10-1229 (RC)T44t 4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/13/11
Application Number: 10-00001229 Owner:
Property Address: 50991 WASHINGTON ST STE 1 THE FOUNDATION GROUP LQV
APN: 770-020-021- - - 3857 BIRCH ST. #496
Application description: REMODEL - COMMERCIAL NEWPORT BEACH, CA 92660
Property Zoning: NEIGHBORHOOD COMMERCIAL
Application valuation: 197866
Contractor:
Applicant: Architect or Engineer: DAMATO ASSOCIATEr5�C
15 HAMMOND SUITE" o
IRVINE, CA 92618 `
(949)600-5850r"`
A.
Lic. No.. 861151 -
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I icensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busi and o als Code, and my License is in full force and effect.
License Class: 13 Licen o.: 861151
ate:/ 0 i%Contractor:
OWN -BUIL DECLARATION
I hereby affirm under penalty of perjury that I am exam 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).:
(_) 1, 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 Name:
Lender's Address:
LQPERMIT
------------------
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.
)4_1 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 COMPANION PROP Policy Number SWC00601800
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner s o com ject to the workers' compensation laws of California,
and agree that, if I uld beco je o thew ' compensation provisions of Section
// 700 of the L Code, I s forthwi compl ith those provisions.
D� ate: r : �� pelican..
WARNING: FAILURE TO SECURE WORKERS' COM ENSA ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES IVIL 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 ap lication and state that the abov . formati n is correct. I a ree to comply with all
city and county ordinances state laws relating to buil ' cons ion, d hereb t Drize representatives
ofthiscounty to enter up the above-mentioned pro y for i ection p ores
'Date:
/Ifgn.ture (Applicant or Agentl
Application Number . . . . . 10-00001229
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. . . BUSINESS <50
Other struct info . .
. . . CODE EDITION
2007/08 ENERGY
FIRE SPRINKLERS
YES
OCCUPANT LOAD
81.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4320.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
163.05 Plan Check Fee
40.76
Issue Date . . . .
Valuation . .
. . 0
Expiration Date . .
7/12/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
2.00 37.5000
EA ELEC SVC <=600V/>200A/<=1000A
75.00
129.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
58.05
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
982.50 Plan Check Fee
638.63
Issue Date . . . .
Valuation . .
. . 197866
Expiration Date . .
7/12/11
Qty Unit Charge
Per
Extension
BASE FEE
639.50
98.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
343.00
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
70.50 Plan Check Fee
17.63
Issue Date . . . .
Valuation . .
. . 0
Expiration Date . .
7/12/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
8.00 4.5000
EA MECH VENT INST/ DUCT ALT
36.00
3.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
19.50
Permit . . . PLUMBING
Additional desc . .
LQPERMIT
Application Number . . . . . 10-00001229
Permit . . . . . . PLUMBING
Permit Fee . . . . 79.50 Plan Check Fee
19.88
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 7/12/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 6.0000 EA PLB FIXTURE
54.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
4,320 SF INTERIOR BANK TI FOR "U.S.
BANK" "B" OCCUPANCY, TYPE V -B
CONSTRUCTION. OCCUPANT LOAD = 81. 2007
CODES 2008 ENERGY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
63.86
ART IN PUBLIC PLACES -COM
969.33
BLDG STDS ADMIN (SB1473)
8.00
ENERGY REVIEW FEE
63.86
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 1295.55 .00 .00
1295.55
Plan Check Total 716.90 .00 .00
716.90
Other Fee Total 1105.05 .00 .00
1105.05
Grand Total 3117.50 .00 .00
3117.50
LQPERMIT
Certificate of Occupancy
4 4 Ou"O
Building & Safety Department
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
2007 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: 50-991 WASHINGTON ST #1
Use classification: COMM: ("U.S. BANK")
Occupancy Group: B
Sprinklers Installed: YES
Building Official
l®f
Type of Construction: V_N
Sprinklers Required: YES
Building Permit No.: 10-1229
Land Use Zone: CN
Occupant Load: 81
Owner of Building: The Foundation Group LQV
Address: 3857 Birch ST #496
City, ST, ZIP: NEWPORT BEACH, CA 92660
By: STEVE TRAXEL
Date: MARCH 25, 2011