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08-0304 (CSCS)f P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: ' Application description: Property Zoning: Application valuation: Applicant: LOA/7-A i 08-00000304,/ 78138 CALLE TAMPICO 770-020-012- - NEW COMML - STORES VILLAGE COMMERCIAL 271620 Ta�/ 4 stP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CUSTOMER SERVICE Architect or Engineer: W/ 1�fi'7 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 Class: B License No.: 808029 ate: a I J log 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.). (_ 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, andwho contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 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: Owner: HIGHLAND LA QUINTA II LLC 80 S LAKE AVE STE 660 PASADENA, CA 91101 . 1 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/09/08 Contractor: rO PATTERSON BUILDERS f 13057 VICTORY BLVD O NORTH HOLLYWOOD, CA 916 6 (818)762-5795 I Lic. No.: 808029 C/ C©o �N�NC OQU�hr„ 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 the workers' compensation laws of California, and agree that, ' should bec ersubject t e workers' compensation provisions of Section 3700 of the bor Co , I s II rt hk m ly with those provisions. ate:8 plican . WARNING: FAI RE TO SECURE ORKERS' 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 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 co t. I agree to comply with all city and county ordinances ands a laws relating to building const c n, d h eb authorize representatives of thippc��ounty to enter upon t above-mentioned opert or ins ctio r os . a� te:V -`I Sig ure (Applicant or Age r771 Application Number . . . . . 08-00000304 ------ Structure Information 6240 SHELL BLDG - SHOPS 1 ----- Other struct info . . . . .. CODE EDITION 2007 FIRE SPRINKLERS MIXED-USE OCCUPANCY M&B SHELL OCCUPANT LOAD .00. PATIO SQ FTG .00 1ST FLOOR SQUARE FOOTAGE 6240.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE .00 Permit . . . BUILDING PERMIT Additional desc SHOPS 1 SHELL 6,240 SF Permit Fee . . 1241.50 Plan Check Fee 806.98 Issue Date Valuation . . . . 271620 Expiration Date 12/06/08 Qty Unit Charge Per Extension BASE FEE 639.50 172.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,.000 602.00 Permit ELEC-NEW COMMERCIAL Additional*desc . Permit Fee . . . . 139.80 Plan Check Fee 34.95 Issue Date . . . Valuation . . . . 0 Expiration Date 12/06/08 Qty Unit -Charge Per Extension BASE FEE 15.00 6240.00 .0200 ----------------------------------------------------=----------------------- ELEC GARAGE OR NON-RESIDENTIAL 124.80 Permit . . . MECHANICAL Additional desc . Permit Fee 245.00 Plan Check Fee 61.25 Issue Date . . . . Valuation 0 Expiration Date 12/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 9.0000 EA MECH FURNACE <=100K 72.00 8.00 16.5000 EA MECH B/C >3--15HP/>100K-500KBTU 132.00 4.00 6.5000 EA'• MECH VENT FAN 26.00 Permit . . . PLUMBING Additional desc . LQPERNIIT - Application Number . . . . . 08-00000304 Permit . . . . . . PLUMBING' Permit Fee220.50 Plan Check -Fee 55.13 Issue Date . . . Valuation 0 Expiration Date 12/06/08 Qty- Unit Charge Per Extension BASE FEE 15.00 8:00 6.0000 EA PLB FIXTURE 48.00 3.00 15.0000 EA PLB BUILDING SEWER 45.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 4.00 3.0000 EA PLB WATER INST/ALT/REP 12.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 7.50 1.00 3.0000 EA PLB•GAS PIPE 1-4 OUTLETS 3.00 4.00 .7500 EA PLB GAS PIPE >=5 3.00 4.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 60.00 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 Special Notes and Comment's 6,240 SF SHOPS 1 "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 80.70 ART IN PUBLIC PLACES -COM 1338.10 - DIF CIVIC CENTER - COMM 200.9.28 ENERGY REVIEW FEE 80.70 DIF FIRE PROTECTION -COMM 280.80 STRONG MOTION (SMI) - COM 57.04 DIF STREET MAINT FAC -COMM 661.43 - DIF TRANSPORTATION - COMM 18963.36 Fee summary Charged Paid Credited Due -- - - - - - - - - - - - - - ------ - - - - ------ - - - - ------ - -- - ---- --- - - - - -' i Permit Fee Total 1861.80, .__. .00 .00 ;_.• 1861.80: _ Plan Check Total 958.31 700.00 .00 258.31 Other Fee Total 23471.41 .00 .00 23471.41 Grand Total 26291.52 700:00' .00 25591.52 TU P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT C� 78-495 CALLE TAMPICO (760) 777-7012 OF LA QUINTA, CALIFORNIA 92253 "FAX (760) 777-7011 Finance Department, Please Collect The Following Fees For The Services Rendered HTE APPLICATION No:_08-304 PROJECT: SHOPS 1 SHELL BLDG @ THE PLAZA AT CALLE TAMPICO (UNDER CONSTRUCTION). ADDRESS: 78-138 CALLE TAMPICO CUSTOMER: JOE CHI:LANO — PATTERSON BUILDERS- SERVICES UILDERSSERVICES RENDERED: REVISION #2 ` SHOPS 1 - REMOVAL OF DEMISING WALLS, AND TOILET ROOMS TO FORMA SINGLE SHELL SPACE SUITE t100.2007 CODES Plan Review: ........: ................... .............. $ 35.00 (1.0 hr X $35/hr) TOTAL FEES NOW DUE:...........' ......................$ 35.00 Date: _April 10, 2009 Initials: - v, APR 2'3 2009 CITY OF LA QUINTA FINANCE DEPT. P.O. BOX 1504 APPLICATION ONLY Building 78-495 CALLE TAMPICO Address 78— Calle Tampico LA QUINTA, CALIFORNIA 92253 Owner Highland Development Company Mailing Address 80 South Lake Ave., Suite 660 'Pasadena 91101 (626)696-2009 Contractor Patterson Builders Inc. 13057 Victory Blvd. North Hollywood 2i91606 M10)940-0953 I fully sprinklered M -for Retail BUILDING: TYPE CONST. V -H OCC. GRP. B—for Eating A.P. Number 770-020-012 Place Legal Description see attached Project Description proposed neighborhood center oiaic UU�.ny & Classif. 808029 B-1 Lic. # 104234 Sq. Ft. Size 6,273 No. No. Dw. Stories 1 Units Arch., Engr.,Olshan & Associates, Inc. Designer New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 811 7th St., #B (310)394-3132 City Zip State Santa Monica 90403 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). Estimated Valuation $510,000.00 PERMIT //���' A2� �' AMOUNT V C Plan Chk. Dep. 0. '5:�' Plan Chk. Bal. ❑ 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 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 thatsuch 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 theroe 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 Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Date owner Infrastructure P 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 Ago 9 - FI INTQ O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE TOTAL REMARKS (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. ZONE: Minimum Setback BY: Distances: CONSTRUCTION LENDING AGENCY Front Setback from Center Line 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.) Rear Setback from Rear Prop.Line Lender's Name Side Street Setback from Center Line 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. Side Setback from Property Line 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 FINAL DATE INSPECTOR - construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Issued by: Date Permit Signature of applicant Date Mailing Address Validated by: Validation: City, State, Zip WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE