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BCOM2017-004678-495.,CA. LLE,TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING COMMERCIAL/REMODEL BCOM2017-0046 50680 EISENHOWER DR STE 102_ 773370029 A FLORES EXCAVATING/ 1,074SF OFFICE TI/VA/B-OCC/10-OL/SPRINK $10,000.00 Applicant: SOUTHWEST CONCEPTS 78115 CALLE ESTADO STE 105 LA QUINTA, CA 92253 NOV 2 2 2017 CITY OFLA QUIN COMMUNRYDE TA IJOPMENTDEPARTMENT 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 Busine and Pr fess"ons Code, and my License is in full force and effect. License Class: C12.'A License No.: 610005 Id C'Da-t 1122 1' j Contrract6r 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 tofile 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).: (_J 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.). ( 11, 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 witha 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/22/2017 Owner.: CANYON SUNSET LP 3366 VIA LIDO NEWPORT BEACH, CA�92253 Contractor: A FLORES EXCAVATING & GRADING INC P 0 BOX 1036 LA QUINTA, CA292247 (760)360-0255 Llc. No.: 610005 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificaoe of consent to self -insure for workers' compensation, as provided for by Section 37CO of the Labor Code, for the performance of the work for which this permit is issued. ��16­I have and will maintain workers' c::)mpensation insurance, as required by Section 3700 of the Labor Code, for the perfo- mance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy Number: _ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner sc as to beco subjectto t e workers' compensation laws of California, and agree ti -at, if I sho d come s the workers' compensation provisions of Section i7 oft bor Cod , shall orthwith comply with those provisions. Date a I( tZl I 11 Applicant WARNING: FAILURE TO SECURE WORK' CCMPENSATION COVERAGE 15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,020). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FO'21N 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 thi: 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 :he applicant, each agrees to, and shall defend, indemnifyand hold harmless the City & La Quinta, its officers, agents, and employees for any act or omission related to tie 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 cancellatior. / I certify that I have read this application and state that thy't; e I agree to comply with all city and county ordinances anda, construction, and hereby authorize representatives of thio mentioned property for inspection purposes. Lender's Address: I Dates_ III 4q1' i �Signdtu�e (Applicant cr Date: 11/22/2017 Application Number:,.. BCOM2017-0046 Owner: Property'Address: — - 50680 EISENHOWER DR STE 102 CANYON SUNSET LP APN: 773370029 3366 VIA LIDO Application Description: A FLORES EXCAVATING/ 1,074SF OFFICE TI/VA/B-OCC/10-OL/SPRINK NEWPORT BEACH, CA 92253 Property Zoning: Application Valuation: $10,000.00 Applicant: , Contractor: SOUTHWEST CONCEPTS A FLORES EXCAVATING & GRADING INC 78115 CALLE ESTADO STE 105 P 0 BOX 1036 LA QUINTA, CA 92253 LA QUINTA, CA`92247 (760)360-0255 ----------------------------------------------------------------------------- Llc. No.: 610005 . Detail: 1,0745F OFFICE TI/VA/B-OCC/10-OL/SPRINKLED [A FLORES EXCAVATING] THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE OR MECHANICAL OR PLUMBING ALTERATIONS: ADDITIONAL PERMITTING MAY BE REQUIRED FOR ACCESSIBILITY UPGRADES BASED ON THE LEVEL DETERMINED IN THE FIELD. TUMF AND DIF NOT ASSESSED DUE TO NO CHANGE IN DEVELOPMENT USE. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT • QTY AMOUNT ' 101-0000-42600 101-0000-42600 ($1.00) DESCRIPTION ACCOUNT • QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42400 101-0000-42600 $8.84 ($26.01) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 101-0000-42600 $143.56 ($26.01) DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.01 Total Paid for ELECTRICAL: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI 101-0000-42421 0 .$156.00 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI PC 101-0000-42420 0. '$234.00 Total Paid for FIRE FEES: $390.00 DESCRIPTION ACCOUNT QTY AMOUNT AMOUNT 101-0000-42600 101-0000-42600 ($69.18) DESCRIPTION ACCOUNT QTY AMOUNT PARTITION 101-0000-42400 0 $69.18 DESCRIPTION ACCOUNT QTY AMOUNT PARTITION 101-0000-42400 0 $8.84 DESCRIPTION ACCOUNT QTY AMOUNT PARTITION PC 101-0000-42600 0 $143.56 - Total Paid for PARTITION: $152.40 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT. 101-0000-42600 ($2.80) DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $2.80 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:4• r r v 1 s Bin. # Pemvit # �y ' . 0 0.1�4 City. of La Quints . 1 Btu kfing 8L Safety Division l P.O. Box 1504,78-495 Calle Tampico La.QLdnta, CA 92253 -_(760) 777-7012 Building Permit Application and Tracking Sheet ProjectAddress- %v " 4 v1 kC vvi— er's Name:. I jet` �' 6 r�' A P. Number. ? 3 %v C S 7Addrem:SPS Legal Description: Contractor. City, ST, Zip: lit n c Q [ �� Telephone:�Fo:� A Address: Project Description: �(y t� �� �� 0 City, ST, Zip: Telephone: rp w:. �- L j, 0(`)e C1 ` M�14- J State Lic. # : City Lie. /fR: Arch, Engr., Designer. �� �� Wr IC O xl ? JrC C9 FF1 Ci 6 : SP Address: -7% It t5 1/t FsfG Sk -p /l%S— 'r 9 L_ V 5k City, ST. Zip: (�Jt) n (� Telephone: % 4�707 State Lic.#:?f N.,.,i, ` •.' �„%u Construction Type: Occupancy: Project type (circle one): New Add'n: Alter Repan Demo Sq, Ft.: # Stories: Name of Contact Person: Telephone # of Contact Person: - Estimated Value of Project Corp APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted. Item Amount Structural Cales. Reviewed, ready for corrections Plan Check 3eposit. . Truss Cala• Called Contact Person Plan Check 3alance Title 24 Cales. Plans picked up Construcdo r Flood plain plan Plans resubmitted. , Mechanical Grading plan 2" Review, ready for corrections/iissueElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading lir HOUSE:- '"' Review; ready for correctionslissae Developer hapset Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Permit Number: $COM2017=0046 Description: A FLORES EXCAVATING/ COMM T.I. J Applied il/7/2017 Approved: Site Address: 50680 EISENHOWER DRSTE 102, Issued,:,.-'Finaled City, State Zip Code: LA QUINTA,_CA 92213 }; Status UNDER REVIEW Applicant: SOUTHWEST CONCEPTS �. ti �.t Parent Permit f Owner: CANYON SUNSET LP - Parent Project: Contractor: OWNER / BUILDER . Details sy: a s.,fz4 .��H� 0.i'Sis 12- �f.:11 .,'.'-. RETURNED �F �- f _ SENo! ATE, r u DATES 3 DUE:DATE TYPE, ' CONTACTS STATUS REMARKS .>., m c k� � Review Group: AUTO ' ' 11/7/2017 i ` 1ST PERMIT TECH (1 ` 11/7/2017 " 11/8/2017 DAY) MARY FASANO COMPLETE _ w 11/7/2017 11/21/2017 -is BLDG NS(2 WK) BUILDING BUCKET„ Notes• a 11/7/2017 11/14/2017 1ST=PLANNING (1 WK) *' PLANNING BUCKET Notes $^ 11/7/2017 11/14/2017 IST FIRE (1 WK) FIRE BUCKET: Note`s: