07-0818 (DEMO)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: `
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
07-00000818 '
78411 HIGHWAY 111
604 -050 -008 -
DEMO - COMML/OTHER
COMMUNITY COMMERCIAL
T -4w -t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner: .
M,& H REALTY PARTNERS II
C/O PETER MERLONE
353 SACRAMENTO ST 21ST FL
SAN FRANCISCO, CA 94111
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/07
Contractor: v MA
Applicant: Architect or Engineer: BIG HORN BUILDERS INC R /
P O BOX 13793 / Do
PALM DESERT, CA 92255
/] (760) 341-3338 N HcL4�U�
/ ----------------------------------------------------------------------------------------------
Lic. No.: 376108
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 and1ProfeLsionall s Code, and my License is in full force and effect.
Lice Class: B ense No.: 376108
Data Ji ntractor: -
/ OWNER-BUILDE ECLARATION
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 ($500).:
(_ 1 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.).
(_ d 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.).
1 _ 1 I am exempt under Sec. , BAP.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.
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 STATE FUND Policy Number 046-0016022
_ '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 subje t to the workers' compensation laws of California,
and agree that, if I should become subject t e the
compensation provisions of Section
3700 of the Labor C a o with om ly with these provisions. ,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEVI UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T NE 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 isc re I agree to comply with all
city and county ordinances and state laws relating to building const tion, and er y aut 'ze representatives
of this county toe ter upon the above-mentioned propert nsp on purpo
ate' re (Applicant or Agentl
Application Number . . . . . 07-00000818
'
Permit . . . DEMO PERMIT
Additional desc . .
Permit Fee . . . . 45.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 9/23/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
----------------------------------------------------------------------------
Special Notes and Comments
PARTIAL DEMO OF INTERIOR PARTITION
WALLS, PER APPROVED PLAN
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 45.00
.00
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
.00
.00
45.00
Bin #
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
Permit .#
Project Address:' —' g ' �W
Owner's Name:
A. P. Number:
Address: —7J11,01 Nw 3v.�
Legal Description:
Contractor: b e rL S �LN G
City, ST, Zip:LA t) I A)7-4 Z
Telephone: ~j / — t]
Address: p `� 0)< 137g3
Project Description: if KI O
City, ST, Zip: im tf
Telephone (QD / [
R`L
State tic. #: 3 �% (p D
City Lic. #:
Arch., Engr., Designer: O N I
Address: Q p iti10 N 1 t e t`i t
City, ST, Zip:
Telephone7(z0) � _ 3 1-
State Lic. #:�'
Name of Contact Person: D
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: T#
Units:
Telephone # of Contact Perso 7(oQ S = Z
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance .
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2°" Review, ready for correction ass
Electrical .
Subcontactor List
Called Contact Person
Plumbing '
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
i
HARSCH
INVESTMENT PROPERTIES
March 20, 2007
City of La Quinta ' . VIA HAND -DELIVERY
Building Department
78-495 Calle Tampico 4
La Quinta, CA 92253
RE: 78-411 Highway 1 11, La Quinta, CA) 92253 — Plaza La Quinta
Authorized Representative/Contracto'r-
To Whom It May Concern:
1
t
Please accept this letter as the Landlord's authorization for r the following representative
and/or contractor to perform work at the abo�- -ve-noted property:
Rod Sharp
Big Horn Builders,-Inc.-
This
uilders; Inc:This contractor will be submitting all required paperwork, plans, 'etc., on the Landlord's
behalf for the construction projeci at 78-411 Highway 111, La QUinta, CA 92253.
Thank you for your assistance in this matter. If you have further'questions or concerns,
please don't hesitate to contact us at any of the numbers listed below.
Sincerely,
HOeccaMankiller ENT REALTY, LLC, SERIES F
a
YRe
Retail Property Manager
i
:rkm
cc: Rod Sharp, Big Horn Builders, Inc., iia hand -delivery
i
- - 1
78.401 Highway 111, Suite C • La Quinto, CA 92253 • Phone 760) 771-4580 • Fax (760) 771-4680 • www.harsch.com
0 Certificate of Occupancy
OF9�S Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the 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: 78411 HIGHWAY 111
Use classification: COMMERCIAL (COACHELLA VALLEY INSURANCE
Occupancy Group: B
Type of Construction: VN
Building Permit No.: COURTESY
Land Use Zone: CC
Owner of Building: M & H REALTYPARTNERS 11 Address: 353 SACRAMENTO ST 21st FL
City, ST, ZIP: SAN FRANCISCO, CA 94111
By: STEVE TRAXEL
Date: 07-12-2007
Building Official