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BSPN2014-0013e cv 78-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSPN2014-0013 Property Address: APN: Application Description: ELECTRICAL RELEASE Property Zoning: Application Valuation: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: WES OLIPHANT 77900 AVE. OFG PAM DESERT, 01 Applicant: Contractor: JAMIE GARCIA — 42040 WASHINGTON ST 3202 LA QUINTA, CA 92253 -Date: 7/25/2014 JUL252014 —c- n --o F —L ,��uWTA CAMMUNIN OEVELOPMENT UE_ Llc. No.: 41-040VJ A3 Al A&TOA ---------------------------------------------- LICENSED CONTRACTOR'S DECLARATION,,, WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: (commencing with Section 7000) of Division 3 of the Business and Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers' my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance of License Class: _ License No.: _ the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by )(Pate: pContractor: 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:. OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business.and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair any compensation laws of California, and agree that, if I should become subject to the structure, prior to its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those provisions. 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 te:� Applicant: 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).: WARNING: FAILURE TO SECURE WORKERS' COM ATION OVERAGE IS UNLAWFUL, (_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE compensation, will do the work, and the structure is not intended or offered for sale. HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT withi ne year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to ors a did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. ( ) I, as owner of the property, "am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued License Law does not apply to an owner of property who builds or improves thereon, and as a result of this application, the owner, and the applicant, each agrees to, and shall who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and State License Law.). I employees for any act or omission related to the work being performed under or (� exempt under Sec. BAP.C. for this reason 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 Oate: — Owner: for 180 days will subject permit to cancellation. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Lender's Name: �1 Date:I Signature (Applicant or Agent): Lender's Address: FINANCIAL INFORMATION �,�.t�a%�a..�.%. i. U �, TYF < AMOUNT> PAID PAID DATE. r 1.. .w :5 .J'•.. _.'(! TY'... _c.". i'� V'. - .''E' A y;•w.Z.�g viJ .. � � {�R"��. �,� � .c�3� •r` DESCRIPTION °• '.5 ^CL'..•,.`�Y. S'..1Y..... :a[.�s. rf� ,: Fr 1+ f�.fik � Afr K SPECIAL INSPECTION 101-0000-42404 1 . $71.50 $0.00 .t PAIDBY��� f s METIiODr f'+; 9R�RECEIQT #CIiECK # k k = r#CLTD TUB Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION $71.50 $0.00 TOTALS:• • 0• Bin # Permit # Project AddressL P7641 A. P. Number: 41 Legal Description: Contractor: Address:. Qty of La Quinta -Building & Safety Division P.O. Box 1504, 78 -495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building. Per Wpplidt ion and Tracking- Sheet *1 10#,ner's Name: a 14 Address: City, ST, Zip: Telephone: Project.Description: slob City, ST, Zip: 0%9 Telephone: . . . . . . . . . . . . . . . . State Lic. # City Lie. 9: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: �n. Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: AMA& nw-ml 'A V_ "awy Moir won So. FL: # Stori es: # Units: Telephone fi,of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc1d TRACMG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3a 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 M'. M AIR COMMERCIAL REAL ESTATE ASSOCIATION STANDARD MULTI -TENANT OFFICE LEASE -NET 1. Basic Provisions ("Basic Provisions"). 1.1 Parties: This Lease ("Lease"), dated for reference purposes only July 23, 2014 is made by and between La Quinta Developers, • LLC ("Lessor") and Palm Valley Insurance Services, Inc. ("Lessee"), (collectively the "Parties", or individually a "Party"). 1.2(a) Premises: That certain portion of the Project (as defined below), known as Suite Number(s) 3202 on the second floor(s), consisting of approximately 957 rentable square feet and approximately N/A useable square feet("Prem! ses"). The Premises are located at: 47-040 Washington Street in the City of La Quinta County of Riverside State of California with zip code 92253 In addition to Lessee's rights to use and occupy the Premises as hereinafter specified, Lessee shall have non-exclusive rights to the Common Areas (as defined in Paragraph 2.7 below) as hereinafter specified, but shall not have any rights to the roof, the exterior walls, the area,above the dropped ceilings, or the utility raceways of the building containing the Premises ("Building") or to any etheF buildiRgs iR the PrGIW (see also Paragraph 50). The Premises, the Building, the Common Areas, the land upon which they are located, along with all other buildings and improvements thereon, are herein collectively referred to as the "Project." The P -reject Building consists of approximately 5 , 214 rentable square feet. (See also Paragraph 2) 1.2(b) Parking: Four (4 ) unreserved and No (0) reserved vehicle parking spaces at a monthly cost of $N/A per unreserved space and $N/A per reserved space. (See Paragraph 2.6) 1.3 Term: Five (5) years and Two (2) months ("Original Term") commencing August 1, 2014 ("Commencement Date") and ending September 30, 2014 ("Expiration Date"). (See also Paragraph 3) 1.4 Early Possession:None ("Early Possession Date"). (See also Paragraphs 3.2 and 3.3) 1.5 Base Rent: $1,256.00 per month ("Base Rent)", payable on the First day of each month commencing October 1, 2014 . (See also Paragraph 4) 0 If this box is checked, there are provisions in this Lease for the Base Rent to be adjusted. 1.6 Lessee's Share of Operating Expenses: Eighteen and 36/100 percent (18.36 %) ("Lessee's Share"). Lessee's Share has been calculated by dividing the approximate rentable square footage of the Premises by the total approximate square footage of the rentable space contained in the Project and shall not be subject to revision except in connection with an actual.change in the size of the Premises or a change in the space available for lease in the Project. 1.7 Base Rent and Other Monies Paid Upon Execution: (a) Base Rent: $1, 250.00 forthe period 10/1/14 - 10/31/14 (b) Operating Expenses: $54 2 . 00 for the period 10/l/14 - 10/31/14 (c) Security Deposit: $2, 500. 00 ("Security Deposit"). (See also Paragraph 5) (d) Parking: $N/A for the period N/A (e) Other: $N/A for N; A (f) Total Due Upon Execution of this Lease: $4, 292.00 1.8 Agreed Use: General ofice for _ insurance services (See also Paragraph 6) 1.9 Insuring Party. Lessor is the "Insuring Party": (See also Paragraph 8) 1.10 Real Estate Brokers: (See also Paragraph 15) (a) Representation: The following real estate brokers (the "Brokers") and brokerage relationships exist in this transaction (check applicable boxes): El represents Lessor exclusively ("Lessor's Broker"); 0 Power Brokers International represents Lessee exclusively ("Lessee's Broker"); or represents both Lessor and Lessee ("Dual Agency"). (b) Payment to Brokers: Upon execution and delivery of this Lease by both Parties, Lessor shall pay to the Brokers the brokerage fee agreed to in a separate written agreement (OF if ttie.e 06 ^^ sash agreement, the sura of GF 10 # 1.11 Guarantor. The obligations of the Lessee under this Lease shall be guaranteed by Jaime Garcia ("Guarantor"). (See also Paragraph 37) 1.12 Business Hours for the Building: 12:00 a.m. to 11:59 p.m., Mondays through Fridays (except Building Holidays) and 12:00 a.m. to 11 : 59 p.m. on Saturdays and Sundays (except Building Holidays). "Building Holidays" shall mean. the dates of observation of New Year's Day, President's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day, and N/A 1.13 Lessor Supplied Services. Notwithstanding the provisions of Paragraph 11. 1, Lessor is NOT obligated to provide the following: 0 Janitorial services PAGE 1 OF 13 INITIALS INITIALS ©2002 - AIR COMMERCIAL REAL ESTATE ASSOCIATION FORM MTON-2-03/06E• r AIR COMMERCIAL REAL ESTATE ASSOCIATION STANDARD MULTI -TENANT OFFICE LEASE -NET 1. Basic Provisions ("Basic Provisions"). 1.1 Parties: This Lease ("Lease"), dated for reference purposes only July 23, 2014 is made by and between La Quinta Developers, • LLC ("Lessor") and Palm Valley Insurance Services, Inc. ("Lessee"), (collectively the "Parties", or individually a "Party"). 1.2(a) Premises: That certain portion of the Project (as defined below), known as Suite Number(s) 3202 on the second floor(s), consisting of approximately 957 rentable square feet and approximately N/A useable square feet("Prem! ses"). The Premises are located at: 47-040 Washington Street in the City of La Quinta County of Riverside State of California with zip code 92253 In addition to Lessee's rights to use and occupy the Premises as hereinafter specified, Lessee shall have non-exclusive rights to the Common Areas (as defined in Paragraph 2.7 below) as hereinafter specified, but shall not have any rights to the roof, the exterior walls, the area,above the dropped ceilings, or the utility raceways of the building containing the Premises ("Building") or to any etheF buildiRgs iR the PrGIW (see also Paragraph 50). The Premises, the Building, the Common Areas, the land upon which they are located, along with all other buildings and improvements thereon, are herein collectively referred to as the "Project." The P -reject Building consists of approximately 5 , 214 rentable square feet. (See also Paragraph 2) 1.2(b) Parking: Four (4 ) unreserved and No (0) reserved vehicle parking spaces at a monthly cost of $N/A per unreserved space and $N/A per reserved space. (See Paragraph 2.6) 1.3 Term: Five (5) years and Two (2) months ("Original Term") commencing August 1, 2014 ("Commencement Date") and ending September 30, 2014 ("Expiration Date"). (See also Paragraph 3) 1.4 Early Possession:None ("Early Possession Date"). (See also Paragraphs 3.2 and 3.3) 1.5 Base Rent: $1,256.00 per month ("Base Rent)", payable on the First day of each month commencing October 1, 2014 . (See also Paragraph 4) 0 If this box is checked, there are provisions in this Lease for the Base Rent to be adjusted. 1.6 Lessee's Share of Operating Expenses: Eighteen and 36/100 percent (18.36 %) ("Lessee's Share"). Lessee's Share has been calculated by dividing the approximate rentable square footage of the Premises by the total approximate square footage of the rentable space contained in the Project and shall not be subject to revision except in connection with an actual.change in the size of the Premises or a change in the space available for lease in the Project. 1.7 Base Rent and Other Monies Paid Upon Execution: (a) Base Rent: $1, 250.00 forthe period 10/1/14 - 10/31/14 (b) Operating Expenses: $54 2 . 00 for the period 10/l/14 - 10/31/14 (c) Security Deposit: $2, 500. 00 ("Security Deposit"). (See also Paragraph 5) (d) Parking: $N/A for the period N/A (e) Other: $N/A for N; A (f) Total Due Upon Execution of this Lease: $4, 292.00 1.8 Agreed Use: General ofice for _ insurance services (See also Paragraph 6) 1.9 Insuring Party. Lessor is the "Insuring Party": (See also Paragraph 8) 1.10 Real Estate Brokers: (See also Paragraph 15) (a) Representation: The following real estate brokers (the "Brokers") and brokerage relationships exist in this transaction (check applicable boxes): El represents Lessor exclusively ("Lessor's Broker"); 0 Power Brokers International represents Lessee exclusively ("Lessee's Broker"); or represents both Lessor and Lessee ("Dual Agency"). (b) Payment to Brokers: Upon execution and delivery of this Lease by both Parties, Lessor shall pay to the Brokers the brokerage fee agreed to in a separate written agreement (OF if ttie.e 06 ^^ sash agreement, the sura of GF 10 # 1.11 Guarantor. The obligations of the Lessee under this Lease shall be guaranteed by Jaime Garcia ("Guarantor"). (See also Paragraph 37) 1.12 Business Hours for the Building: 12:00 a.m. to 11:59 p.m., Mondays through Fridays (except Building Holidays) and 12:00 a.m. to 11 : 59 p.m. on Saturdays and Sundays (except Building Holidays). "Building Holidays" shall mean. the dates of observation of New Year's Day, President's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day, and N/A 1.13 Lessor Supplied Services. Notwithstanding the provisions of Paragraph 11. 1, Lessor is NOT obligated to provide the following: 0 Janitorial services PAGE 1 OF 13 INITIALS INITIALS ©2002 - AIR COMMERCIAL REAL ESTATE ASSOCIATION FORM MTON-2-03/06E•