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BELC2015-005478-495 CALLE T,AMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BELC2015-0054, Property Address: 79845'HWY 111 STE 104 APN: 600440008 Application Description: STARBUCKS / ELECTRICAL Property Zoning: Application Valuation: $1,200.00 Applicant: ELECTRICIAN FOR HIRE INC 68795 VISTA CHINO CATHEDRAL CITY, CA 92234 c&ht 4 4 Qalkz COMMUNITY DEVELOPMENT DEPARTMENT 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: C10 License No.! 900433 (bate: ;y_.2VZ r Contracto 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 imp•oves 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 Lender's Address: Owner: _ d,044 �QU�NT P6K PORTFOLIO KDW-,VtD231 2301 ROSECRANS STE 0 EL SEGUNDO, CA 92253 Contractor: ELECTRICIAN FOR HIRE INC 68795 VISTA CHINO CATHEDRAL CITY, CA 92234 (760)272-6115 Llc. No.: 900433 VOICE (760) 777-7125 FAX (760) 777-7011 777-7153 7/21/2015 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 r Code, I shall forthwith comply with those provisions. Cate: / / .i Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO CNE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABORCODE, 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: WW Signature (Applicant or Agen DESCRIPTION FINANCIAL • ' ACCOUNT = • CITY AMOUNT PAID: PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/21/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ELECTRICIAN FOR HIRE INC. CHECK MR202 1547 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 7/21/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ELECTRICIAN FOR HIRE INC CHECK MR202 1547 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 7/21/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ELECTRICIAN FOR HIRE INC CHECK MR202 1547 MFA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT . - CITY AMOUNT, PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 7/21/15 PAID -BY METHOD RECEIPT # CHECK # CLTD BY ELECTRICIAN FOR HIRE INC CHECK MR202 1547 MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 TOTALS: $141.19 $141.19 Description: STARBUCKS / ELECTRICAL type: ELECIRICAL Subtype: Status: ISSUED Applied: 7/21/2015 MFA Approved: 7/21/2015 MFA Parcel No: 600440008 Site Address: 79845 HWY 111 STE 104 LA QUINTA,CA 92253 Subdivision: PM 036269 Block:_ Lot: 8 Issued: 7/21/2015 MFA Lot Sq Ft: 0 - Building Sq Ft: 0 - Zoning: Finaled: Valuation: $1,200.00 Occupancy Type: Construction Type: Expired: 1/17/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 92234 Details: INSTALL 2 DEDICATED CIRCUITS FOR FREEZER, LED UNDER CABINET AND PANEL C PER 2013 CALFORNIA ELCTRICAL CODE CHRONOLOGY NAME TYPE' NAME ADDRESSI STATE ZIP PHONE FAX EMAIL CONTACTS CITY APPLICANT ELECTRICIAN FOR HIRE INC 68795 VISTA CHINO CATHEDRAL CITY CA 92234 CONTRACTOR ELECTRICIAN FOR HIRE INC 68795 VISTA CHINO CATHEDRAL CITY CA 92234 OWNER P6K PORTFOLIO KDP 2301 ROSECRANS STE 2110 EL SEGUNDO CA 192253 Printed: Tuesday, luly 21, 2015 10:10:37 AM 1 of 2 SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" BLD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAIDDATE RECEIPT# CHECK # METHOD 'PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 I $1.00 7/21/15 MR202 1547 I CHECK ELECTRICIAN FOR MFA' HIRE INC Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 7/21/1S MR202 IS47 CHECK ELECTRICIAN FOR MFA HIRE INC DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 7/21/1S MR202 1547 CHECK ELECTRICIAN FOR MFA HIRE INC Total Paid forELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42404 0 $91.8S $91.85 7/21/1S MR202 IS47 CHECK ELECTRICIAN FOR MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.8S TOTALS: $141.19 $141.19 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" BLD PARENT PROJECTS Printed: Tuesday, July 21,2O151O:zO:]7AW1 2ofZ rpWsYSTEMS Qin # .00ty of ;a Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico 1.a Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # `0.4 Project Address: S \` Owner's Name: A. P. Number:f Address: S 'i �, \OLI Legal Description: City, ST, Zip: 4 Contractor:1 ` �% 1 Telephone: Address: 5 Project Description: City, ST, Zip: v , C Telephone: r� — ld State Lic. # : OO`T33 City Lic. o ✓ ;V\ \ Arch., Engr., Designer: Address: \q City, ST, Zip: i„ h Telephone: one: Construction n o Type: Occupancy: P P Y: State ' S te Lac. 4: Project type �c'v cle one New Ad ' o Alter Repair. r De mo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: U APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for *co rrections/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:- '"' Reyiew, 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 V- C:) z M Z r- lL ui a LL D mG=a Ln S ON ism DESIGN Aronneol.re Solullee9 Gro Gunn eV M G ( L V- C:) z M Z r- lL ui a LL D mG=a Ln S ON ism DESIGN Aronneol.re Solullee9 Gro Gunn eV M G t7 Z LEGEND 3 i T EXISTING ITEMS TO REMAIN O p i NEW ITEMS & Z ' RELOCATED ITEMS J z 72 ' f REMOVED ITEMS o- p STORAGE RACK COUNT EQUIPMENT / MILLWORK REMOVED o u r DESCRFTION EXISTING PROPOSED QTY.1 DESCRIPTION "r 18'X36" STORAGE RACK 8 8 - UNDER COUNTER CABINET PER PLANS ` - STORAGE CUBBIES PER PLANS 1 FULL HEIGHT DATA RACK P1OeG ' STORE INFORMATION I RUBBERMAID SHELF UNIT DAV15002.0 STORE INTERIOR SEATING: EXISTING 21, PROPOSED 30 1 SANRQER ' STORE PATIO SEATING: EXISTING 20, PROPOSED 2D CHAIRS AND TABLES PER PLAN EXISTING ODEMOLITIONPLAN ORE INTERIOR SQUARE FOOTAGE; I,7DOSF(INTERIOR FACE OFSTUDS( I 14277 1 Of