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08-0641 (AC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000641 Property Address: 79215 CORPORATE CENTRE DR APN: 649-820-018- - - Application description: ADDITION - COMMERCIAL Property Zoning: COMMERCIAL PARK Application valuation: 80000 T-iht aF4aw Architect or Engineer: P�A ------------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Class: B _._LicenseNo.: 599846 Date ` / Contractor: 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).: 1 _ 1 1, 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 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.). ( 1 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 Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/07/08 Owner: 111 VENTURE LLC 327 E 18TH ST COSTA MESA, CA 92627 Contractor: r DPR CONSTRUCTION IN A^� 4220 VON KARMAN AVE 100Y 0�`�®�j NEWPORT BEACH, CA ' 2660 C/ % Lic . Nos :3599846 N EoEprIrA WORKER'S COMPENSATION DECLARATION 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 NTL INS Policy Number. WC1593425 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 LaborCode, II f hwith comply with those provisions. Date: 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 Director of Building and Safety 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 county to enter upon the above-mentioned property fo Date!S ori Signature (Applicant or Agent): Application Number . . . . . 08-00000641 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . BUSINESS <50 Other struct info . . . CODE EDITION 2007 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 158.00 1ST FLOOR SQUARE FOOTAGE 8000.00 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc . Permit Fee 549.50 Plan Check Fee 357.18 Issue Date . . . . Valuation . . . . 80000 Expiration Date 11/03/08 Qty Unit Charge Per Extension BASE FEE 414.50 30.00 4.5000 THOU BLDG 50,001-.100,000 135.00 ---------------------------------------------------------=------------------ Permit . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 71.00 Plan Check Fee_. 6.50 Issue Date . . . Valuation . . . . 0 Expiration Date 11/03/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 45.0000 EA ELEC PWR APP >100 45.00 1.00 11.0000 EA ELEC MISC 11.00 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL EXISTING SHADE STRUCTRUES AND INSTALL NEW 75KW GENERATOR 120/208 3•/0-4W ---------------------------------------------------------------------------- Other Fees . . . . . . . . STRONG MOTION (SMI) - COM 16.80 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 620.50 .00 .00 620.50 Plan Check Total 363:68 .00 .00 363.68 Other.Fee Total 16.80 .00 .00 16.80 Grand Total 100.0.98 .00 .00 1000.98 LQPERMIT n Bin # smu.. 3� City of La QuintaFC ,. =�$� 1Building 8T Safety DivisionP.O. Box 1504, 78-495 Calle TampPermit La Quinta, CA 92253 - (760) 777-7Building PermitApplication and Tra # Project Address: Z 1 R41Z C—]V M Owner's Name: 5W NQ A. P. Number: D� Address: Z ^ S Legal Description: City, ST, Zip: �J'�H �Qp(�'Q iq?qog Contractor: P pp- 6 ®NY>"—j7ZLV--t(0 A) Telephone: 6q(j -22.g Ev- Address: 22,0 \10 IV e-AQjM.01v �_ yF9-4 Project Descriptioro> d p City, ST, Zip: 9-5W?b 12 I Tele hone: '' `� p �7" � � �r � � 1.� � � c�;��' , .` " s _ � «� �. �, � . _ �..,„, •- - a% S State Lic. # : City Lic. #: c , Engr., Designer: -5-rwmo SA Address: %tea" City, ST, Zip: A-6 Telephone: 12 zi State Lic. #: Cj 2 L9 A �{ .Construction Type: _ Occupancy: Project type (circle one): New Add'n(Alter Repair Demo Name of Contact Person: Sq. Ft.: f,)4 # Stories: a # Units: r Telephone # of Contact Person: [� 0 1Z Estimated Value of Project: �D APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets p2 Plan Check submitted —�� 18 Item Amount Structural Calcs. Reviewed, readyrrection Plan Check Deposit Truss CaICS. Called Cont%act Person b �, Plan Check Balance Energy Calcs. Plans picked up zlto Construction Flood plain plan Plans resubmitted I Mechanical Grading plan 2nd. 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.4ks. Appr Date of permit issue School Fees Total Permit Fees QX � �IYDY12'DII�G �f �l tl�D I PjR Construction Inc. July 28, 2008 City of La Quinta Building & Safety Department 78-495 Calle Tampico La Quinta, CA 92247 RE: 79-215 Corporate Centre Drive City of La Quinta Permit #08-641 Gentlemen: DPR Construction, Inc. 4220 Von Karman Ave. Suite 100 Newport Beach, CA 92660 Tel 949.955.3771 Fax 949.253.0015 www.dprinc.com Pursuant to our recent conversation, we respectfully submit for the record with La Quinta, Building & Safety Department, that DPR Construction, Inc. will not be associated with the removal and reconstruction of the parking canopy under the referenced permit. Please note that the installation of the new emergency power generator, which is also a part of this permit, has been completed by DPR Construction, Inc., and has been accepted/approved by your Department. Thank you for amending your records to reflect this change in responsibility. We certainly appreciate your assisting The Blood Bank of San Bernardino & Riverside Counties in transferring the referenced work to an alternate permit assignment in order to facilitate their completing this installation. (111� t ctfully Lance Nordbak DPR Construction, Inc.