BSPN2015-0012U
78-495 CALLE TAMPICO D ��
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BSPN2015-0012
79680 HIGHWAY 111 STE 103
600030016
IID ELECTRICAL RELEASE
Applicant:
THE DUNES BUSINESS PARK LLC
42600 CAROLINE CT STE 102
PALM DESERT, CA 92211
, BUILDING PERMIT
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: License No.: _
Date y � � � rContracto�'
V
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).:
(1 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. C.).
Lender's Na
Lender's Add
ri
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/17/2015
Owner:
DUNES BUSINESS PARK
P 0 BOX 1216
HERMOSA BEACH, CA 92253
Contractor:
Llc. No.:
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 polity 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: 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 Age
�
m
Description: IID ELECTRICAL RELEASE
CONDITIONS
Type: SPECIAL INSPECTION
Subtype:
Status: APPROVED
Applied: 3/17/2015 MFA
Approved: 3/17/2015 MFA
Parcel No: 600030016 Site Address: 79680 HIGHWAY 111 STE 103 LA QUINTA,CA 92253
Subdivision: PM 31143
Block:
Lot: 4
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
PALM DESERT
Details: SPECIAL INSPECTION FOR IID ELECTRICAL RELEASE
92211
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI,
CITY
STATE
ZIP
PHONE
FAX;
EMAIL
APPLICANT
THE DUNES BUSINESS PARK LLC
42600 CAROLINE CT STE
102
PALM DESERT
CA
92211
OWNER
DUNES BUSINESS PARK
P 0 BOX 1216
HERMOSA
BEACH
CA
92253
Printed: Tuesday, March 17, 2015 8:42:29 AM 1 of 2
SYS TLAIS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
RESULT REMARKS NOTES
DATE DATE
FINAL" BLD
PARENTPROJECTS
REVIEWS
_.... ,••
RETURNED REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES
DATE
I. ATTACHMENTS
Printed: Tuesday, March 17, 2015 8:42:29 AM 2 of 2 C
SYSTEMS
5
THE DUNES BUSINESS PARI(, LLC
POST OFFlCE BOX 1216
HERMOSA BEACH, CA 90254
310-779-9009
June 26, 2014
IID
RE: landlord Contacts
To whom it may concern:
Please note that Mark Stein and Amy Stein of CPMC Realty are the Property Managers of The Dunes
Business Park, LLC and should have full access to make account changes and requests.
Property Location 79640-79700 Highway 111, La 4uinta, CA
Sincerely,
Chris Caras
Managing Member
U
i
Bin #City
of 0 Quin
But/ding a Safety Division ,
�Y P.O. Box 1504, 78-495 Calle Tampko
La Quinta, CA 922$3 - (760) 777-7012
Building permit App1%a Ion and Tracking Sheet
Permit #
Project Address: 79660.Highway 111, Suite 103, La.Quinta, CA 9225
owner's Ntutie The Dunes Business Park, LLC
A. P. Number.
Address: 42600 Caroline Court, Suite 102 -
Legal.Description:
City, ST, Zip: Palm Desert, CA 92211
G'otrb tor, Property Manager - CPMC Realty -Mark Stein
Telephone 760-275-0309
y ,"
Address: 42600 Caroline Court, Suite 102
Projectbese iptlon: This is a vacant suite we are trying to lease.
City, ST, Zip: Palm Desert, CA 92211
We need an Inspection so IID wilt turn on the power as it has beam
Tctephne: 760-275-0309
'
ffoi more than a year.
State Lie. # :
City Lio, 8:.0106528
1
Arch ,. Engr., .Designer:
Address:
City;, ST, Zip:.
Telephoner
State Lie.:
'�f y
R`i €,n
Construction Type: Occupancy: RetailNecant
Project type'(circle one): Now Add'n Alter Repair Demo
Name of Contact Person: Mark Stein
Sq. Ft.: 1,532
8 Stories: 1
# Units:
Tcicphone.kofContact Person: 760-275-0309
Estimated Value of Project:
APPLICANT: 00 NOT WRITE BELOW THIS UNE
I/
Submittal -
lteq'd
Rte'd
TRACMG
i' i"IT Firm -S .
flap Sets
Plan Check submitted
Rein
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Trust Calcs-
, Called Contact Person
flan Check Balance,
Title 24 Cates;
flans pickid up
Construction
Mood plat" pian
Plans resubmitted
Meehanicut
Grading pian
2`! Review, ready for correctiousfissue:
Electrteai
Subcontactor List
Called Contact Person
1'Iumbing.
GranlDted
flans picltcd up
S:ril•x•
XO.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
' ° Review, ready for corrcctlonsAssue
Developer impact Fce
atw00ContactPerson
Pub. Wks. Appr
Date of permit issue
School Fees «
Total Permit Fees