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BCOM2017-004178-495 CALLE TAMPICO C� 0 D �IL(II�Cl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING. COMMERCIAL/REMODEL Application Number: BCOM2017-0041 . Property Address: 78401 HIGHWAY 111 SS A APN: 604050059 I� . Application Description: HARSCH INVESTMEN 74F"1OFFICE TI NI_9 B -B--0- -,+0 OL/NS Property Zoning: 11 l Application Valuation: $50,000.00 1 `r CITt' OF LAQUINTA Applicant: CO,mk mTYDEvELOF,)AENTDEFART1;1EtFT SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE I PALM DESERT, CA 92211 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.: 837914 Date: I 2 ' Contractor. 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 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 Lender's Address: VOICE (760) 777-7125 FAX.(760) 777-7011 INSPECTIO/Date: S (760) 777-7153 1/2/2018 Owner: HARSCH INV REALTY 1121 SALMON ST 4TH FL PORTLAND, OR 92253 Contractor: SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE I PALM DESERT, CA 92211 (760)674-9000 Llc. No.: 837914 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' corn pensation 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: EXEMPT Policy Number -- - umber:__ 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. Date: Applicant: 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. Date: rZ P Signature (Applicant r Agent ;e -- Date: 1/2/2018 Application Number: BCOM2017-0041 Owner: Property Address: 78401 HIGHWAY 111 STE A HARSCH INV REALTY- APN: 604050059 1121 SALMON ST 4TH FL Application Description: HARSCH INVESTMENT / 2,074SF OFFICE TI/VB/B-OCC/20-OL/NS PORTLAND, OR 92253 Property Zoning: Application Valuation: $50,000.00 Applicant: Contractor: SUTTON REMODELING SPECIALISTS DBA SRS -BU SUTTON REMODELING SPECIALISTS DBA SRS -BU 41905 BOARDWALK STE 1 41905 BOARDWALK STE I PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)674-9000 ----------------------------------------------------------- Llc. No.: 837914 Detail: 2,074SF TENANT IM PROVE MENT/VB/B-OCC/20-OL/NON-SPRINKLED (OFFICE LEASE SPACE - NO CURRENT TENANT) THIS PERMIT DOES NOT INCLUDE ALTERATION TO EXISTING LOAD BEARING OR FIRE RESISTIVE CONSTRUCTION. ACCESSIBILITY UNREASONABLE HARDSHIP APPROVED BASED ON IMPROVEMENTS BEING PERFORMED CONCURRENTLY, REFERENCE BCOM2017-0042 AND ATTACHED FORMS. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT —+BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $2.25 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 . $12.11 Total Paid for Credit Card Fee: $14.36 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 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $41.60 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $10.40 Total Paid for ELECTRICAL: $104.02 DESCRIPTION ACCOUNTQTY AMOUNT FIRE COMMERCIAL Ti PC 101-0000-42420 0 $234.00 Total Paid for FIRE FEES: $234.00 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 FIXTURE/TRAP 101-0000-42401 0 $26.00 DESCRIPTION ACCOUNT QTY AMOUNT , FIXTURE/TRAP PC 101-0000-42600 0 $26.00 Total Paid for PLUMBING FEES: $52.00 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 ($125.00) DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $93.64 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $74.88 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 $125.00 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $20.12 Total Paid for REMODEL: $241.69 DESCRIPTION ACCOUNT. QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $14.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: .$14.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $812.01 City Of La* ta Qi11>�t Building 8t Safety Aivfsion P.O. Box 1504, 78-495 Calle Tampico La..Quinta, CA 92253 -:(760) 77T7012 v y / ilding PermitAppiicatioi7 and Tracking Sheet Permit # dCo94VI I=o Project Address: 78401 HWy 111S6ite A Owner's Name: Harsch Investment Realty A. P. Number. 604050059-3 Address: 1121 Salmon Street 4th Floor Legal Description: Lot 1 PM 124/047 19028 City, ST, Zap: Portland OR 97205 Contractor: .SRS -Builders Tel hone; 760.771.4580 - Steven Chaffee y .. s3 g.� . ep Address:41905 Boardwalk, Suite. i Project Description: Build.demising wall. Remodel offices,. city, ST, zip: Palm Desert CA 92211 framing, electrical, plumbing, drywall, finish carpentry, Telephone: 790.674.90.00 ryz flooring, paint. _�OUT ("MPRpt) te Lic. # : 837914 City Lie'. #; LAArch.jEngr., Designer, Same as Above dress: ---- City., ST, Zip; ----.----- -- --- - - Telephone: ------------= >� x� State Lic. #: --' ----------- .. £ `' p. C Name of Contact Person: Billy Sutton Construction Type:. Occupancy w✓ Project type (circle one): New Add'n V`? Repair Demo Sq.Ft.: 2074 #Stories: # Unita: Telephone # of Contact Person: 760.8802552 Estimated Value of Project $50,000.00. APPLICANT: DO NOT WRITE BELOW THIS LINE 0 Submittal Req'd heed TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss COO, Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r! Review, ready for correctionsl'issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A LP.P. Pub. Wks. Appr Dale,orpermit issue School Fees Total Permit Fees