05-3599 (SPIN)'C
r�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T d -4t 4.4 Qum&
Application Number: 05-00003599
Property Address: ( 51230 EISENHOWER DR
APN: 773-072-019-12 -000000-
Application description: SPECIAL INSPECTION
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 0
Ap nt: p O Architect or Engineer:
�6 12 INS
A
-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------=--------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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, 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 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 ($500).:
( _) 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 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.L
(_ 1 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 contractors) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 1 am exempt under Sec. 1E`flP1&,1for this reason
CONSTRUCTION LENDING AGENCI—
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: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/11/65
Owner:
Kathryn J'Carlson/B. de Coster
PO BOX 1711
LA QUINTA, CA 92247
Contractor:.
Owner
----------------------------- - -----------------
WORKER'S 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.
_ 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
insurance carrier and policy number are:
Carrier Policy Number
_ I certify that, in the performance of the work for which this permit is issued, I 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 with those provisions.
Date:
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 ($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.
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 cessationof work for 180 days will subject
permit to cancellation. .
t 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 t mg trusion, and hereby authorize representatives
of this county tp enter upon the above-mentioned -party f in tion purposes.
;DaDa ter . V8[griature (ApplicanYor Agentl',
1
s'
Application Number . . . . . 05-00003599
Permit . .
. SPECIAL INSPECTION
Additional desc .
Permit Fee . . .
. 100.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 0
Expiration Date
2/07/06
Qty Unit Charge
Per
Extension
BASE
FEE
100.00
-----------------------------------------------------------=-----=----"-----=
Special Notes and
Comments
SPECIAL INSPECTION
FOR CHANGE OF
OCCUPANCY.
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1.00.00
.00
.00
100.00
Plan Check Total
.00
.00
.00
.00
.Grand Total
100.00
.00
Ob
100.00
LQPEPNIIT
•
4•
Certificate of Occupancy
4
1"Co"MTM
Mu
OF9 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: 51-230 Eisenhower Drive
Use classification: Commercial "Veterinarian Office" Change of Use Building Permit No.: 05-3599
Occupancy Group: B Type of Construction: VN Land Use Zone: VC
Owner of Building: Kathryn Carlson/B. de Coster Address: P.O. Box 1711
City, ST, ZIP: La Quinta, CA 92247
�d By: Daniel P. Crawford Jr.
Date: 10/12/05
Building Official
POST IN A CONSPICUOUS PLACE
,�
O
8/12/05
TUY 4 ,'�'a"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Ms. Carlson and Mr. de Coster
P.O. Box 1654
La Quinta, CA 92247
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
RE: 51-230 Eisenhower Drive, Change of Use in "B" Occupancy, Permit 05-3599
Dear Ms. Carlson & Mr. de Coster,
A special inspection was performed at 51-230 Eisenhower for an application of `Change
of Use' within a `B" Occupancy for the existing art gallery structure to a professional pet
grooming business. The following comments are based upon my observations and
requirements to approve the application of Change of Use and the issuance of a
Certificate of Occupancy.
Please provide written evidence of a current City Business License for the pet
grooming business.
2. Please correct the following electrical conditions observed;
* Protect all exposed electrical wiring at main electrical service closet.
* Construct approved junction box for open/exposed electrical wire splice.
* Construct missing electrical cover plate at receptacle.
* Construct approved dead front at electrical disconnect.
* Construct approved exterior planter light fixture or terminate exposed electrical
wires in an approved weather proof junction box.
3. Obtain a building permit.to replace broken windows on the Eisenhower Drive
elevation. Please submit approved 2005 Energy Title 24 Calculation with permit
application for review and approval prior to replacing windows. Remove plywood.
Please be aware that any tenant improvement, alteration and/or expansion of the building
and use will require a building permit with Building Department review and approval.
Additional corrections for site accessibility, interior accessibility and exiting were noted
and will be addressed at that time. Should you have any questions and/or if I may be of
any further assistance, please call me at (760) 777-7027.
Scere
el Ara4r/
Building Inspector II