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05-3264 (CSCS)tr P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Td�p 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00003264 Property Address: 79680 HIGHWAY 111 APN: 649-020-014-4 -31143 - Application description: NEW COMML - STORES & CUSTOMER SERVICE Property Zoning: REGIONAL COMMERCIAL Application valuation: 435120 Applicant: I.l V Architect ^or Engineer: N V\ 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 fessionals Code, and my License is in full force and effect. License Class: B se No.: 801773 Dat �6 OSP Contractor: OWNER -BUILDER DE RA N I hereby affirm under penalty of perjury that I am exempt from the Con or'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 ($500).: (_) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 ii 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 01641941-2005 _ 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 haborEede'J-,i�all aoJuuth caEnply with those pyovisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001 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 rela ' constrdI!Vt7rr, ea ereby authorize representatives of this co (/ty to//enter upon thea ove-mentioned er spection pur oses. D DIY 1�Y Sig, ig re (Applicant or Agent): Date: 6/16/06 Owner: DUNES BUSINESS PARK LLC, THE -ems 3550 W 6TH ST STE 400 LOS ANGELES, CA 90020 Lr�� JUN 2 0 20'J6 Contractor: BISHOP BUILDERS INC CITY OF LAi1t%1lb� P.O. BOX 1746 FINANCEifE�i __ KETCHUM, ID 83340 (760)218-5801 Lic. No.: 801773 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 ii 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 01641941-2005 _ 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 haborEede'J-,i�all aoJuuth caEnply with those pyovisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001 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 rela ' constrdI!Vt7rr, ea ereby authorize representatives of this co (/ty to//enter upon thea ove-mentioned er spection pur oses. D DIY 1�Y Sig, ig re (Applicant or Agent): Application Number . . . . . 05-00003264 - Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1815.50 Plan Check Fee 1180.08 Issue Date . . . . Valuation . . . . 435120 Expiration Date 12/13/06 Qty Unit Charge Per Extension BASE FEE 639.50 336.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 1176.00 Permit . . . MECHANICAL Additional desc . Permit Fee 105.00 Plan Check Fee 26.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/12;06 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K •45.00 5.00 ---------------------------------------------------------------------------- 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 Permit . . . ELEC-NEW COMMERCIAL Additional desc . Permit Fee . . . . 190.00 Plan Check Fee 47.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 8750.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 175:.00 Permit . ._. PLUMBING Additional desc . . Permit Fee . . . . 184.50 Plan Check Fee 46.13 Issue Date . . . . Valuation 0 Expiration Date 12/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 5.00 3.0000 EA PLB WATER INST/ALT/REP 15.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH 37.50 LQPERMIT Application Number . . . . .. 05-00003264 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 5.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 75.00 Permit . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 12/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------- -------------------------------------------------- Special Notes and Comments SHELL BUILDING "C" 8,750 SF TYPE V -N CONSTRUCTION, B/M PROPOSED USE. 2001 CODES. ALLOWABLE AREA BY SPRINKLERS = 8,000 SF X 3 = 24,000SF TOTAL ALLOWABLE AREA PER 503.3 EXCEPTION. **PERMIT DOES NOT INCLUDE TEMPORARY POWER, BLOCK WALLS, TRASH ENCLOSURES, COVERED PARKING AND SITE LIGHTING.** REFER TO 05-3262 FOR APPLICATION TRACKING NOTES. Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 118.01 ART IN PUBLIC PLACES -COM 2155.60 DIF CIVIC CENTER - COMM 831.25 ENERGY REVIEW FEE 118.01 DIF FIRE PROTECTION -COMM 280.00 STRONG MOTION (SMI) - COM 91.37 DIF STREET MAINT FAC -COMM 201.25 DIF TRANSPORTATION - COMM 15085.00 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 2310.00 .00 .00 2310.00 Plan Check Total 1299.96 900.00 .00 399.96 Other Fee Total 18880.49 .00 .00 18880.49 Grand Total 22490.45 900.00 .00 21590.45 LQPERMIT