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05-3262 (CSCS)P.O. BOX 1504 -•78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4tyl 4 X�&4" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application, Number: 05-00003262 Property Address: 79640—HIGHWAY' 111 - APN: 649-020-014-4 -31143 - Application description: NEW COMML - STORES & CUSTOMER SERVICE Property Zoning: REGIONAL COMMERCIAL Application valuation: 500643 Applicant: Architect or Engineer: r I* CA Owner: DUNES BUSINESS PARK LLC, THE 3550 W 6TH ST STE 400 LOS ANGELES, CA 90020 Contractor: BISHOP BUILDERS INC P.O. BOX 1746 KETCHUM, ID 83340 (760)218-5801 Lic. No.: 801773 _ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/17/06 -------------------------------------------------------------------------------------------------- ' LICENSED CONTRACTOR'S DECLARATION ,WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B - License No.: 801773 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is I ate: - `�� Contractor:. issued. - 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 OWNER -BUILDER EC RATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from th ntractor's State License Law for the Carrier STATE FUND Policy Number 01641941-2005 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or. repair any structure, prior to its issuance, also requires the applicant for the _ person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 oftheBusiness and Professions Code) or 3700 of the Lab Ae orthwi those provisions. 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).: jywith e' •16a� scant: , ( ) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO ER GE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.). APPLICANT ACKNOWLEDGEMENT " (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors'.State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City - of La Ouinta, its officers, agents and employees for any, act or omission related to the work being - performed under or following issuance of this permit. Date: Owner: 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 ' CONSTRUCTION LENDING AGENCY permit to cancellation. ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for -which this permit is issued (Sec. 3097, Civ. C.). - - - city and county ordinances and state laws relating To building co tion, and hereby authorize representa ives of this unty to enter upon the above-mentioned rtyie ' _' ectio ur Lender's Name: - -' ' ate: Si (Applicant or Agent): • Lender's Address:�`;"f" ature - LQPERMIT LQPERMIT Application Number . . . . . 05-00003262 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 2042.50 Plan Check Fee 1327.63 Issue Date . . . . Valuation . . . . 500643 Expiration Date 11/13/06 Qty Unit Charge Per Extension BASE FEE 2039.50 1.00 3.0000 ---------------------------------------------------------------------------- THOU BLDG 500,001-1,000,000 3.00 Permit . . . ELEC-NEW COMMERCIAL Additional desc . Permit Fee 215.00. Plan Check Fee 53.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/13/06 Qty. Unit Charge Per Extension BASE FEE 15.00 10000.00 .0200 -------------------------- ELEC -------------------------------------------------- GARAGE OR NON-RESIDENTIAL 200.00 Permit GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/13/06 Qty Unit Charge Per Extension ---------------------------------------------------------------,------------- BASE FEE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 69.00 Plan Check Fee 17.25 Issue Date Valuation . . . . 0 Expiration Date 11/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 '.3.00 9.0000 ---------- : EA MECH B/C,<=3HP/100K BTU 27.00 PLUMBING Additional desc . Permit Fee . . . . 73.50 Plan Check Fee 18.38 r LQPERMIT Application_Number . . . . .. 05-00003262 Permit . . . . PLUMBING Issue Date Valuation . . . . 0 Expiration Date'. 11/13/06 Qty Unit Charge Per Extension BASE FEE 15.00- 5.001.00• 1.00.15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 " 1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 1.00 15.0000 EA PLB GAS METER 15.00 ------------------ ---------------------------------------------------------- Special Notes and Comments SHELL BUILDING "A", 10,000 SF TYPE V -N CONSTRUCTION, B/M PROPOSED USE. 2001 CODES. ALLOWABLE AREA BY SPRINKLERS = 8,000 SF X 3 = 24,000SF TOTAL ALLOWABLE AREA PER 503.3 EXCEPTION. **PERMIT DOES NOT INCLUDE TEMPORARY POWER, BLOCK WALLS, TRASH ENCLOSURES, COVERED PARKING AND SITE LIGHTING.** ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY.PLAN REVIEW 132.76 ART IN PUBLIC PLACES -COM 2483.21 DIF CIVIC CENTER - COMM 950.00 ENERGY REVIEW FEE 132.76 _ DIF FIRE PROTECTION -COMM .320.00 STRONG MOTION (SMI) - COM 105.13 DIF STREET MAINT FAC -COMM 230.00 DIF TRANSPORTATION - COMM 17240.00 Fee summary Charged Paid Credited ----- ----------------------- ---------- Due -------------------- Permit Fee Total 2415.00 .00 .00 2415.00 Plan Check Total 1417.01 1000.00 .00 417.01 Other Fee Total 21593.86. .00 ..00 21593.86 Grand Total 25425.87 1000.00 .00 24425.87