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13-1610 (RC)-4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001610 Property Address: 78121 AVENIDA LA FONDA APN: 770-122-017- - Application description: REMODEL - COMMERCIAL Property Zoning: VILLAGE COMMERCIAL Application valuation:. 60000 Applicant: (F -444t 4 BUILDING & SAFETY DEPARTMENT Architect or Engineer: ap BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 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. License Class: B License No.: 427358 Date1Contractor: 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, 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: I \J LQPERMIT Owner: GRIFFITH INV. 1301 ALASKAN WAY SEATTLE, WA 98101 Contractor: MC LELLAN, SCOTT 229 W. MARQUITA UNIT A SAN CLEMENTE, CA 92672 (949)291-0913 Lic. No.: 427358 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/29/14 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 EMPT Policy Number EXEMPT 11 certify that, in the performance of the work for which this permit is issued, I shall not employ any I1 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 J �37�00 of the Labor Code, I s all forthwith comply with those provisions. Date: / �/ /4Applicant:_�y/ 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 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 of this county to enter upon the above-mentioned property �yfor riinspection purposes. Date: 2l / ignature (Applicant or Agentl: J Application Number •. . . . . 13-00001610 ------ Structure Information PATIO ENCLOSURE ----- Other struct info . . CODE EDITION 2010 FIRE SPRINKLERS NO MIXED-USE OCCUPANCY A-2 OCCUPANT LOAD 43.00 1ST FLOOR SQUARE FOOTAGE ---------------------------------------------------------------------------- 650.00 Permit . . . REMODEL 2013 Additional desc . . Permit Fee . . . . 70.07 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 7/28/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 1.00 21.4500 EA MISC REMODEL, ADDL 500 SF ---------------------------------------------------------------------------- 21.45 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 7/28/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 23.83 ---------------------------------------------------------------------------- Special Notes and Comments NANA WALL AND GLAZING PATIO ENCLOSURE AT EXISTING 650SF PATIO COVER. THIS PERMIT DOES NOT INCLUDE ADDITIONAL CONDITIONED SPACE. 2010 CALIFORNIA BUILDING CODES. January 28, 2014 4:49:12 PM AORTEGA -------------------------7-------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 PLAN CHECK, ELECTRICAL 23.83 PLAN CHECK, REMODEL 150.15 STRONG MOTION (SMI) - COM 12.60 Fee summary Charged Paid Credited ------------------------------------- Due ---------- ---------- Permit Fee Total 93.90 .00 .00 93.90 Plan Check,Total .00 .00 .00 .00 Other.Fee Total 189.58 .00 .00 189.58 Grand Total 283.48 .00 .00 283.48 LQPERMIT Application Number . . . . . 13-00001610 LQPERMIT ciTY OF LA QUINTA . COMMUNITY DEVELOPMENT DEPARTMENT - (760) 777-7125 _T! INSPECTION REQUEST LINE -` OF (760) 777-7153 FFITH INV Clgtra a MC L,ELLAN SCOTT ermit Nu ber 13-1610 O ON JOB IN CONSPICUOUS PLACE EtTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-121 AVENIDA LA FONDA NANA WALL AND GLAZING PATIO ENCLOSURE AT EXISTING.650SF PATIO COVER. 'THIS PERMIT DOES NOT INCLUDE ADDITIONAL CONDITIONED SPACE. -2010 CALIFORNIA BUILDING CODES. TYPE OF INSPECTION DATE INSP. TEMPORARY POWERI. SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB - " DO NOT POUR CONCRETE UNTIL ABOVE SIGNED T4 I tHlurt %.a T r. l EXTERIOR LATH GAS TEST SEPTIC ABAND( SEWER CONNE, MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL /SPA /WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G'PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS PERIMETER SURFACE BONDING FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL_ _ PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT PLANNING DIVISION FINAL / JOB COMPLETED 0