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06-0848 (RC)4 P.O. BOX 1504 'VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY'DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/02/06 Application Number: 06-00000848 Owner: Property" Address: 50620 EISENHOWER DR LANDAQ INC APN: 773-370=029- - - 20 PGA BLVD Application description: REMODEL - COMMERCIAL 6 QUINTA, CA 921,253 Property Zoning: MEDIUM DENSITY RES D Application valuation: 9375 MAR 07-2906 t ontractor: Applicant: Architect or Engineer:MPANIES CONSTRUCTION INC 11 �i�iOIF�QVA 11.0 QUAIL STREET CE On NEWPORT BEACH, CA 92660 (949)955-3832i.No63 Lic., No.: 863620 Af,5'pf5e) - -------------------------- - - -- -- - -- -- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I, hereby affirm under penalty of perjury that am licensed under provisions of Chapter (commencing with I hereby affirm under penalty of perjuryone. of the following declarations: Section 7000)of Division3'of the Business and Professionals Code, and my 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 License No:: 863620 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: _ I have and will maintain workers' compensation insurance,.as required by'Seciion 3700 of the Labor Code, for the performance of the work°for which this permit is issued. Myworkers! compensation OWNER -BUILDER DECLARATION. insurance:carrier'and policy number are: I hereby affirm under penalty_ of perjury=that l am.exempt from the;Comractor's State License Law for the, Carrier CLARENDON NATL - Policy Number 03KROO284°27 following reason,(SeC. 7031.6;Businessand Professions Coder Any city or county that requires apermit to - I certify that, in the performance of the rkfor which this•permit is issued, I shall not employ any construct, alter, improve, demolish, or repair anystructure, prior to its issuance, also requires the -applicant for the person in: any manner so as to bac subjectao the work" a"compensation laws of California, pe MI." a signed statementthathe or she is licensed pursuant to the provisions of the Contractor's State and agree'that; if I should becom ubject to the work a .:p - tion provisions of Section License Law (Chapter '9.(commencing with Section 7000) of Division:3 of the Business and Professions Code) or 700 o_ f the Labor Code shall with com w' thos ons. that he orr: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)•: te: I...'ant. (_ 1 I, as owner of the property, or my employees With 'Wages as their soWcompensation, will do the work, and the stricture is not intended or offered for sale.(Sec. 7044, Business and Professions Code: The WARNING: AILUKeETO 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 SECTIO_ N 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.). (,) 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 Lew does'not apply to an owner of property who builds or improvesthereon, and w o contracts for the projects wltha contractor(s) licensed pursuant to the. Contractors' State Licens 1 1 I am exempt under Sec. , B.&P.C. r is reason. Date: _ / 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.). Owner:. Lender's Name: t Lender's Address: LQPERbHT 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 Quints, its officers, agents and employees for any actor 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; cessation of wo#1days will subject permit to cancellation. I certify th t I have read this applica ' and state that the above rmation is correct.mply with all city a ounty ordinances andlating to building co ruction; and hereby esentatives of is u enter upo a above mentioned propert for' ion purpo 1 ,b ' Date: ignature IApplicant,or Agent): Application Number . . . . . 06-00000848 Permit . .. . BUILDING PERMIT Additional desc . Permit Fee 117.00 Plan Check Fee 76.0.5 Issue Date . . . . Valuation . . . . 9375 Expiration Date . 8/29/06 Qty Unit Charge Per, Extension BASE FEE 45.00 8.00 9.0000 THOU BLDG 2,001-25,000 72.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . .. Permit Fee . . . . 131.44 Plan Check Fee 32.86 Issue Date Valuation . . . . 0 Expiration Date 8/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 5822.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 116.44 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 155.5.0 Plan Check -Fee 38...88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 9.0000 EA MECH FURNACE<=100K 5.4.00 6.00 9.0000 EA MECH B/C <=3HP/100K BTU 54.00 5.00 6.5000 EA MECH VENT FAN 32.50 Permit . . . PLUMBING Additional desc . Permit Fee 112.50 Plan Check Fee 28.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/29/0.6 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.000.0 EA PLB FIXTURE 60.00 5.00 7.5000 EA PLB WATER HEATER/VENT 37.50 Special Notes and Comments SHELL IMPROVEMENTS TO GROUND FLOOR LQPERMIT Application Number . . . . 06-00000848 Special Notes and Comments SHELL AREA 5822 SQ.FT.,DEMISING WALLS,5 UNISEX TOILET ROOMS, MECHANICAL AND ELECTRICAL WORK.20.01 CBC,CMC, 2004.CEC, 2005 ENERGY CODES. **UNDERGROUND SEWER.AND WATER PIPING UNDER ISSUED PERMIT 04-4030** - ----------------------------- ------------------------------------------------ Other Other Fees . . . . . . . . ACCESSIBILITY ------------------------ PLAN REVIEW 7.61, ENERGY REVIEW FEE 7.61 Fee summary Charged Paid Credited Due Permit Fee Total 516.44 .00 .00 516.44 Plan Check Total 1.75.92 .00 .00 175.92 Other Fee Total 15.22 .00 .00 15.22 Grand Total 707..58 0.0 .00 707.58 LQPERMIT