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BSPN2014-002278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: MATT LEHMAN 77955 CALLE TAMPICO #B LA QUINTA, CA 92253 c&,r444" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSPN2014-0022 77955 CALLE TAMPICO STE B 773078032 SPECIAL INSPECTION NEW BUSINESS AUG 18 2014 CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: RAY BARLAVI P 0 BOX 4302 PALM DESERT, CA 92253 Contractor: Llc. No.: Date: 8/18/2014 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: {commencing with Section 7000) of Division 3 of the Business and Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers' my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance of License Class: _ License No.: _ the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Date: Contractor: 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: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair any compensation laws of California, and agree tha if I should becom bject to the structure, prior to its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Section 3 of the Labor C de shall forthwit 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 comply with th a provisions. and Professions Code) or that he or she is exempt therefrom and the basis for the alleged CatApplicant: exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the licant to a civil penalty'of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERSCOM E TION COVERAGE IS UNLAWFUL, YI, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE compensation, will do the work, and the structure is not intended or offered for sale. HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. " (_) I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose ; construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to, any permit issued License Law does not apply to an owner of property who builds or improves thereon, and as a result of this application , the owner, and the applicant, each agrees to, and shall" who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. , B.&P.C. for this reason 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 te: Owner: for 180 days will subject permit to cancellation. 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: 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 statelaw relating to building construction, and hereby authorize representatives of this city to upon the above- mentioned dppr perty for inspection purposes. Date: n Signature (Applicant or Agent): i FINANCIAL 11 N FORMATION "Y m 4r * Sly r'Ssa{ACCOUNT DESCRIPTION .q�xc QTY+XAMOUNT�Y ,:i 3x• PAIDrfA,_ PAID DATE; SPECIAL INSPECTION 101-0000-42404 1 $71.50 $0.00 PAIDBYt,,xr errgk��* 3xMETHOD;f;,} T1:RECEIPT#°'��s 'CHrCLTDBY` A. Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $71.50 $0.00 TOTALS:$0.00 - o • • 4 11 {I i r r1 XII . ,rp • a� tl it .I :i ,r: Bin # city Of La Quinta Building 81: SafetyDivision P.O. Box 15.04, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: l a t Ko �c,a LT A. P. Number: Address: Cp LLL —ro M pl Gd Legal Description: City, ST, Zip: L p U tNC-/P Contractor: telephone: Address: Project Description: City, ST, Zip: I L TtJ P�CT1 �� Telephone: :! ilii'•vv.;yj.ti;.;i:li:t:i:C^ 5 Sri:v�i:::-: State Lic. # : City Lie. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Construction Type: Occupancy: a Li c. to L c. #: Project type ne • New Add'n Alter Re P air Demo Name of Contact Person: �P r ( MA Sq. Ft.:. #Stories: # Units: Telephone # of Contact Person: `Yus' 'Lrj2- $1 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. 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 Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Reyiew, ready for correctionsrassue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 5 222 S 0,*(_Qp1JZA J'Q -P trr sCp, CA Tzz53 E . S,UfG bTIV 6 S�I��Curn�� (2�'"�lL�e �F . f i-iq Nb) C 3 1A1. Bin City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: '>.'•:#? Address: Project Description: City, ST, Zip: Telephone: , State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: hone: ........................ CoTele ancY n tru tin Type: Occupancy: : State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: —# units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted - Mechanical Grading plan god 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 I10USE:- '^' Review, ready for correctionsCssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees AIR COMMERCIAL REAL ESTATE ASSOCIATION STANDARD INDUSTRIAUCOMMERCIAL MULTI -TENANT LEASE - GROSS 1. Basic Provisions ("Basic Provisions"). 1.1 Parties: This Lease ("Lease"), dated for reference purposes only May 18, 2014 is made by and between Bar lavi Properties and Matthew Lehman dba TBD ("Lessor") ("Lessee"), (collectively the "Parties", or individually a "Party"), 1.2(a) Premises: That certain portion of the Project (as defined below), including all improvements therein or to be provided by Lessor under the terms of this Lease, commonly known by the street address of 77955 CALLE TAMPICO located in the City of LA QUINTA County of RIVERSIDE State of CALIFORNIA with zip code as outlined on Exhibit attached hereto ("Premises") and generally described as (describe briefly the nature of the Premises): Antique/Second hand resale In addition to Lessee's rights to use and occupy the Premises as hereinafter specified, Lessee shall have non-exclusive rights to any utility raceways of the building containing the Premises ("Building")and to the Common Areas (as defined in Paragraph 2.7 below), but shall not have any rights to the roof, or exterior walls of the Building or to any other buildings in the Project. The Premises, the Building, the Common Areas, the land upon which they are located, along with all other buildings and improvements thereon, are herein collectively referred to as the "Project." (See also Paragraph 2) 1.2(b) Parking: 2 unreserved vehicle parking spaces . (See also Paragraph 2.6) 1.3 Term: 1 years and 0 months ("Original Term") commencing August 1 2014 ("Commencement Date") and ending July 31, 2015 , ("Expiration Date"). (See also Paragraph 3) 1.4 Early Possession: If the Premises are available Lessee may have non-exclusive possession of the Premises commencing ("Early Possession Date"). (See also Paragraphs 3.2 and 3.3) 1.5 Base Rent: $ 1, 150. 00 per month ("Base Rent"), payable on the 1ST day of each month commencing Sepetember 1, 2014 SEE ADDENDUM (See also Paragraph 4) 0 If this box is checked, there are provisions in this Lease for the Base Rent to be adjusted. See Paragraph 1.6 _Lessee's Share oLCommon,Area Operating -Expenses: ^:, : — � _;, *peicent J in,the event that the size of the Premises and/or the Project are modified during the term of this Lease, Lessor shall recalc%) 'Les Lessee's Share )to reflect such modification. . 1.7 Base Rent and Other Monies Paid Upon Execution: (a) . Base Rent: $ 800.00 for the period 8-1-14 THRU 8-31-14 (b) Common Area Operating Expenses: $ •200 .00 for the period 8-1-14 THRU 8-31-14 (c) Security Deposit: $ 1, 150. 00 ("Security Deposit"). (See also Paragraph 5) (d) Other: $ 26. 00 for CREDIT REPORTS paid (e) Total Due Upon Execution of this Lease: $ 2, 150. 00 1.8 Agreed Use: Antique/Second hand resale (WITH CITY APPROVAL) 1.9 1.10 (See also Paragraph 6) Insuring Party. Lessor is the "Insuring Party". (See also Paragraph 8) Real Estate Brokers: (See also Paragraph 15 and 25) (a) Representation: The following real estate brokers (the "Brokers") and brokerage relationships exist in this transaction (check applicable boxes): 0 BOIKO REALTY represents Lessorexclusivel ❑ y ("Lessors Broker"); represents Lessee exclusively ("Lessee's Broker"); or represents both Lessor and Lessee ("Dual Agency"). (b) Payment to Brokers: Upon execution and delivery of this Lease by both Parties, Lessor shall pay to the .Brokers for the brokerage services rendered by the Brokers the fee agreed to in the attached separate written agreement or if no such agreement is attached, the sum of or % of the total Base Rent payable for the Original Term, the sum of or of the total Base Rent payable during any period of time that the Lessee occupies the Premises subsequent to the Original Term, and/or the sum of or % of the purchase price in the event that the Lessee or anyone affiliated with Lessee acquires from Lessor any rights to the Premises. 1.11 Guarantor. The obligations of the Lessee under this Lease are to be guaranteed by ("Guarantor"); (See also Paragraph 37) 1.12 Attachments. Attached hereto are the following, all of which constitute a part of this Lease: n Addendum consisting of Paragraphs 50 through 60 PAGE 1 OF 17 INITIALS INITIALS ©1998 - AIR COMMERCIAL REAL ESTATE ASSOCIATION FORM MTG-12-04/12E 57) VACATING THE PREMISES: Upon the Lessee vacating the premises, the Lessee shall to paint on the interior walls, clean the carpet and service the air conditioning and/or the evaporative cooler equipment and return all keys including front and rear door. We recommend you use a P.O. Box or your personal address for your mail . 58) CERTIFICATE OF LIABILITY INSURANCE: ADDITIONAL INSURED — BARLAVI PROPERTIES /IJB Property Services, Inc. (DBA BOIKO REALTY), 44850 Las Palmas, Suite G, Palm Desert, CA 92260 59) SALE OF BUSINESS: Should Lessee decide to sell business, Lessor has the right to negotiate a new lease with new tenant. 60) LEASE CANCELLATION PENALTY: Mr Matthew P Lehman agrees that if he cancels,the lease before moving in he will forfeit $1,000 of the $2,.150.00 that was given at lease signing. (LESSOR) (LESSEE) - BARLAVI PROPERTIES 2. RAYMOND BARLAVI Date T P. LEHMAN ate . Owner Owner Date Paid: Monday, April 20, 201S Paid By: MATT LEHMAN Cashier: MRA Pay Method: CHECK 104395 Printed: Monday, April 20, 2015 12:25 PM 1 of 1 llcfw� ■ City of La Quinta VENDOR: 07580 LEHMAN, MATT DATE ID PO # 8/18/2014 R720 (760) 777-7150 DESCRIPTION REFUND INSPECTION FEE PAY ---Seventy One ❑ollars and 50/100 Cents --- TO THE LEHMAN, MATT ORDER 52225 AVE NIDA CARRANZA OF LA QUINTA, CA 92253- CHECK NO: 104395 09/05/2014 GL ACCT # AMOUNT 101-0000-42404 71.50 CHECK TOTAL 71.50 WELLS CHECX NO: 104395 11.2a1 09/05/2014 $71.50 II■ 104 39 Sill 1: L 2 100❑ 2481: lie 4LS92824820 40" ---1 DEMAND / CHECK REQUEST Return check to requester I Name I Title c 0 all Account Number: Lf 000 0— � ��tl_�%�-- Number: !)/?o,14—D �R,-�-- APPROVED FOR PAYMENT Dep tment Use Only) BY: Signature: BY: ACCOUNT NO. ate , DESCRIPTION DEMAND / CHECK REQUEST Return check to requester Mail check Name / Title of person requesting check ent individual is associated with: Check payable to: M ' ' ame (Vendor o. 0222Z5 Ave Pq�'1�� Wdress La 6-Lnhi, Check description and invoice number: Signature: (Department Head), r (bate] � Amount: $ !, Account Number: Project Number: APPROVED FOR PAYMENT (Finance Department Use Only) BY: BY: ACCOUNT NO. DESCRIPTION Stephanie Khatami From: Tom Hartung Sent: Tuesday, August 26, 2014 8:26 AM To: Stephanie Khatami Subject: RE: Building Permit Refund 77955 Calle Tampico Steph, Please process refund per our conversation. Thanks Tom -----Original Message ----- From: Stephanie Khatami Sent: Tuesday, August 26, 2014 8:20 AM To: Tom Hartung Subject: FW: Building Permit Refund 77955 Calle Tampico One more.... -----Original Message ----- From: Matt Lehman [mailto:wingmanproductions@earthlink.net] Sent: Monday, August 25, 2014 5:53 PM To: Stephanie Khatami Subject: Building Permit Refund 77955 Calle Tampico Dear Tom Hartung, I am writing to request a refund for a Building Permit that I was charged erroneously 8/18/2014. 1 went in for a business license and Was told that I needed a building permit. I tried to explain that I wasn't building anything out, but I was not believed/misunderstood or a combination of both. The job reference would be Finders Thrift. The total was $70 and some change. Stephanie will know more about the details if you need them. Please refund the amount and mail it to the following address: Matt Lehman 52225 Avenida Carranza La Quinta, CA 92253 1 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE SPECIAL INSPECTION 101-0000-42404 1 $71.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $71.50 $0.00 f� Qmvl W�5 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: MATT LEHMAN 77955 CALLE TAMPICO #B LA QUINTA, CA 92253 Twvl 4 aCwRQuprw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSPN2014-0022 77955 CALLE TAMPICO STE B 773078032 SPECIAL INSPECTION NEW BUSINESS rAUG 18 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT 0EPARf MW LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: 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 p licant 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 commpensation, 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.). (_) 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 am exempt under Sec. , B.&P.C. for this reWn 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 Lender's Ad VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/18/2014 Owner: RAY BARLAVI P 0 BOX 4302 PALM DESERT, CA 92253 Contractor: Llc. No.: 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:_ Policy Number:_ _ 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 agJ'COME uld becom bject to the workers' compensation provisions of See Labor d shall farthwit comply with th e.provislons. Oat Applicant: 1VARNING: FAILURE TO SECURE WORKEION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued a$ 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 law relating to building construction, and hereby authorize representatives of this city to upon the above- mentionedpr perty for inspection purposes. Date: Signature (Applicant or Agent): W6 wi, 6 5///CLu,7�11J�,�jC� 4t �3 ' I G / CJ I n KU? Grin o 1! ihl -6 Crr�F lR/AP)� / N F9 0 N� CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT � s cFy OF 7t�C Owner RAY BARLAVI (760) 777-7125 INSPECTION �(760) 7 -71 Contractor TENANT MATT LEHMAN Permit Number BSPN2014-0022 RNE o rz' N ago g Q U ? POST ON JOB IN A CONSPICUOCE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 77955 CALLE TAMPICO STE B NOTES SPECIAL INSPECTION FOR NEW RESALE ofIOMI=cc TYPE OF INSPECTION DATE INSP TEMPORARY POWER SETBACKS UIG PLUMBING / WASTE U/G ELECTRICAL I GROUNDING FOOTINGS 1 STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP FRAMING (COMBINATION) ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. RYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTWNS FOOTINGS 15TEEL _ BOND BEAM POOL 1 SPA [WATER FEATURE INSPECTIONS _ PRE-GUNITE I SETBACKS UIG PLUMBING U/G GAS UIG ELECTRICAL PRE -PLASTER (ALARMS! BARRIERS PERIMETER SURFACE BONDING FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL _ PUBLIC WORKS DEPARTMENT PLANNING DIVISION FINAL / JOB COMPLETED • ■ v ABOVE APPROVALS DO NOT INCLUDE THE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING