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BCOM2018-000178-495 CALLE TAMPICO U Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Application Number: BCOM2018-0001 Property Address: 79305 HIGHWAY 111 STE 6 APN: 600340004 Application Description: HYDEAWAY CIGAR CLUB / 1,455 S.F. TENANT IMPROVEMENT Property Zoning: Application Valuation: $1,200.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: UGGS7 2205 N POINSETTIA AVE MANHATTAN BEACH, CA 92253 Date: 3/29/2019 Applicant: Contractor: JEFFREY F KELLNER h�1 JEFFREY F KELLNER P O BOX 245. 1 P O BOX 245 RANCHO MIRAGE, CA 92270 '� t RANCHO MIRAGE, CA 92270 MAX 9 (760)774-5333 Llc. No.: 834358 ,1TV _AQUINT -------- --�- -- - - - - -_ :��YIItl1I1+V� �1 nc._.t'4e'Rr.'�ra-------------------------------------- Ci- L- 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 Professions Code, and my License is in full force and effect. License Class: B /License No.: 834358 Date: f / Contractor: �acu_ �_ - OWNER-BU DE LARATION 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 .000 Contractor's State License Law (Chapter 9 (commencing with Section 7000) of D]vism 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 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 Lender's 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 La . i' Code, for the performance of the work for which this permit is issu d. Myw ork compensation insurance carrier and policy number are: Carr( E P Policy Number: rtify that in the performance of the work for which this permit is issued, I s ploy any person in any manner so as to become subject to the workers' nsation laws of California, and agree that, if I should become subject to the rkers' compensation provisions of Section 37 of the Labor Code, I shall forthwith comply withtose provisions. Date' �+c`1 Applicant: WARNING: FAILURE TO SECURE W S' PENSATION COV RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO MINAL 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. 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 city to enter upon the above--rnenLipertyfor inspection purposes. Date: Signature (Applicant or Agent}: Date: 3/29/2019 Application Number: BCOM2018-0001 Property Address: 79305 HIGHWAY 111 STE 6 APN: 600340004 Application Description. HYDEAWAY CIGAR CLUB / 1,455 S.F. TENANT IMPROVEMENT Property Zoning: Application Valuation: $1,200.00 Applicant: JEFFREY F KELLNER P 0 BOX 245 RANCHO MIRAGE, CA 92270 Owner: UGGS7 2205 N POINSETTIA AVE MANHATTAN BEACH, CA 92253 Contractor: JEFFREY F KELLNER P 0 BOX 245 RANCHO MIRAGE, CA 92270 (760)774-5333 Llc. No.: 834358 Detail: 1,455 SF TENANT IMPROVEMENT. CONSTRUCT 12 LF OF 8' HIGH STEEL STUD WALL AND INSTALL TV RECEPTACLES + ACCESSIBILITY UPGRADES TO RESTROOM FIXTURES AND ACCESSIBLE SIGNAGE. THIS PERMIT DOES NOT INCLUDE BUILDING SIGN, APPROVAL OF USE OF PATIO, OR ALTERATIONS TO THE PLUMBING OR MECHANICAL SYSTEMS. ASSOCIATED MINOR USE PERMIT MUST BE APPROVED PRIOR TO FINALIZATION OF THIS PERMIT. [VB/M-OCC/OL- 23/SPRINKLED] 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 0 $87.27 Total Paid for ADMINISTRATIVE: $87.27 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($125.00) DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 3 $480.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.25 $40.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 1.5 $125.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0 $115.00 Total Paid for BLDG CITY STAFF - PER HOUR: $635.00 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $53.36 DESCRIPTION ACCOUNT CITY AMOUNT FIRE COMMERCIALTI 101-0000-42421 0 $160.00 DESCRIPTION ACCOUNT CITY AMOUNT FIRE COMMERCIALTI PC 101-0000-42420 0 $240.00 Total Paid for FIRE FEES: $400.00 DESCRIPTION ACCOUNT CITY AMOUNT PARTITION 101-0000-42400 0 $80.05 DESCRIPTION ACCOUNT CITY AMOUNT PARTITION PC 101-0000-42600 0 $147.29 Total Paid for PARTITION: $227.34 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 1502-0000-43611 1 0 •$k..00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 el--RMIT# /J�O/'�ivC4►�— '�� i PLAN LOCATION I Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN 4. Applicant Nair c: .Address- d j City, ST, Zi '__ f � L Telephone: d — Email: 7 �G rO 33 Valuation of Project $ � �C7 d. ❑ Contractor Narrre. New SFD Construction: Address: f Conditioned Space SF City, St, Cip�46� Garage _ SF Telephone: � _ � _ Q � � Patio/Porch � SF Is Ismail- Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type:61'4pllOccupancy: Address: Grading: 12 City, St, Zip Telephone: Bedrooms: Stories: # Units: ` Email. ear , State Lic: City Bus Lic: or Property Owner's Nam r% New Commercial/ Tenant Improvement Address- �x �� Total Building SF City, ST, Zip cY �� Construction Type: Occupancy: Telephone: _ 2 Z Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 zaQai,�Ptra —CA,"'A "t/-r:, t5 -st�ur PERMIT # PLAN LOCATION: Project Address: 74 '� 06 H v 1 `1 itProject Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #:aS12Ucr Zq F�-it�aosS iaJ G 6 STat STV'DSirr-i61u QiuJ(� Applicant Name:'7"pDr-> (20-o V L4 -L� C�✓CL.c �,o t.v �iy Address: %R'305 i1W (l --0;-6 City, ST, Zip: Lk (, v t L4-rA CA q -2s3 Telephone: (7&6) 67$ - d 12 S Email: Valuation of Project $ Contractor Name: New SFD Construction: Address: Conditioned Space SF City, St; Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lice City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd -Rec'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 H �ry t �X ra-s, -7 � �; RECEIVED OEC 21 2017 CiTY OF LA QUiNTA COiUilV!UNiTY DEVELOPMENT ?; r, D �,l 2o1 7 - c>055 CITY OF LA QUINTA BUILDING & SAFETY DEn APPROVED FOR CONSTRUCTION 'Zo! SK:::F-L imAeovetcr1-r oV uC. YAP oz, -4 C& ,'/ no 0A46 1 of 2 HYDEAWAY CIGAR CLUB 7Todd Wright 605 801125 79305 HWY 111 # 6 ,LA QUINTA 92253 TV RECEPTICLES.................................... X2-20A...................................... 120 V CIRCUITS 24 FT WALL ............................................ X2-20A...................................... 120V CIRCUITS L] ELECTRICITY OUTLETS 24' 38" Todd Wright HYDEAWAY CIGAR CLUB 7605 801125 79305 -HWY 111 # 6 ,LA QUINTA 92253 toilet EXIT bathroom storage Planter sink 24" 4" ROD IRON FENCE ENCLOSED PATIO OUTSIDE PATIO Side walk SMOKING LOUNGE Area of work NEW SEPERATION WALL 24'x 8' RETAIL Side walk EXIT Street FRONT EXIT :xit/ _ �_ 9" I30p WEST SIDE Wall Detail 1. NEW 2x6 20 gauge steel studs 24'X 8' ?. New outlets [21 south side 3. New outlets {4} north side 1. New TV cat 5 outlets (2) south side i. 5/8 type x drywall i. Studs 16" oc F. 16" Roxul istalation 3. Mechanicsally fasten steel studs to the loor w/4'steel support braces (2) u