BELC2015-003078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
MRC ENGINEERING
34300 GATEWAY DR. #120
PALM DESERT, CA 92211
4 sj� Q94&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BELC2015-0030
78601 HIGHWAY 111
643220007
LA QUINTA SQUARE/EXTERIOR LIGHTING AND PEDESTAL
$125,000.00
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.: 397892
Date: /Z f'Contract�y/'`P
o�P_/V c{��
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 Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ACM LA QUINTA IV B
1800 AVE OF THE STARS 105
LOS ANGELES, Oc.92253
Contractor:
MOOREFIELD CONSTRUCTION
600 N TUSTIN AVENUE SUITE I
SANTA ANA, CA 52705
(714)972-0700
Llc. No.: 397892
Date: 9/14/2015
WORKER'S COMPENSA710N DECLARATION
I hereby affirm under penalty of perjury one o- 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
oft a work for which this permit is issued.
4cI 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 insuranca 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 3s 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 3.700 of the Labor Code, I shall forthwith
comply with those provisions. ,� L
Dately: / �S Applicant��:e// aoI e< / el�% �S/
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 ($100,007). 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 perform --d under or pursuant to any permit
issued as a result of this application , the ownea., and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the •=ity of La Quinta, its officers, agents, and
employees for any act or omission related to tl:e work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this applic:,tion 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
I agree to comply with all city and county ordinances and state laws rel n
construction, and hereby authorize representatives of this city nt p
mentioned p operty for inspection purposes. /f
Datej y Signature (Applicant or Agent):I
71-0 FINANCIAL •1•
DESCRIPTION `�'•"ACCOUNT QTY- AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$5.00 $0.00
PAID BY.' METHOD
RECEIPT #. CHECK # = CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $5.00 $0.00
'DESCRIPTION ?s,
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
POLE LIGHTS
101-0000-42403
0
$338.38
$0.00
.PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION .
ACCOUNT-
QTY
AMOUNT
= PAID
PAID DATE
POLE LIGHTS PC
101-0000-42600
0
$338.38
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION'.:
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
SERVICES
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
.RECEIPT #
CHECK #
,CLTD BY .
,ate DESCRIP..TION yap y
,,,,.�rA000UNT:
QTY
AMOUNT
PAID '
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
PAID BY..
• .
METHOD
RECEIPT #
CHECK #. �.
• ;CLTD BY R
Total Paid for ELECTRICAL: $713.02 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
f' T f PAID ? *
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
-- .,,. PAID BY
METHOD
RECEIPT # .,
:� CHECK #
CLTD BY .
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS::0• ••
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Description: LA QUINTA SQUARE/EXTERIOR LIGHTING AND PEDESTAL
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 4/21/2015 SKH
Approved: 6/24/2015 BHA
Parcel No: 643220007 Site Address: 78601 HIGHWAY 111 LA QUINTA„CA 92253
Subdivision: PM 36791
Block: Lot: 1
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $125,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: PARKING LOT LIGHTING -
"ALDI GROCERY” LA QUINTA SQUARE. 14 QTY AT 20'-6" HGT ABV. GRADE
PER ENGINEERED DESIGN: 2013
- CODES.
5/11/2015
STRUC RFC. 5/8/2015
64
Applied to Approved -� .
'r�'.T �E:' 'fh✓ fi 3w4 .r. s"`'Fr.• x • }*Y'F.' ..*;x. r..;.
x :, ;�.-.,� S'r'tti-�....w • • • �;: s : -'� �-' x°�x�'' < M �
,� . �- nom. i� . � r
Tr CHRONOLOGY TYPE "�
`;'" �STAFF NAME _
;, ' ACTION DATE -
' COMPLETION DATE
i c• _` " NOTES
_»*
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
5/8/2015
5/11/2015
STRUC RFC. 5/8/2015
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
MARY FASANO
6/22/2015
6/22/2015
RECEIVED FROM YOUNG APPROVABLE
RECEIVED
PLAN CHECK PICKFD I IP
STFPHANIF KHATAMI
5/14/2015
5/14/3015
PICKED UP BY GILBEnT
PLAN CHECK SENT TO
STEPHANIE KHATAMI
6/8/2015
6/8/2015
OUTSIDE PC
SUBMITTED 4-14-15 WITH NO STRUCTURAL, ADVISED VICTOR
PLAN CHECK SUBMITTAL
LEON. VICTOR SAID HE WOULD SEND IT OVER. CAN'T SEND
STEPHANIE KHATAMI
4/14/2015
4/21/2015
RECEIVED
-
TO ESGIL UNTIL STRUCTURAL IS RECEIVED. WILL SEND TO
_
PLANNING.
Printed: Monday, September 14, 2015 11:36:45 AM 1 of 4 CRSYSTEMS
Printed: Monday, September 14, 2015 11:36:45 AM 2 of 4 CewsrsreMS,
RECEIVED INCOMPLETE SUBMITTAL 04-21-15 (NO
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
4/24/2015
'7-17
0
STRUCTURAL). RECEIVED STRUCTURAL CALCULATIONS ON
RECEIVED
Printed: Monday, September 14, 2015 11:36:45 AM 2 of 4 CewsrsreMS,
RECEIVED INCOMPLETE SUBMITTAL 04-21-15 (NO
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
4/24/2015
5/1/2015
STRUCTURAL). RECEIVED STRUCTURAL CALCULATIONS ON
RECEIVED
4/24/15, SENT TO YOUNG ON 5/1/15.
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
6/8/2015
6/8/2015
RECEIVED
VOICEMAIL TO VICTOR LEON TO NOTIFY HIM THAT
TELEPHONE CALL
BURT HANADA
5/13/2015
5/13/2015
CORRECTION PACKAGE IS READY FOR PICKUP AT BLDG. DIV.
NOTIFIED VICTOR LEON THAT PLANS ARE APPROVED AND
TELEPHONE CALL
BURT HANADA
6/24/2015
6/24/2015
PERMIT IS READY TO ISSUE WITH A VALID CONTRACTOR.
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CONDITION DATE DATE
' ,; F;'t ..
CONTACT DATE ADDED •
STATUS
REMARKS NOTES
TYPE REQUIRED SATISFIED
READY TO ISSUE
BURT HANADA)
6/22/2015
PROCESS
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NAMETYPE '
NAME7
-ADDRESS1 .. t
CITY _
:' STATE
ZIP
PHONE
FAX ','EMAIL
APPLICANT
MRC ENGINEERING
34300 GATEWAY DR.
PALM DESERT
CA
92211
(214)637-6219
(214)637-
#120
6997
CONTRACTOR
MOOREFIELD CONSTRUCTION INC
600 N TUSTIN AVENUE
SANTA ANA
CA
92705
(214)637-6219
(214)637 -
SUITE #210
6997
ENGINEER
RONALD A ROBERTS,
2948 STEMMONS
DALLAS
TX
75247
(214)637-6219
(214)637 -
FREEWAY
6997
OWNER
ACM LA QUINTA IV B
1800 AVE OF THE STARS
LOS ANGELES
CA
92253
(214)637-6219
(214)637- KSTALEY@MAGELLANG
105
6997 RP.COM
C LTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
Y
BSAS SB1473 FEE
101-0000-20306
0
$5.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $5.00•
$0.00
BSA:
POLE LIGHTS
101-0000-42403
0
$338.38
$0.00
Printed: Monday, September 14, 2015 11:36:45 AM 2 of 4 CewsrsreMS,
r
DESCRIPTION
ACCOUNT.-
QTY
_• AMOUNT;
PAID
PAID DATE'
r�
: RECEIPT #
K
CHECK #
METHOD
PAID.BY. • ^ *
CLTD
BY'
POLE LIGHTS PC
101-0000-42600
0
$338.38
$0.00
5/12/2015
REVISIONS REQUIRED
NON-STRUCTURAL
SERVICES
101-0000-42403
0
$24.17
$0.00
HANADA
SERVICES PC
101-0000-42403
0
$12.09
$0.00
d/7a/7nl S
S/R/7m 5
5/R/2015
REVISIONS REQUIRED
Total Paid for ELECTRICAL: $713.02 $0.00
PERMIT ISSUANCE
101-0000-42404
T -0-T-
$91.85
$0.00
ENGINEERING
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS::0• i0
fl
•
SEQID_ INSPECTION TYPE INSPECTOR- SCHEDULED COMPLETED RESULT REMARKS NOTES,
z GATE DATE ---t r.
ELECTRICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
RETURNED' STATUS s' REMARKS
REVIEW TYPE REVIEWER SENT DATE. .'DUE DATE NOTES
DATE s
PLANNING
JAY WUU
4/21/2015
5/5/2015
5/7/2015
READY FOR APPROVAL
BURT
4/24/2015
5/8/2015
5/12/2015
REVISIONS REQUIRED
NON-STRUCTURAL
HANADA
d/7a/7nl S
S/R/7m 5
5/R/2015
REVISIONS REQUIRED
STRUCTURALY01ING
ENGINEERING
NON-STRUCTURAL -
BURT
6/8/2015
6/22/2015
6/22/2015
APPROVED
2 WK
HANADA
YOUNG
6/8/2015
6/22/2015
6/22/2015
READY FOR APPROVAL
STRUCTURAL - 2 WK
ENGINEERING
- - ��- -- -- - - — _ - BOND INFORMATION - - ----- - -
Printed: Monday, September 14, 2015 11:36:45 AM
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REATED
OWNER'}s
DESCRIPTION
`< 'rPATHNAME
SUBDIR'
ETRAKITfNABLED
_
La Quinta Square Light
La Quinta Square Light
,
DOC
4/27/2015 _
BURT HANADA
Standard 15171SK1 SK -1
Standard 15171SK1 SK -1
1
_
(1).pdf
- (1).pdf
La Quinta Square - Light
La Quinta Square - Light
DOC
4/27/2015
BURT HANADA
Standard calcs.pdf
Standard caics.pdf
1
1ST SUBMITTAL NON
78-601 HIGHWAY 111-
DOC
5/13/2015
BURT HANADA
STRUCTURAL
1
SITE LIGHTING_l.docx
CORRECTION LIST
1ST STRUCTURAL -
BELC 2015-0030 KS
DOC
5/8/2015
KATHRYN SAMUELS
COMMENTS
(ist).doc_
0
NEW CITY TRANSMITTAL
DOC
5/8/2015
KATHRYN SAMUELS
1ST STRUCTURAL -
BELC 2015-0030
0
TRANSMITTAL
(lst).pdf
2ND SUBMITTAL CHECK
2ND SUBMITTAL CHECK
DOC
6/8/2015
STEPHANIE KHATAMI
LIST AND COMMENTS
LIST AND COMMENTS
0
06-08-15.pdf
06-08-15.pdf
'
Printed: Monday, September 14, 2015 11:36:45 AM 4 of 4 CAW& srsrEMs