10-0606 (RC)1'- ^�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
78- J38
C:10-0 0006 6
Q-9.1"34- CALLE
BUILDING & SAFETY DEPARTMENT
,�. Ei • BUILDING PERMIT
TAMPICO STE 1204-130
770-020-012- -
REMODEL - COMMERCIAL
VILLAGE COMMERCIAL
121000
Owner:
HIGHLAND LA QUINTA II LLC
80 S LAKE AVE STE 660
PASADENA,,CA 91101
Applicant: Architect or Engineer: = MARVEST
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/05/10
i - _ •
-
42335 WASHINGTON ST, IF#424f+ t 0 _ U, ! j ( i
PALM DESERT, CA 92211. .: ZUO. t [�J
L
iza" / V Y V
,
(760)774-6475 �
Lic. No.. 876299 Gt1;'4QElEN IA
- - LICENSED CONTRACTOR'S DECLARATION - - •—•* •• • -, --•
WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty of perjury that•I am licensed under provisio hapte, 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Profe sic Co nd. icen. is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B - i se 876299
__.__.._-- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '
�@� tU ,C -
issued.
Dat te:�0o�,-_ntractor:+ '-
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor ,
�•�-•-•-r
- Code, for the performance of the work for which this permit is issued. My workers' compensation
0 ER -BUILDER ION
insurance carrier and policy number are:
'I hereby affirm under penalty of perjury that I am exemp om the Contractor's State License Law for the
' Carrier STATE FUND Policy Number 1917303
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct; alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall rt Eh c plywl provisions.
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).:
.�Da-te:-Y s�Applwant:
(--• 1 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
WARNING: FAILURE TO SECURE WORKE COVERAGE IS UNLAWFUL, AND SHALL
....—...._._ .Contractors' State License Law does not.apply to an owner of property who builds or improves thereon, ......._
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the-
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or'offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
1 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
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 1 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 constr��tiearend-hereby- tharize representatives
of this county to enter upon the above-mentioned property foin pS�ection purposes.
Date: � -Z Signatures (_Applicant or Agent): -
��--4
LQPERMIT
Application Number . . . . . 10-00000606
------ Structure Information SUITE• -120 & 130 2896 SF T.I.
-----
Construction Type . . . . . TYPE V, UNPROTECTED
Occupancy. Type . . . . . BUSINESS <50
Other struct info . . . . . CODE .EDITION
2007/08 ENERGY
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
B
OCCUPANT LOAD
46.00 i
- 1ST -FLOOR SQUARE FOOTAGE
----------------------------------------------------------------------------
2896.00
Permit . . . BUILDING PERMIT
- Additional desc
`•
P"ermit ee 137. 0'0 --Plan Clzeck- Fee --,-
3'-.'"4 _
Issue Date . . . . Valuation
121000
Expiration Date 2/01/11
s
C:. Qty, Unit Charge. Per
'__
Extension
� . r, ,. - .: BASE FEE
639.50
Blit. a :021.00 3.,5000 -THOU BLDG 100,001-500.,000
73.50
-----------.--- ------------------------------------------------------
i pPermit . . . . ELECT - ADD/ALT/REM
Additional desc .
Permit -Fee -- 72.*30. Plan Check Fee
18.08 '•
' Issue Date Valuation . .
. . 0
- Expiration Date 2/01/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
15.00
94.00 .4500 EA ELEC DEVICE/FIXTURE >20
----------------------------------------------------------------------------
42.30
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 64.00 Plan Check Fee
16.00
----Issue Date Valuation
0
Expiration Date 2/01/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
8.00 4.5000 EA MECH VENT INST/ DUCT ALT
36.00
2.00 6:5000 EA MECH VENT FAN
----------------------------------------------------------------------------
13.00
Permit . . . PLUMBING
j
Additional desc .
LQPERMIT
2
LQPERMIT
..Application
Number . . . . 10-00000606
Permit . . . . PLUMBING
Permit Fee . . . 55.50 Plan Check Fee
13.88
Issue.Date . . . . Valuation . . .
. 0
'Expiration Date 2/01/11
_..
Qty Unit Charge Per.
Extension
BASE FEE
15.00
5.00 6.0000 EA PLB FIXTURE
30.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
T.00
-----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR T.I. SUITE 120 & 130. 2896 SF
EAL ESTATE-OFFICES-F'OR-COLDWELIT- BANKER .
"B" OCCUPANCY.- TYPE V -B CONSTRUCTION.
OCCUPANT 'LOAD = 46. 2007 CODES. 2008
ENERGY . -:
-.------
-------------------------------------------------
--------------- . -
Other- Fees' . .T ACCESSIBILITY- PLAN REVIEW
46.35
do-:. �G ART IN PUBLIC ;PLACES -COM
585'.00
}:
__.C' aD
- 0"0 BLDG $TDS ADMIN. (SB1473)
5.00
"' E;:. 9 ..:� .'3 � � ;.:.:. ENERGY REVIEW FEE_
.. 46 .35.
, F
Fee _summary Charged- Paid Credited
Due .
Permit Fee Total 904.80 .00 .00
904.80
.J
Plan Check Total 511.41 .00 .00
511.41
Other.Fee Total 682.70 .00 .00
682.70
Grand Total 2098.91 .00 .00
2098.91
LQPERMIT
'tea
' Bin #
Ch
t city of La Quinta
Building &r Safety Division �Q
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 otat �JZ, 7 Building Permit Application and Tracking Sheet
Permit #
Project Address: �2 8
Owner's Name: ,�",m/? CEJ
A. P. Number:
Address:�i��Lf
Legal Description:
City, ST, Zip: Se&�
Contractor: %^8D
Telephone: 0,2,5: tio'i o2
:c:;:<<;;'•<>:<<>:�<><»:>%;.s>;<.:s<s.<;:
Address:
Project Description:
City, ST, Zip:
pv /7-77 1/74neXkjg'6%7
Telephone:
hone•
State Lic. # : City Lic. #;
Arch.; ngr., Designer. W� Mae lS
f`-j.��G�- ��•� �� J� • �u�, 1
�/Qj�i��I%��!/f /✓�iLCJ ���.7�i1-t/
Address: 7 ,?& ,1',�i2-1 C9 •
.
eeW �47
City, ST, Zi
TeleP hone: ,�'7. --2-(Ae. ,57S
Construction anc TY,: cc
I � .S
P v OuP Y Bl�D.S
State Lic.#: ��j Q�l
Project type (circle one)•New Add'n
Alt Repair Demo
Name of Contact Person: ,lQ� ; &7 NR Ir 7
S . Ft.: g��D
# Stories:
# Units:
Telephone # of Contact Person: .�. �O' Estimated Value of Project: /a/ K
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
3
Plan Check submitted in
Amount
Structural Cales.
Reviewed, ready for corrections Z I Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Title 24 Cales.
n
Q`
Plans picked up Construction
Flood piain plan
v
B
Plans resubmitted : echanical
Grading plan
2"'Review, ready for correctio issue Electrical
Subcontactor List
Called C gtactperson 41- �j Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'" 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
-?Ila >d4A&rt,5k4A4
qv
l -le.-W