BCOM2018-001278=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tdy 4 4 Q914ro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL
Application Number: BCOM2018-0012
Property Address: 78987 HIGHWAY 111
APN: 643020050
Application Description: OFFICE DEPOT/ FLOOD DAMAGE REPAIR
Property Zoning:
Application Valuation: $42,000.00 0
D
Applicant:
D & R SELECT CONSTRUCTION INC MAR 2 3 2018
750 S EUGENE ROAD
PALM SPRINGS, CA 92264
CITY OF LA
DESIGN AND DEVELpp ENINTA DEPAR
TMENT
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. C15 License No.: 792850
ate-�. 3— 2 3 ^ /� Contractor: D eta+
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 s
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 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 3/23/2018
Owner:
OD LA QUINTA
80618 DECLARATION AVE
INDIO, CA 9225.3
Contractor:
D & R SELECT CONSTRUCTION INC
750 S EUGENE ROAD
PALM SPRINGS, CA 92264
(760)325-8231
Llc. No.: 79285C'
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one oFthe 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.
tom-= 1 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: STATE COMPENSATION INSURANCE FJND Policy Number: 9096087
I certify that in the performance of -he 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 =700 of the Labor Code, I shall forthwith
comply with those provisions.
3 -�2 3 - I♦ APpplica lW6[. iA �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMILIAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,On0). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FO t IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tl-e Building Official for a permit subject to
the conditions and restrictions set forth on thi: application.
1. Each person upon whose behalf this appli:ation is made, each person at whose
request and for whose benefit work is perform ed under or pursuant to any permit issued
as a result of this application , the owner; and .he applicant, each agrees to, and shall
defend, indemnify and hold harmless the City if 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 cessationof 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 represent.-tives of this city to enter upon the above-
mentioned property for inspection purposes.
DDae?3"-23— a�igna��e(Applicant.rAgent):
'Date:' 3/23/2018
Application Number: BCOM2018-0012
Owner:
Property Address: 78987 HIGHWAY 111
OD LA QUINTA _
APN: 643020050
80618 DECLARATION AVE
Application Description: OFFICE DEPOT / FLOOD DAMAGE REPAIR
INDIO, CA 92253
Property Zoning:
Application Valuation: $42,000.00
Applicant:
Contractor:
D & R SELECT CONSTRUCTION INC
D & R SELECT CONSTRUCTION INC
750 S EUGENE ROAD
750 S EUGENE POAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)325-8231 .
--------------------------------------------------
Llc. No.: 792850.
------------------------------------------
Detail: NEW DRYWALL 4' UP INSULATION AS NEEDED R-19 REINSTALL [6] DOORS NEW DROP CEILING IN [2] BATHROOMS
FINANCIAL
DESCRIPTION
• 1
ACCOUNT QTY
AMOUNT
PARTITION
101-0000-42400 0
$78.02
DESCRIPTION
ACCOUNT QTY
AMOUNT
PARTITION PC
101-0000-42600 0
$143.56 ,
Total Paid for PARTITION:
$221.58, .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
70TALS:
$5.00
$226.58
�a a
PERMIT # I L
PLAN LOCATION:
?roject Address 7g 9g7 /'
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
kPN #: LQ C� tirr�-
'elephone:
Patio/Porch SF
.mail:
applicant Name: RDQ pT 7
tate Lic: 17 oZSQ City Bus Lic: NO
kddress:
:ate Lic: City Bus Lic:
:ity, ST, Zip:
'elephone: o).�
:mail:
row
Valuation of Project $
;ontractor Name: yj .e
New SFD Construction:
iddress:
Conditioned Space SF
;ity, St, Zip
Garage SF .
'elephone:
Patio/Porch SF
.mail:
Fire Sprinklers SF
tate Lic: 17 oZSQ City Bus Lic: NO
.rch/Eng Name:
Construction Type: Occupancy:
.ddress:
Grading:
ity, St, Zip
Construction Type: Occupancy:
elephone:
Bedrooms:
Stories:
# Units:
mai l:
:ate Lic: City Bus Lic:
roperty Owner's Name:
New Commercial /Tenant Improvements:
ddress:
Total Building SF
ity, ST, Zip
Construction Type: Occupancy:
/
;lephone:
nail: �
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000.
Main Level
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as n��
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24'11"-
-24-3"
4'1L.24'3"
• T P
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70 7
4'3"-+
I. torag Garage (1)
Electricals
Mens Restroom 2 Office a I I
Hall
1 -1
omens Restroom
.11'
CITY OF LA CSU@NTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION ,-:
Per A7
78987HYW 11 l -
7'/AIW6JAY
Custom
9"
&Gmao I Sr-Qo /2,
Main Level
3/22/201.8 Page:I
Krista K
From: Rod Beaty <:rodb3aty1958@icloud.com>
Sent: Thursday, March 22, 2018 8:45 AM
To: Krista K
Subject: Office Depct
Sent from my iPhore