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04-4993 (RC)w �F�a�rw BUILDING & SAFETY DEPARTMENT P.O. Box .1504 (760).777-7012 78-495 CALLE. TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225.3 INSPECTION REQUESTS (760) 777 -7153 - BUILDING PERMIT Application Number . . . . . 04-00.004993 Date 6/21/04 . Property Address . . 78110 CALLE'ESTADO APN: 770 -151 -004 -9 -000000 - Application description REMODEL _ COMMERCIAL Property Zoning . VILLAGE COMMERC A -L n p Application. valuation... 14000 D owner Contract r SUN 21 200 ------------------- - .---=-------° LINDA SUMMERS OWNER CjTyofL.AQU`I�y C/O CIRO ' S RESTAURANT fI0R6aC-to) Pt LA QUINTP; CA:92253 -- Structure Information KITCHEN HOOD./.FIRE SYSTEM ----- Construction Type'..TYPE.V -.NON RATED Occupancy Type BUSINESS <50. Flood Zone .. NON -AO FLOOD.. -ZONE Other. struct info CODE EDITION 2001 CBC FIRE SPRINKLERS YES Permit BUILDING PERMIT Additional desc . Permit Fee .153.00 Plan .Check. Fee 99.45 Issue Date Valuation. 14000 ° Qty Unit Charge Per Extension BASE FEE 45.00 12.0.0 9:0000 THOU .BLDG 2,00-1-25,000. .108.00. Permit ELECT ADD/ALT/.REM, Additional desc .Permit.. Fee .. 17 ..25 Plan . Cheek Fee. 4.3-1 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 '3. 00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 .Permi.t MECHANICAL Additional desc . Permit Fee 30.50 ..' Plan Check Fee.. 7.63 Issue Date Valuation ,:. 0 Qty.Unit Charge Per Extension P.O. Box 1504 78-495 CALLE TAMPICO LA Qt1INTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT -Application Number: Applicant: Applicant's Mailing Address: Architect or Engineer: A A VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Code, and my Licenses in ILI1 fo ani $ff C- .: License C / License No. Date 0 dl Contractor 9/rN LoNC'C�/d N 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 constrict, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for thepemnit 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 000).): U I, as owner of the property, or my employees with wages as their sold compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Cormtractors' 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 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 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 Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self4nsure 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 Labe Code, for the performance of the work for which this permit is issued. My workers' compensation insurance prier and policy number are: ^ Cartier Policy Number _ I certify that, in the performance of therAork for which tjds pe issued, I shalt not employ any pecan in any manner so as to become subject to the workers' compensation laws of California, d agree t shout ect to the workers' compensation provisions of Section 3700 of the Labor Code, l stmatl forthwith comply with those pro ons. Date � / p Applicant WARNING: FAILURE TO SECURE W KERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND 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 Lender's 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, indemnity and hold harmless the City of La Ouinta, 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 pemdt, or cessation of work for 180 days will subject permit to can tion. I certify that I have read this application and state that the above In tion is co I agree to mply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t e ter upon n ' property for inspection purposes.' L � CDate tI 0 Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00004993 Date 6/21/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 6.5000 EA MECH EXHAUST HOOD '6.50 ------------------------------------------------ Permit . . . . . . --------------- PLUMBING ------ Additional desc Permit Fee . . . 18.00 Plan Check Fee 4.50 Issue Date Valuation '0' Qty Unit Charqe Per Extension BASE FEE 15.00 ..1.00- 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ----------------------------------------------------------------------------- Special Notes a ' nd.Comments INSTALL KITCHEN VENT WITH FIRE SYSTEM. Fee summary Charged Paid Credited ------------ ---- Due 7 ---------- Permit Fee Total ---------- ---------- 218.75 .00 .00 ---------- 218.7.5 Plan Check Total 115.89 .00 .00 115.89 Grand Total 334.64 .00 .00 334.64 JUL-14-04 WED 5:28 PM RIV, CO, FIRE P&E INDI0 FAX H. 1 760 863 7072 P, 1 Toni Tisda;e Fire Chiof Proudly serving the Unincorporated Areas of Riverside County and the Cities nC Banning 4. Reautnoui e• Calimesa Canyon Lake 0 Coachella Desert }lot Springs :• Indian Wells 4 Indio C• Lake Elsinore La Quinta Moreno Valley Pahn Desert Perris Rancho Mirage San Jacinlu r Tcmccula Board ol'5upervisors Bob Busier, I)ianct I John Tavaglione, nisirict 2 Jim venahlc- I)islrict 3 Roy Wilson. I)Islrict A Marion Ashley, I)istrict S RIVERSIDE COUNTY FERE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • ( 00 . Fax 909) 910 July 14, 2004 City of La Quinta Building Department Re: Fire and Life Safety Clearance The Riverside County Fire Department is granting a fire and lire safety clearance for the following project Ciro's, located at 70110 Calle Estado, La Quinta. Please call if you should have and Questions. Respectfully FRANK KAWASAKI Chief Fire Department By A ,LCSO Terry De'Sbucy Fire Safety Inspector EMERGENCY SERVICES DIVISION .PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 21d FI., Indio, CA 92201 • ( 760) 863-8886 • Fax (760) 863-1072