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07-0506 (RC)C.;I_ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 V'Application Number.._ 07-00000506 Property Address: 79740 HIGHWAY 111 STE 102 APN: 649-020-040- - - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 9500 Applican00 t Td-vl . 4 44" Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I 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 License is in full force and effect. Licensee Class: B/License Nom:/891664 Date: y `, — 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.). - 1 _ 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am 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 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: 4/16/07 Owner: 99C ONLY STORES (518)233-330.0 _ ij Contractor: DC7j CAL-SPEC HOME INS 42335 WASHINGTON S ©V`�y�PALM DESERT, CA 92 1C�O�FIT. (760) 770-7060 piNpPICE Lic. No.: 891664 ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT 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 afl-forthwith om 'th those provisions. Datey�, "Applicant: WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 cessation 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 representati of this county to enter upon the above-mentioned property for i n purposes. Date: Signature (Applicant or Age Application Number . . . . . 07-00000506 ------ Structure.Information 1,435 SF TENANT IMPROVEMENT/B TAN TOO ----- Other struct info . . . . . CODE EDITION 2001/2005 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY •M OCCUPANT LOAD 40.00 1ST FLOOR SQUARE FOOTAGE ---------------------------------------------------------------------------- 1435.00 Permit . . . BUILDING PERMIT - ADA INV FEE _ Additional desc . Permit Fee . . . . 23.4.00 Plan Check Fee 76.05 Issue Date . . . . Valuation . . . . 9500 Expiration Date.. 10/13/07 Qty Unit Charge Per Extension BASE FEE 90.00 8.00 18.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 144.00 Permit . . . ELECT - ADD/ALT/REM INV FEE Additional desc . Permit Fee 87.40 Plan Check Fee 10.93 Issue Date Valuation . . . . 0 Expiration Date 10/13/07 Qty Unit Charge Per Extension BASE FEE 30.00 1435.00 .0400 ELEC GARAGE OR NON-RESIDENTIAL 57.40 ---------------------------------------------------------------------7------ Permit . . . PLUMBING INV FEE Additional desc . . Permit Fee . . . . 57.00 Plan Check Fee 7.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/13/07 Qty Unit Charge Per Extension BASE FEE 30.00 1.00 12.0000 EA PLB FIXTURE 12.00 1.00 15.0000 EA PLB WATER HEATER/VENT 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 11435SF TENANT IMPROVEMENT/M-OCC/40-OL V -NR SHELL/FULLY SPRINKLERED. [B TAN TOO] - PERMIT DOUBLE -FEED FOR BEGINNING WORK WITHOUT PERMIT. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY. LQPERMIT LQPERMIT Application Number . . . . . 07-00000506 ---------------------------------- Special Notes and Comments --------------- ------------- -------------- ALL BED UNITS ARE TO BE HARD WIRED PER MANUFACTURER SPECIFICATIONS. April 13, 2007 10:09:31 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 11.70 ENERGY REVIEW FEE 11.70 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total 378.40 -------------------- .00 ---------- .00 378.40 Plan Check Total 94.11 .00 .00 94.11 Other Fee Total 23.40 .00 .00 23.40 Grand Total 495.91 .00 .00 495.91 FR Permit # � Project Address:' --q -� A. P. Number: Legal Description: Contractor: ` Address:( 3 "� `►- City, ST, Zip: Telephone: ly qZ_' State Lic. # : T. `CSS Arch., Engr., Designer: V)i.'LC� Address: 3 �� City, ST, Zip:�LR1U� City of La Quinta Ya Building U Safety Division (! P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 �ihZ 3 Building Permit Application and Tracking Sheet !J -6(-2"X lai zA Owner's Name: Address: C City, ST, Zip: C '1 Telephone: !; Project Description: City Lic. #: r Telephone:-�U'� '��ati1� C t T State Lic. #:� l�lj Name of Contact Person: Telephone # of Contact Person: # I Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading,plau Subcoutactor List Grant Deed H.O.A. Approval IN HOUSE:- Planning Approval Pub. Wks. Appr 1 School Fees A YPe• O upancy. _ Project type (circle one): New dd'n Alter_ Repair Demo 1 , Sq. Ft.: #Stories: #Units: / Estimated Value of Project: -60 APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING. PERMTT FEES Plan Check �,,rr,, b Reviewed, r Called Contact Person Plans picked up Plans resubmitted 2'' Review, ready for correction Called Contact Person Plans picked up Plans resubmitted Review, ready for.correctio Called Contact Person Date of permit issue item Amount . Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees eao-,/'�� 6—Z 1 G� John R. Hawkins Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning 4. Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs Indian Wells Indio Lake Elsinore 4. La Quinta Moreno Valley Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 April 3, 2007 .James Dodson 182 S Sunrise Way Palm Springs, CA 92262 RE: TENANT IMPROVEMENT PSL N'CF�iECK�.� LAQ-07-TI-020 / B Tan Too t 79740 Hwy 1s1�1_, Ste 1.02, La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307 of the 2000 UBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per Chapter 10 of the 2000 UBC. Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard of the Knox Company. Plans must be submitted to the Fire Department for approval of mounting location/position and operating standards. Special forms are available from this office for the ordering of the Key Lock Boxes. This form must be authorized and signed by this office for the correctly coded system to be purchased. If the building/facility is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring. A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location within 75' walking distance from any point in your building or suite. Fire extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher company must service extinguisher yearly. ELECTRICAL PANEL BOX: All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. OTHER REQUIREMENTS: Approved building address shall be placed in such a position a to be plainly visible and legible from the street. Said numbers shall contrast with their background. A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting background. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re-inspectioa4ee vdlsb c®gnrirecWif t#T&-MPei{d0ivmpection is necessary. 82-675 Highway 111, 2n° FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072 Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff at (760) 863-8886. Sincerely, Tracy Hobday Chief Fire Department Planner By: Sonia Cooley Fire Safety Specialist Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs Indian Wells 44. Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTYFIRE DEPARTMENT210 West San Jacinto Avenue * Perris, California 92570 9 (951) 940-6900 9 Fax (951) 940-6910 Date vs Building Department UNIRTAIMUS The Riverside County Fire Department is granting the Fire clearance for the following Location '19 I q� t4W 4 / if / 640 /a 2 1,A-Q'1k)f-A,T� Please call if you should hav questions 760-863-8886 Respectfully, Fire S Ste nspector .01 3,, Certificate of Occupancy M: 4 OF 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: 79-740 HIGHWAY 111 STE #102 Use classification: COMMERCIAL (B-TAN TOO) Building Permit No.: 07-506 Occupancy Group: B Type of Con struction: VN Land Use Zone: CR Owner of Building: 99c ONLY STORES- Address: 4000 E UNION PACIFIC AVE City, ST, ZIP: COMMERCE, CA 90023 By: STEVE TRAXEL Date: 07-25-2007 Building Official POST IN A CONSPICUOUS PLACE