14-0797 (SPIN)'�� P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
_Application Number: 14-00000797
Property Address: 46600 WASHINGTON ST STE 4
APN: 643-020-058- - -
Application description: SPECIAL INSPECTION
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 0
^' VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:. 6/09/14
Owner:
WASHINGTON 111 LTD
30240.RANCHO VIEJO RD, SUITE B
SAN JUAN CAPISTRANO, CA 92675
(949)443-1234
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION '
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: License No.: "
Date: 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 ($5001.:
1 _ 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 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 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:
LQPERMIT
Contractor: D n
Owner Ll }
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Cilry
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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 - - - - - - - - - - - - - - - - - - - - -- - 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. .
Date: 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 ($100,000). IN ADDITION TOTHE 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 holdpf less the City
of La Quinta, its officers, agents and employees for any act or omission related 7not
work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becoA
d if w iommenced
within 180 days from date of issuance of such permof rk r 180 days will subject
permit to cancellation. '
I certify that I hav ead this application and state that the above iwith all
city and co my dinances and state laws relating to buil 'ng c r or: r r entatrves
of this qp en r on theabove-mentioned prope y fo i .
Date: ignature (Applicant or Agent):
Q
t
Application Number 14-00000797
Permit . . . SPECIAL INSPECTION
Additional desc .
Permit Fee . . . . 71.50 Plan Check Fee
_00
• Issue Date Valuation . . .
. 0
<- Expiration Date'. 12/06/14
Qty Unit Charge Per
Extension
1.00 71.5000 EA , MISC SPECIAL INSPECTION
71.50
----------------------------------------------------------------------------
Special Notes and Comments
SPECIAL INSPECTION - INSPECTION FOR IID
RELEASE. THIS PERMIT IS NOT FOR WORK.
2013 CALIFORNIA BUILDING CODES.
Fee summary Charged Paid Credited
Due
Permit Fee Total 71.50. .00 .00
71.50
Plan Check Total .00 .00 .00
.00
Grand Total 71.50 .00 .00
71.50
Bin #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking" Sheet
Permit #
. ,.
Project Address: 00 "
Owner's Name: to 6—niv L
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:.
Address: "
Project Description:
City, ST, Zip:
NStO25C7—I0AJ .
Telephone:
State Lic. # :
City Lie. #.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
'""'` "`` '`
...............
Construction Type: Occupancy:
State Lie. #:
Project a circle one): New Add'n Alter Repair Demo
,9`M O T......:
Name of Contact Person: �� ` �T
S . Ft.:
q
# Stories:
#Units:
Telephone # of Contact Pers n: 6 6 6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" 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 I10USE:-
3d 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
qr
0
WASHINGTON 111, LTD.
30240 RANCHO VIEJO ROAD, SUITE B
-SAN JUAN CAPISTRANO, CA 92675
Telephone: (949)'443- 1234
Facsimile: (949) 443-1233
Email: jacktarr@jacktarrdc.com
May 19, 2014
Sheri Dettman & Associates
Attn: Mrs. Sheri Dettman
80952 Rockberry Court `
Indio, CA 92201
Re: Lease Agreement 46-600 Washington Street
La Ouinta, CA
Dear Mrs. Dettman:
Enclosed for your records please find one fully executed original of the Guaranty of
Lease granted by Mr. William Dettman, and a fully executed original of . the lease
agreement dated May 14, 2014, by and between Sheri •Dettman, dba Sheri Dettman &
Associates'and Washington 11.1, Ltd., for the above. referenced premises.
Mr. Bill Sanchez, our Project Manager, `will coordinate with you the delivery of the keys
to access the premises.
Should you have any questions, please do not hesitate to contact our office or to contact
Mr. Bill Sanchez at (760) 485-5308.
We welcome you to our shopping center. and wish you the best in your new endeavor!
Sincerely,
Martha-�nga
Property Manager `
Encl. (2)
cc: WASH/DET tenant file -
f