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08-0500 (SOTB)P.O. BOX 1514."!- 78-495 CALLE TAMPICO LA QUINTAj. CALIFORNIA 92253":: " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/11/08 Application Number: 08_0"0'000500 Owner: Property Address: 4-61-5-0—WASHINGTON ST. ATLANTIC RICHFIELD CO APN:' 604-050-033-19 -00.0000' C/O PROP TAX DEPT Application description: STRUCTURES OTHER THAN BUILDINGS P O BOX 512485. Property Zoning: REGIONAL COMMERCIAL. LOS ANGELES, CA 90051 O Application valuation: 30000 D Q Contractor, a �.�� Applicant: Architect or Engineer: RD BUILDERS INC AP 4 LU f 4.075 LEAVERTON COURT CbN"_ ANAHIEM, CA 92807 CITY OF (714) 630-6690 F1,VANCEDEPT Lic. No.: 445832 f ----------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of'perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License 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: A B C8 - License No.: - 44 58 2 . for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .c.L ..�✓✓/��►� ,/,, issued. Date:_/.. ��- U� Co� ntracto (/[��`� L _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor --:I- .. Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION' insurance carrier and policy number are: 'I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier DELOS INS CO . Policy Number OIDKRMI-2001855" 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 3of the Business and Professions Code) or .. 3700 of the Labor Code, I shall forthw' It comply with those 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).: ( Date:Applicant:.tb./iL�3�•-� 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca .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 contractorls) licensed pursuant to the Contractors' State License Law.). - ( 1 I am exempt under Sec. , BAP.C. for this reason Date: - Owner: - CONSTRUCTION LENDING AGENCY I hereby affirmunder 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. - 1 certify than) 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 ofthis county to enter pon the above-mentioned proper�y forI speccttion purposes. � Date: 7"�I'(/Signature —(Applicant Agent): s'�-_-c'��G�•C .e. J __--j l - - ` Application Number 08,-000.00500 Permit . . . . . . BUILDING PERMIT Additional desc . Permit,Fee 284.50 Plan Check Fee 184:93 Issue.Date::.. Valuation. 30000 Expiration Date 10/,08/08 Qty Unit Charge Per Extension BASE FEE 252.00 : 5:.00 6.5000 THOU BLDG 25;001-50,000 32.50 Permit . . . MECHANICAL' Additional, desc EVR HEALY W/15D SEPARATOR Permit Fee 15.00 Plan Check Fee.. 4.88 Issue Date . . : . Valuation 0 Expiration Date 10/08/08 Qty Unit Charge Per Extension BASE FEE 4.00 1.00 4`.5000 EA MECH VENT INST/ DUCT ALT 4.50` 1.00 6.5000 EA MECH OTHER MECH EQUIPMENT 6.50 ------------------------------------------------------ Special Notes and Comments ----------------7--------- PHASE 11 EVR HEALY W/15D CLEAN AIR SEPARATOR. AND 40 LN FT. OF BLOCK WALL Other Fees . .. . . . . . ENERGY ---- REVIEW FEE -------------- . 18.49 Fee summary Charged Paid Credited Due Permit Fee"Total 299.50 .00 .00 299.50 Plan Check Total 189.81 .00 .00 189.81 Other Fee Total 18.49 .00 .00 18.49 Grand Total 507..80, .00 .00 507.80 ' LQPEIN9IT - .• - Bin # G City of La Quifi'a _ x Building g Safety Division Permit.#P:O. MCI 504, 78-495 Calle Tampico �.. La Quinta,.CA 92253 - (760) 777-7012 -Building Termit Application and.Tracking_Sheet Project•Address: •'jas�"n sv, Owner's Name: v !!Oas � PrOG� LG - A.•P. Number: 'Address: Legal Description.: ` n City, ST, Zip: �� 7D4Z I r Contractor Telephone:: r Address: D Project Description: GJ PA4Sf Ir ',—F � is-o City; ST, Zip: h nJ eU % Telephone: 7 / a ' . State Lic° # : City'.Lic. Arch.,' Engr., Designer: r ` 7rp�c. Address: City, ST, Zip. D. GOnC�G�I7 3 9vo s ? Telephone:, f3. 3�/ 7,K� .Construction T e: ' Yp. Occupancy:'. State Lie. #: r ' Project type (circle one): New Add'n Alter ' Repair Demo Name of Contact Person: y . Ft : : # Stories: - # Units: , Telephone # of Contact Person: 9 S/ �gt� �� . Estimated Value of Project:. :3(%, V UCS ` 878" 7v a �� 5 3 APPLICANT: DO NOT WRITE BELOW THIS LINE # ..Submittal Req'd Recd TICHING PERMIT FEES - Plan Sets L� Plan Check submitted s 3 Item _ Amount Structural Calcs. Re viewed,' ready for corrections •Plan Check Deposit ' Truss Calcs. Called Contact Person Plan Check Balance " Energy Calcs. Plans picked up - Construction .. Flood plain plan: Plans resubmitted Mechanical Grading.plan 2°" Review,, ready for correctionsssue l Electrical- _. • Subcontactor List Called Contact Person Plumbing y Grant Deed Plans picked up S.M.I. H.O.A. Approval ,. Plans resubmitted Grading s .,... IN HOUSE:- '^' Review, ready for corrections/issue Developer Im act Fee ° Planning-Approval *° Called Contact Person Pub. Wks. Appr A , Date of permit issue tj ro School•Fees d Total Permit Fees ' `31.23 9 - ,eft • '- ��%: �x,P��-�o_ r .. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (--Application- Number_:, 08-00000500 Property Address: 46150 WASHINGTON ST APN: 604 -050 -033 -19 -000000 - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: REGIONAL COMMERCIAL Application valuation: 30000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: A License No.: 894043 Date: q4 - 6q 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 or 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 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 _ 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 VOICE (760) 777-7012 FAX (760) 777-7011. INSPECTIONS (760) 777-7153 Owner: S & O PROPERTIES INC 46150 WASHINGTON.ST LA QUINTA, CA 92Z5--3- Contractor PROGRES F 13505 YO A CHINO, CA 917 (909)627-716 Lic. No.; 9_1 0 b TO Date: 4/06/09, 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 1856816 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 J 3700 of the Labor Code, I shall forthwith comnly with those provisions. Date, 0"'Q Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize. representatives of this county to enter upon the above-mentioned property fo ' ction purpose Date: �. Signature (Applicant or Agent): Application Number 08-00000500 Permit . . . BUILDING PERMIT -Additional desc Permit Fee 284,50 Phan Check Fee 184.93 Issue Date . . . . 4/14/08 Valuation 30000 Expiration Date 10/11/08 Qty Unit Charge. Per Extension BASE FEE 252.00 5.00 6.5000 THOU.BLDG 25,001-50,000 32.50 Permit MECHANICAL Additional desc EVR HEALY W/15D SEPARATOR Permit Fee 15.00 Plan Check Fee 4.88 Issue Date . . . . 4/14/08 Valuation 0, Expiration Date 10/11/08 Qty Unit Charge Per Extension BASE FEE 4.00 1.00 4:5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 6.5000 EA MECH OTHER MECH EQUIPMENT 6.50 -- - - - - - - - - - - - - Special Notes and Comments PHASE 11 EVR HEALY W/15D.CLEAN AIR SEPARATOR. AND 40 LN FT. OF BLOCK WALL -----------------_---------------- Other Fees CHANGE OF CONTRACTOR 4.'50 ENERGY REVIEW FEE 18.49 Fee summary Charged Paid Credited Due Permit Fee Total 299.50 299.50 .00 .00 Plan Check Total 189.81 189.81 .00 .00 Other Fee "Total 22.99 18.49 .00 4.50 Grand Total 512.30 507•.80 .00 4.50 " LQPERMIT Bin # City of La Quinta Building U Safety Division P.O. ,Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per 't #/ Project Address: 14b /15-0 a ems' Owner's Name: A. P. Number: J Address: /nr:t ��, Legal Description: City, ST, Zip: Contractor: TO t ., „te�i l j rkc roti Telephone: -r Address: 1350 • ol'ioo` C e Q Project Description: ✓1 City, ST, Zip:. 61;/L0 CA, of 1710 Telephone: CgoJ) . ��)'o��•/v State'Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: a.✓� r/�I /rs ConstruOccupancy: Type: Occu P Y: Project type (circle one): New. Add'n Alter Repair Demo Sq. Ft.: # Stones: # Units: 'Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets su mrt Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading .IN HOUSE:- 3'4 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 .4� P.O. BOX 1504• BUILDING & SAFETY DEPARTMENT OFTY178-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: ' - ae - 0 gr From: Les Johnson, Director -Planning Due Date: 4-7- 0 Permit #: Status: v r Building Plans Approval (This is an approval to issue a Building Permit) a The Planning Department. has reviewed the Building . Plans for the following project: . o Description: Address or General Location: 46;150, Applicant Contact:a �%.� / &Z72 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. - ❑ ...th.ese Building Plans are approved by. ihe.,Plannin' gr Department: l 7C�.::these Building Plans require corrections: Please forward 'a copy of the' attached corrections to the applicant.*.When the corrections' are made please return them to the Planning Department for review. 'Les Johnson, Director -Planning - Date • John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside Countyand the Cities of- Banning.. fBanning.. Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs Indian Wells 4. Indio ❖ Lake Elsinore " La Quinta Moreno Valley Palm Desert Perris Rancho Mirage 0 Rubidoux CSD San Jacinto Temecula Board of Supervisors Bob Buster, District 1. John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 (951) 940-6900 • Fax (951) 940-6910 March 27,2008 Fiedler Group 2322.W. 3rd St. i Los Angeles, CA , Re: Vapor Processing System LAQ-08-ABT-022 Arco Gas Station 46-150 Washington St., La Quinta, CA The above referenced plans have been reviewed and are acceptable by the Riverside . County Fire,Department with the following conditions: ' 1) The following signs shall be'posted at the dispenser / tank(s): b) NO SMOKING OR OPEN FLAMES a) NFPA placard gasoline hazard designation sign on building and outside tank area. 2) Shall comply.with CFC 2007, current edition of NFPA.30'A, and manufacture specification sheet(s). The Fire Department job card must be at the job site with an approved set of plans in order to do inspections. , Contact Fire Department at (760) 863-8886 for final inspection.` Should there be need for -further information and/or clarification, please contact the undersigned at (760) 863-8886. f Si cerely, r Jas Stubble Fire Safety Specialist a. . • F ,� P.O. BOX 1504.. BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPIGO (760) 777-7012 `SOY LA QUINTA, CALIFORNIA 9225'3FAX "(760) 777-70.11 October 6, 2008 Mr.. Kenneth R. Barton. III Fiedler:Group 2322 West Third Street Los Angeles, CA 90057-1906 Subject: Arco.#5896 46-1.50 Washington Street La Quinta,.CA Permit # 08-500 Dear Mr.. Barton: Your request.for.a six month extension for the abovementioned permit. is hereby approved. The work must be commenced by.April 14, 2009 in order for the permitao remain active. Please .feel free to. contact.me if you have any questions regarding this.matter. Sincerely, . .. . 14�1 .Tom Hartung Director of.Building and Safety Q VT �� . (THU) OCT A 2008 . i 1 :37/ST. 11 : 37/Plo. 6355/11871 P 2 fiedleraroup.00m D[�C�C�DdC� OCT 0 2 2008 By KJE-12514 October 2, 2008 catty or I -a uuinta Building and Safety Department P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253 Attn: Mr. Tom Hartung,, Director Fax: -760/777-7112 Subject: Arco #5896 46-150 Washington Street La QuInta, CA Re: Permit No. 08.500 Dear Mr. Hartung: On behalf of BP WestCoast Products LLC, I have been asked to seek a six-month extension of the Building permit for the subject location. The work associated with this permit is State mandated for thousands of facilities within the state, and the competition for resources is significant This permit extension will allow for BP West Coast Products LLC to acquire the necessary,equipment, bid contractors, and schedule the required improvements prior to the April 1,,2009 State mandated deadline. On behalf of BP West Coast Products LLC, I wish to thank you for your consideration of this matter and hope that our request meets with your approval. If you have any questions, please do not hesitate to contact me. Very truly yours, 'Kenneth R. Barton, III Vice President of Operations KRB/kg 2322 West Third Street Los Angeles, California 90057-1908 Phone- 213-381-7891 ,• Fax: 213-381-1517 _+ P Letter of Transmittal To: City of La Ouinta• Today's Date: 4/7/08 78-495 Calle Tampico 'City Due Date 4/7/08 La Quinta, Ca 92253 Project Address: 46-150 Washington St. Attn: Michele / Greg Plan Check #: 08-500 Submittal: ® 18' 4th , •'2nd El ❑ 5th {_ ❑ 3'd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Fac or UPS) ❑ Your Pickup. Includes: # Of Descriptions: Incl udes:1 # Of Descriptions: Copies: Copies: - ® 1 Plans ❑ Revised Structural Plans ® 1 Struct Calcs _ ❑ Revised. Structural .Calcs Q Truss Calcs ❑ Revised Truss Calcs ❑ . Soils Report ❑ Revised Soils -Report ❑ - Comment List ❑ 'Approved Structural Plans ❑ Redlined Structural Plans ❑ Approved Structural Calcs 4 ❑ Redlined Structural Calcs ❑ Approved Truss Calcs . ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ -. Redlined Soils Reports ❑ Truss Review Letter Comments: Structural plans and calculations are approvable. This Material Sent for: ❑ Your Files ® Per Your Request ❑ Your Review ❑ Approval ❑ Checking • ❑ At the request of: f Other: ❑ 4' By: 'JOHN THOMPSON ' Palm Desert Office: ® # (760) 360-5770 µ Washington Office : ❑ # (760) 404-9556