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BCOM2015-00174) 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 n INSPECTIONS (760) 777-7153 Date: 4/17/2015 -Application Number: BCOM2015-0017 __-. Owner: Property Address: 79680 HIGHWAY 111 STE 102 DUNES BUSINESS PARK APN: 600030016 P 0 BOX 1216 Application Description: DUNES BUSINESS PARK CALIFORNIA OCEAN GRILL T.I. HERMOSA BEACH, CA 92253 Property Zoning: Application Valuation: $15,000.00 Applicant: SUTTON REMODELING SPECIALISTS � � Contractor: SUTTON REMODELING SPECIALISTS 41905 BOARDWALK STE G PALM DESERT, CA 92211 R 17 2015 rc 41905 BOARDWALK STE G PALM DESERT, CA 92211 TY OF LAQUINTA (760)674-9000DEVELOPMENTDEPARTMENT Llc. No.: 837914 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 Professions Code, and my License is in full force and effect. License Class: B�1 License No.: 837914,��%, Date: / - S •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 ($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.). () 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.). ( ) 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. Q. Lender's Lender's 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: '1- / �� 5� 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 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 Building Official 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. „ Date: �1 '�% - / Signature (Applicant or Agent) FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PARTITION 101-0000-42400 0 $435.12 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PARTITION PC 101-0000-42600 0 $800.58 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PARTITION: $1,235.70 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $130.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $104.40 $0.00 PAID BY' METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT It CHECK # CLTD BY Total Paid forREMODEL: $419.09 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI -COMMERCIAL 101-0000-20308 0 $4.20 $0.00 PAID BY. METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $4.20 $0.00 TOTALS:00 Description: DUNES BUSINESS PARK CALIFORNIA OCEAN GRILL T.I. Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 4/3/2015 AZA Approved: 4/17/2015 J10 Parcel No: 600030016 Site Address: 79680 HIGHWAY 111 STE 102LA QUINTA,CA 92253 Subdivision: PM 31143 Block: Lot: 4 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INTERIOR REMODEL. REMOVE NON BEARING WALLS AND ADD PARTITION WALLS NO LIGHTING AND MECH CHANGES Applied to Approved Printed: Friday, April 17, 2015 12:36:48 PM 1 of 3 SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE JIM JOHNSON 4/17/2015 4/17/2015 NON STRUC AND FIRE DEPT APPROVED PENDING PLANNING DEPT APPROVAL. TELEPHONE CALL JIM JOHNSON 4/17/2015 4/17/2015 CALLED BILLY SUTTON TO INFORM HIM PLANS ARE READY TO ISSUE CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SUTTON REMODELING SPECIALISTS 41905 BOARDWALK STE PALM DESERT CA 92211 G CONTRACTOR SUTTON REMODELING SPECIALISTS 41905 BOARDWALK STE PALM DESERT CA 92211 G OWNER DUNES BUSINESS PARK P 0 BOX 1216 HERMOSA CA 92253 BEACH Printed: Friday, April 17, 2015 12:36:48 PM 1 of 3 SYSTEMS PARENTPROJECTS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD REVIEWER SENT DATE DUE DATE RETURNED DATE BY . BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 4/3/2015 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PARTITION 101-0000-42400 0 $435.12 $0.00 PARTITION PC 101-0000-42600 0 $800.58 $0.00 Total Paid forPARTITION: $1,235.70 $0.00 REMODEL, EA 101-0000-42400 0 $130.50 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $104.40 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 PC Total Paid for REMODEL: $419.09 $0.00 SMI -COMMERCIAL 101-0000-20308 0 $4.20 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $4.20 $0.00 TOTALS:$0.00 PARENTPROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES FIRE LISA NOTTINGHA M 4/3/2015 4/17/2015 4/15/2015 READY FOR APPROVAL - CONDITION Printed: Friday, April 17, 2015 12:36:48 PM 2 of 3 c sysrenns NON-STRUCTURAL JIM JOHNSON 4/3/2015 1 4/17/2015 1 4/17/2015 APPROVED PLANNING IWALLYNESBI71 4/3/2015 1 4/17/2015 1 4/17/2015 I READY FOR APPROVAL Printed: Friday, April 17, 2015 12:36:48 PM 3 of 3 CJ? SYS7EtitS MI Bin # C -A 3 city of La Quinta Building 8r 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:aio Owner's Name: N fr\, 9 e- L�i u, A. P. Number: Address: FO Legal Description: �e S--Cuu naK�— PR�Mogd City, ST, Zip: A Contractol 6T e c '1(A k Telephone: Address:q os- ?Oct(-3LFA, Project Description: M 0 VC r- ry\'A City, ST, Zip: l^kr"(or- (�emoAq( Telephone76 6 7 Y. 9 A -u Cr em ai f: State Lic. # City Lic. #.-. 'Arch., Engr., Designer:6 LA L71 S Address: 5'6N7 600k City., ST, Zip: ep A. q 212-1 TelephoWo. V�-' .. ... .. .. C tr on uctio n Type: Occupancy: State Lic. Project type (circle one): New' Add' Alter Repair Demo Name of Contact Person 0 r\ —,Fff Sq. Ft.: # stories: H Units: Telephone# of Contact Person' 0 -�— 0 , a,�S - I Estimated Value of Project: 606 F APPLICANT: DO NOT WRITE BELOW THIS LINE N 'Submittal Reqld Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount' Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, read: e ;u Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 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