BSIG2015-001178-495 CALLE TAMPICO
.
LA QUINTA, CALIFORNIA 92253
Application Number:
135IG2015-0011
Property Address:
79775 HIGHWAY ill 105
APN:.
600440005
Application Description:
DICKIES BBQ PIT
Property Zoning:
EL SEGUNDO, CA 92253
Application Valuation:
$1,200.00
Applicant:
J A D HOYOS INC
18717 SOLEDAD CANYON ROAD
CANYON COUNTRY, CA 91351
V Qum& VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
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: 94S License No.: 941116
Date: Contra' or:' A •� - 410ya I
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.).
(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.).
(_) I am.exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
(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, Liv. C.).
Lender's Name:
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 tw for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3 00 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 beco subje the
workers' compensation provisions of Section 3700 of the Lab Code, I shall f hwith
comply with t ose provisions.
Date:
16 �J Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSA ADN 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 relatin o buildin
construction, and hereby authorize representatives of this city to enter on the above-
mentioned p perty for inspection purposes.
Date: Zo Signature (Applicant or Age
Date:
5/20/2015
Owner:
P6K PORTFOLIO KDP
2301 ROSECRANS STE 2110
8
EL SEGUNDO, CA 92253
ci'
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Contractor:
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N
1 A D HOYOS INC
O
18717 SOLEDAD CANYON ROAm g
o
CANYON COUNTRY, CA 91351
v n
csa Jam•
(661)298-9442
Llc. No.: 941116
z
�� I
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 tw for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3 00 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 beco subje the
workers' compensation provisions of Section 3700 of the Lab Code, I shall f hwith
comply with t ose provisions.
Date:
16 �J Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSA ADN 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 relatin o buildin
construction, and hereby authorize representatives of this city to enter on the above-
mentioned p perty for inspection purposes.
Date: Zo Signature (Applicant or Age
DESCRIPTION
FINANCIAL INFORMATION
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 for BUILDING STANDARDS ADMINISTRATION BSA $1.00 ' $0.00
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
-DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101,0000-42600
0
$24.17
$0.00
-PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY.
Total Paid forELECTRICAL: $48.34 $0.00
:DESCRIPTION
ACCOUNT
.QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST
101-0000-42404
0
$24.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/AWNING SIGN, FIRST PC
101-0000-42600
0
$87.02
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSIGN: $111.68 $0.00
TOTALS:00
Description: DICKIES BBQ PIT
CONDITIONS
Type: SIGN
Subtype: Status: APPROVED
Applied: 4/29/2015 MFA
Approved: 4/29/2015 MFA
Parcel No: 600440005 Site Address: 79775 HIGHWAY 111 105 LA QUINTA,CA 92253
Subdivision: PM 036269
Block: Lot: 5
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,200.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: LED BACKLIT CHANNEL LETTER SIGN FOR "DICKEY'S BARBEQUE PIT" 2013 CALIFORNIA BUILDING CODES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX .
EMAIL
APPLICANT.
J A D HOYOS INC
18717 SOLEDAD
CANYON ROAD
CANYON
COUNTRY
CA
91351
CONTRACTOR
J A D HOYOS INC
18717 SOLEDAD
CANYON ROAD
CANYON
COUNTRY
CA
91351
OWNER
P6K PORTFOLIO KDP
2301 ROSECRANS STE
2110
EL SEGUNDO
CA
92253
FINANCIAL INFORMATION
Printed: Wednesday, May 20, 2015 1:32:19 PM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT e
w PAID
PAIDDATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid forELECTRICAL: $48.34 $0.00
WALL/AWNING SIGN,
101-0000-42404
0
$24.66
$0.00
FIRST
WALL/AWNING SIGN,
101-0000-42600
0
$87.02
$0.00
FIRST PC
Total Paid forSIGN: $111.68. $0.00
TOTALS: $161.02 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
PARENT PROJECTS
Printed: Wednesday, May 20, 2015 1:32:19 PM 2 of 2 Cr
SYSTEMS
S[4Z()15—bo/G
Dinfl
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico V
La Quinta, CA 92253: (760) 777-7012((p�
Building Permit Application and TrackingVhet
Permit #
Project Address: s' , ,� , I
Owner's Name:Z4 u /'I rd CIC
A.P.Number: , 9 Ir76
Address: 1 900 .hu(/1-d4f1 upf if Z00.
Legal Description:City,
ST, Zip: (, (.e to 'A l (G„ UIQ 113 0 (O O
Contractor: . e o C•
Telephone:
Address: ($'1 S6(''t'P do&_ H rc4
Project Description: IVISfQ.�a.'��w
--C44
City, ST, Zip: S' OIN�` l� I t: w (3CJ
L • . %� . i3R G
Telephone: e
e .
p 4 2
2 y
State Lic. # : C-H01H 1 1(o
City Lic. #:
Arch., Engr., Designer: .
Address:
City., ST, Zip:
.. .....................
struction TY cu aneY
Pe:Telephone: Oc •
ic. #•
0State
Project nPa circle one): e Add'n Alter Repairair Demo
Name of Contact Person: Q ret HU D s
Sq. Ft.: Z 3
# Stories:
# Units:
Telephone # of Contact Person: 2 98 `1 yyL
Estimated Value of Project: % 2 O O
APPLICANT: DO NOT WRITE BELOW THIS LINE
Y
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for OO P 6 SSV E
-1 Zj
Plan Check Deposit
Truss Calcs.
Called Contact Person
y Z9
Plan Check Balance.
Title 24 Calcs.
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.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d 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
D� �