BSPN2016-004178015 Main St Ste 108
BSPN2016-0041
4 a w VOICE (760) 777-7.125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/26/2016
Application Number: BSPN2016-0041 Owner: .
Property Address: 78015 MAIN ST STE 108 BUILDING A L Q
APN: 770121007 6 ASHDOWN PL
Application Description: OLD TOWN/ MORELIA'S FRUITS AND MORE/ NEW BUSINESS HALF MOON BAY, CA 92253
Property Zoning:
Application Valuation:
Applicant:
PEDRO PADILLA
31020 SAN EUAY AVE
CATHEDRAL CITY, CA 92234
PD
Q
Uc. No.:COMMC!1YOFLAQUINTA
UNITY DEVELOPMENT DEPARTMENT
----------------------------------------------------------------------------------_--
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: License No.:
Date:
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
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
himselfor 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.).
( 11, 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 Address:
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 and policy number are:
Carrier:- Policy Number: _
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, I shall forthwith
comply with those provisions.
Date:
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 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 relatin to building
construction, and hereby authorize representatives of this city to the
above-mentioned property for inspection purposes.
Dat45::?e!;_ 20/1"Signature (Applicant or Agent Y
Description: OLD TOWN / MORELIA'S FRUITS AND MORE / NEW BUSINESS
CONDITIONS
Type: SPECIAL INSPECTION
Subtype: Status: UNDER REVIEW
Applied: 5/26/2016 SKH
Approved:
Parcel No: 770121007 Site Address: 7801S MAIN ST STE 108 LA QUINTA,CA 92253
Subdivision: PM 30850
Block: Lot: 1
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
EMAIL
Details: NEW BUSINESS INSPECTION - MORELIA'S FRUITS AND MORE. THIS PERMIT IS NOT FOR CONSTRUCTION. 2013 CALIFORNIA BUILDING
CODES.
31020 SAN EUAY AVE
CATHEDRAL
CITY
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE ZIP
PHONE
FAX
EMAIL
APPLICANT
PEDRO PADILLA
31020 SAN EUAY AVE
CATHEDRAL
CITY
CA 92234
OWNER
BUILDING A L Q
6 ASHDOWN PL
HALF MOON
BAY
CA 92253
Printed: Thursday, May 26, 2016 3:52:53 PM 1 of 2
r1 sysrenns
"P&Mit Details PERMIT NU11MBER
City of La Quinta BSPN2016=0041
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" JFU 5/27/2016
PARENT PROJECTS
Printed: Thursday, May 26, 2016 3:52:53 PM 2 of 2
SYSTEMS
Bin #. City of La Quin to
Building 8t Safety Division
Permit .# 78-495 Calle Tampico
,`7 . l ,P1 —I La Quinta, CA 92253 - (760) 777-7012
I! V Building Permit Application and Tracking Sheet
oject Address: 6 lD ner's Name: e C/
A. P. Number:
Address:
Legal Description:/City,
Contractor:
ST, Zip: - 7 1 7
eIP
e hone•
Address:
Project Description:
City, ST, Zip:
Telephone:
le h
Po .
State Lie. # :
Arch., Ehgr., Designer:
City Lie.
Address:
City., ST, Zip:
Telephone: h
one:
State .
S te Ltc. #
Name of Contact Person:
Construction TY e: Occupancy:
P cY:
PNew w Add'n
DemoroJect type (circle one
Alter Repair r
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan2nd
Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees