BSPN2014-004178-495 CALLE TAMPICO'
LA QUINTA, CALIFORNIA 92253
Application Number: BSPN2014-0041
Property Address: 79174 HIGHWAY 111
T4tyl 4 4 Q"Kro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
APN: 600390029
Application Description: PATIO SLAB FOR YOGURTLAND
Property Zoning:
Application Valuation: $10,000.00
Applicant:
TRI COUNTY DEVELOPMENT & CONST
12321 MAGNOLIA AVE. STE C
RIVERSIDE, CA 92503 Sn
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/2014
Owner:
/00 INLAND AMERICAN LAQUINTA PAV
P 0 BOX 9271
OAK BROOK, IL 92253
DEC 12 2014
Contractor:
TRI COUNTY DEVELOPMENT & CONST
12321 MAGNOLIA AVE. STE C
RIVERSIDE, CA 92503
(800)681-6305
Lic. No.: AEC265
CITY OFA QUINTA
-------------------------- G0�1�11J,NITKCE':'E.,,,hAENFDEPAiiTtAE'NTF ---------------------------------------------
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.: AEC265
/,,Pate: ' 1 — I Contractor:
OWNER -BUILDER DEC RATI
I hereby affirm under penalty of perjury that I am pt 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 7
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.).
(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 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 bec7ju
bject to the
workers' compensation provisions of Sectior�/39p0 of the Labo, I shall forthwith
comply with those provisions. f \
Date: hL "') — L, _ Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPE SATIONCO ERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ND 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 ilding
construction, and hereby authorize representatives of this c' to enter upon t e bove•
mentioned property forinspection purposes.
Date: _ a, t dJ � 'Signature (Applicant or Agent):
r
78-495 CALLE TAMPICO'
LA QUINTA, CALIFORNIA 92253
Application Number: BSPN2014-0041
Property Address: 79174 HIGHWAY 111
T4tyl 4 4 Q"Kro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
APN: 600390029
Application Description: PATIO SLAB FOR YOGURTLAND
Property Zoning:
Application Valuation: $10,000.00
Applicant:
TRI COUNTY DEVELOPMENT & CONST
12321 MAGNOLIA AVE. STE C
RIVERSIDE, CA 92503 Sn
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/2014
Owner:
/00 INLAND AMERICAN LAQUINTA PAV
P 0 BOX 9271
OAK BROOK, IL 92253
DEC 12 2014
Contractor:
TRI COUNTY DEVELOPMENT & CONST
12321 MAGNOLIA AVE. STE C
RIVERSIDE, CA 92503
(800)681-6305
Lic. No.: AEC265
CITY OFA QUINTA
-------------------------- G0�1�11J,NITKCE':'E.,,,hAENFDEPAiiTtAE'NTF ---------------------------------------------
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.: AEC265
/,,Pate: ' 1 — I Contractor:
OWNER -BUILDER DEC RATI
I hereby affirm under penalty of perjury that I am pt 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 7
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.).
(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 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 bec7ju
bject to the
workers' compensation provisions of Sectior�/39p0 of the Labo, I shall forthwith
comply with those provisions. f \
Date: hL "') — L, _ Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPE SATIONCO ERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ND 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 ilding
construction, and hereby authorize representatives of this c' to enter upon t e bove•
mentioned property forinspection purposes.
Date: _ a, t dJ � 'Signature (Applicant or Agent):
DESCRIPYION
-FINANCIAL ,•
ACCOUNT r
1•
QTY AMOUNT
PAID
PAID DATE
SPECIAL INSPECTION
101-0000-42404
1 $72.52
$72.52
12/15/14
PAID BY
METHOD '°
RECEIPT #
CHECK #
CLTD BY
TRI COUNTY DEVELOPMENT & CONST
DEBIT
R3214
PJU
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SPECIAL INSPECTION PC
101-0000-42600
1
$181.29
$181.29
12/15/14
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
TRI COUNTY DEVELOPMENT & CONST
DEBIT
R3214
PJU
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $253.$1
TOTALS:
Description: PATIO SLAB FOR YOGURTLAND ,
Type: SPECIAL INSPECTION
Subtype: Status: SUBMITTED
Applied: 12/10/2014 BHA
Approved: 12/11/2014 BHA
Parcel No: 600390029 Site Address: 79174 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 29351
Block: Lot: 11
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: NEW PATIO SLAB FOR YOGURTLAND. RELOCATION OF ACCESSIBLE STALLS TO THE EAST TO ACCOMODATE PATIO SLAB. 2013 CODES.
FINANCIAL INFORMATION
Printed: Monday, December 15, 2014 4:34:46 PM 1 of 3 CN?sYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
NOTE
KAY HENSEL
12/10/2014
12/10/2014
PER BURT, NO PLANS WERE ROUTED TO PLANNING BUCKET
CONDITIONS
NAME TYPE _
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
TRI COUNTY DEVELOPMENT &
CONST
12321 MAGNOLIA AVE.
STE C
RIVERSIDE
CA
92503
CESARP@TCDCI.COM
ARCHITECT
TOM AVILA
3304 PICO BLVD. #G
SANTA MONICA
CA
90405
CONTRACTOR
TRI COUNTY DEVELOPMENT &
CONST
12321 MAGNOLIA AVE.
STE C -
RIVERSIDE
CA
92503
CESARP@TCDCI.COM
OWNER
INLAND AMERICAN LAQUINTA PAV
P O BOX 9271
OAK BROOK
IL
92253
FINANCIAL INFORMATION
Printed: Monday, December 15, 2014 4:34:46 PM 1 of 3 CN?sYSTEMS
SIR
BONDINFORMATION
Printed: Monday, December 15, 2014 4:34:46 PM 2 of 3 OffWsrsreMs
N
RETURNED
STATUS
777
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OF
PAID DATE
V
CHECK #
METHOD
SIR
BONDINFORMATION
Printed: Monday, December 15, 2014 4:34:46 PM 2 of 3 OffWsrsreMs
RETURNED
STATUS
777
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
12/17/2014
12/10/2014
APPROVED
IBLE SIGNAGE REQUIRED AT LEFT
HANADA
W/CONDITIONS
STALL AS REDLINED ON PLAN.
ZY
PLAN SWITCHES LOCATION OF PATIO AND ADA
STALLS. DOES NOT CHANGE INTENT OF APPROVED
PLANNING WALLY NESBIT 12/10/2014
12/17/2014
TRI COUNTY
APPROVED
SPECIAL INSPECTION
101-0000-42404
1
$72.52
$72.52
12/15/14
R3214
DEBIT
DEVELOPMENT &
PJU
PERMIT OK
CONST
TRI COUNTY
SPECIAL INSPECTION PC
101-0000-42600
1
$181.29
$181.29
12/15/14
R3214
DEBIT
DEVELOPMENT &
PJU
CONST
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $253.81 $253.81
�.3r-•v - ,lr..� p.Y^ `�. X/y i f, _ }}p� ..Z KYH._�.N i ,.fad •� � � �i
'�5. =i. yj Z S :,J„� ia j, +'.y- 1 '1 'x.: •rY•i .. .rE.-. 1�.
SIR
BONDINFORMATION
Printed: Monday, December 15, 2014 4:34:46 PM 2 of 3 OffWsrsreMs
RETURNED
STATUS
777
REVIEW TYPE REVIEWER SENT DATE
DUE DATE
NOTES
DATENON-STRUCTURAL
BURT 12/10/2014
12/17/2014
12/10/2014
APPROVED
IBLE SIGNAGE REQUIRED AT LEFT
HANADA
W/CONDITIONS
STALL AS REDLINED ON PLAN.
PLAN SWITCHES LOCATION OF PATIO AND ADA
STALLS. DOES NOT CHANGE INTENT OF APPROVED
PLANNING WALLY NESBIT 12/10/2014
12/17/2014
12/11/2014
APPROVED
REVISE MBA MBA 2014-1004. WILL ISSUE LETTER OF
W/CONDITIONS
CONSISTENCY WITH APPROVED MBA SEPARATE.
PERMIT OK
SIR
BONDINFORMATION
Printed: Monday, December 15, 2014 4:34:46 PM 2 of 3 OffWsrsreMs
Permit Details PERMIT NUMBER
City of La�Quinta BSPN201'4.�004-
• . - 'Caw+'. wM.. ,
Printed: Monday, December 15, 2014 4:34:46 PM 3 of 3 — CRWYSTEMs
ATTACHMENTS
Attachment Type
'` .CREATED:
OWNER'_,
DESCRIPTION
"PATHNAMEE, ;
'SUBDIR -
ETRAKIT ENABLED
DOC
12/11/2014
WALLY NESBIT
14-09-24_MBA 14-
14-09-24_MBA 14-
0
1004 Habit Grill.pdf
1004 Habit Grill.pdf
• DOC
12/11/2014
WALLY NESBIT
MBA 14-1004 revision
—
MBA 14-1004 revision
—
0
OK_Itr.pdf
OK_Itr.pdf
.1 and A1.0_revised
A0.1 and A1.0—revised
DOC
12/11/2014
WALLY NESBIT
Flayout—APPD.Pdf
layout_APPD.pdf
0
Printed: Monday, December 15, 2014 4:34:46 PM 3 of 3 — CRWYSTEMs