BDEM2014-0004(
_78'495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
J
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BDEM2014-0004
'Property Address: 78611 HIGHWAY 111
APN: 643220007 .
Application Description: DEMO TO BARE GROUND SIMON MOTORS SITE - P
Property Zoning:
Application Valuation:
Applicant:
PREST VUKSIC ARCHITECTS INC.'
44530 SAN PABLO
PALM DESERT, CA 92260
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 :LIC -0003392
Date: % Contra cto �` ( -
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
($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
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.).
(_) 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.).
(_) 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
A aner:
ACM LA
APR Q 7 C�PiMA
1800 AV
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/7/2015
'A IV B LLC
N AQUISITIONS,LLC
HE STARS SUITE105
CA 90067
Contractor:
MOOREFIELD CONSTRUCTION, INC.
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(714)972-0700
Lic. No.: :LIC -0003392
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 t 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 Coda I shall forthwith
comply with those provisions.
Date: f 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 relating to building
construction, and hereby authorize representatives of this city to enter upon the above.
mentioned property for inspection purposes.
Date: 1 Signature (Applicant or Agent):
0
. DESCRIPTION
INFORMATION
"ACCOUNT
QTY AMOUNT
PAID'
PAID DATE
DEMOLITION, EXTERIOR
101-0000-42404
0
$36.26
$36.26
12/23/14
PAID BY
METHOD" `.
RECEIPT # -
CHECK #
CLTD BY `
PREST VUKSIC ARCHITECTS INC.
CHECK
R3278
09913
AZA
DESCRIPTION
ACCOUNT'
QTY-:
AMOUNT
PAID
:PAID DATE
DEMOLITION, EXTERIOR PC
101-0000-42600
0
$108.77
$108.77
12/23/14
PAID BY
METHOD
RECEIPT #
CHECK #
'CLTD BY
PREST VUKSIC ARCHITECTS INC.
CHECK
R3278
09913
AZA
Total Paid for DEMOLITION: $145.03 $145.03
TOTALS: $145.03 $145.03
0
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Y
-
R
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0
�ti
CJty, of La Quinta
Building 8z Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permitl�
ProjectAddress: —b�� ��D,�nVi ��
Owner's Name:. C LA (L �a IV=4 lLC Lv►r► a�
A. P. Number: 2_10 — 60-7
Address: IMOD X-4^vc 0"f YAC 5\-V 5, c#165
Legal Description:
City, ST, Zip: S LmAt4
4100 b 7
Contractor:N
Telephone: l a"wssa:�::s.:;�•. -
a:
Address:
Project Description: �0 Y,gGf� LTNt 1 Ctt�}c _
City, ST, Zip:
Quo t r Wt AY` Zt d j h O
Telephone:
City Lie.Air r 4.
State Lie. 4:
Arch., Engr., Designer. Prcy VvCCK LL
(� .�- r ► 1 J - `d �`n
Address: 4+b30 lam VaN6 t.
t5g4o At �c -eN►0V5\q\-t
City., ST, Zip: YAM 65ei-�-6N .2260
(Oovv f—or .Cohs�,ryG for of k)oove5co
Tele hone .53
p • %�V •77q
'�
�. 'Y `�r
icy cu4l;rr
ConstructionType:. � Occupancy: M Al
State Lic. #:
Project type (circle one): New Add'n Alter Repair o
Qtir 1�\An# Stories: #Units:
``:w
Name of Contact Person: DAVI b �1f01�C.
LSq.t.:
Tele hone # of Contact Person:P ated Value of Project: r 00 -
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
?..
Plan Check submitted
tem Amount
Structural talcs.
Reviewed, ready for corrections
l Plan Check Deposit. .
Truss Cates.
Called Contact Person i
Plan Check Balance
Tide 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
3d Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Caked Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�ti
90067 -
Tel '310.277.33,77
Fns 310.277.8330 S.
Wmow.,;)agellan-rp;fp'n, March 2, 2015
>R !City of La Quints
78495 .Calle Tampico
La Quinta, CA 92253
Re: , Demolition Work Authorization for Moorefield Construction at
78611 Highway 111, La Quinta, CA
To'Whom It May -Concern:
ACM La Quinta IV -B, LLC hereby authorizes Moorefield Construction as
the General°Contractor to, perform demolition work for the property located .
at .78611 •Highway 111, La Quinta, CA.
Sincerely,
'
ACM La Quinta IV -B, LLC
Description: DEMO TO BARE GROUND SIMON MOTORS SITE - PM18418
Type: DEMOLITION Subtype: COMMERCIAL/OTHER Status: APPROVED
Applied: 12/23/2014 MFA
Approved: 3/25/2015 BHA
Parcel No: 643220007 Site Address: 78611 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 18418 Block: Lot: 1
Issued:
Lot Sci 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
xt
> _ ', NOTES
Details: DEMOLITION OF EXISTING AUTO DEALERSHIP COMPLEX. INCLUDES 40,650 SF TOTAL AREA (BUILDING: 33,000SF + COVERED PORCH:
3,600SF + CARPORT: 4,050SF) HAZARDOUS MATERIALS IDENTIFIED IN ENVIRONMENTAL REPORTS SHALL BE HANDLED PER STATE OF
CALIFORNIA AND EPA ESTABLISHED REGULATIONS. 2013 CODES.
L t . `Applied to Approved.
Printed: Tuesday, April 07, 2015 7:47:31 AM 1 of 4 srsTeMs
ADDITIONAL
CHRONOLOGY
CHRONOLOGY -TYPE' `,
;,STAFF;NAME_
ACTION -DATE CCIMPLETION DATE °°
xt
> _ ', NOTES
E-MAIL
BURT HANADA
12/23/2014
12/23/2014
SENT DEMOLITION REQUIREMENTS TO DAVID DRAKE VIA
EMAIL.
RECEIVED PRELIM. TITLE REPORT AS PROOF OF OWNERSHIP
E-MAIL
BURT HANADA
3/10/2015
3/10/2015
FROM DAVID DRAKE OF PREST VUKSIC.
VERIFIED NUMBER OF PLANS IN CITY AS THREE. NO
ADDITIONAL PLANS REQUIRED.
Roger Azul — Project Engineer 714-972-0700
E-MAIL.
PHILIP J.UAREZ
3/2/2015
3/2/2015
600 N. Tustin Ave. Suite 210
Called and wanted copy of corrections and flyer for next PM
10 class.
PUBLIC COUNTER VISIT
BURT HANADA
2/12/2015
2/12/2015
DAVID DRAKE SUBMITTED 3 SETS OF REVISED DEMOLITION
PLANS.
CONDITIONS
Printed: Tuesday, April 07, 2015 7:47:31 AM 1 of 4 srsTeMs
-CONDITION-
CONTACT ,
DATE ADDED
_ -DATE
;
- DATE
,STATUS
REMARKS a
- i NOTES"
-TYPEa,
•
-
REQUIRED
SATISFIED
READY TO ISSUE
.3/26/2015
3/25/2015
3/25/2015
COMPLETE
CONTACTS
NAME TYPE
F ;NAME
" " ADDRESS1 t
CITY. £`
STATE
ZIP
PHONE
FAX ''
'EMAII:
APPLICANT
PREST VUKSIC ARCHITECTS INC.
44530 SAN PABLO
PALM DESERT
CA
92260
(714)972-0700
DAVIDD@PVARCH.CO
M
ARCHITECT
PREST VUKSIC ARCHITECTS INC.
44530 SAN PABLO
PALM DESERT
CA
92260
(714)972-0700
DAVIDD@PVARCH.CO
M
CONTRACTOR
MOOREFIELD CONSTRUCTION, INC.
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(714)972-0700
OWNER
ACM LA QUINTA IV B LLC
C/O MAGELLAN
LOS ANGELES
CA
90067
(714)972-0700
AQUISITIONS,LLC
INSPECTIONS
.'SEQID : " INSPECTION TYPE _ -',.-INSPECTOR, SCHEDULED 'COMPLETED.
RESULT r' REMARKS - �'ew � - NOTES'
DATE. .DATE
PRE -SITE
FINAL"
PROJECTSPARENT
REVIEWS
Printed: Tuesday, April 07, 2015 7:47:31 AM 2 of 4. = srsTeMS
_ , ,
REVIEW TYPE'
--�;� pr-�---
REVIEWER
�- ;
SENT DATE'
•�^'��
DUE DATE
RETURN
_E
�• STATUS
REMARKS:
• a.. �,
NOTES
�7 CREATED
OWNER.
X .a,. , .
r -
- PATHNAME
. .. ..
DATE
B ETRA KIT ENABLED
-f
,. z
NON-STRUCTURAL
BURT
12/23/2014
12/31/2014
12/23/2014
REVISIONS REQUIRED
SENT DEMO LIST TO
REQUIRE ENTS.docx
HANADA
_
APPLICANT. '
78611 HWY 111- OLD
NON-STRUCTURAL,
BURT
3/20/2015
4/3/2015
3/20/2015
APPROVED
PM10 APPROVAL
SIMON MOTORS
HANADA
AERIAL
REQUIRED.
PW GREEN SHEET'-
AMY YU
3/20/2015
3/27/2015
3/25/2015
READY FOR APPROVAL
PM10 PERMIT ISSUED
BP RELEASE
3/10/2015
BURT HANADA
with Old Parcel Map No
with Old Parcel Map No
1
Printed: Tuesday, April 07, 2015 7:47:31 AM 3 of 4
SYSTEMS
ATTACHMENTS
Attachment T e
.- . Yp
�7 CREATED
OWNER.
X .a,. , .
DESCRIPTION .
- PATHNAME
. .. ..
ffi ' '
SUBDIR -
B ETRA KIT ENABLED
DOC
12/23/2014
BURT HANADA
DEMO
DEMO
1
REQUIRE ENTS.docx
REQUIRE ENTS.docx
_
78611 HWY 111- OLD
78611 HWY 111- OLD
DOC
3/10/2015
BURT HANADA
SIMON MOTORS SITE
SIMON MOTORS
1
AERIAL
SITE.docx
Preliminary Title Report
Preliminary Title Report
DOC
3/10/2015
BURT HANADA
with Old Parcel Map No
with Old Parcel Map No
1
36791.pdf
36791.pdf
78611 HWY 111-
78611 HWY 111 -
DOC.
3/20/2015
BURT HANADA
BDEM02014-0004
BDEM02014-0004.
1
Construction Waste
Construction Waste
Management Plan.pdf
Management Plan.pdf
PHASE II
PHASE II
DOC
3/20/2015
BURT HANADA
ENVIRONMENTAL SITE
ENVIRONMENTAL SITE
1
ASSESSMENT -
ASSESSMENT -
BDEM02014-0004.pdf
BDEM02014-0004.pdf
DOC
3/17/2015
STEPHANIE KHATAMI
GRANT DEED
GRANT DEED
0
BDEM2014-0004
BDEM2014-0004.pdf
TANK PRESSURE
TANK PRESSURE
DOC
3/17/2015
STEPHANIE KHATAMI
REPORT BDEM2014-
REPORT BDEM2014--
0
0004 --- 6351459-ESAI-
0004 --- 6351459-ESAI-
Report Pt 2
Report Pt 2.pdf
Printed: Tuesday, April 07, 2015 7:47:31 AM 3 of 4
SYSTEMS
g -PERMIT NUMBER',,� r
d Permit Details - ._
B D E M 2fl 4 --*004
• � Uq ..w
0
,City of La�Quinta -
4 -`
Printed: Tuesday, April 07, 2015 7:47:31 AM. 4 of 4
. SYS7EM5
ATTACHMENTS
Attacliment Type
{REATED '.
ry. OWNER " �,
;: DESCRIPTION
PATHNAME�
UBIJI
"S R „NE
TRAKIT�ENABLEDy
Demo Authorization
DOC
3/17/2015
STEPHANIE KHATAMI
Demo Authorization
Letter BDEM2014-
0
Letter BDEM2014=0004
0004.pdf
ASBESTOS REPORT
-
ASBESTOS REPORT
BDEM 2014-0004'--- is -
'
BDEM 2014-0004 ---is-
DOC
3/17/2015
STEPHANIE KHATAMI
1326931 ACM LBP
132693 1 ACM LBP
0
•
Survey -Former Auto
-
Survey -Former Auto
Dealership La Quinta
-
Dealership La Quinta CA
CA.pdf
PHASE 1
PHASE 1
DOC
3/17/2015
STEPHANIE KHATAMI
ENVIRONMENTAL
ENVIRONMENTAL
0
ASSESSMENT.
ASSESSMENT
_
BDEM2014-0004
BDEM2014-0004.pdf
Printed: Tuesday, April 07, 2015 7:47:31 AM. 4 of 4
. SYS7EM5
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