08-0305 (CSCS)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
.'Application Number: 08-000D030niP(f�
Property Address: 78134 CALLE TAMPICO
APN: 770-020-012- - -
Application description: NEW COMML - STORES & CUSTOMER SERVICE
Property Zoning:, VILLAGE COMMERCIAL
Application valuation: 532970
Applicant: Architect or Engineer:
W . 45,H"
O Ls�ygNt �SdG.
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed u er provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the siness a ssion Is Code, and my License is in full force and effect.
License Class: B Li nseNo.: 808029
Date: Z 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 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 whobuildsor 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 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 1 I am exempt under Sec. , BAP.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:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 177-7011
INSPECTIONS (760) 777-7153
Date:. 6/09/08
Owner:
HIGHLAND LA QUI
80 S LAKE AVE S
PASADENA, CA 9]
II
JUL 221008 I�
Contractor:' UF LA
PATTERSON BUILDERS i1iA_PCE,
13057.VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
(818)762-5795
Lic. No.: 808029
----------------------------------
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 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 to tKee workers' compensation laws of California,
and agree that, if I ould become subject to the workers' compensation provisions of Section
3700 of the Lab r Co , I sh fforc ith c ply with those provisions.
Date: `�� - Applicant:
WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($ 1 00,00W 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, of 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 i orrect. I agree to comply with all
city and county ordinances and state laws relatin ing corf%uction, an reby authorize representatives
of this c unty to enter upon the above-mentione propert for.in pe do ur s -
Date:�Signature (Applicant or Agen
Application Number . . . 08-00000305
------- Structure Information 12025 SF SHOPS 2 SHELL BLDG
--"---
Other struct info . .
... . CODE EDITION 2007
FIRE SPRINKLERS
MIXED-USE OCCUPANCY M&B.00C
SHELL
PATIO SQ FTG
686.00
1ST FLOOR SQUARE FOOTAGE 12025.00
-------------- --------------------------------------------------------------
.2ND FLOOR SQUARE FOOTAGE
.00
Permit . .
BUILDING PERMIT
Additional desc
SHOPS 2 SHELL 12,025 SF
Permit Fee
2138.50 Plan Check Fee
1390.03
Issue Date . . . .
Valuation I. . .
532970
Expiration Date
12/06/08
Qty Unit.Charge
Per
Extension
BASE FEE
2039.50
33.00 3.0000
THOU BLDG 500,001-1,000,000
99.00
----------------------------------------------------------------------------
Permit
ELEC-NEW COMMERCIAL
Additional desc .
Permit Fee . . . .
255.50 Plan Check Fee
63.88
Issue Date
Valuation . . . .
0
Expiration Date
12/06/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
12025.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
240.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
290:00 Plan Check Fee
72.50
Issue Date . . . .
Valuation
0
Expiration Date
12/06./08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9..00 9.0000
EA MECH FURNACE <=100K
81.00
9.00. 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
148.50
7.00 6.5000
--------------------------------------------------------------'--------------
EA MECH VENT FAN
45.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
353.25 Plan Check Fee
88.31
LQPERMIT
Application Number '. . . . . 08-00000305
Permit ... . . . PLUMBING
Issue Date Valuation
0
Expiration Date 12/06/08 -
Qty Unit Charge Per
Extension
BASE FEE
15.00
14.00 6.0000 EA PLB FIXTURE
84.00
4.00• 15.0000 EA PLB BUILDING SEWER
60.00
7.00 3.0000 EA PLB WATER INST/ALT/REP
21.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
7.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH
52.50
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
5.00 .7500 EA, PLB GAS PIPE >=5
3.75
7.00 15.0000 EA PLB GAS METER
----------------------------------------------------------------------
105.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 12/06/08
Qty Unit Charge Per
Extension
..BASE FEE
15.00
----------------------------------------------- 7 ----------- 7 ----------------
Special Notes and Comments
12,.025 SF SHOPS 2 "SHELL" BUILDING. (B &
M OCC. PROPOSED) TYPE V -B CONSTRUCTION.
FIRE SPRINKLER CREDIT -FOR ALLOWABLE AREA
INCREASE PER CBC 506.1 2007 CODES
**PERMIT DOES NOT INCLUDE TEMP POWER,
-.BLOCK WALLS, WATER FEATURE,_TRASH
ENCLOSURES AND SITE LIGHTING**
--------------------------------------------------------------
Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW
--------------
139.00
ART IN PUBLIC PLACES -COM
2644.85"
�. DIF CIVIC CENTER - COMM
3872.04
ENERGY REVIEW FEE.
139.00
DIF FIRE PROTECTION -COMM
541.13
STRONG MOTION (SMI) - COM
111.92
DIF STREET MAINT FAC -COMM
1274.65
DIF TRANSPORTATION - COMM
36543.97
Fee summary Charged- Paid Credited_
Due -
Permit Fee Total 3052.25 .00 .00
3052.25
Plan Check Total 1614.72 1200.00 .00
414.72
Other._F_ee_ Total 45266.56 .00.. .00 --4.5.2-6-6..
5.6.
-
Grand Total 49933.53 1200.00 .00
48733.53
Twif/ 4 4 a"
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 7R -,I -" 'V r -n11 P Tamni rn LA OUINTA, CALIFORNIA 92253
Address 80 South Lake Ave. , Suite 660
CPasadena ZIp91101 926) 696-2009
Patterson Builders, Inc.
13057 Victory Blvd:
N Tth Hollywood'191606 1110) 940-0953
b9-- .3n5
APPLICATION ONLY
fully spriuklered M -for Retail
BUILDING: TYPE CONST. V --N OCC. GRP. 9 -for Eat=ng
A.P. Number
770-020-012 Place
Legal Description see attached
Project Description proposed neighborhood center
State Lic. City Sq. Ft. No. No. DIN.
& Classif. 808029 B-1 Lic. # 104234 Size 12,0251
Stories Units
Arch., Engr., I
Designer Olshan & Associates, Inc.
Santa Monica 1 90403 1 Lic. # C-6004
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 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.
SIGNATURE --DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he 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 Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
New C3 Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$900,000.00
PERMIT
�— AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
d
zulfu I/ U11
RAN1.4 QUINIffli
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE_
Issued by:
Validated by:—
Validation:
YELLOW = APPLICANT
INSPECTOR
Date Permit
PINK = FINANCE
Date 6/13/08
It
No. 30080
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
+ La Quinta, CA 92253-
(760) 771-8515
4�JSS P2 EDSc�o
41fU� o
Q BERMUDA DUNES
En RANCHO MIRAGE
�. INDIAN WELLS
d� PALM DESERT' y
LA QUINTA
r %INDIO y�
t
Owner Highland Development Co. APN # 770-020-012
• f
Address 78-134 & 78-138 Calle Tampico Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # No. of Units
Type Commercial
Lot # No. Street S.F. Lot # No. , Street S.F.
Unit 1 78134 Calle Tampico 12,025 Unit 6
Unit 2. 78138 Calle Tampico 6,240 Unit 7 '
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Official Check No. 188637553 in the total sum of $15,149.98 paid for Certificate 30080 fees $8,584.55 and
Certificate 30081 fees $6,565.43
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying- school fees at this time due to'the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.47 X 18,265 S.F. or $8,584.55 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paia By OC-Comeria Bank, Reggie Kinlaw Check No. 188637553
Name on the check Telephone 310-800-4918
Funding Commercial
By Dr. Sharon P. McGehee
J. a
Superintendent
Fee collected lex7t�tL
PaLiarbuzza Payment Recd
{; $8,584.55 ^;Over/U+rler R
Signature ,max'
ofV,,
A NOTICE: Pursuant to Government Code Section 020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting