08-0667 (DEMO)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
08-00000667
Property Address:
78130 CALLE TAMPICO
APN:
770-020-012- -
Application description:
DEMO - COMML/OTHER
Property Zoning:
-VILLAGE COMMERCIAL
Application valuation:
0
Applicant: Architect or Engineer:
al R
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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 Professionals Code, and my License is in full force and effect.
License C sss: B icense No.: 808029
ate: a7v raao .
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. 1$ 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 wh6builds 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.).
(_ 1 I am exempt under Sec. I 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
Owner:
HIGHLAND DEVELOPMENT CO.
80 S. LAKE AVE. STE. 615
PASADENA, CA 91101 ;\
VOICE (760) 777-7012
.FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/25/08
Contractor:
PATTERSON BUILaI}L RS ��
13057' VICTORYy�B
NORTH HOLLYWO CAL° 066 ?i
(818) 762-5795 rl►� 0, ��®®
Lic- No.: 808029
1 "a
WORKER'S COMPENSATION DECLARATIO
I.hereby affirm under penalty of perjury one of the following declarations: .
1 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.
JI 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 STATE FUND Policy Number 1763924-2008
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 o the workers' compensation laws of California,
and agree that, i Id bec . suN Ito workers' compensation provisions of Section
3700 , the L or Cod , I sh fo , CP pl with those provisions.
1_E te: Q$ A ,cant:
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 permii.
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 «ect. I agree to comply with all
city and county ordinances and state laws relating to building construction, and a by authorize representatives
of this counnt�tyy� to enter upon the above-mentionedpr a L
insp1pr
ate: ^w �aS' _ cure (Applicant or Agent):
Application Number . . . . 08-00000667
Permit . . . DEMO PERMIT
Additional desc .
Permit Fee . . . . 45.00
Plan Check
Fee*.
.00
Issue Date
Valuation
. . .
. 0
Expiration Date 10/22/08
Qty Unit Charge Per
Extension
BASE
FEE
45.00
--------------------"--------------------------------------------------------
Special Notes and. Comments
DEMO TO BARE GROUND SHADE STRUCTURES AND
WALLS ONLY..
Fee summary Charged
----------------- ---------- ----
Paid Credited
- ----- ---------- ----------
Due
Permit Fee; Total 45.00
.00
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total 45.00
00
.00
45.00
ASPHALT OR CONCRETE PAVEMENT REMOVAL
® WATER LINE REMOVAL
- - - - CURB REMOVAL
HIGHLAND LA QUINTA
CITY OF LA QUINTA EXHIBIT - DEMOLITION PLAN
BUILDING & SAFETY DEPT.
APPROVED
-►LA QUINTA, CALIFORNIA
FOR CONSTRUCTION
DDRC Ievelopment Resource. Consultants, Inc.
CMI Engln 11 . L.d'Su—O.g . L -d PI—Mg
MTEA_ -�/]y 8175 EAST KAISER BOULEVARD
��2y � CALE: t"=�00' ANAHEIN HILLS. CA 92808 (716) 685-5860
;n RiJeislde CA, 2008 2009 77010201024, 78150 CALLE TAMPICO, LA QUINTA CA 922532907, Sheet: 2 of 2
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-IIGHLA:ND
DEVELOP AZ ENT COMPANY
80 South'Lake Avenue Suite 660
Pasadena, CA .91101
(626) 696-2009 Direct,
(626) 696-2001 Fax
April 24, 2008 1
City. of La Quinta — Building and Safety Department
y`
78-495 Calle Tampico
-La Quinta,-CA 92253'
Re: The Plaza at Calle Tampico - Demolition Permit
NEC of Calle Tampico and Desert Club Dr.
To Whom It May Concern:
As a representative of Highland La Quinta II, LLC (the current land owner) I am authorizing the
demolition of existing facilities on the property described as Parcel 2 of Parcel Map 27109 in the
city of La Quinta, located at the north east comer of Calle Tampico and Desert Club Dr.
-EXHIBIT A
Real property in the City of La Quinta, County of Riverside, State of California, described as follows:
PARCEL 2, AS SHOWN BY PARCEL MAP NO. 271.09, IN THE CITY.OF LA QUINTA, COUNTY OF
RIVERSIDE, STATE OF CALIFORNIA, ON FILE -IN BOOK 175, PAGES 1 AND 2 OF PARCEL MAPS',.
RECORDS OF RIVERSIDE COUNTY, CALIFORNIA:
J
f
t
I
Bin #
7-7D-OZ6,vIZ Qty ®f La Quin'ta
Building K Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La .Quinta, CA 92253 - (760) 777-7012
JO- G. =Yal v.Buiiding Permit.Appiicatl®n and Tracking Sheet
Project Address: N, E, C , of We Tam ko P, pe5 c,14 Dr. Owner's Name: AA -&6z( •S , SLenlefyn
A. P. Number: '}';0 -ata - 61-L 02-S Qty
Address: 80 5• !�}� AVeviae. — Sui}Q (AS'
Legal Description: Faf(e{S y 2'2,,,,_2f P -M, '35H
Contractor: �( rvi�
Address: 130$ U;C FOBlvd,
City, ST, zip: PASadeVIW CA 9110)
Telephone: (02(0 (� — 200
Project Description:
City, ST, zip: No. Holl vwooJ q 1 W�
Telephone: I`� 6 ��5 F:::'.>;ca:.w...,::• '�,.:::,.v.:;:..:.,...:;.
:.. t ;e:.:..: ;#f f;.k wZ , <
µCity
- Q?vhDtA-,0. c r• QKFA,r _I+'!1 NJpy�12
" �
b �In V W1M U16J C i 1 k
State Lic. # : 8 U 9 O7LLic.
Arch., Engr., Designer: evefO meoi eSO(A N }
Address:
City, ST, zip: AvlAel 80
Telephone: ...'':,..; s�t3 '{:<YYCw6A%c'-rax••;
P . � � 1H Q � c�T x.�� •„q"«.r>,;„� ,.
State Lic. #:;<:a.>v##:>
Name of Contact Person: V I McKe ,
Construction Type: Occupancy:
YP
Project type (circle one). ew Add'n Alter Repair Demo
Sq. Ft.: 000
# Stories:
#Units:
Telephone # of Contact Person:
114) US- 4tw
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
li
Submittal
Req'd
Recd
PERMIT FEES
TRACKING�1,�,
Plan Sets
Plan Check submitted
aa
�rlNtem
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cabs.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'n°. Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr.
Date of permit issue
School Fees
Total Permit Fees