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BCOM2017-00304 41 Q910 78-49S CALLEJAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Application Number: BCOM2017-0030 Property Address: 79255 HIGHWAY 111 STE 2 APN: 600340005------ " (��1 Application Description: HEALTHY F / 1,SF OFFICE TL[VBTNCC/19-OL/SPRINKLED] Property Zoning: Application Valuation: $40,000. ' OCT Z�5i1 Applicant: MICHELLE RACHELL 78370 HIGHWAY 111 SUITE 130 LA QUINTA, CA 92253 CjTY OF LA QUINTA CQMMUNITY� EM DE.e'�'� 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.: 1027255 C! D . t e:� '2 1 Conti rL:%e% V 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 ofSection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_1 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) 777-712S FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/27/2017 Owner: CADO LA QUINTA.RETAIL 1545 FARADAY AVE CARLSBAD, CA 92?53 Contractor: REMAGINE CONS -RUCTION 42570 CHAMBERS AVE HEMET, CA 92544 (951)591-4537 Llc. No.: 1027255 WORKER'S COMPENSATIDN 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. 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: EXEMPT Policy Number: _ I certify that in the performance of tie 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 tha-, if I should become subject to the workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith comply with those provisions. es� 7 ��- Date:— l � r 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 ($100,00Q. 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 cancellztion. I certify that I have read this application and stage 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 purpcses. _ lid 7 igoatur" re -(Applicant c Agent): Application Number: • BCOM2017-0030 Property Address: 79255 HIGHWAY 111 STE 2 APN: 600340005 Application Description: HEALTHYSELF / 1,829SF OFFICE TI [VB/B-OCC/19-OL/SPRINKLED] Property Zoning: Application Valuation: $40,000.00 Applicant: MICHELLE RACHELL 78370 HIGHWAY 111 SUITE 130 LA QUINTA, CA 92253 Owner: CADO LA QUINTA RETAIL 1545 FARADAY A\.E CARLSBAD, CA 9253 Contractor: REMAGINE CONSTRUCTION 42570 CHAMBERS AVE HEMET, CA 92544 - Date:. 10/27/2017 (951)591-4537 Llc. No.: 1027255 --------------------------------------------------------------------------------------------- Detail: 1,829SF OFFICE TI/VB/B-OCC/19-OL/SPRINKLED [HEALTHY SELF] THIS PERMIT DOES NOT INCLUDE SHELL BUILDING ALTERATIONS OR BUILDING SIGNAGE. 2016 CALIFORNIA BUILDING CODES. i. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 1 $105.00 Total Paid for BLDG CITY STAFF - PER FOUR: $105.00 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION] BSA: $2.00 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: $207.53 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI 101-0000-22811 1 $614.00 Total Paid for FIRE COMMERCAL TI: $614.00 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 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: $130.00 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 $145.12 Total Paid for REMODEL: $366.69 DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $11.20 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $11.20 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $5.00 Bin. # Geo . City of. Qurnta Building a Safety Division P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 - (760) 777-7012 —0 Building Permit Application and Tracking Sheet Permit # Project Address: ` 5 W �`� le 2 Owner's Name:. ec, Q H- A. P. Number. Address: . Legal Description: City, ST, Zip: Contractor: Th G D?r� uGfi�y �o�e Telephone: a , > �; >•�%�ar:'>'x�,• :,,�, Address: �fwt �_ ^� Project Description: ,,�� ,/V//2Ld (e_ � 4-,.�' %ter roves City, ST, Zip: ZZo 99 kC&4(f2 cai cre-4e c u�hi t lu.�g Telephone: _ 7 - 3 8S 2 fg KgV,g f"€, '.� City Lic. #: ;Fr��c.� oQ wGl1 Bfactr'/ca dilN State Lic. #: q Q. -2 -7 Arch., Engr., Designer. � �t' � `�% �Q r � Address: �J D!' Lam City, ST, Zip: Telephone: �- Y State Lic. #: Construction Type: % _7. occ-up Project type (circle one): New Add'n Alter Repair Demo Sq. Ft-: # Stories:# Units: Name of Contact Person: Telephone # of Contact Petson:Estimated Value of Project (� , •Q d0 . �� APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal Req'd 'Ree'd TRACIQAIIG PERMTTFEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Eeposit. . Truss Coles• Called Contact Person Plan Check Ealance Title 24 Calci. Plans picked up Constractlom Flood plain plan Plans resubmitted.'. Mechanical Ginding plan V Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up MI. H.O.A. Approval Plans resubmitted Grading HOUSE:- 30 Review; ready for corrections/issue Developer Impact Fee Planning Approval Calf Contact Person A.I.P.P'. Pub. Wks. Appr Date of permit Issue School Fees Total Permi: Fees n G. V am ® dl ei.■ sr AUG 2 9 2017'.. CITY OF LA QUINTA COMMUNITY DEVELOPMENT C EsGil Corporation In Partnership with Government for oui(ding Safety DATE: 9/27/17 ❑ APPLICANT —Q-"J'JRIS. JURISDICTION: La Quinta ❑ FLAN REVIEWER ❑ FILE PLAN CHECK NO.: BCOM2017-0030 SET: I PROJECT ADDRESS: 79255 Highway 111 STE 2 PROJECT NAME: Structural Only for Healthy Self TI ® The plans transmitted herewith have been corrected where necessary and substantially comply with the structural portions of the jurisdiction's building codes. ❑ The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are: being held at EsGil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction,to forward to the applicant contact person. . ❑ The applicant's copy of the check list has been sent to: ® EsGil Corporation staff did not advise the applicant that the plan check has been completed. ❑ EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: Date contacted: (by: ) Email: Mail Telephone Fax In Person ❑ REMARKS: By: Tamara Fischer Enclosures: EsGil Corporation ❑ GA ❑ EJ ❑ MB ❑ PC 9/18/17 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 ri