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14-0437 (OFC)78-495 CALLE+TAMPICO. LA QZIINTA, CALIFORNIA 92253. Application Number: OFC -14-437 Property Address: 56140 PGA BLVD APN: 775370016 Application Description: GUARD HOUSE Property Zoning: Application Valuation:. $30,123.90 Applicant: CALIFORNIA WEST CONSTRUCTION OUTSIDE CITY LIMITS LA QUINTA, CA 92253 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/27/2015 Owner: RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 C 13711 CARLSBAD, CA 92008 C o O N Contractor: o CALIFORNIA WEST CONST N :Z OUTSIDE CITY LIMITS Q LA QUINTA, CA 92253 (760)918-6770 Llc. No.:':LIC-0101491 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 -0101491 -� /tel a7 _"! /N �� Contractor. Lt OC 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.noi 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 Contra6ors' State License Law does. not apply to an owner of property who,builds or improves thereon, and who dyes 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 ownerof 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 these 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 hemby'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 ofor which this permit is issued. w� f1 ave 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 certifythat 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 hose.p visions. Di3�e� 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 �operty Fbr inspection purposes. Date. �L — Signature (Applicant or Agent): 3 FINANCIAL .a, DESCftIPT10N ACCOUNT >f .: QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - COMMERCIAL 270-0000-43201 0 $150.62 $0.00 -PAID BY METHOD RECEIPT #CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $150.62 $0.00 ' t.. DESCRIPTION ACCOUNT rQTY AMOUNT' 'PAID PAID DATE BLDG PC 25001-200K 10160003428200 $700.00 $700.00 4/15/14 E PAID BY METHOD, ' , ` RECEIPT # .: r CHECK # • • r CLTD BY Total Paid for BLDG PC 25001-20OK: $700.00 $700.00 :DESCRIPTIONf ACCOUNT ` ! tCITY, AMOUNT ^ PAID 'PAID DATE BSAS SB1473 FEE 101-0000-20306 .0 $2.00 $0.00 PAID BY METHOD ; RECEIPT # ' 'CHECK # '; k ,CGT D BY; Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 <• ,,:• 'DESCRIPTION ;` -, ACCOUNT=. QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $333.84 $0.00 PAID, BY '. • y. METHOD ; K RECEIPT,# CHECK # CLTD BY .. DESCRIPTION •. `ACCOUNT ` b, QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200. 0 $153.05 $0.00 PAID BY METHOD ., RECEIPT # 'CHECK # ;: a CLTD BY . DESCRIPTION ACCOUNT° QTY AMOUNT PAID PAID DATE DIF -STREET MAINTENANCE 255-0000-43200 0 $207.64 $0.00 PAID BY + METHOD . "' RECEIPT # ' CHECK # , . '„CLTD BY, DESCRIPTION; ACCOUNT _ QTY .' AMOUNT F PAID ,PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $5,082.71 $0.00 PAID BY v METHOD `z , s' `. RECEIPT # CHECK # CLTD BY Total Paid for DIF - GENERAL COMMERCIAL: $5,777.24 $0.00 DESCRIPTION ACCOUNT QTY. AMOUNT PAID . ',, PAID DATE:. NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 $0.00 PAID BY METHOD ;, RECEIPT # CHECK # CLTD BY DESCRIPTION” c, ACCOUNT ,; QTY. ,: AMOUNT PAID '` PAIDbATE NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 $0.00 PAID BY: METHOD.. RECEIPT # CHECK # CLTD BY Tota6Paid.forELECTRICAL -NEW.CONSTRUCTION: x.,,$192.89.' $0.00 ttd ^.- -'": 'PiCr.`..'"'ia "Sx' ::..:'*:wg'L"e h}�bY.y .11-171,1111,�NO �DESCRIPTION�� i °,:a,reE.^..J�'9P',$ CCOU ��:QN:: fMOUNT� ��PAID�=,PARTE CONDENSER/CO MPRESSOR:; 1010000=42402x 0 $36:26 $0.00 . ,y `":.., -'�' q�`'s ..� ss.'"TS"'",'Mi.'�'"EE4pY '-*!, 1. F3.�1� a»�:`va':,� .pT ��SA{ :� �...��''' •� � . „. PAID;�BYr� "�;' . , ` �` � ,�#� Y •R 'f�,Y %"°§,�Srr"<'$i,$,.».J".1ib �t'bf`F '`,°e35d:.x x•`L�`4 ,>";�Y _��. �•�METHOD �'�� vi�S:..'-,.��r�'x'.YS;,Be`:.cER�'e,9E`�J Y.. � ��''., ;RECEIP�7 #"-� � �� .� j'.':•. r� {.,, S3 »'"�lEk�x '; CHECK #P �i� d.3 ;' >< CL}TD BY .,D.'_ SCRIR;TxION`:a.;, �xE;p"?�+. kk` +; ,. 1.1 wr -;' ='A�iC�0A x03 k0. UNSriT Y"x(`siYE.' i4..5` . ::•"Q`` TY' �5:` AINIOUNT3=��xMV. d 00�P:E�AskI1YD:§a,+�:' PAIDDSAE CONDENSER/C011APRESSOR PC '.& 1101 000-, 2600 0', $24 17 „ ; $0.00 ?'..'<"� rc ;x h{3�.. r .... :? ✓,4.+.:. -,'it*... �' «G r'x iS:S. t ".i,`,SLi:^.s �. _ : ��f3,w 3'>"in 4kF'�,., n METIOD flu:"ei.:3i. .�.».•M. "TRES F;�A !f4ee.e�u.;4k Y.o,i MO ��yd 'F.#$'%%rye'vS...Y.'R'ie a''iY4a ;RECEI?T # .:FCFIECK�# ': H °�i.`f N��i.._,i �`i�.� ".tisYA:..... �a'": WIN LE ��$"�•� r.:mme}D:p CLTD BYE Es� erl�.d:da+".,•�S y$s''�.f.:si:,`iik#s3 j. ..:g( P`�.,.�`. :DESCRIPTI N <<� 5: t"f,¢ 4P"Yy"lw'xfiF`i5 $:R'i,S':: •,`SW`,93t#t ea 4.4�r<iaF xu>3�iw`'sif.+u' R< " O �� S"�,'x_ bta .'�tPF.i IA-.2NT�_Nai{,5 P�CCO"„�QAMOUNT$ .11Y', aw.s:.€..?F.S Lav�+F•-'`.a•F": 4' ti .. 4 yam.. i$�•_^-[Tiv' [�'':4.: I: .8 [dF ,.;y5. {;�3'.:a:' .;s AIDEa��a PAIDDATE? FURNAEES `1010000.,42402 y. :. 0 $36:26 $0.00 .r�[=.<»,Y.e•�: "RA. "�z'tnk' x. '°r.. 0.'S`�P � '. ��'�+'o^»'+acl'.iz"aZ48X�i``"�x�F'F ,.�X .»" c�a Y '£P" "eyY33 S' '' $ x Lx, vs. '� xx�i'E% : �, : •3R.. p 1R i4 zu v ly E , cif ^�3T ACCOUNTS f. AY •-i- ii::. x TY' {aE 4 ,s: .' ::..�, g kAMOUNT ' Y`k: �,n `d;P.,AID X:Y2<`�x;�` W4PAIDDATE FURNACE PC.' 1p01 0000;42600, „ ' '0 $24 17 .' $0.00 ax ala •yr`t f :,D....:Y..., S.•C'�[P`*�'`''"., •ffi`3`ia£r, r+Ef 'A wEL°4.'�:E:Sr ` ��MET;.HOD� F 4 *`8YE54!.. PL¢4�C4 rf a RECEIPT # E e �+C '�.� CHECK INC { c: �p: �.q. DESCRIPTION5�, '��.PflG„., YA000UNT y YA «Sa<... A eA:b»P.x,. .:Y�°d' «fi�.P& « .�F, ik"",�F� !�k .Sd � Y�QTY�-AMOUNT{"PAID k.:�n fSrN :.., ^kc�.. �$E w �� aPAID DATE VENT.FAN - 101 0000 42402 0 $12 09 $0.00 k��°,�F��"r:Tx%'✓�..k.>`�tYV"-43't§xszL"'�A".E. L. ..:.. f.. '.. Gt'4�� `n''.�4'FP. ...:.... �f•iii`4Nf<.3..".5�:,2r'„`t°'iY�'.t+k^p*z...� ,ht+"S..b..%v�``w�:Y�h'iR#,`.'1E4<.a.,;✓,c."�.,e't.��a�"'aSK�B'3Y. �5d:. ��I`k:,6"✓s:€....3��,Y'� �'ka=exL'%tlE�rsS`E9'r jia'x,: �':E9 xlx 'i"{ Rik r`+�,-r£:P<Y�...uRenHCf4$:�w':tSYa '✓s.. " i` y '`� ��.,<UESCRIPTION a.``�� g��... ��a>�t ti,�3'v-u�5.... ,iro" ' 'Y' ':'6'"5.��Yd. �,� � x� �"s A000UsT��QTY'_. �� , ke��`. NEW - �k °45k?�"...4 y..e�,. �. � AM4011NTLPAIU,� E'. 4•'i >$ H s �l--4«:k.i� Fes" � .AID 11.3'fzrf° �ta'rjin*FiCm� DATE VENT FAN . PC • ' � �` 1010000-02600 '"A 0 ,.$4 83 .. $0:00 . ��}} �.-,r8 � � v, ' ��'�5,� �q+.��,;�h2�•R'. V E4'+ �,,.dr'�_�y�.. PAIQsBY�y Avg�:�.y{, I}� W ��f i�l«title`�+�'P.�:rT...S,eww$�4-»�X`(i.FE'�$.§e Y d'�:.X�i�Lp�A� 4' & 4R .5 '.s. .. ..$METHOD q F_ ,z� '.. :. �. �.��55�'V3l?'fxi<'x`✓.Y v�<y54�� MWr'nd ^S^ �, ,, �d� `W�'a �°'�Y'n�Y� RECEIPTIN a �..; `4� Via.. ..E..�V+ ��CHECK# �C `,Total Paid forMECHANICAL ` $137.78 $0.00 :• �' .. '`"i i� �,:�, <aa -V: �&';'�4',sw,,:�' :;- ': _; DESCRIPTION .:-�'.�-':- � .<::s§�s�--t�•`�'""'�-��,�.. t ACCOUNTQ z'�X"`I':�'�', ,..� A�''�Pr 1 MULTI -SPECIES COMM/INDUST,RIAL' 101 0000-20310. i :' 0 $1,563:98' $0.00 'wF' .:T "r.,P'e t Y'ds.'" .'�&F.Y.rEk+�.:c:''-'•�e S ..T',wA $.kY %<vy�' - "p°':. %mv M",.ii�,'. kY.�`.�. ufFst�`bcM'� rES k$T.ae�cHcY::?.O.A'.v�GD�Y' arvT_•i{�.; ' 'w"�:,:i. . ro£�'.u'""iY'`E3�" s.'.i. :; Y�Y: Fy:�"i'�'R.. .�EYE:Y?:x°C,wW�Ein.Ir{Pn14vT"i`,.ke'..T#?"yv� L`,i,r'E.i,�.s�.''i,�f-.�iT2ii l Him '4�C�=DadYcwv"Bi`AkY.'.um�f"¢' .J ToW Paid forMULTI SPECIES COM INDUSTRIAL .4 $1,563.98 $0.00 i y� r:> DESCRIPTION .!" .3a.��i.�.�a.3t��a-.�;@it•,[�,«":%&.1hC��.�..�s':n ...,, �, L4.•J�'A�: B�. ,�`.'.{�•�, 1fY g "%E ACCOUNTc ,:�:''r��is..v�i.�?x�?+i[aki.f";tk.. T'..<.4,F„c�-x,�.x,?:.,,.-w �i4' J'�`P CZT1f ,. �u.,e,.x:..�"'�A:',,..:,3..�:n1.��;..�«�A'a^,.?xz.saL�.a��sd„E�wa„°nr�l ?e..' x_ii',�''�!•tZ'fv X.'Ti4 'S-'�...� xu AMOUNT L: , �� 'E�'& n?�.� aE' . ' .�s L PAIDP k ��'.xl" j•4::t<'x` �,;�F. PAIDDATE r: NEW CONSTRUCTION`PERMIT .. a°, y 101 0000 42400"t 0 ��. . _ $442:91 $0.00 SIR:.:'.: «c: 34'-"4,L.`'�''k �, .Y.4i^,P-i ,.p S &.::;�e.: ,�'� a I METHOD? } �P�sP6c€N1'E Si¢.P'i.4'�`Y.ar.?°*a'ra�k�'.:#�v'.`P:f=a'.#�.r ' � . � ,uR. i?.».�,;��ai•' .3 - ,,,,, .a 'RECEIPT#�' ,. ..�.., "%X+��:.rer..�4;44.��' .« .t,..'.::, +4 "s&:?i .n�tf':�^:" r >:,F..etBa: �"��"Y' '.. s;:. §;CHECKS#yy: �'�;`J<�A.,",P.'a8.�«.�',«z:>,DN.�','3f�ts�.'<..�.k!iF.. z�'_i$'s'x-�.'.u'�ssi.:�u'. �'�CLTU SR Total Paid,forNEW CONSTRUCTION PERMIT. -$44291.•_ $0:00 :'i `�..Y*'s �4:?:�i.Rs.L'.En''.S ... s,'l�y.': '+'•.L£',4 "� ��' � �+T�=DESCRIPTION ` ��'`' "��-�_'"� ..r-, ,,, �YSr.AT.x:z�."r•�SJt__w,21:c2a"M°,T n"a:?<s'.3h;.vi2."� ._ W.�-__."._ .x n"i :. •g.. S4 �:e-'< �`''F `A '�� "� ''ff* 1"x � �°"��•��'A000AINT :... `°� � _ �.,ae:. _' zS:ii?Y6iwrt*.�'i?3. ".�_ a xf"... -S°s T� $!.AA "TY�. AY„ „",+3�,' vb RS+:g�:� '�RYv. -.' � '��'.� J� � r 4e_ �r !2§Ei$L.4`�{t�&-#Rc�133tLl�ds'� .twt �-�, .s :. dk'�'AFh s,$' " .: T -` �� :y*SL tP'3.'+��_.Sri�:e"°,. i'¢ 'Y: ;sf1 :..0 "`JP_: PAIDtDATE�` .�h '}a�.ii6�.lt&.f. �';:YSi;T NEW CONSTRUCTION PLAN CHECK °_ ,� 1O1b0000"42600 . 0 $93 69' $0.00 dfiFYJ'•A •.' PAID BY{'` `r.`3��i'd��'.'$.�v�'=-�"Y.<�.�'�li.'��2L��la.&.=4$'�»'��." E NEW,? .� YR.�Y�� > 3�`�ekw."a.. �>.:N.R°ti£•�x b<x�.r,�. rY4X�� irW:•�.'.P:1�4 �:ri�.'FL`.{6s'C.-.'d._�S<. �l?[+<',.T�:=Yxii<'i Total Paid for NEW CONSTRUCTION PLAN CHECK: $93.69 $0.00 DESCRIPTION ACCOUNT; QTY AMOUNT '. PAID ,, hPAID DATE' BACKFLOW DEVICE 101-0000-42401. 0 $12.09 $0.00 PAID -BY METHOD RECEIPT # - _ -. CHECK # CLTD BY.:. DESCRIPTION ACCOUNT " QTY' AMOUNT +PAID PAID DATE.' BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 'PAID BY ': METHOD RECEIPT # 'CHECK # CLTD BY DESCRIPTION ". ACCOUNT QTY ` '' AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PATO BY. METHOD RECEIPT # CHECK # ' CLTD BY. ' DESCRIPTION `ACCOUNT QTY : AMOUNT. " ; PAID , :.,. PAID DATE BUILDING SEWER PC 101-0000-42600 0 . $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK .#' CLTD BY s DESCRIPTION ACCOUNT QTY AMOUNT : ; ` PAID PAID DATE' FIXTURE/TRAP 101-0000-42401 0 $24.18 $0.00 r PAID BY r METHOD RECEIPT # ;:CHECK# CLTD BY DESCRIPTION _ ACCOUNT_:. QTY_, ' AMOUNT. :PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY "METHOD.. RECEIPT# CHECK CLTD BY DESCRIPTION ACCOUNT QTY:, AMOUNT PAID PAID DATE' WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # . CHECK # CLTD BY DESCRIPTION ACCOUNT QTY. AMOUNT " ;:'PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # "CHECK # CLTD BY.'' DESCRIPTION ACCOUNT QTY ' AMOUNT PAID PAID DATE`' WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK #'f: CLTD. BY Total Paid forPLUMBING FEES: $108.80 $0.00 DESCRIPTION ACCOUNTQTY AMOUNT' ,.A PAID"r PAID DATE' SMI - COMMERCIAL 101-0000-20308 0 $8.43 $0.00 OR d9Af.:', 1;1 RECEIPT#, Description: GUARD HOUSE; :, F�3410.4: �'av g,. ii w; k:: b'.rs=' N r.f LL '?,. Type: BUILDING, COMMERCIAL Subtype: OFFICE/BANK. "Status: APPROVED. ., ,.3 x,,,, .:rx ¢"d. ,..�^. .. i�.v.,'4aw'3r, D �:� :.=Y. g•.Rx:r�v� .. k:; �K - ... iS _.., .Y. �"„grt y,- r ., w �. i" 2, Jr-":'gmi C �S�t��j S">.. �..°. La bi.i:., ,i`�Yxrh-,z ,.,.. .: ppAC- 'it fx.. kR« Y. iu�- n`.i�»rb''»,3'.. 3,{. .. "4. .x .".� x•. -.u7'n » Y "fi'. vi- �n» �,� a%� " b'... ii .,, �r. >, �,.. �� .,: r qo•5 '� �� , , d�, ;sw Applied: 4%15/2014 Approved: 12/16/2014 JJO Parcel No:.775370016 Site Address 56140. PGA BLVD LA QUINTA,CA.92253 ,s�,s_:.wa.w..:..,.,.,«...w„'.."wx�.:'.�"M,.,.>�`»:.x:mssaNa.3,.;:r.Y42.S..x�t;.',:'ku ..�.r.S.G �.ti,.��.s:::b.!�fi,.:i�".•s.�++.tfL:..s:t«.x>.'� >r.,.+,'`.€'i:; Vii' *'t .�?�+ k fix. u• Subdivis'ion:•... • ....Block.: ' Lot: ' ,; :. , ..• ,, rd.,>.a'�,43"a,:xs. xc;.. :.'-6:� ,d«s'nsF k:•.R"ir� ti'd�' -' ,•-. fi x�S :fix ,i 3 •?'v-,x.xt,`,ri.. ,'i.n .i u,5 ,, ,y�» s, ; sk-' ..";. . xA, v.. •i>>,.,n hxw c .... �R 6'. 11112I 1 I � mr» ,�1�!!1�x01td'J 6>r. 1. ...._unu, �.. r., x o�s.xl"+��iPl� I I I i m�u mum to ist�'� �w..iii9u�,.wuuw':uilu"w.vw:w, Issued::.. Lot Sq Ft:. Bi?ilding 5q Ft¢,' . Zoning: „ jll> ® e ®r °.'fit ° °�5tk,$I WPM Fin eled: Valuati6n:'$30123.90. Occupancy Type: ..Construction Type: Expired: No. Buildings• No"!Stones No Unites: Details Extension approved untill/15%15 during which time plan check._must be completed;and Energy updated to 2013 standards - Marys Nettles_no4ed `. • e e e •P LETE PLAN CHECII• o THIS PERMIT. IS FOR 430:5Q FT. 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PHONE_ � lI'j FAX« � �+ .� E.. :�' !`�. h'� . �. a ; .: , JY :' .' m <`�yj',pj)'. .. •` �: (5 ... v �5; � .. . � r#< :� �!� E� Y.� t. � �EiE'�Y "x'u'k4`&x`°`� fi"�kl�wt�rcx CONTRACTOR °OUT5IDECITY:LIMITSLA'CZUINTA. .. CA 92253` ' x, OWNER. .; S92ZS 2" 9008 110 _ .o -„_,.x �. u ��„- .-,.. _:~:. ., r�.r+.. ea:.....,n...., ,.. _... �� .,... _+::.., -, s .r„_r...v.•a, .,:...» tl.-« ., ., rvro:... .�...<.... . , r. r..n.. - ......._ _x. e _.:�-.^^ , .. .; z..x---. e�w� ._-^ee,^..._^ _ :. .x .•:•� .y is,; ._ f• . L 'f .� Y".-:: n'+.fz:: 9.:'S.S�: -- Yn.,y-' ... :..' ;€ ,-,F•k :.<. E<_#' :4,S. _,: : .. `E' „q- LY'Sq i!: ..,i Y.: xx.<s ..::c cyu:w62 >�'. i K H : ., .: ...i r 3E.' v-. x yCLTD RECEIPT# CIiECK METHOD, • xPAIDBY W ..PAID-DATiE NMI, .... +:yy. l d.. ^ .. e};Y.�:.Ce x•'+�.fw a'� ';:..e• $.:.. 'm� S r .%: u. 'f .::; Xt:: '. ...-' .. .: i..f.. v':,�:�5' k Y G, ., •. W ii , f''%R`:.:&e's"° .X "i«. � ..... .. , : ..:: ART IN PUBLIC PLACES - 270-'0000-43201 0 "'$150'63 $0:00 ' ” COMMERCIAL 4 Total Paid'forART,IN PUBLIC PLACES = AIPP :$1' 50:62. `40.00 BLDG PC:25001'200K 10160003428200 ,- :. $700 00 $700:00 : 4/15/14 . ...-.TotalPaid!forBLDG PC 25001-200K 000:00: . $700 00 BSAS 561473',FEE 104-0000 20306 0, '. $2^00'• $0 00 ' Total Paid for_BUILDING STANDARDS ADM -'IN'* ISTRATIgN s2;00 $0.00 BSA: �. DIF CIVIC CENTER r..._,...: ER -” 252=0000 43200 .. . .:__ . l.., :..,.: 0. $333:84 $0..00 ... .DON IF ' -TIRE ”` 257-0000;43200 ... ,... ,.: ..._ .. '0 :$153.05 $0:00. DIF . STREET MAINTENANCE 2554,0000 43200 0;— $207.64 $000 DIF• TRANSPORTATION; w 25.07"000.0743200 ' =. 0. $5,082.71 o Total Paid forDIF,- GENERAL COIN MERCIAL: $5,77714 $0.00. ., NON-RESIDENTIAL, . 101-0000-42403 0 $108.77 $0.00 FIRST 2,000SF NON=RESIDENTIAL, 101-0600-42600 0 $84.12 $0.00 FIRST.21000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUETION: $192.89 $0.00 CONDENSE R/COMPRES 101-0000=42402 0 $36.26 $0.00 SOR Printed: Tuesday, January 27, 2015 10:04:59 AM " 2 of 4 WSYSTEMS Printed: Tuesday,'J.anuary 27, 2015 10:04:59 AM 3 of 4 CRW.IYSTEMS DESCRIPTION ACCOUNT QTY,AMOUNT'-: " ' PAID PAID DATE RECEIPT # CHECK #:m.. METHOD PAID BY c TD BY WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $108.80 $0.00 SMI -COMMERCIAL 101-0000-20308 0 $8.43 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $8.43 $0.00 INSPECTIONS PAREN 1 PROACTS Printed: Tuesday, January 27, 2015 10:04:59 AM 4 of 4 SYSTEMS /: Y - �377 Building 5C, e (1b f j Address G f 1 /j P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO ✓(yLA QUINTA, CALIFORNIA 92253 1, L c aiuny AddressS �� r `�j Cid Zip a� JTBI. ? Leaf �" l � — C frac r r/ll,� G�tssf ��vCo C,, itu Zipd/ted Tel. BUILDING: TYPE CONST. A.P. Number Legal Description Pr�Jo'Description 4 111 OCC. GRP. State Lic. & Classif. 9� 7a6 7 City/ Lic. # Od� </9 / S Ft. —7 d� Size / J J No. No. Dw. Stories f Units Arch., Engr., y r� 1)/),' DesignerAddress New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ a D-3 U rcTel. CityZi e�YPJ 4 o State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, ' ense is in full force and effect. SIGNATURE DATE J ow R -BUIL R DECLARATION I hereby affirm that I am axe t from the Contractor's License Law for the following reason: Estimated ValuationU % O I G (Sec. 7031.5, Business and Proles ions Code: Any city or county which requires a permit to construct, PERMIT AMOUNT alter, improve,demolish, or repair any structure, prior to its issuance also requires the applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 o/ not more than five hundred dollars ($500). Plan Chk. Dep. y Plan Chk. Bal. ❑ 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 Profes- Const. sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did Mech. Electrical not build or improve for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the Plumbing S. M. 1. project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) 0 1 am exempt under Sec. B. & P.C. for this reason Grading Driveway Enc. Infrastructure _ T �� It S Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑Copy is filed with the city. ❑Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE CONTACT INFORMATION (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ NAME: any person in any manner so as to become subject to Workers' Compensation Laws of California. PHONE: Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: Minimum Setback Distances: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Front Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Rear Setback from Rear Prop. Line Lender's Name Side Street Setback from Center Line Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to Side Setback from Property'Line expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. FINAL DATE INSPECTOR 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 the above-mentioned property for inspection purposes. Issued by: Date Permit Signature of applicant Date Mailing Address Validated by: Validation: City, State, Zip WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE 9011 FINANCIAL .• 1 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - COMMERCIAL 270-0000-43201 0 $150.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $150.62 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BLDG PC 25001-200K 10160003428200 $700.00 $700.00 4/15/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BLDG PC 25001-200K: $700.00 $700.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $333.84 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $153.05 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $207.64 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF -TRANSPORTATION 250-0000-43200 0 $5,082.71 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for DIF - GENERAL COMMERCIAL: $5,777.24 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $137.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES COMM/INDUSTRIAL 101-0000-20310 0 $1,563.98 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES COMM/INDUSTRIAL• $1,563.98 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $442.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $442.91 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $93.69 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PLAN CHECK: $93.69 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $108.80 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - COMMERCIAL 101-0000-20308 0 $8.43 $0.00 PAID BY i METHOD i RECEIPT # I CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $8.43 $0.00 -0 \ CD/ CL j 03� / 7 \ § \ \ # \ I m / � / -0- k \ 7 n n 0 n 2 F 2 k 0 ;a ;o2 / j « / M ) o Q 0 o c m� m a ƒ 7 »� Ln R A n w / d 2 I 2 ]2 3 o v E G§ . q zm Z j /§ / 0 ) ; 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