BCOM2017-00344 4v
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
r BUILDING PERMIT
Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL
Application Number:
BCOM2017-0034
Property Address:
79245 CORPORATE CENTRE DR
APN:
600390016
Application Description:
OSBORNE RINCON / 5,317SF OFFICE TI/VB/B-OCC/53-OL•/SPRINKLED
Property Zoning:
Application Valuation:
$352,000.00
Applicant:
MEREDITH & SIMPSON CONSTRUCTION
CO
83-801 AVENUE 45
INDIO, CA 92201
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: A. B. C34, C10 License No.: 201308
Date l
` 11 - b 7 ontract7, 6-.1 '1W►-(
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. 7644, 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/2/2017
Owner:
LEE OSBORNE& RINCON CPA
79245 CORPO-3ATE CENTER DR
LA QUINTA, CA 92253
Contractor:
MEREDITH & SIMPSON CONSTRUCTION CO
83-801 AVENUE 45
INDIO, CA 92201
(760)347-2366
Llc. No.: 201308
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3 i00 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
_ I certify that in the performance cf the work for which this permit is issued, I
II not employ any person in any manner !o as to become subject to the workers'
ipensation laws of California, and agree .hat, if I should become subject to the
-kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
iply with those provisions. _
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,)00). IN ADDITION TO THE COST OF .
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKAOWLEDGEMENT
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 Cit•+ 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 app;1cation 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 cancellati in.
I certify that I have read this application and ;tate that the above information is correct.
I agree to comply with all city and county orcinances and state laws relating to building
construction, and hereby authorize represencatives of this city to enter upon the above-
mentioned property for inspection.p�anorAge
ODater i/&47RSignature (
Date: 11/2/2017
Application Number: BCOM2017-0034
Owner:
Property Address:" 79245 CORPORATE CENTRE DR
LEE OSBORNE & RINCON CPA
APN: 600390016
.79245 CORPORATE CENTER DR
Application Description: OSBORNE RINCON / 5,317SF OFFICE TI/VB/B-OCC/53-OL/SPRINKLED
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $352,000.00
Applicant:
Contractor:
MEREDITH & SIMPSON CONSTRUCTION CO
MEREDITH & SIMPSON CONSTRUCTION CO
83-801 AVENUE 45
83-801 AVENUE 45
INDIO, CA 92201
INDIO, CA 92201
l
(760)347-2366
-------------------------------------
-------------------------------------------------------
Llc. No.: 201308
Detail: 5,317SF OFFICE TI/VB/6-OCC/53-OL/SPRINKLED [OSBORNE &•RINCON CPAS] THIS PERMIT
DOES NOT INCLUDE EXTERIOR IMPROVEMENTS OR
BUILDING SIGNAGE. TUMF OR DIF DOES NOT APPLY DUE TO NO CHANGE IN USE. 2016 CALIFORNIA
. 1 •
BUILDING CODES.
_40 FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT QTY AMOUNT
ART IN PUBLIC PLACES - COMMERCIAL REMOD
270-0000-43201 0 $1,260.00
Total Paid for ART IN PUBLIC PLACES - AIPP: $1,260.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$15.00
Total Paid for BUILDING STANDARDS ADMINISTRAT)ON BSA: $15.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF, PC
101-0000-42600
0
$20.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
101-0000-42403
0
$117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$90.50
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $306.35
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIAL TI
101-0000-22811
1
$614.00
Total Paid for FIRE COMME2CIALTI: $614.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT PC
101-0000-42600
0
$39.01
Total Paid for MECHANICAL: $78.02
DESCRIPTION '
ACCOUNT
QTY
AMOUNT'
FIXTURE/TRAP
101-0000-42401
0
$52.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$52.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0.
$13.00
Total Paid for PLUMBING FEES: $150.80
DESCRIPTION
ACCOUNT QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400 0
$257.51
DESCRIPTION
ACCOUNT QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600 0
$205.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$53.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$145.12
Total Paid for REMODEL: $661.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
..101-0000-20308
0
$98.56
Total Paid for STRONG MOTION .INSTRUMENTATION SMI: $98.56
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin#
CNF7
City of La Quinta
T& f:b& 60-MtAZ Building & Safety Division
��+`.+►��?4:-44 78-495 Calle Tampico
La Quima, CA 92253 - (760) 777-7012
Brrilding Perrg Application and Tracking Sheet
Permit#
Project Address: 9 Z`I s C� G..Y�
�r
Owner's Name:
err 4 9-►v�
A.P. Number
.-1 i- dzo 05 q
Address-
14
Legal Description: I/ 2 3 I I
6rC. (v
City, ST, Zip: 9 2- yr. 3
Contractor: .j{
Telephone: -�
Address:
`�
Projcct Dcscripffon: L
.�s�-w'4 I '�y-�-i+ v,t.
City, ST, Zip: i \ () ZZp
Telephone: d r �1,34:,'
State Lic. #: i City Lie #:
Arch. Engr., Designer: 11 . [ j 1 M
N'b �.-1 IM sL I (
Address:
City, ST, Zip: lam` .li eAl A, 5 22-1
d
Telephone:1 �4� 6 �S
Construction Type: G C3 z,
Occupancy: ;7
=Reepair
State Lic. #: C �� Z, `
'1
Proj.,�"ype
!^1
New
Add'n
Alter
Demo
Name of Contact:
SgFt:
#Stories
#Units:
Telephone of Contact: 76 a. ;L 3 �,� �s' is
Estimated Value of Project:
1436Z. O"
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 Cales
Called Contact Person
Plan Check Balance:
27
Title 24 Cates
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees