BCOM2015-0063GS
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
` aui�,1w
COMMUNITY DEVELOPMENT DEPARTMENT
BCOM2015-0063
79775 HIGHWAY 111 103
600440005
BILLIONAIRE REAL ESTATE / TENANT If
$20,000.00
Applicant:
SEASHORE CONSTRUCTION INC
1930 OLD TUSTIN AVENUE
SANTA ANA, CA 92705-7811
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: B License No.: 4469215
Da�tert C� ont�tor:21
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, 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/15/2016
Owner:
P6K PORTFOLIO KDP
2301 ROSECRANS STE 2110
EL SEGUNDO, CA 92253
Contractor:
SEASHORE CONSTRUCTION INC
1930 OLD TUSTIN AVENUE
SANTA ANA, CA 92705-7811
(714)245-1600
Llc. No.: 469215
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.
Da v' nPrApplicant: .
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.
4p�
Dated Signature (Applicant or Agen
V
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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PARTITION
101-0000-42400
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PARTITION PC
101-0000-42600
0
$133.43
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PARTITION: $205.95 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - COMMERCIAL
101-0000-20308
0
$5.60
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $5.60 $0.00
TOTALS:••
Description: BILLIONAIRE REAL ESTATE / TENANT IMPROVEMENTS
Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED
Applied: 11/18/2015 SGU
Approved: 4/14/2016 JFU
Parcel No: 600440005 Site Address: 79775 HIGHWAY 111 103 LA QUINTA,CA 92253
Subdivision: PM 036269 Block: Lot: 5
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STAFF NAME
Details: COMMERCIAL TENANT IMPROVEMENT. INSTALL STOREFRONT GLASS PARTITION TO SEPARATE "CONFERENCE ROOM" FROM
REMAINDER OF SUITE. THIS PERMIT DOES NOT INCLUDE ANY ADDITIONAL WORK OR TENANT IMPROVEMENT. 2013 CALIFORNIA
BUILDING CODES.
148
10
J Applied to Approved }
Printed: Friday, April 15, 2016 10:55:24 AM 1 of 3 CR?WSrSTEMS
ADDITIONAL
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK PICKED UP
MARY FASANO
1/4/2016
1/4/2016
NOTIFIED SEASHORE CONSTRUCTION (714-245-1600) THAT
PLAN REVIEW WAS COMPLETE AND REVISIONS WERE
TELEPHONE CALL
JAKE FUSON
12/2/2015
12/2/2015
REQUIRED. STRUCTURAL CALCULATIONS WILL BE REQUIRED
FOR THE GLASS PARTITIONS.
NOTIFIED APPLICANT BILL TUCKER (714-623-0879) THAT
TELEPHONE CALL
JAKE FUSON
4/14/2016
4/14/2016
PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE.
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT SEASHORE CONSTRUCTION INC
1930 OLD TUSTIN
SANTA ANA CA
92705 -
AVENUE
7811
Printed: Friday, April 15, 2016 10:55:24 AM 1 of 3 CR?WSrSTEMS
PARENT PROJECTS
Printed: Friday, April 15, 2016 10:55:24 AM 2 of 3 cps"SYSTEMS
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
FINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT
INFORMATION
PAID
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
CONTRACTOR
SEASHORE CONSTRUCTION INC
1930 OLD TUSTIN
AVENUE
SANTA ANA
CA
92705 -
7811
PARTITION PC
101-0000-42600
0
OWNER
P6K PORTFOLIO KDP
2301 ROSECRANS STE
• 2110
EL SEGUNDO
CA
92253
FIRE SPRINKLER INSPECTION. INTERIOR
Total Paid for PARTITION:
PARENT PROJECTS
Printed: Friday, April 15, 2016 10:55:24 AM 2 of 3 cps"SYSTEMS
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
FINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT
INFORMATION
PAID
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA:
$1.00
$0.00
PARTITION
101-0000-42400
0
$72.52
$0.00
REMARKS
NOTES
DATE
PARTITION PC
101-0000-42600
0
$133.43
$0.00
FIRE SPRINKLER INSPECTION. INTERIOR
Total Paid for PARTITION:
$205.95
$0.00
SMI. -COMMERCIAL
101-0000-20308
1 0
$5.60
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
TOTALS:00
$5.60
$0.00
PARENT PROJECTS
Printed: Friday, April 15, 2016 10:55:24 AM 2 of 3 cps"SYSTEMS
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
COMPLETED RESULT
REMARKS
NOTES
DATE
DATE
FIRE SPRINKLER INSPECTION. INTERIOR
PARTITIONS WERE CONSTRUCTED WITHOUT
PERMITS --FIRE DEPARTMENT INSPECTION
SPECIAL INSPECTION
RGR
12/1/2015
12/1/2015
APPROVED
REQUIRED TO VERIFY SPRINKLER LOCATIONS
ARE ADEQUATE FOR NEW SUITE LAYOUT.
No violations at this time
PARENT PROJECTS
Printed: Friday, April 15, 2016 10:55:24 AM 2 of 3 cps"SYSTEMS
BOND INFORMATION
Printed: Friday, April 15, 2016 10:55:24 AM 3 of 3 CI"
SYSTEMS
NOTES '
REVIEW TYPE
REVIEWER
SENT DATE
, DUE DATE
RETURNED
DATE
REVIEWS
STATUS
REMARKS
1ST BLDG NS (2 WK)
JAKE FUSON
11/18/2015
12/4/2015
12/2/2015
REVISIONS REQUIRED
SEE IST REVIEW CORRECTION LIST.
2ND BLDG NS (1
WK)
JAKE FUSON
4/13/2016
4/20/2016
4/14/2016
APPROVED .
BOND INFORMATION
Printed: Friday, April 15, 2016 10:55:24 AM 3 of 3 CI"
SYSTEMS
,
of, La uinta
Building 8i Saky Divisrpn
Perinit.# P.O. Sox 1504,-78.495 Calle Tampico
4.Quinta, CA 92253 - (760) 777-7012
WW ��ll wilding Permit' Application and Tracking Sheet
ProjectAddress:79-775.HWY. 111 SUITE 103 Owner'sNamc:. Jamie Rice p
D•i'��Ibinc�.irc 2e.ES ..
A. P. Number: Bldg F Parcel.3 Map 33960 Sec. 11 3-600-020-034• Address:
Legal Description:BilliQUaireI Estateo City, ST, Zip:
Contractor: Seashore Construction, Inc. Telephone:
Address: 1930 Old Tustin Avenue Project Description:
City, ST, Zip: Santa Ana, CR 92705 Broker Real Estate Office Tenant Improvements
Wx
Telephone: 714-245-1600
State Lic. #.: 469215 City Lie. >f
Arch., Engr., Designer:
Address:
City., ST, Zip: ;
Telephone: ��..,. .
�?,, M.• `
z�zu Construction Type: , VN Occupancy:
State Lie.
J 4Project type (circle one): New Add'n. Alter Repair Demo
Name of Contact.Person: Bill Tucker Sq. Ft.: 1,332 # Stories: 1 #Units: 1
Telephone # of Contact Person:. 714-623-0879 Estimated Value of Project: $20,0000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
k Submittal Rcq'tl 'Rcc'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cities. rz-tea"a a a.. - --- -
Truss Calls-
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plaits picked up
Construction: '
Flood plain plan
Plans resubmitted
Mechanlcal
Grading plan
2" Revicw, ready for corrections/issue.
Electrical
Subcontactor List
Caped Contact Person
Pluutblug
Grant Deed
Plans plcked up
H.O.A. Approval
Plans resubmitted
Grading
Ni H(JUSE:-
'^' Review, ready for corrections/Issue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr '
Date of permit issue
School Fees '
Total Permit Fees