Loading...
0312-291 (RC)osliS C) :)`e,o I W � C:) Z I� 0Q.o: W W I— a Z LICENSED CONTRACTOR DECLARATION ?.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 # _ Lic. Class Exp. Date 450395 B � `i�1�3/W. t ,Date ` ' Signature of Contractor, �.� %�✓' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the "project (Sec. 7044, Business & Professionals Code). () I am exempt under Section' , B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier STATE FLAID, Policy No. 1429896 (This. section need not be completed if the permit valuation is for $100.00 or less). ( ) 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,., Code,iiI shall forthwith comply with those provisions. Date: t � Ci Applicant ( 2'�- S-A.A Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application -is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. I , 1. Each person upon whose behalf this application is made & each person at - whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify ` & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. ignature (Owner -kA Date�f BUILDING PERMIT PERMIT# DATE VALUATION LOT_ �%"'$• TRACT JOB SITE ADDRESS 79-29 E:GHW!5.Y UA SUM •i X -P APN - .. . OWNER CONTRACTOR / DESIGNER / EN (NEER ZW1 55:1M `nT'M e �"r 30665 OLD MCa.HWAY 395 k3 1 °ltd iS%lt PX 72716 t.SCL'NDIP,0 CA 92026 C't60)751.5050 CB1.# 'SSD USE OF PERMIT COMMERCWL REIyTfJDEL (CA11YORN,AN.AILS 71) 504 S.F., aha OCC'4JPANCY TYPEYN S�°i:iAi LTii7, �7t CCiPAN'1` 1[ 1� i1 6'i, �4C�1 0;132 vALVATIOW AAs' rWMIATF.D COST OF CON1,7JUUCITS?N PERMIT F09 51qM10, AtA PLAN CHECK FE 101-000.4,39.318,. S76 -RS C,p01//'�p�S111k�pUC��'ppPlyCiA+,i��11'FE9 1(l-�000-+418->J10, - $1�1D'�C7.t00q 571.EVIAl'C1.1,it]1a .4•'A%E 101-000-421-000 DA.WeV V ELECTRICAL M, 101.000-420-000 $13.73 PL[IA,iT3'ING M 101,000419.000 131,50 STRONG i+ O 1!313 FEE - COhM 100-000-241-000 $2,10 SUB -TOTAL COMB RU CCT©:1\T AND PLAN C I-MCY $268.40 X•, 58 P. -FAM ITMES ES 10.00 _ 0:1'1% .Q'ERAff1' im:�^e D1;3"E NOW 2 6 1004 r::F1NANr_r. OF L3, L3lsli�7A r*;:;; RECEIPTDATE "----J / - .;11 , BY f�`� i DATF.FI ALa vQ G INSPECT INSPECTION RECORD 5 OPERATION DATE INSPECTOR OPERATION DATE • INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing S 0 Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final D POOLS - SPAS BLOCKWALL APPROVA S Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: ,w-/��� � � Final Utility Notice (Gas) APPROVALS ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp: Use of Power Final Utility Notice (Penn) 12/10/2003 15:28 7607777011 Bin # LA QUINTA PAGE 02/02 City of La Quinta Building S Safety Division OWIOIV-7 � P.O. Box 1504, 76-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and -Tta-ckitr>s-Sheat / 70/797 jAddren: ite. ST. Zip: v r FTelephonc: 619h7 LTA Lic. #: Address: . 43 t658 Cite. ST. Zip: Telephone: rNamm e Lic. #: Xeof ContaL4 Xphone # of Contact Person: 4 p Submittal Plan Sets Structural CZICL Truss Cala, Energy Cala. t1ood plain Viso Grading plan Subcontactor List Groat Deed H.O.A. Approval IN HousE!. Planning Approval Pub. w'ks. Appr School Fees /t ')71 Construction Type: r. Project type (circle one): New Add'n Alter Repair Demo Sq. la.: # Stories: # Units: f (fj,;('-j 7-)17) 1 �1 Estimated Value of Projec APPLICANT: Do NOT WRITE BELOW THIS LINE Reed TRACKING Pima Check submitted Reviewed. ready for corrections Called Contact Person Plans picked up Plans resubmitted 2" Review•, ready for Corr", slissu a/3/ Called Contact Person Plans picked up Plans resubmitted 2" Review, ready for correetionsAssue Called Contact Date f pe it issue PERMIT PEES t� Amount Plan Check Deposit 1 -71—.05— Plan 1,05— Plan Cheek Balance Construction • Mechanical Electrical . Plumbing • S.Au. i✓ r Grading - Developer tgtpact Fee A.I.P.P. 6wNtw-• /&Xao r'7 4/ Total Permit Fees f Permit # Project Address:' A. P. Number. Legal Description-, Contractor X Address: z City, ST. Zip: X Telephone: State Lie. # : yso.3 95 . A -h•, Engr., Designer: LA QUINTA PAGE 02/02 City of La Quinta Building S Safety Division OWIOIV-7 � P.O. Box 1504, 76-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and -Tta-ckitr>s-Sheat / 70/797 jAddren: ite. ST. Zip: v r FTelephonc: 619h7 LTA Lic. #: Address: . 43 t658 Cite. ST. Zip: Telephone: rNamm e Lic. #: Xeof ContaL4 Xphone # of Contact Person: 4 p Submittal Plan Sets Structural CZICL Truss Cala, Energy Cala. t1ood plain Viso Grading plan Subcontactor List Groat Deed H.O.A. Approval IN HousE!. Planning Approval Pub. w'ks. Appr School Fees /t ')71 Construction Type: r. Project type (circle one): New Add'n Alter Repair Demo Sq. la.: # Stories: # Units: f (fj,;('-j 7-)17) 1 �1 Estimated Value of Projec APPLICANT: Do NOT WRITE BELOW THIS LINE Reed TRACKING Pima Check submitted Reviewed. ready for corrections Called Contact Person Plans picked up Plans resubmitted 2" Review•, ready for Corr", slissu a/3/ Called Contact Person Plans picked up Plans resubmitted 2" Review, ready for correetionsAssue Called Contact Date f pe it issue PERMIT PEES t� Amount Plan Check Deposit 1 -71—.05— Plan 1,05— Plan Cheek Balance Construction • Mechanical Electrical . Plumbing • S.Au. i✓ r Grading - Developer tgtpact Fee A.I.P.P. 6wNtw-• /&Xao r'7 4/ Total Permit Fees f FEB -11-04 WED 5:48 PM RIV, CO, FIRE P&E.INDIO 'FAX H. 1 760 863 7072 P, 2 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department ofForesfry and Fire Protection 21OWest San acinto Avenue • Perris, Cafirornia 92 0 • -Fax ) 94 Tom Tisdale Fire Chief February 11, 2004 Proudly serving the Uninoorporatcd Areas of Riverside City Of La Quinta County and the. Building Department Citics o! Banning Re: Fire and Life Safety Clearance v Beaumont The Riverside CountyFire Department is granting a fire and life safety clearance for the Calimesa Following store California nails at 79-295 hwy 111, suite 4803 La Quinta. Shall have Final Canyon Lake Occupancy when Super Walmart hii, eir final fair occupancy. Please call if you should ,y have any questions. ► Coachella 1Descil 116t Springs T.udinn Wells i FRANK KAWASAKI Indio Chief Fire Department Planner Lake E?Isirwre ev { — - La Quinta ; t ox -'s DB Moreno valley Y Terry De ucy Fire Systems Inspector Palm 0A,Wii Pcxris ' Rancho Mirage San Jacinmo C• , 'Temecula Board of°Supervisor3 Bob Bustor, District I John Tavaglionc, 1)islriet 2 Jim vcnahle, I)islrict 3 Roy Wilson, Nstricl 4 Marion Ashley, Dislricl S TDrl EMERGENCY SERVICES DIVISION • PTA14NING SECTION . INDIO OFFICE 62-675 Hi96wiy ill, 2nd FI.; Indio; CA 92201. (760) 863-8886 • Fax (760) 863.7072 a Q.c ... �s.. .. -Certificate: of r..ccu ancy P I , : > �' 1 � ��. -. _ E'° F /yam ♦ ��"�� i.� It. 0f9.. -Buil. ing. &. Safety_ ' Department ,; This Certificate is issued ursuant- to' the re uirements of Section 109 of the California Bu ldin P., 9 9 �1 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. s ' BUILDING ADDRESS: 79-295 Highway -111 Suite 803 } ! Use.classification: Commercial "Californa,Nails TI" ..Building Pe' No.: 0312-291 ! i Occupancy Group: M Type of Construction: VN Sprinkled. Land Use Zone: CR , � �! ! � �5 �.. /�. y y. - +� ' i �Wi� tr r+r`.. C 7 •d �! c<-,.. 7•-4' ,r *' r 1: ,(' h Y � 9. ?.. - .Y�F�r .<j'. ?r.R.b rd EJ >'L`'4' r (, i not l..i,. ti .Owner.'of Buildm walmarf Real;EstateTrustS - y F� ,� Address: 2001SE10 �.Stceet a r� _ i t S'f. N • 9 :., •, y,. Y.:AT V. _ -H-- '..xE?ilf. ?:�it '6-�'.•1T Y!l. :i"F F..-' 'i ..4.. •�'� �- .. •.f d0. ..-,.. '�. � JE�Sr h ��,l,.iry-a .. n/q.. %r..r 3' ._'v.4.fl i-'} t r'_f{ � �V-� lw'� x,..14. �-ti �] LLl +:5. } l /•Y, i,t.5;. 7t t pjp{ P 4 �3 .. ,. ,.�. .r •r; 1+, . . � _ r,y, "° r` si �.f•:. i�f:! .,�""-. .:,3.i,•,�k�'sra-r tk.- :4-.y •.y 8.., r'.:t`h ...`- _�, - s: - Ci{l.�/,, ST=ZIP Beiitonville> AK 727.16 £ A. -Z:.. N"�:. .•'qq• ����� q - a Kl(gg>`� }et J -�-! w Y Y. !�^ •ie4.l%i": :i. ='t'C S. �� Y♦ .n+', x,i. ,r< .} ���-•f�1T>ii'F .F+-- :.l. ,M,r,< ��- ,�l "F{:rfi, .5 f. '-r� V' ;I•;,.. .:rF,yY iY'y, .rd .? _-M vN.�'4 �';f''.--i +iir+s-'S`4'i ..l. :'k.` k^i= 1 Sr�.J• 3.:>;y F Yi; 4-L 3 j :�, r.q 3. ?' ,,,+.N j- ('ti F i.: t. e', Fe] '.•.., �,d i?.. r' '-e,•t,.. .y';• '.i 1' 'c. ,C.r .� '-i- :.{. a -•`�•^..<�;"`.- �- r� f z. ;..': {... s'. <';x i.. }.•c,.Si t .rr-% r:J: T -;c %w s...� - �� �)`r.� ' �. `,.•'c 1, ic..� � ;f=c'wi;�y. rk t :.i ;v. ,,:. �, ,;k,. �. r` .�,�' „ .-a4 � •�Yi>. 't - �y-• fib' ..;.. v i. .r` 3a., a - <ha3 'V i= ,�.: 5�'. E:- h. x -.F >. «+: fv - tjzr -'i�'.. �. x < t '.-t :J.:.- 4 >,.•i> rtt; }5.. - h`., �> :al .,4 -?"x) 7 ''-.:•<-t Y, _- �_.. � , F �{_� Y. . �,.. xE i ;r �'. :� r r .".. s''�� � ar ';;r .rrrr`;. .;.. ": ... <'r=S ' ;�-:,..:,.: .. .,fX >i{±_r• ar., 'r <-, >yiM:+`: �,. _t3.,(-.�y .`_d-7..�.� _ .z.. :e�': r ;,�. �}. �. ..,,,••cy..h /�,�.:V rpr F..j),.. sf:d�,.. . �� 7. >..7 1 .if 5`'it• q•,,�.�-yr ��. gi�i �. �t •.2.� .•j,• iYt�p ' M.n -:1: ..N�.: > � �=�-�'^?.vfryf .� t{ ¢ r-. � E-�3y.�t'a ���. 1 , k:� _. ,•. r -�.:,.�,. ,. _. ....,.- .,.,,. dam, '',?; ,..A.: `- `•�{••-rr,,, '.s„i�c y,r.d;- .✓, y- d' mss• jy _::S:t.._<i cruT- Y• F, �.a^ �;+.. ` :'S.? ,,b•+4`, :k i ,�sr J .>,,. �4i -?�-+ t. {s..ri� ?r ,..A' �tJ! :,S �:ib "t•. 't ,.J 4: s %-t.�• f f pt ':Yji'v P'x>r3t tt 11 7�7��/�•tw.�H •�;.''➢;'( r'?J. •L:.. :-lV'. ­'V _d ?L" ..Buiidin. `:O 1'IIVIaI,r£'. 9°. pt�.< Y' i S.h` a- }� i {{ E<.'.r�i ,:; w -. ba j'' T. ?;. '• . .-s, `..'' ..-+ �:'vv. .. .. .B �T'j- t+>'J-- :•,. ri.0 23'- _'t �,'`l4�^i' '�.-..?:7 ? af' F. JY'- J' -v-,:;. r:4y. •L;? iJtta•` a''.�,'. r...—,- { •�j. ,<.:- t .v.F � SkkyK,��.r...-�' t. ..y > � .X.. � -, L..G. Y .r' 'i' ,-v _ � ..r. '9+ "• • Y 1, . f.;'4 .� :.'`�.-.:1 -s f _A. .:s k, .yy. .:. h^•. .ti"_i:� >,,.1d. ,s ,•. +•. .rJ. 1._t. '�: '.t, ,.}:. •'r �R. �a `:`•i.' I '••Y�. 1 -t- k rC a' �, >?'-. �-44r`:. yti,Ep :ty.F;'�.. +� ..•.+`.v <.- 1 ::S '+: _:c F:+r• f,� rA '�. �3 j. __. :«..,. y .K-�) ,,; > •Aer r•..�r :._: ,. ,..-'�};.}'-tiR,. Ar,..;< ...y H -- rsywlT ..�, .1,-Y,. �y . f'm.- r.ti .t.sv .r.'- i^ ? ,i , r'-..-o,.t..:: f-: .,sr . s!'.'s;a..> f•.'. ..fin ,".s ; •. �•.2, : ki•.r 'r'.:ai": ]�� •` �.: �•���'S`?. 'F' b.. - �._. �. i�il�' �.JiR4 5L �. �i _ r, �2.•_ 1 �.. r Y }j :� K >4:.�. f w,ai - I' w. 5 i., p..kO. f >�Ffi G., r�.' . f. d A� � .�! y:.. F• -.r. }.. b^tt. 4�S �.V-fit`''-+fYJ-sr�: .rth^fG'a. ./�'. �+/-.+Z. 2-i ��T `:�. ry.'✓.-'V 1 „51 I Y' -3 4 Jam;.. r3 i S ii 4 :..d•�. -,5.3 n f._ '('r' -Y yh❖, ��y,.Y?i-`5x'��-,:)}�' ,-'�•YiS 3 _ r^"Jt.fb`i'W'',.'T,.�._�L,,.n�f✓'!�>.+i"'•G Ali �_..��.. 4`f.. 1..�Sry j •_� -T�" 'V �� R• -.'Z t+�•' ✓.� L,,,�� �s •�f -^Q l /•<' • S 'f �:,�, fF.. Sip' _�i�,'^�'S n(°,,'-�t�` �. P' -'A '_<i3: i-rlR`;'.?`g`'-3,'•-a>;,..+F,4-F-',I•• ,•,,..e. -:, A -r.. _ ' . ', '•tf'� a iX:'7'f, ,.s -•'c._ .,yyk'k -,�.. ''....i -f 1-.4-,. �. ]6st �• y , ,j 4 C ::r';--3zt�S_T`IN'A.GONSPICUO;US.tiP..LACE'�a3���,�,r �'. .?''rim"