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BCOM2018-003878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SERGIO GARCIA 49750 JEFFERSON ST STE 219 INDIO, CA 92201 41'w4u+«rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING COMMERCIAL/REMODEL BCOM2018-0038 46600 WASHINGTON ST STE 2 643020069 RED ANGEL SALON / 1,138SF SALON TI/VB/B-OCC/11-OL/SPRINKLED $25,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: WASHINGTON 111 LTD 80618 DECLARATION AVE INDIO, CA 92253 D Contractor: MIRAGE DEVELOPERS INC P 0 BOX 942 DEC 0 7 2018 THOUSAND PALMS, CA 92276 CITY OF LA QUINTA (760)864-9448 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 884711 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 8.84711 00 �Z/7/G LiEon : atltl\ 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.). (_) 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 bui.lds 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 Owner: Date: 12/7/2018 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 t k for which this permit is issued. nI have and will maintain workers' compensation insurance, as required by Section ry 0 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: EVER�EST NATI NAL INStVRANCECOMPANY _ 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 Co shall forthwith comply wiittjh t^h—o�se rovlslons. Dale: �1 { � 1J Ae,190 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 Building Official 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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relati P0 building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this M7 enhe above -mentioned property for inspection purposes. Lender's Name- -�7 L' Slgnture (Applicant or Agent]: lr'� Lender's Date: 12/7/2018 Application Number: BCOM2018-0038 Owner: Property Address: 46600 WASHINGTON ST STE 2 WASHINGTON 111 LTD APN: 643020069 80618 DECLARATION AVE Application Description RED ANGEL SALON / 1,138SF SALON TI/VB/B-OCC/11-OL/SPRINKLED INDIO, CA 92253 Property Zoning: Application Valuation: $25,000.00 Applicant: Contractor: SERGIO GARCIA MIRAGE DEVELOPERS INC 49750 JEFFERSON ST STE 219 P 0 BOX 942 INDIO, CA 92201 THOUSAND PALMS, CA 92276 ! (760)864-9448 LIc. No.: 884711 -----------------------_------------ -------------- -'----------------------------------- Detail: 1,138SF HAIR SALON TI/VB/B-OCC/11-OL/SPRINKLED [RED ANGEL HAIR SALON] THIS PERMIT DOES INCLUDE MECHANICAL ALTERATIONS OR BUILDING SIGNAGE. NO TUMF IMPACT UNDER 2018 SCHEDULE. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 1 0 1 S16.02 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $4.02 Total Paid for ELECTRICAL: $73.40 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIALTI 101-0000-42421:j- 0 $160.00 Total Paid for FIRE FEES: $160.00 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $80.04 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $80.04 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $8.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING FEES: $208.10 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($67.37) 'DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($57.63) DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $72.03 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $57.63 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $67.37 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $81.52 Total Paid for REMODEL: $207.98 DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $7.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $7.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS::•: $t 0 0 PERMIT # PLAN LOCATION: 57�=' Project Address: .. �QV () S Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: (P 4.3 -- oz o -06 9 A A,, byLL S Applicant Name:rrg Address: 6 - 606) "'A) - ,� • 2 Y Ct Ctl � City, ST, Zip: LA -,) C, I P4 �o 1x Telephon� �� _ S Email: � � � V' s �, �I n� Valuation of Project $ 2zoloc Contractor Name: F New SFD Construction: Address: A 0 , 'Z Conditioned Space USF City, St, Zip L4 S, ZZ Garage SF Telephone: L — ,� Patio/Porch SF Email: A-6 im /) �. N Fire Sprinklers SF State Lic: �� ¢ ity Bus Lic: c; 3vc V` r e: s+ Construction Type: Occupancy:] Grading: Address: _ -75f -• 2 City, St, Zip J `J Telephone: 10! O ^ ( 9 8 Bedrooms: Stories: # Units: Email: S Property Owner's Name: Address. r-,7- C -0 City Bus Lic: . Jg , f fiml New Commercial / Tenant Improvements: Total Building / / SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd Req'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License