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BCOM2017-0001CONSTRUCTION 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: 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 buildin construction, and hereby authorize representatives of this city to enter up the above-mentioned property for inspection purposes. Date: 2`�' f 7 Signature (Applicant or Ag 78-495 CALLELTAMPICO � � VOICE (760) 777 -7125 - LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/20/2017 Application Number: BCOM2017-0001 • Owner: • Property Address: 47110 WASHINGTON ST 101 CALEO BAY INV APN: 643200035 77900 AVE OF THE STATES Application Description: CALEO BAY / INTERIOR PARTITIONS PALM DESERT, CA 92253 Property Zoning: Application Valuation: $3,000.00 Applicant:. Contractor: AFFILIATED CONSTRUCTION CO AFFILIATED CONSTRUCTION CO 71900 AVENUE OF THE STARS 77900 AVENUE OF THE STARS PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)345-2626 Lic. No.: 186863 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Profes ions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor:Code, for the performance License Class: B License No.: 186863 of the ork for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by _ � _ Zo ((7 Dater Contrecto . 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 DE RATION Carrier: STATE COMPENSATION INSURANCE FUND Policy Number:, 9164716 1 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 I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior -to its issuance, also requires the applicant for the permit to file a, compensation laws of California, and agree that, if I should become subject to the - signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Co , I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 3 of the Business and Professions Code) or that he or she is exempt therefrom and•'.the ' 2�- / basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora Date: Applica permit subjects the applicant to a civil penalty of not more than five hundred dollars' ($500):: WARNING: FAILURE TO SECURE WORKERS' MPENSATION COV''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 compensation, will do the work, and the structure is not intended or offered for sale. ONE 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 town 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 Within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she 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 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being performed under or. (� I am exempt under Sec. B.&P.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 Date: ' : Owner: work for 180 days will subject permit to cancellation. 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: 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 buildin construction, and hereby authorize representatives of this city to enter up the above-mentioned property for inspection purposes. Date: 2`�' f 7 Signature (Applicant or Ag ' Dater 1/20/2017 Application Number: BCOM2017-0001 Owner: Property Address: 47110 WASHINGTON ST 101 CALEO BAY INV APN: • 643200035 77900 AVE OF THE STATES Application Description: -CALEO BAY/ INTERIOR PARTITIONS • PALM DESERT, CA 92253 Property Zoning: . -Application Valuation: $3,000.00 . Applicant: Contractor: AFFILIATED CONSTRUCTION CO AFFILIATED CONSTRUCTION CO 77900 AVENUE OF THE STARS 77900 AVENUE OF THE STARS PALM DESERT; CA 92211 PALM DESERT, CA 92211 (760)345-2626 ------------------------'-------------------------------------------------------- Llc. No.: 186863 -----------.-- Detail:.AS BUILTT.I.. ROOM IN EXISTING OPEN AREA, NON STRUCTURAL WALLS. PER 2016 CALIFORNIA BUILDING CODE DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 10.1-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25:33 Total Paid for ELECTRICAL: $50.66 t DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $51.68 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $141.36 Total Paid for REMODEL: $193.04 DESCRIPTIONACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE' 502-0000-43611 0 $5.00 ,City of La Quinta - `—� 0 Building 8i Safety Division -Permit , r 00 1 78-495 Calle Tampico La Quetta, CA 92253- (760) 777-701,2 _ Building Permit Application and Tracking Sheet _ nrojL�iAaa ss:;l' ' — (60 �i✓IQS{ij -(Z�N S Owner's Name: L C���4 g. ✓ ;�5 A. P. Number. SST d ss` 7% 900 3 Legal Description: "City, ST; Zip:. l,,,t ,GILT / 2 Z( ntra t is 'Co c o . Q Ji � P r /v t 1 � t N O r c �r � t J — !Telephone: Z. P 7 6 Address: _ Project Des iption: i3 rJ , ms's t City, ST, Zip: --_ -•---h - Tele one: P Z t W A� f� V G S 0 G State Lic.#: City Lic. G 6 N CIA C- -� ,Arch.,Designer: - / /NU -. l J ,M to r /� G • _ . `Address: City, ST, Zip: Telephone: _ cu an : Occupancy: e' cY fCon"s tructton TY P State Lic. #. e (circlele one): Ne w A dd'n After Repair Demo, ,roJeetP -Name of Contact Person: r U I!�-� .'Sq. Ft.: #Stories: Units: � tTeleplione # of Contact Person: �Fstimatt Value of Project: • a aC� , iv Submittal Rcq'd APPLICANT: DO NOT.WRITE BELOW THIS LINE Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections . Plan Check Deposit Truss Cates. 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 corrcctions/issue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- Review, ready for corrcctionstissuc Dcvcloper Impact Fee Planning Approval Called Contact Person A.I.P.P. - 'Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees i• yK,r NON RESIDENTIAL PLAN CHECK CORRECTION LIST (os) DATE: 1/10/2017 ADDRESS: 47-.110: WASHINGTON STATUS: FIRST REVIEW DESCRIPTION:. T:I ' PLAN CHECKED BY: J JOHNSON APPLICANT: AFFILIATED CONST TELEPHONE NUMBER: (760) 7777130 PLAN.CHECK #: BCOM2017=0001 This submittal has been checked for compliance with the 201 Z California Buildmg� 1Vlechanical; Electrical, Plumbing, 'and Energy Codes, and the City of La Quinta.lVlunicipal Code: .: APPLICANT: BUILDING DEPARTMENT STAFF: The followingitems are being returned to, you for DO NOT accept any resubmittal wiless ALL of the correction: following ite" ns.are included:- }; 3 SETS OF PLANS REDLINED SET. Is,'.' P/C, 2 NEW REVISED SETS " THIS CORRECTION LIST ,'THIS CORRECTION LIST VlW/ RESPONSES. . FIRE DEPT APPROVAL I i INSTRUCTIONS TO APPLICANT: 1) Provide a written response to each commenton the foilowing pages, noting specifically where the correction can be found: Responses sucl as, "Sheet A-3," or; "Handrails shall :be pe l CBC Section 1003;" aie•not acceptable. Show or note specifically how compliance.with a code requirement,is achieved. Responses such as, "Added note 16 on sheet A-3" are appropriate and will help expedite your back check. 2) Corrections may not be made by handwriting on existing drawings.:Revise originals and reprint Plans and/or Calculations as necessary: 3) Return all red -marked Plans and/or Calculations with your resubmittal.: 4) Each sheet of resubmitted Plans. and/or Calculations shall include the preparei'sname'and telephone number - and shall be wevsigned by the preparer. If the prepares is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her.stamp as prescribed by California Business and Professions Code Section 5536. Resubmittals will not be accepted with signatures missing. 5) . Return this list; your written responses, and all documents listed above with your resubmittal Non Residential Plan Check Correction List (os) Page 1 of 2 O P.O. Box 1504 BUILDING & SAFETY DEPARTMENT 9 �0ET 78-495 CALLE TAMPICo (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX 160. 777-"7011 NON RESIDENTIAL PLAN CHECK CORRECTION LIST (os) DATE: 1/10/2017 ADDRESS: 47-.110: WASHINGTON STATUS: FIRST REVIEW DESCRIPTION:. T:I ' PLAN CHECKED BY: J JOHNSON APPLICANT: AFFILIATED CONST TELEPHONE NUMBER: (760) 7777130 PLAN.CHECK #: BCOM2017=0001 This submittal has been checked for compliance with the 201 Z California Buildmg� 1Vlechanical; Electrical, Plumbing, 'and Energy Codes, and the City of La Quinta.lVlunicipal Code: .: APPLICANT: BUILDING DEPARTMENT STAFF: The followingitems are being returned to, you for DO NOT accept any resubmittal wiless ALL of the correction: following ite" ns.are included:- }; 3 SETS OF PLANS REDLINED SET. Is,'.' P/C, 2 NEW REVISED SETS " THIS CORRECTION LIST ,'THIS CORRECTION LIST VlW/ RESPONSES. . FIRE DEPT APPROVAL I i INSTRUCTIONS TO APPLICANT: 1) Provide a written response to each commenton the foilowing pages, noting specifically where the correction can be found: Responses sucl as, "Sheet A-3," or; "Handrails shall :be pe l CBC Section 1003;" aie•not acceptable. Show or note specifically how compliance.with a code requirement,is achieved. Responses such as, "Added note 16 on sheet A-3" are appropriate and will help expedite your back check. 2) Corrections may not be made by handwriting on existing drawings.:Revise originals and reprint Plans and/or Calculations as necessary: 3) Return all red -marked Plans and/or Calculations with your resubmittal.: 4) Each sheet of resubmitted Plans. and/or Calculations shall include the preparei'sname'and telephone number - and shall be wevsigned by the preparer. If the prepares is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her.stamp as prescribed by California Business and Professions Code Section 5536. Resubmittals will not be accepted with signatures missing. 5) . Return this list; your written responses, and all documents listed above with your resubmittal Non Residential Plan Check Correction List (os) Page 1 of 2 ti Lam �, P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT, `SOF Tt� 78-495 CALLS TAMPICO -(760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX 760 777-7011 NON RESIDENTIAL PLAN CHECK CORRECTION LIST (os) DATE: 1/10/2017 STATUS: FIRST REVIEW PLAN CHECKED BY: J JOHNSON TELEPHONE -NUMBER: (760) 777-7130 ADDRESS: 47-110 WASHINGTON . DESCRIPTION: T.1 APPLICANT: AFFILIATED CONST PLAN CHECK #: BCOM2017-0001 This submittal has been checked for compliance with the 2017 California Building, Mechanical, Electrical, Plumbing, and Energy Codes, and the City of La Quinta Municipal Code. APPLICANT: _ BUILDING DEPARTMENT STAFF: , The following items are being returned to you for DO NOT accept any resubmittal unless ALL of the correction: following items are included: 3 SETS OF PLANS REDLINED SET I IT. P/C, 2 NEW REVISED SETS THIS CORRECTION LIST THIS CORRECTION LIST W/ RESPONSES FIRE DEPT APPROVAL INSTRUCTIONS TO APPLICANT: 1) Provide a written response to each comment on the following pages, noting specifically where the correction can be found. Responses such as, "Sheet A-3," or, "Handrails shall be per CBC Section 1003," are not acceptable. Show or note specifically how compliance with a code requirement is achieved. Responses such as, "Added note 16 on sheet A-3" are appropriate and will help expedite your back check. 2) Corrections may not be made by" handwriting on existing drawings. Revise originals and reprint Plans and/or Calculations as necessary. 3) Return all red -marked Plans and/or Calculations with your resubmittal. 4) Each sheet of resubmitted Plans and/or Calculations shall include the preparer's name and telephone number and shall be wet -signed by the preparer. If the preparer is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and Professions Code Section 5536. Resubmittals will not be accepted with signatures missing. 5) Return this list, your written responses, and all documents listed above with your resubmittal. Non Residential Plan Check Correction List (os) Page 1 of 2 City of La Quinta ' SECTION A - GENERAL 1) Define occupancy groups, type of construction, fire sprinklers, square footage, occupant load, and number of ` required exits on the first sheet of Plans.. SHOW ON PLANS EXITS REQUIRED AND EXITS PROVIDED. THE SECOND EXIT, IS THROUGH ADJOINING ROOM. 2) Provide the Project Address on the first sheet of Plans. 3) Provide on each sheet of resubmitted Plans and cover sheet of bound Calculations the preparer's name and telephone number and wet -signature. If the preparer is a licensed architect or engineer, all documents prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and Professions Code '5536. Resubmittals will not be accepted with signatures missing. 4) Note on Plans: "All construction shall comply with the 2017 California Building, Mechanical; Electrical, Plumbing, and Energy Codes and the La Quinta Municipal Code." Remove notes referencing other Codes. 5) Provide written evidence of Planning Department approval'of this Project. Contact the Planning Department directly at (760) 777-7125. # - 6) Provide written evidence of Riverside County Fire Department approval of this Project. Contact the Fire -w Department directly at (760) 863-8886. ' SECTION K - MISCELLANEOUS COMMENTS 1). Red marks on Plans, even if not specifically mentioned in this list, -indicate items needing correction. Revise Plans as necessary and provide written response, noting where correction can be, found. 2) Inadequate information has been provided at this submittal to calculate fees for this project. Fee calculation will be performed when Plans are complete. SHOW SQ. FTG. ON PLANS END CORRECTION LIST As further information is provided and reviewed, additional corrections may be required. i Non Residential Plan Check Correction List Page 2 of 2