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BCOM2016-002078-495 CALLE TAMPICO D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 - DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/25/2016 Application Number: BCOM2016-0020 Owner: Property Address: 78073 CALLE BARCELONA MICHEL DESPRAS APN: 770182002 Property Zoning: Application Valuation: $5,000.00 n (,� P Applicant: Contractor: STAN POLLAKUSKY 2 5 2016 EUG BIG WOOD BUILDERS INC 81708 AVENIDA CELAYA I 73487 GOLD FLOWER ST INDIO, CA 92203 CIiYOF,AQ(l:N7A :...; . �.. z.,. COMMUNITYDEVELOPMENTDEPARTMENT PQLM,.D.ESERT„ CA,�2260., .., ......i,, , • .(818)822-0575 Llc. No.: 984963 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:'B License No.: 984963 �: 917,4116 Co.ntw ra r: N �Cf WPI %l l 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.). (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 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 • 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 Sectroo700 of the LaborCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carri IPTPolicy Number: _ I certify that in the performance of the work for which this permit is issued, I sh II 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:- w 2, V/ /4 An t /'),I,t1, /ifJ0Y. 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-menQti�rty for inspection purposes. - Date,+ c+ �� Signature (Applicant or Agent) 1^ Date: 8/25/2016 Application Number: BCOM2016-0020 Owner: Property Address: 78073 CALLE BARCELONA MICHEL DESPRAS APN: 770182002 Property Zoning: Application Valuation: $5,000.00. Applicant: Contractor: STAN POLLAKUSKY - BIG WOOD BUILDERS INC 81708 AVENIDA CELAYA 73487 GOLD FLOWER ST INDIO, CA 92203 PALM DESERT, CA 92260 - (818)822-0575 ----------------------------------------------------------------------------------=---------- LIc. No.: 984963 "Detail`.'297SF OFFICE TENANT IMPROVEMENT WITHIN EXISTING STORAGE BUILDING/VB/B+S2 OCCUPANCY/3-OL/NON-SPRINKLED [CONVENTIONAL LIGHT- FRAME CONSTRUCTION] NOWSEPARATED OCCUPANCY BASED ON SECTION 508.3. TUMF ASSESSMENT BASED ON NEWLY CREATED OFFICE SPACE AND USE. THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO THE EXISTING RESTAURANT BUILDING OR ADDITIONAL GROSS AREA. 2013 CALIFORNIA BUILDING CODES. 1^ FINANCIAL r DESCRIPTION. ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 Total Paid for. ELECTRICAL - NEW CONSTRUCTION: $192.89 DESCRIPTION ACCOUNT QTY AMOUNT AIR HANDLER 101-0000-42402 0 $36.26 •DESCRIPTION ACCOUNT QTY AMOUNT AIR HANDLER PC 101-0000-42600 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402'-' 0: $36.26 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 Total Paid for MECHANICAL: $108.78 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $21.75 -•� • .DESCRIPTION ---. — ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $17.40 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 DESCRIPTION ACCOUNT QTY AMOUNT. REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 Total Paid for REMODEL: $223.34 DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $1.40 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.40 DESCRIPTION ACCOUNT QTY AMOUNT OFFICE BUILDING 224-0000-20320 0 $1,540.66 Total Paid for TUMF - OFFICE: $1,540.66 Bin # :.. City"af La Quinta Building 8i Safety Division • .. 78-495 Calle Tampico La Quinta, CA'92253 - (760) 777-7012 Building Permit Applicaiion and Tracking -Sheet'- Permit # 1 �-�"�' Project Address: U Q, Ch t1L1� pwner's.Name:. M CVS ,5 A. P. Number: '11 �' �, oo ` pp, Address: , U" V13 �+�/'C2 O (l�' T M Legal Description:lff� �o �5 ' 1 � 1, I b I-5 � City, ST, Zip: � Q'A Contractor. , Address: - Project Description: �� ........`.C- City, ST, Zip: Telephone: U. S TR� UR — State Lic. # : City Lc. #•: ,( Arch., Engr., Designer: A� U5� '. Address:. • 0( TQ City., ST, Zip: 9`� Telephone: ele h P • R.. .. , Construction Ty P e: v• Occupancy: 5 - 7•� State Lis # . Project Re mo tyPa �citcle one)• w e Pair De Name of Contact Person:I kvlJ _ ' Sq. Ft.: . #Stories: _ • #Units: . Telephone # of Contact Person: -7(o d - - ) 3— �� • 8 Estimated Value of Project: 6.60 �. APPLICANT: DO NOT WRITE BELOW THIS LINE' X N Submittal Req'd Recd TRACKING ` PERMIT FEES Plan Setsr Plan Check submitted Item. Amount Structural Calcs. Reviewed, readyfor corrections Plan Check Deposit Truss Cates. Called Contact Person , Plan Check Balance, Title 24 Cales. ' Plans picked up _ Construction Flood plain plan Plans resubmitted t a Mechanical Grading plan 2"" Review, re y for correcti s/issue } �' Electrical Subcontactor List Called Conta t Person. ^ Plumbing Grant Deed ~ Plansp' �, icked u p S.M.L. If..O.A. Approval Plans resubmitted Grading " IN IiOUSE:- 'r°. Review, ready for correctio sue c oper Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date oCpermit issue - School Fees, Total Permit Fees CERTIFICATE OF COMPLIANCE Desert Sands Unified School District Zai y°o 479S0 Dune Palms Road y�M�E o H '1NpO{,IAN�WEt1r N . f S�� PCOACNEL14A ' �Y Date: 8/24/2016 La Qunita,'CA 92253 s�oLAl U.1NTA � No.: 16-00309-1 (760)771-8515 Owner:_ Michel, Despra.s Email: , Address: Jurisdiction: La Quinta City: Tract #: Type: Remodel Only - No Addition Lot # Street No. ' Street Name Sq. Feet APN: Permit No. 78073 Calle Barcelona 0 '770-182-002 Comments: Office Tenant Improvement -.Converting Storage Building into Conditioned. Office Space. Owner.says fees were paid on storage building at.time of construction., . At the present time, the Desert Sands Unified School District doe's not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet; detached accessory structures (spaces that do not contain facilities for living, sleeping,.cooking eating, or sanitation) or replacement mobile homes. It. has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: Remodel Only - No Additional Sq Feet This certifies that school facility fess "imposed pursuant.to Education Code Section 17620 and Government Code 65995 Et Seq. in the, amount of $0.00 X 0 S.F. or $0.00 have been paid for :the property listed above and that building permits and/or Certificates of.Occupancy for this square footage in.the proposed. project -may now be issued. Fees Paid By: Exempt Michel Despras Check No.: Telephone: Bank Name/Recipient of Certificate Funding: Exempt By. Dr..Gary Rutherford Superintendent Fee Collected Exempted by: Shar McG' vre Am6lIF-ot Due: _$0.001 _ Origins ymeiJO.Y "Rec'd$0.00 New Payment Rec'd'- 1$0.00 , Over Linde x$0.00 NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify yoUha.the 90 -day approval period in which you play protest the fees cr other payment identified, above will begin to run from the date on which the buildingtallation permit for this project is issued, or"from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever,is earlier. Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL. LEDExitSign / Emergency Light, Battery Backup, Red Letters,... http://www.e-conolight.com/led-exit-sign-emergency-light-with... OUTDOOR LIGHTING INDOOR LIGHTING SALE LIGHTING LAYOUT TOOL RESOURCES Home / Indoor Lighting / Exit & Emergency LED Exit Sign / $35.99 Emergency Light, Battery Backup, Red Letters, Single / Double � Face, Remote Capability SKU: E-XCL2RRCW Quantity C IN STOCK E ' , RATINGS WRITE A REVIEW View - 36O' ASK A QUESTION DETAILS SPECS & GUIDE ACCESSORIES REVIEWS Q&A OVERVIEW LED Exit Sign (single / double face) with battery backup; 6" red letters and two adjustable 1 -watt LED lighting heads. Remote capability- remote unit will run up to three single LED remote heads. 5 -year limited warranty. FEATURES RECOMMENDED USE Housing • Exit Identification & emergency • Injection -molded, 5VA flame lighting retardant thermoplastic • Indoor commercial, retail & housing industrial applications Easy to remove and replace chevrons . Mounting: • Easy -snap mounting canopy included for top or end mounting Universal knockout pattern on back plate for wall mount • Mounting hardware included Includes: • Two adjustable 1W LED lighting RECEIVED heads • Sealed, 9.6V maintenance -free nickel cadmium battery backup JUL U 8 2016 (90 min.) • Charge/power on indicator LED (Battery recharges within 24 CITY OF LA QUINTA hours via internal solid-state, 100MIMUNiTY DEVELOPMENT two -rate charger) Push -to -test switch digicert - -` Xsf P�,,;, Certifications: . : r 1 of 2 6/26/164:22 AM