05-0297 (OFC)78080 Calle Amigo
05-0297
.f P.O. BOX 1504 ---- IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
- Application Number: 05-00000297
r'
Property Address: 78080 CALLE AMIGO
APN: 770-182-008- - -
Application description: NEW COMML - OFFICE/BANK
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 340107
\ Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 License is in full force and effect.
License Class: B License No.: 744091
Date:% Contractor: `N
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 1$5001.:
(_ I 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.).
(_ 1 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 orimprovesthereon, 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
Owner:
ROB CAPITZ
P.O. Box 1144
LA QUINTA, CA 92253
Contractor:
SUN VISTA DEVELOPMENT
P.O. BOX 1144
LA QUINTA, CA 92247
(760)771-4722
Lic. No.: 744091
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153'
Date: 4/19/06
WORKER'S COMPENSATION DECLARATION
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.
Lhave 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 STATE FUND Policy Number 1705482
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 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, IIsshall fo hwith comp) ith those provisions.
Date: T / L Applicant:
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 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 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 cou ty to nter upon the above-mentioned prop rt for inspection purpo A
Date: Signature (Applicant or Agent):
ry
Application Number . . . . . 05-00000297
------ Structure Information COMMERCIAL SHELL BUILDING ---_--
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . BUSINESS <50
Other struct info CODE EDITION 2001 CBC
FIRE SPRINKLERS YES
MIXED-USE OCCUPANCY B
1ST FLOOR SQUARE FOOTAGE 3583.00
2ND FLOOR.SQUARE FOOTAGE 3341.00
----------------------------------------------------------------------------
Permit . . . . . BUILDING PERMIT
Additional desc .
-Permit Fee . . . . 1.483.00 Plan Check Fee 963.95
Issue Date Valuation . . . . 340107
Expiration Date 10/16/06
Qty Unit Charge Per Extension.
BASE FEE 639.50
241.00 3.5000 THOU BLDG 100,001-500,000 843.50
-----------------------------------------------------=----------------------
Permit ELEC-NEW COMMERCIAL
Additional desc .
Permit'Fee . . . . 153.48 Plan Check Fee 38.37
Issue Date . . . . Valuation 0
Expiration Date 10/16/06
Qty Unit Charge Per Extension.
BASE FEE 15.00
6924.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 138.48
----------------------------------------------------------------------------
Permit . . . . GRADING PERMIT
Additional desc .
Permit Fee 15.00
Issue Date
Expiration Date 10/16/06
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Permit MECHANICAL
Additional desc . .
Permit Fee . . . . .242.50
Issue Date . . . .
Expiration Date . . 10/16/06
LQPERMIT
Plan Check Fee 60.63
Valuation 0
Application Number
. . . . 05-00000297
Permit . . . . . .
MECHANICAL
`
Qty Unit Charge
Per
Extension
BASE FEE
15.00
13.00 9.0000
EA MECH B/C <=3HP/100K BTU
117.00
13.00 6.5000
EA MECH AH <=10K CFM
84.50
4.00 6.5000
---------------------------------------------------------=------------------
EA MECH VENT FAN
26.00
Permit . .
PLUMBING
Additional desc .
Permit Fee . . . .
250.50 Plan Check'Fee
62.63.
Issue Date
Valuation . . .
. 0
Expiration Date
10/16/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
8.0.0 6.0000
EA PLB FIXTURE
48.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
6.00 6.0000
EA PLB ROOF DRAIN
36.00
13.00 3.0000
EA PLB WATER INST/ALT/REP
39.00
13.00 7.5000
EA PLB OTHER BACKFLOW <=2 INCH
97.50
----------------------------------------------------------------------------
Special Notes and Comments
Commercial Shell Building (6,924
sgft)Two Stories, "B"
Occupancy Design,
Type VN Sprinkled.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . .ACCESSIBILITY PLAN REVIEW
96.40
ART IN PUBLIC PLACES -COM
1680.53
DIF CIVIC CENTER - COMM
373.89
ENERGY REVIEW FEE
96.40
DIF FIRE PROTECTION -COMM
401.59
STRONG MOTION (SMI) - COM
71.42
DIF STREET MAINT FAC -COMM
193.87
DIF TRANSPORTATION -. COMM
14651.18
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
------------------------------
2144.48 300.00 .00
1844.48
Plan Check Total
1125.58 800.00 .00
325.58
Other Fee Total
17565.28 .00 .00
17565.28
Grand Total
20835.34 1100.00 .00
19735.34
LQPERMIT
Building
Address
Address
r
T4t!t 4 4 "
P.O. BOX 1504
78-495 CALLE TAMPICO
C Ikl &f).,i LA QUINTA, CALIFORNIA 92253
State L71C. City
& Classif. d 9 Lic. #
Arch., Engr.,
Designer 4n;cx I A ive— % b
Address_
Phi Wf `1/T I ZI L JJl rl I Lic.t# 14r Q/.,L )
LICENSED CONTRACTOR'S DECLARATION —
I hereby affirm 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 703 1.5.
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he Is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for thealleged 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 (5500).
1: 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
POI icy o. Company
opy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 the above-
mentioned property for inspection purposes.
Signature of applicant —Date—
Mailing
ateMailing Address
City, State, Zip
Q 5- 2a1
APPLICATION ONLY
LDING: TYPE'CONST.00C. GRP.
. Number 2- I.Q L! -51 ) . 606
Legal Description
i
Project Description
AEA 2o/i
/'-4 : t Allo T e
o FICA 6116'
Sq. t../I-FNo.
SizeStories
No. Dw.
61 Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
L
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
nn •OO
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
/A\
lid I ;,t 4:, ;) Liu, ISI
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE
I IIIIIII VIII III VIII IIII 73
IE
Date
2/2/06
No.
28090
Owner
Rob Capetz
Address
City
Zip
Tract #
Type
Commercial
Lot # No. Street
Unit 1 78080 Calle Amigo
Unit 2
Unit 3
Unit 4
Unit 5
Comments
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
S.F.
6924 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
APN #
Jurisdiction
Permit #
Study Area
No. of Units
tFpsc
Q BERMUDA DUNES
C7 RANCHO MIRAGE Cf
N INDIAN WELLS
i. PALM DESERT
LAQUIOTA y
ao. yN
770-182-008
La Quinta
1
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.36 X 6,924 S.F. or $2,492.64 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/1st Bank- John Capetz Check No. 80405
Name on the check Telephone 771.4722
Funding Commercial
By Dr. Doris Wilson
Superintendent
Fee collected /exempt d by ron MCGilvrey Payment Recd X0.00
$2,492.64 = r Over/Uivder
Signature
/t',I I I
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in ,,n%hich you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy- Applicant/Receipt Copy -Accounting
Permit # 0, 9
D
10—ject Address:'
A. P. Number:
Contractor:
Address:
City, ST, Zip:
Telephone:
State Lic. # Q
Arch., Engr., Designer: '
Address.
City, ST, Zip:
Telephone:
State Lic. #
Name of Contact Person:
Telephone # of Contact Person:
#
Submittal
Real
7
Plan Sets
Sq. FL:
Structural Calcs.
1.1 Units:
Truss Calcs.
APPLICANT: DO NOT WRITE BELOW THIS UNE
Energy Calcs.
Flood plain plan
PERMIT FEES
Plan Check submitted
Grading.plan
item
Subcodtactor List .
(
Grant Deed
Reviewed, ready for corrections
2P
H.O.A. Approval
Called Contact Person
IN HOUSE:-
Plan Check Balance
%
Planning Approval
`jJPJ
Constriction
Pub. Wks. Appr
Plans resubmitted
»
School Fees
- IE
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: pot;
Address: P(J ox 119'31(
City, ST, Zip: by 0U,07* C/1
- 3/z0%7- oN
Reed
PrOjw Description:
Lic. #: 7
74
now.
COastn ction Type:
Occupancy: -
PrOjod. type (circle one): New Add'n Alter Repair Demo
Sq. FL:
# Stories:
1.1 Units:
Estimated Value of Projed:
APPLICANT: DO NOT WRITE BELOW THIS UNE
I.RACIMG •
PERMIT FEES
Plan Check submitted
3 ,^
item
(
Amount .
Reviewed, ready for corrections
2P
plan Check Deposit
Called Contact Person
Plan Check Balance
Plass Picked. up
/ Z7
Constriction
Plans resubmitted
»
Mechanical
2'' Review, ready for eorrectio ere
Electrical
Called Contact Person
4
Plumbing
Plans picked up
SALL .
Plans resubmitted
Grading
Review, ready for.correcdonsPissae
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
.. w
217 Ll" 14G+u6E
,,/ Total Permit Fees
)F,0 '"T 7; :71s &LLk— VIYL ? W