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04-4904 (RC)P.O. Box 1504 78-495 CALLS TAMPICO - LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT (760) 777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . 04-00004904 Date - 7/26/04 Property Address . . . . . . 78065 MAIN ST APN: 770-121-003- - Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . . VILLAGE COMMERCIAL Application valuation . . . 800 Owner Contractor OLD TOWN LA QUINTA MARVIN INVESTMENTS, INC. 78080 CALLE ESTADO #200 - 78080 CALLE ESTADO SUITE 201 LA QUINTA CA LA QUINTA CA_92253 LA QUINTA CA 92253" WCC: STATE FUND-, WC: 14401252004 07/01/05 CSLB: 771883 -11/30/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Other struct info . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED -USE OCCUPANCY S2 FIRST FLOOR SQ FTG 30.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 21.00 Plan Check Fee 13.65 Issue Date . . . . Valuation . . . . 800 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 2.0000 HND BLDG 501-2,000 6.00 ---------------------------------------------------------------------------- Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation `. 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 ---------------------------------------------------------------------------- Permit . . . . PLUMBING BOX t�a�w 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 04-- yNOLf Apgglii� t: NtAytatti6£3I1%4errS f NC_ Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-701 1 INSPECTIONS (760) 777-7.153 Date: Architect or Engineer's Address: Licr No.: BUILDING PERMIT DECLARATIONS 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. Licerise<ils in full force and effect /� License Class aV ,//,� License No. �7-- l Date Z 6 Contractor /P/aytyL'/N /J J j y7LrRlTS �c N"L , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe 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 Contractors' 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).): U 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 or 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.). U 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.). U 1 am exempt under Sec. , BA P.C. for this reason WORKERS' 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 Kof 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 rance carrier an pglicy number are: �arder '7RYG! J—ri/, ✓G' Po11 Number /�4 0/ Z 0 04� I certify that, in the performance of the work for which this'permit is issi compensation laws of and agree that, i I should become forth wit comply with those provisia _z-i. CaliforniaZ/�� not employ any person in any manner so as to become subject to the workers' the workers' compensation provisions of Section 3700 of the Labor Code, I shall 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. 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.). Lenders Name Lenders Address 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 personal 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 orfollowing 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 core [. I agree to comply with all city and county ordinances and state laws relating to building construction, an ereb llyuthori�ze representatives of this to ente,lLpon t bove-mentioned property for inspection purposes. i�gnature (Applicant or Agent): Page 2 Application Number . . . . . 04-00004904 Date 7/26/04 Additional desc . Permit Fee . . . . 21.00 Plan Check Fee 5.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 --------------------- - --------- Special Notes and Comments Pump Room Remodel, Relocate unpermitted fountain mechanical equipment from under exterior stairway to converted existing exterior building cavity @ stairway #1. ------------------ ----------------------------------------- Other Fees . . . . . . . . STRONG MOTION (SMI) - COM .50 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 59.25 .00 .00 59.25 Plan Check Total 23.21 .00 .00 23.21 Other Fee Total .50 .00 .00 .50 Grand Total 82.96 .00 .00 82.96 Ll )i Bin # t0ty of La Quinta C i2 ✓Y 1 �� a"I Building at Safety Division Permit # 0.0. Box 1504, 78-495 Cabe Tampico La Quints, CA 92253 - (760) 777-7012 ' Building Permit Application and Tracking Sheet Project Ad'sName:Old N Town UCQuinta LLC A.P.Number: _ " Legal Description: - Address: 78-080 Calle Estado Ste, 201 City,ST,Zip:La Quinta Ca. 92253 Contractor.Marvin Investments Inc. FTelephone:760-771-2567 •. .. ayxfiin•t: Address: 78-080 Calle Estado• Ste.201 XpnqJcctDcscriptioW.O1d Town La Quinta City,ST,Zip:La Quinta Ca. 92253 Telephone:760-771-2567- State Lie. #: 771883 City Lie. #:05407 e Arch.,Engr.,Designer:John Stanford Arch.. Address: 7 3 - 3 50 El Paseo Ste. 207 - -- City.ST,Zip:Palm Desert Ca. 92260- 7,60-771 —8478 C16893 00-�`MA Construction Type: Occupancy:Telephone: Project New Add'n Alter Repair DenStateLic.#: Sq. Ft.: # Stories: 1 # Units: Name of Contact Person: Wells Marvin Telephone# of Contact Person: 760 771 2567 ext.l 'mated ValueofProject: O450 APPLICANT: DO NOT WRITE BELOW THIS LINE - # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets �'' Plan Check submitted Item Amoui Structural Cates Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Cheek Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan T' Review, ready for correc totu/usue dv// Electrical Subeoutaetor List Called Contact Person;G'(w$ A5fe. !/�0.�'! Plumbing Grant Deed Plans picked up S.AIJ. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- > Review, ready for correttionafrssue Developer Impact Fee Planning Approval Called Contact Person A.I•P.P. Pub. Wks Appr Date of permit issue School Fees - d 7-0 15S(1E WMV Total Permit Fees .S4,2 - T� r-r'b Tdf 4 4 Qaha P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Oscar Orci, Planning Manager BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 Building Permit Release To CDD: 6-14-04 The Community Development Department has reviewed the Building Plans for the following project: Description: PUMP ROOM TO HOUSE ELECT. EQUIP. ON BLDG C Address or general location: 78-065 MAIN STREET APN and/or legal description 770-121-003 Applicant Contact: WELLS MARVIN 771-2567 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. bA ...these Building Plans are approved by the Community Development Department. LLM-M � `�/'J -6-V- 0 I -), t 1p Oscar Orci, Planning Manager Date STAIR . Existing 1 hr. wall 5/8" Type W gyp.bd. at walls & ceiling 2-4"x14" G.I. screened mtl vents, 1 hi 1 low. Verify style with owner. New 3070 solid core door with self closer & exterior keyed lock operable from the inside c NO. C 5C^ r_ 8 1 _.../ Elect. panel �L Existing roof drains Saw cut slab for pump piping and replace. 'C' BUILDING LOCATION & FLOOR PLAN 5/25/04 0. john stanford architect 73-350 el paseo suite 207 palmdesert, ca. tel. (760) 776-8478 fax (760) 776-8477 0