and void if work is nut commenced
within 180 days from date or issuance of suchLpermit,sation of workfor 1 aye will subject
permitto.cancellation.
I certify that I have read -this application4andstate that the aon is c rect. ee to. plywith all
city and rdinances and state lanend rebya ze r esentativas
of this my enter upon the above-oned pr rty fur
e Signature (ApplicaAgent):
Application Number . . . . . 05-00002775
Permit BUILDING.PERMIT
Additional desc .
Permit Fee . . . . 297.50 Plan Check Fee .
193.38
Issue Date . . . Valuation . . .
31500
Expiration Date 1/21/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
7.00 6.5.000 THOU BLDG 25,001=50,000
----------------------------------------------------------------
45.50
Permit . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . . 63.72 Plan. Check Fee
15.93
Issue Date . . . . Valuation . . . .
0
Expiration Date 1/21/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
2436.00 .0200 ELEC.GARAGE OR NON-RESIDENTIAL
48.72
Permit . . . MECHANICAL
Additional desc
Permit Fee 64.0.0 Plan Check Fee
12.75
Issue Date Valuation . . . .
0
Expiration Date 1/21/06
Qty Unit Charge Per
Extension,
BASE FEE
15.00
2.00 9.0000 EA MECH-FURNACE <=100K
18.00
2.00 9:.0000 EA MECH B/C <=3HP/100K BTU
18.00
2.00 6..5000 EA MECH VENT FAN
13.00
Permit . . . PLUMBING.
Additional desc . .
Permit Fee . . . . 48.00 Plan Check Fee
12•.00
Issue Date . .. . . Valuation . . . .
0
Expiration Date 1/2:1/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 6.0000.EA PLB FIXTURE
30.00
1.00 3.0:000 EA PLB WATER INST/ALT/REP
3:.00
----------------------------------------------------- ----------------------------
Special Notes and Comments
Commercial Remodel 2,436 sqft,
LQP"mr
.Application Number
. . . . . 05-00002775
--------------
Special Notes and
---- -
Comments
"American Home. Mortage"
"B" Occupancy,.
Type VN Sprinkled,
Occupant Load 25.
------------------------------------------------------
----------------
Other Fees .
-
. . . . . . STRONG MOTION
(SMI) - COM
6.61
Fee summary
Charged Paid
---------- ----------
Credited
- - - -
Due
-----------------
Permit Fee Total
473.22 .00
.00
473.22
Plan Check Total
234.06 .00
.00
234.06
Other Fee Total
6.61 .00
.00
6.61
Grand Total
713.89 .0"0
.00
713.89
LQFERMff
i-
Tibf 4 4 a"
P.O. Box 1504
78-495 CALLS TAMPIC0
LA-QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
BUILDING & SAFETY DEPARTMENT
(760') 777-7012
FAX (760) 777-7011
To CDD: 07/07/05
From: Doug Evans, Planning Director Due date: 07/14/05
Status:
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development. Department has reviewed the Building Plans for the
following project:
Description: Tenant Improvement - American Home Mortgage #05-2775
Address or general location: 47.120 Dune Palms Road
Applicant Contact: Ultra Construction 320-2113
The Community Development Department finds that:
...these Building Plans do not require Community Development Department
approval.
❑ ahese Building Plans are approved by the Community Development
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 Community Development Department for review.
Doug Evans, Planning Director Date
SEP -29-2005 THU 09.45 AM RIVERSIDE COUNTY FIRE
Craig Anthony
Fire Chief
Proudly wing the
Unincorpomtul
An= of Riverside
County and ffie .
Cities of:
Banning
10.
Bmrnoat
4
Calimesa
4
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
d+
Indio
Lake Elffiorc
La Quint%
Moretl0 valley
Palm Desert
4.
Paris
fi
Rancho Mirage
4 .
San Jacinto
0
Temecula
Board of Suporviww :
Bob Buster.
District 1
,obn 'ravaAlione,
District z
Ji verwble,
Didr ict 3
Ray! W ilson,
District 4
MArion,Aahlay.
Pidrid.5
FAX N0. 17608637072
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department ofForestry and Fire Protection
n aarrta Avenue • pam, L;avrama 92370 • •
September 29, 2005
La Quinta
Building Department
Re: Fire Occupancy
The Riverside County Fire Department is granting the clearance for a building Fire
Final only located at ti, Dui F'ai=Y,a. Quinta . Please call if you
should have Questions.
Respectfully
FRANK KAWASAKT
Battalion Chief / Fire Marshall
By -s C�cc,C,c
Terry DeSfoucy
Fire System inspectors
EMMNCY SERVICES L MSM • PLAHMM SECTION 91NDMOMCE
82-675 Highway 111, 2n0 R., India, CA 92201 + (760) 80 -SM 9 Parr (760) M3.7072
P. 01/01
Certificate of Occupancy
T4&f4 4.Q" COPY
Building & 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: 47-120 Dune Palm Road Suite B
Use classification: Commercial "American Home Mortaaae" Office TI
Occupancy Group: B
Owner of Building: Harry Rinker
Building Official
Type of Construction: VN Sprinkled
Building Permit No.: 05-2775
Land Use Zone: CR
Address: 47-120 Dune Palms Rd.
City, ST, ZIP: La Quinta, CA 92253
By: Daniel P. Crawford Jr.
Date: 10/12/05