The URL can be used to link to this page

BPLB2015-0080t 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: �t4-4091f&� COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPL82015-0080 78130 CALLE TAMPICO 770020036 PLAZA AT TAMPICO / JULES MARKET / ADD (4) FLOOR SINKS $5,000.00 Applicant: BIO CONVERTERS INC DBA MARVEST 42-335 WASHINGTON STREET #F424 PALM DESERT, CA 92211 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: B License No.: 876299 i Dater ld "�� 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 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, 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: lc�,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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/10/2015 Owner: JADE PROPERTIES LLC P.O. BOX 242523 ANCHORAGE, AK 99S24 Contractor: BIO CONVERTERS INC DBA MARVEST 42-335 WASHINGTON STREET #F424 PALM DESERT, CA 92211 (760)774-6475 Llc. No.: 876299 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' compensatio ; as provided for by Section 3700 of the Labor Code, for the performance of the wo 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 polity 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 sho d -be ubject to the workers' compensation provisions of Section 37 of the Labor Code, shall forthwith comply with those provisions. Date: &/*— /O —/-j Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 ci enter up the above- mentioned property for inspection purposes. Date: �� ti Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ..,syn. p •: f .r ' �„ ACCOUNT'a r ;QTY AMOUNT .. . .t �` cPAIDa PAID DATES x BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/10/15 PAID BY METHOD RECEIPT # CLTD BY BIO CONVERTERS INC DBA MARVEST CHECK R6947 5148 LUR Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 { + ' DESCRIPTION `_ACCOUNTS '.:QTY i { AMOUNT+Y PAID :. R PAID;DATE' ay PERMIT ISSUANCE 101-0000-42404 0 .$91.85 $91.85. 6/10/15 - iY , PAID BY METHODg o�RECEIPT # ` *# c 'CHECK # r> CLTD BY t� 11 BIO CONVERTERS INC DBA MARVEST CHECK R6947 : 5148 LUR Total Paid forPERMIT ISSUANCE: $91.85 $91.85 DESCRIPTION ACCOUNT c i F QTY AMOUNT PAID t ' PAID; DATE n FIXTURE/TRAP 101-0000-42401 0 $48.36 $48.36 6/10/15 PAIDMETHOD a '+ RECEIPT ,#. a CHECK # ` . `s CLTD BY K. BIO CONVERTERS INC DBA MARVEST CHECK R6947 5148 LUR .�. � '.. a'� 6 i..� DESCRIPTION ; �-.a - at -i:. e �. ACCOUNT V ' QTY � � u AMOUNT =.: r r z -3.�, � PAID°> PAID DATE,. FIXTURE/TRAP PC 101-0000-42600 0 • $48.36 $48.36 6/10/15 PAID:BY,, $ R* i s METHODar k IRECEIPT # Y }' CHECK # BY ' , $ F " " {CLTD BIO CONVERTERS INC DBA MARVEST CHECK R6947 5148 LUR Total Paid forPLUMBING FEES: $96.72 $96.72 Bin # City of La Quinta Building Sr Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # UIW Project Address: 3 1'30 A. P. Number: Address: t%` Q. "ov-i- Z %ZJ-ZC� Legal Description: City, ST, Zip: OWN . e�,�� Contractor:Lv�b Tele hone:. O P Q :,., : Address: Z— 335 /✓As��To�✓�, y a .'Project Description: /00 -S✓: City, ST, Zip: Telephone: o e. Phn 9-40 �y Y : City Lie. N.- .ArchState Lic. # : 9�11 ., Engr., Designer: A/L dd1� Arch., Address: City, ST, Zip: Telephone: Con struction TY Occupancy: P ane e: Occu : State to Lic. ProJect type (circle r le one): New Add> n Aet Repair Dem 0 Name of Contact Person: �jq�' /'/ �%-/J�i%t�p(/;�/y. Sq. Ft.: # Stories: # Units:, Telephone # of Contact Person: J P Estimated Value of Project: .1 trio. APPLICANT: DO NOT WRITE BELOW THIS LINE k Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs.. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs.. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan. 2"i Rev. ready for correcti p Electrical Subeontactor List Called Contact Person C. Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees . rf' pis CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE U4 gy -D�- Doge vw ft d GO va- • aJ 6 l ,y li /• n Z 2 x . 4.3160 Madison St. c�'c�LtS l' �llKLy T Indio, CA 92201. f ► #519999 �i Tip k ryec•:�irf 78-i3o �-u� 7-,��P'�a • lell- �a �U u. �. � t L�i� .•W.gj a Se�te�� a, AN. •Q®a s T1 �;�� y - • �or�ovaay SjP3 a� `-',ergco SX` etzr GON "AN ADEQUATELY SIZED DEBRIS CO�"TAINEE IS REQUIRED ON THE AND MUSISITE DURING ALL BE PHASES OF CONSTRUCTION EMPTIED AS NECESSARY FAILURE TO DO SO MAY CAUSETHECITY THE THECONTAINER OWNER/ DUMPED AT THE EXPENSE OF CONTRACTOR " Constru Ct10n IS on the following Code hel�da'3;: New Year's Day Dr. Martin Luther King 1r. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day A RE -INSPECTION FEE OF $ WILL BE CHARGED IF THE APPROVE PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! n L10 s� 0 I;va m me N � �mC r 1O "Jul =WW F VIN80311VO 'VINIno vi 03jdVfV1 3TT#3 Of ANNVA STInr lit I Ildi os LLJ Fz— x quq) U) LLJ t9 0 x z < m wLd maw= z th 4:4 a