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BCOM2016-0015I 78-495 CALLE TAMPICO _ LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BCOM2016-0015 78085 AVENIDA LA FONDA 770122003 FORTUN/1,648SF TRELLIS STRUCTURE AT FRONT OF BUILDING $21,918.40 Applicant: DOUG WALL CONSTRUCTION INC 78450 AVENUE 41 BERMUDA DUNES, CA 92203 L UG 0 20y�yQ7Y0F �JTA y ! U, VE! CP1,+ENTDEp .AT,41EtJ 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. CC -9, A. CC27, C10 License No.: 74311 Date: ' v� .,Contractor OWNER -BUILD DECLARATION �owc 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 al permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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 contractors) 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/30/2016 Owner: FORTUNE PROP 5800125TH LN NE KIRKLAND, WA 92253 Contractor: DOUG WALL CONSTRUCTION INC 78450 AVENUE 41 BERMUDA DUNES, CA 92.203 - - - (760)772-8446 Llc. No.: 743112 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 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: STARSTONE NATIONAL INSURANCE COMPANY 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. Da- e i v �lcant: WARNING: FAILURE TO SECURE WORKERS' MPENSATION 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. D Signature (Applicant or Agent Date: 8/30/2016 Application Number: BCOM2016-0015 Owner: Property Address: 78085 AVENIDA LA FONDA FORTUNE PROP APN: 770122003 5800 125TH LN NE Application Description: FORTUN/1,648SF TRELLIS STRUCTURE AT FRONT OF BUILDING KIRKLAND, WA 92253 Property Zoning: .Application Valuation: $21,918.40 Applicant: Contractor: DOUG WALL CONSTRUCTION INC DOUG WALL CONSTRUCTION INC 78450 AVENUE 41 78450 AVENUE 41 BERMUDA DUNES, CA 92203 1 BERMUDA DUNES, CA 92203 (760)772-8446 Llc. No.: 743112 -------------------------------------------------------------=------------------------------- Detail: 1,648SF TRELLIS STRUCTURE AT FRONT OF BUILDING FOR PATIO DINING [ENGINEERED] SCOPE OF WORK BY DEFERRED SUBMITTAL INCLUDES OUTDOOR LIGHTING ENERGY COMPLIANCE AND ALTERNATE MATERIALS, DESIGNS AND METHODS OF CONSTRUCTION REQUEST FOR PROTECTION OF PROPOSED STEEL STRUCTURE WITH A INTUMESCENT COATING TO PROVIDE FIRE -RESISTANCE CONSTRUCTION PROTECTION BASED ON TYPE VA CONSTRUCTION OF EXISTING BUILDING. SEE TENANT IMPROVEMENT PERMIT NUMBER BCOM2015-0061 FOR ALLOWABLE AREA AND MEANS OF EGRESS REQUIREMENTS NOT DEMONSTRATED HERE. TUMF AND DIF ASSESSMENT BASED ON RESTAURANT ALONE (LOW -TURNOVER) AND GENERAL COMMERCIAL RESPECTIVELY. THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE, PATIO FENCING, BLOCK WALLS OR ALTERATIONS TO EXISTING BLOCK WALLS. 2013 CALIFORNIA BUILDING CODES. FINANCIAL •• • .DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES ADMINISTRATIVE STAFF 101-0000-42600 0.25 $10.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES HISTORIC 101-0000-42600 1.25 $87.50 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1.25 $118.75 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER 101-0000-42600 1 $95.00 Total Paid for BLDG CITY STAFF - PER HOUR: $311.25 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT DIF - CIVIC CENTER 252-0000-43200 0 $614.70 DESCRIPTION ACCOUNT QTY AMOUNT DIF - FIRE PROTECTION 257-0000-43200 0 $283.46 DESCRIPTION ACCOUNT QTY AMOUNT DIF -STREET MAINTENANCE 255-0000-43200 0 $382.34 DESCRIPTION ACCOUNT QTY AMOUNT DIF - TRANSPORTATION 250-0000-43200 0 $9,358.99 Total Paid for DIF - GENERAL COMMERCIAL: $10,639.49 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $108.77 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $84.12 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $412.74 Total Paid for NEW CONSTRUCTION PERMIT: $412.74 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $710.65 Total Paid for NEW CONSTRUCTION PLAN CHECK: $710.65 DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $6.14 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $6.14 DESCRIPTION ACCOUNT QTY AMOUNT LOW TURNOVER RESTAURANT/NIGHT CLUB 224-0000-20320 0 $10,969.58 Total Paid for TUMF - STAND ALONE RESTAURANT: $10,969.58