BDEM2016-001278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4 lwQ�urw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BDEM2016-0012'
Property Address: 78742 HIGHWAY 111 STE A
APN: 643220016
Application Description: JAY LEE / DEMOLITION
Property Zoning:
Application Valuation:
Applicant: D
ASARO BUILDERS INC
42 220 GREEN WAY, SUITE # H - ' ( 0 2016
r-sSERT; C.A9?.',.' 1.
CITYOFLAOUIWA
COt 11I Ut'ITY DE rELC r ;:EMT DEF',RTI.IEPIT
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 Busines d Professions Code,
and my License is in full force and effect.
License Class: B License No.: 588920
contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 9/6/2016
Owner:
JAY LEE
78742 HWY 111
LA QUINTA, CA 92253
Contractor:
ASARO BUILDERS INC
42 220 GREEN WAY, SUITE #•H
(760)776-0043
Llc. Nn.: SRRq?n
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
--'s 1 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:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 3000164
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: Arty
_
-_ 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 a La Code, 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
" / /
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: ✓ v . Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS'0 NSATION COVERAGE 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 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
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 ) 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 Contractors) 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 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. Q. construction, and hereby authorize -representatives of this city to ente upon the
above-mentioned property for inspection purposes.
Lender's Name:
Date: �-Signature (Applicant or Agent):
Lender's Address:
Date: 9/6/2016
Application Number: BDEM2016-0012
Owner:
Property Address: 78742 HIGHWAY,111 STE A
JAY LEE
APW 643220016
78742 HWY 111
Application Description: JAY LEE / DEMOLITION
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant:
Contractor:
ASARO BUILDERS INC
ASARO BUILDERS INC
42 220 GREEN WAY, SUITE # H
42 220 GREEN WAY, SUITE # H
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)776-0043
Llc. No.: $88920
-O8'tali;' iNTERIdi( DEMOLITION OF EXISTING SOFFiT CEILING AND COUNTER.
LIGHTIIVG SYSTEMIPI" ORES -WILL'S XY INSAME PLACE. THIS PCRMIT DOES
NOT. INCLUDE LOAD BEARING CONSTRUCTION, WORK THAT WILL BE VISIBLE FROM THE EXTERIOR OF THE BUILDING OR INSTALLATIONS OF FRAMING,
ELECTRICAL, MECHANICAL OR PLUMBINGOR OR ANY WORK OUTSIDE. PRIOR TO OCCUPANCY A SEPARATE PERMIT FOR OCCUPANCY IS REQUIRED. 2013
CALIFORNIA BUILDING CODES
A
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT QTY
AMOUNT.
DEMOLITION, INTERIOR
101-0000-42404 0
$36.26
DESCRIPTION
ACCOUNT QTY
AMOUNT
DEMOLITION, INTERIOR PC
101-0000-42600 0
$97.17
Total Paid for DEMOLITION:
$133.43
Bin #
Permit #
2 ®1 ZBuilding
Project Address: `' 2 W
city of La Q uili to l
Buifding u Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Owner's Name:
'A. P. Number:
Address:
Legal Description:
City,ST, Zip:
Contractor:
V
i
Telephone:-,
Address:
Project Description:
City, ST, Zip -____Q., —
Tel hone:
le h o .
P V� 2
-- _
-
State Lie. # :
City Lie.
Arch.,-Engr., Designer:
Address:
City, ST, Zip:
h
Telephone:
one: 7G 3Construction
......................
Con tructi on Type: Occupancy:
cY•
State ,.
Lie. t,. •
Project tYPa (circle ne • New Add'n
Alter Repair
r
Name of Contact Person:
Sq. Ft.: Q
# Stories :
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount .
Structural Calcs.
Reviewed, ready for corrections
Plan Clieck Deposit '
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
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.
Ii.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'rd. Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. APPr
Date of permit issue
School Fees,
Total Permit Fees
La Z4 �; a a �4 a,V
v : 5 4
cu.
OFT�
DEMOLITION PERMIT REQUIREMENTS
The following items are required prior to the issuance of a Demolition. permit.
• aTwo-sets=of plans showing the complete scope. of work.
• Pro—of_ofap:r_operty ownership (e.g., Grant=Deed).
Letter fr-om-property-owner:authoring demolition With scope'of work.
Asbestos Report for all pre -1979 Properties. If asbestos is present, proof of
removal by a licensed Asbestos Abatement Contractor.
HOAApproval, if applicable.
• Public Works PM -10 Approval.
• Building Department Management Approval.
4
1
_VIE NED
CEJ
SEP 0 6.2016
CITY ®r LA Q►31t#p�ENT
GommuM►TY ® E�
r
September 6, 2016
Real Property Associates, Inc.
78060 Calle Estado
La Quinta, CA 92253
Tele. 760.564.5990
Re: 78742 Hwy 111 Ste A (aka Ste 1), La Quinta, CA 92253
To whom it may concern:
This letter serves as express written consent for construction work to be performed at the
above named location — as supplied to and approved by the City of La Quinta, up to and including
removal of the existing counter and soffit as well as modification to the concrete patio to
accommodate ADA access.
Should there be any further questions, please contact me at your convenience.
Sincerely, _
Y
Robert P. Sanford
President
Sn15
CITY Oi-U';�,IUI KTA