The URL can be used to link to this page

09-0837 (RC).nA P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000837 Property Address: 79770 HIGHWAY 111 APN: 649 -020 -040 - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 90000 Applicant: Architect or Engineer: Le�►�rac�'ar mark .00Y91s 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 ction 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. ense Class: B License No.: 822517 D`®ate: � ontractor. 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 (5500).: IV (_) 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 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.). 1 1 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: LQPERA11T , Owner: SMART & FINAL STORES LLC 600 CITADEL DRIVE COMMERCE, CA 90040 (323)869-7592 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/03/09 Contractor: G� JOHNSON CONSTRUCTION/D C 15354 BONANZA ROAD, S B VICTORVILLE, CA 9239 SFQ (760)951-0574 C 09 L i c. No.: 822517 F/OF' c7 ?oOn ----------------------------------- -------------------------------- --- -------- WORKER'S COMPENSATION DECLARATION 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 DELOS INS Policy Number 02DKRM22001265 _ 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 Pe 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. -. t 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 representatives ohis county to enter up n the above-mentioned properly for inspection purposes. Date: / ignature (Applicant or Agent): _ `V, Application Number . . . . . 09-00000837 ------ Structure Information REMODEL OF 20725 SF RETAIL STORE ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . MERCANTILE Other struct info . . . . . CODE EDITION 2007 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY M/S-1 OCCUPANT LOAD 584.00 1ST FLOOR SQUARE FOOTAGE 20725.00 2ND FLOOR SQUARE FOOTAGE .00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee 594.50 Plan Check Fee 386.43 Issue Date . . . . Valuation . . . . 90000 Expiration Date 3/02/10 Qty Unit Charge Per Extension BASE FEE 414.50 40.00 4.5000 THOU BLDG 50,001-100,000 180.00 Permit . . . . . . ELECT -.ADD/ALT/REM Additional desc . Permit Fee . . . . 111.00 Plan Check Fee 27.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/02/10 _ Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 27.00 3.0000 EA ELEC APPLIANCES 81.00 ------------------------------------------------------------- -------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 135.00 Plan Check Fee 33.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/02/10 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 -------------------------=------------------------------------------------- Special Notes and Comments REMODEL TO EXISTING SMART & FINAL RETAIL `STORE. REVISE SIDE EXIT DOOR (EAST LQPERDIIT ` `f LQPER-sIIT Application Number . . . . . 09,-00000837 ' --=------------------------------------------------------------------------- Special Notes and Comments f SIDE)TO A 3FT & 2 FT WIDE PANELS. ADD A WALK-IN COOLER, VARIOUS REFRIGERATED CASES AND 5 CHECK STANDS.2007 CODES. M OCC. TYPE V -B CONSTRUCTION ---------------------------------------------------------------------------- Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW 38.64 BLDG STDS ADMIN (SB1473) 4.00 ENERGY REVIEW FEE 38.64 Fee summary Charged ---------- Paid -------------------- Credited ---------- Due ----------------- Permit Fee Total 840.50 .00 .00 840.50 r Plan Check Total 447.93 .00 .00 447.93 Other Fee Total 81.28 .00 .00 81.28 Grand Total 1369.71 .00 .00 1369.71 c LQPER-sIIT f