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BPLB2015-0073• 78-495 CALLE TAMPICO D O.�i VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS -(760) 777-7153 BUILDING PERMIT 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: C20, C38, C10, B License No.: 800678 - l ` �►ni�E�A4RIN �ilb� 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).: (� 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.). (_) 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 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:_ . 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.Wrk 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 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. ,Vf1�w r Date: 5-294,5_Applicant: /'ilrlfpl���•VY/VL/ 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 relatin to building construction, and hereby authorize representatives of this coo end up the above- mentioned property for inspection purposes. ell Date: �+�� Signature (Applicant or Agent) Date: 5/29/2015 Application Number: BPLB2015-0073 Owner: Property Address: 78130 CALLE TAMPICO JADE PROPERTIES LLC APN: 710020036 P.O. BOX 242523 Application Description: REFREIGERATION PIPING TO BLDG SHELL - JULES MARKET ANCHORAGE, AK 99524 z Property Zoning: Application Valuation: $30,000.00 Cr CD N z o Applicant: Contractor:cL C� 5 z o SOURCE REFRIGERATION & HVAC IN SOURCE REFRIGERATION �& HV C 10 • U_ 0 OUTSIDE CITY LIMITS 800 E ORANGETHORPE AVEN o Iv o LA QUINTA, CA 92253 ANAHEIM, CA 92801 V j • (714)578-2438, �� Llc. No.: 800678 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: C20, C38, C10, B License No.: 800678 - l ` �►ni�E�A4RIN �ilb� 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).: (� 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.). (_) 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 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:_ . 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.Wrk 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 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. ,Vf1�w r Date: 5-294,5_Applicant: /'ilrlfpl���•VY/VL/ 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 relatin to building construction, and hereby authorize representatives of this coo end up the above- mentioned property for inspection purposes. ell Date: �+�� Signature (Applicant or Agent) FINANCIAL INFORMATION Ir DESCRIPTION • ` s '¢ ACCOUNT ;,.QTY AMOUNTrz; ' 1 PAID `PAID'DATE HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 0.75 $108.75 $0.00 PAIDBY i "° ```� ';' METHOD`S ,' 'RECEIPT#�' , ,,f^« CHECK# tiCLTDBY" Total Paid forBLDG CITY STAFF - PER HOUR: $108.75 $0.00 x ` IDESCRIPTION s� eT sa * ACCOUNT§ �E�>, i s QTY 'z " -AMOUNT � n s t dx x Rg : PAIDr „p a PAID.DATE� BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 E rx a ' "*. PAID -BY F i 4 .': * 4 METHOD Tz g= { i" RECEIPT # xCHECKCLTD BYfi,`: Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 I DESCRIPTIONda s&ACCOUNTrg ,• °`QTY - AMOUNT �`�PAID PAI DDATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY 4 ,METHODS , z 4t z = ` RECEI TCHECK # 'J CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 f F DESCRIPTION : If `; ACCOUNTr QTY AMOUNT F z7 o _ .;, PAID ' - PAID, DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 `x PAID.BY 5 " METHOD d $ eRECEIPT # CHECK # -JI,, BY:` '§ `.DESCRIPTION,h� ACCOUNT ; QTY� " AMOUNT•+* PAID c�' TPAIDFDATE- WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAIDBY zz yrx > , ,' ° r $ METHOD4 i R� RECEIPT #`K CHECK #' CLTD BY •Total Paid forPLUMBING FEES: $24.18 $0.00 TOTALS:0• S i Description: REFREIGERATION PIPING TO BLDG SHELL - JULES MARKET Type: PLUMBING Subtype: Status: APPROVED Applied: 5/20/2015 BHA Approved: 5/20/2015 BHA . Parcel,No: 770020036 Site Address: 78130 CALLE TAMPICO LA QUINTA,CA 92253 Subdivision: PM 35845 Block: Lot: 2 Issued:' Lot Scl Ft: 0 - Building Sq Ft: 0. Zoning: Finaled: Valuation: $30,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 BURT HANADA Details: OVERHEAD REFRIGERANT PIPING IN PREPARATION FOR "COLD CASE" EQUIPMENT ALONG INTERIOR SOUTH, WEST WALLS & CENTRAL BANK OF COLD CASES PER APPROVED PIPING PLAN. PERMIT NOT APPROVED FOR EQUIPMENT INSTALLATION. 2013 CODES. ADDITIONAL SITES printod: Friday, May 29, 2015 11:14:AF Ann 1 •nf 3 CHRONOLOGY CHRONOLOGY TYPE STAl , ACTION DATE. i COMPLETION DATES PUBLIC COUNTER VISIT BURT HANADA 5/20/2015 5/20/2015 BRYAN BEITLER SUBMITTED 3 SETS PIPING PLANS OF , REFRIGERATION PIPING FOR SHELL BUILDING. NOTIFIED BRYAN BEITLER THAT PLANS ARE APPROVED AND TELEPHONE CALL BURT HANADA 5/20/2015 5/20/2015 PERMIT IS READY TO ISSUE., CONDITIONS CONTACTS NAMEF,TYPE NAME W , ADDRESSICITY� *STATE ZIPS' PHONE' FAX=; EMAIL APPLICANT. SOURCE REFRIGERATION & HVAC IN 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (907)344-5001 BBEITLER@SOURCEREF RIGERATION.COM CONTRACTOR SOURCE REFRIGERATION & HVAC IN 800 E ORANGETHORPE ANAHEIM CA 92801 (907)344-5001 AVENUE OWNER JADE PROPERTIES LLC P.O. BOX 242523 ANCHORAGE AK 99524 (907)344-5001 printod: Friday, May 29, 2015 11:14:AF Ann 1 •nf 3 BOND INFORMATION Printed: Friday, 7 of 3 �e�reroi� FINANCIAL + • • r Er DESCRIPTION '; J, ACCOUNT .,,:Fw, `QTY AMOUNT +•.. K :CLTD'_ +PAID:DATE RECEIPT:# CHECK# METHOD :: 4,PAIDBY, .;PAID_: .. � �. HOURLY CHARGE - 101-0000-42600 0.75 $108.75' $0.00 BLDG CITY STAFF Total Paid for BLDG CITY STAFF = PER HOUR: $108.75 $0.00 BSAS SB1473 FEE 101-0000-20306 0 $2.00 -$0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: .PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 .Total Paid for PERMIT ISSUANCE: $91.85 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0. $12.09 $0.00 INST/ALT/REP PC Total Paid forPLUMBING FEES: $24.18 $0.00 -e M11111111111111 11 pi Ill i1111 BOND INFORMATION Printed: Friday, 7 of 3 �e�reroi� ^ C_- , - �_/ Qty of La Quint'a -Building 8r Safety MUM P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 9225J - (760) 777-7012 Building Permit Application and Tracking Sheet Permit iV Project Address: 78-130. 64L.LjC4A"P)ex) Owner's Name: '14aL AUFfA71 LS LLC A. P. Number: Address: F.b. bw 14z -r.2.3 Legal Description: City, ST, Zip: ApWe*QA&6. .4k. 11624 Contractor: DURUL RUR_j6E"TL&j YV4C, Address: boo E. 6P-A*"_i*xPf, 4VE. telephone: 711f, E�R Project Description: City, ST, Zip: hrmridevi I eA. Ieo I _PWILIMATt L'hj N44 K4 Telephone: SZ8' 7-3 00.11 I.CityLic. #.. ova-0twD pawlamao-j PIPIIV6 60-15*- State Lic.#: 06016-18, P/ by Arch., Engr., Designer:HL ARj4*1-fA_jV A& f VA Z 9,0 114)v Address: ewt. 61ILD Mwi- ct, City., ST, Zip: 6ot) Al.915 IJ 0 Telephone: tConstruction Type: Occupancy: State Lic. #: pe (circle one): New Add'n (Eter Repair Demo Name of Contact Person: SOA4. kA1t. Sq. Ft.: T Stories: # Units: Telephone# of Contact Person: 2-13-1S?A1AP5 Estimated 'Value of Project: 41 Z 14,3197 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqld Rec!d TRACKING PERMIT FEES Plan Sets Plan Check submitted t7 Item Amount Structural CaIcs. Reviewed, ready for corrections: Plan Check Deposit mross-Cales. V) Ifu LW f. 2! A /,jvjW1,040- 64 Called Contact Person Plan Check Balance Planspicked up Construction Plans resubmitted Mechanical 2°d Review, ready for corrections/issue Electrical Called Contact Person Plumbing 'I Plan, picked up S.M.I. Plans resubmitted Grading 3,d Review, ready for correctio issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees • � � �I`` �1 1• � � �� i'• a} �E A f • ' � � '' II � y � • �� I) ` � � � 9 i 4 jI s � � e � �� . - r �I , •� - � ' � � r • r � .. I�� )))),IL � 'il - . • � � • • • ♦ , � � � ' �� ��• , • • � � �� � • � � � ^I � • * `� Combined Report Property Address: 78130 Calle Tampico La Quinta, CA 92253 78130 Calle Tampico, La Quinta, CA 92253 All information contained herein is subject to the Limitation of Liability for Informational Report set forth on the last page hereof. 02005-2015 First American Financial Corporation and/or its affiliates. All rights reserved. 5/20/2015 Property Information Owner(s): Jade Properties Llc Mailing Address: Po Box 242523, Anchorage, AK 99524 Owner Phone: UnknownProperty Address: 78130 Calle Tampico, La Quinta, CA 92253 Vesting Type: N/A Bathrooms: Fireplace: County: Riverside APN: 770-020-036 Map Coord: 849-F7 Census Tract: 045120 Lot#: 2,2 Block: Parking I M / Subdivision: Tract: Basement Area:' Legal: 1.38 Acres In Par 2 Pm 230/014 Pm 35845 Property Characteristics Use: Commercial Building, Year Built/ Eff.: / Sq. Ft. Zoning: Lot Size Ac / Sq Ft: 1.38/60113 #'of Units: Bedrooms: Bathrooms: Fireplace: # Rooms: Quality: Heating: Pool: Air: Style: Stories: Improvements: Parking I M / Gross Area: Garage Area : Basement Area:' Sale and Loan Information Sale / Rec Date: 01/16/2015 / 02/17/2015 "$/Sq. Ft.: 2nd Mtg.: Sale Price: $1,500,000 1st Loan: Prior Sale Amt: Doc No.: 000000063943 'Loan Type: Prior Sale -Date: Doc Type: Grant Deed Transfer Date: 02/17/2015 Prior Doc No.: Seller: Highland La Quinta li Llc Lender: Prior Doc Type: q. . is a ca cu anon of Sale Price divided by Sq. Feet. https://www.myfirstam.com/Home/Da'shboard' 5/20/2015 Combined Report - myFirstAm kal Tax,lnforrpation - ragct.0f Imp Value: $1,804,999 Exemption Type: Land Value: $1,596,797 Tax Year / Area: 2014 / 020021 Total Value: $3,401,796 Tax Value: $3,401,796 Total Tax Amt: $42,379.20 Improved: 53% Property Profile 78130 Calle Tampico, La Quinta, CA 92253 All information`contained herein is subject to the Limitation of Liability for Informational Report set forth on the last page hereof. ©2005-2015 First American Financial Corporation and/or its affiliates. All rights reserved. 5/20/2015 Transaction History Transaction History provides records for the past ten years. To request additional information, please contact your local Sales Representative, Customer Service Department, or for an additional fee you may click here . History Record # 1 : SALE/TRANSFER Buyer: Seller: Transaction Date: 01/16/2015 Sale Price: $1,500,000 Recording Date: 02/17/2015 Sale Price Type: Full Value Recorded Doc #: 000000063943 Title Company: Document Type: Deed Transfer Vesting Type: N/A Subject Property Property Sale Year Dist. APN Address Price Built Beds Baths Sq. Ft. Rec. Date from Subj. 770-020- 78130 Calle Tampico, La 036 Quinta, CA 92253 $1,500,000 Comparable Sales https://www.myfirstam. Com/Home/Dashboard 5/20/2015