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BCOM2016-002178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPM BUILDING Application Number: BCOM2016-0021 Property Address: 46805 DUNE PALMS RD RD APN: 600390023 Application Description: LASER OASIS /TENANT IMPROVENT Property Zoning: Application Valuation: $650,000.00 Applicant: NICHE BUILDERS INC 840 EAST WEST DRIVE MURPHYS, CA 95247 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.: 807348 /'Date:��^Oi�(OContractor: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 c 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, 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. 0. B.&P.C. for this reason Date: Owner: �& 0 Rlffkx NOV 10 2016 Owner: CITY OF DESIGN AND u: n, VOICE (760) 777-7125 FAX (760) 777-7011 ECTIONS (760) 777-7153 Date: 11/10/2016 XNAGEMENTGROUP NO 101 Contractor: NICHE BUILDERS INC 840 EAST WEST DRIVE MURPHYS, CA 95247 (209)609-3752 Llc. No.: 807348 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: EXEMPT Policy Number: bol— 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 Code, I shall forthwith comply with those provisions. , Date: I% /0-d0&7 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 CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city to enter upon the the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). above-mentionedpropertyfor inspection purposes. Lender's Name: 4 Date:l /r 0 -v�/4.�> Signature (Applicant or Agent): Lender's Address: 11 Application Number: BCOM2016-0021 Property Address: 46805 DUNE PALMS RD RD APN: 600390023 Application Description: LASER OASIS/ TENANT IMPROVENT Property Zoning: MURPHYS, CA 95247 Application Valuation: $650,000.00 Date: 11/10/2016 Owner: DESERT PALM MANAGEMENT GROUP 74199 EL PASEO NO 101 PALM DESERT, CA 92253 Applicant: Contractor: NICHE BUILDERS INC NICHE BUILDERS INC 840 EAST WEST DRIVE 840 EAST WEST DRIVE MURPHYS, CA 95247 MURPHYS, CA 95247 (209)609-3752 LIc. No.: 807348 Detail: applicant to provide Struc Calcs Esgil unable to do plan check without Calcs FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 6 $912.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 3 $360.00 Total Paid for BLDG CITY STAFF - PER HOUR: $1,272.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $26.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $26.00 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF 101-0000-42403 0 $304.00 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF, PC 101-0000-42600 0 $81.04 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $114.00 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $88.16 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $587.20 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $10.14 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $50.66 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $50.68 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $20.28 Total Paid for MECHANICAL: $359.76 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $291.41 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $291.41 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT GREASE INTERCEPTOR 101-0000-42401 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT GREASE INTERCEPTOR PC 101-0000-42600 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $38.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $22.80 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $808.31 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $775.20 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $620.16 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $141.36 Total Paid for REMODEL: $1,588.40 DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $182.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $182.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT INDOOR RECREATIONAL FACILITY 224-0000-20320 0 $12,723.34 Total Paid for TUMF - RECREATIONAL: $12,723.34 B,r1.# Qty of La Quinta BuMpg & Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 — OD Z1 Building Permit -Application' and Tracking Sheet Permit # 1M 2o) Project Address: AoS oust m,5 eU Owner's Name:. A. P. Number. i Bin # Qtyof La Quin to . Building 82- Safety Division Permit'# 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking -Sheet Project Address: 2105 �i�tn� �a/ s Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: N G � •3 �t� T ele hone: P Address: 8` Project Description: City, ST, Zip: c -f 67 7 AAA' .• Telephone:. �I- J7% s .�' G O e ae State Lic. # : 8Q�3 Lj City Lic. #: -Ir ) Arch., Engr., Designer: Address: City, ST, Zip: Telephone: hone: =Con iructi n Type: Occupancy: aneY State . t Lic #. • - A]Repair- r Demo tyPa (circle ne)• New Add'n tr Name of Contact Person: f Sq. Ft.:,# Storides: # Units: Telephone # of Contact Person: , Estimated Value of Project: �1"Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Sabm'ittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/'issue 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 correctionstissue Developer Impact Fee ' Planning Approval Called Contact Person A.I.P.P. P.ub. Wks. Appr Dateorpermit issue School Fees, Total Permit Fees ��vu�o L 6J G w N CDIco U CLI M i a � O v o oeq N (j 2 W c m = CL U +_•+ = J U O A Z V E ._ a cn as y.r V. i w m Q± 4IL y� • O O W Z O o� O = L m >I co ai = y �O�O co co c l Re O oa ID 0 w4-1 cc O i O C U_ c z Q >% cn LU aca •C � J � m m C cnI O Qi M U •O U o � N �•� C O ° Ua� C U _ CUw +. 7-) 0 U i ili U) L2 -_ LO Is 0 ai M m 0 m Certificate of Occupancy U - g r ot OF Design & Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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: 46805 DUNE PALMS RD Use classification: ASSEMBLY - LASER OASIS & CUNNINGHAM'S RESTAURANT Permit No.: BCOM2016-0021 Occupancy Group: A3/A2/B Type of Construction: VB Land Use Zone: CR Code Edition: 2013 Sprinkler Installed: YES Occupant Load: 833 By: AJ ORTEGA Owner of Building: DESERT PALM MANAGEMENT Date: 3/22/2017 Address: 74199 EL PASEO NO 101 Building Official: BURT HANADA City, ST, ZIP: PALM DESERT, CA 92253 POST IN A CONSPICUOUS PEACE