BDEM2015-000778-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/24/2015
Application Number:
BDEM2015-0007
Owner:
Property Address:
79315 HIGHWAY 111
LA QUINTA TOUR13M LP
APN:
600020029
74399 HIGHWAY _11 SUITE D
Application Description:
DEMOLITION OF INTERIOR NON BEARING PARTIONS
PALM DESERT, CA:92260 z
Property Zoning:
z
Application Valuation:
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Applicant:
Contractor:
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REX ABARRATE
REX ABARRATEINZ`goL
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BOX 223
BOX 223wt
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LA QUINTA, CA 92253
THOUSAND PALMS, CA 922T6C�''
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(760)343-6968
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Llc. No.: 595320
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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.: 595320.E
Date: �Z Lt /r 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
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 370CII of the Labor Code, for the performance
of r r for which this permit is issued.
II 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: _ Policy Number: _
I certify that in the performance of she work for which this permit is issued, I
shall not employ any person in any manner so ss 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 pro/visions.
D ate:X —�
AT -f Applicarf
WARNING: FAILURE TO SECURE WORKERS' COLAPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on thi= application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to t1e work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of Issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this cit o enter upon the
above-mentioned property for inspection purposes.
Date-,. _Signature (ApplicantorAgent):
'0'
FINANCIAL
r t DE SCRIPTION � ,h &b$ t'ACCOUNT
•• MATION
i QTY rx
'AMOUNT''"'
PAID `' ,
tPAID DATE;
DEMOLITION, INTERIOR
101-0000-42404
0
$652.68
$0.00
a , • PAID BYE 8 ' `` r`,,: METHOD ': h ` , ',`RECEIPT # g r:� '
;r• �' ti'
'CHECK # `,
' CLTD BY
w, DESCRIPTION __ �'r €°
ACCOUNT ' 'QTY
? AMOUNT
= PAID4, - ;@
PAID DATE;
DEMOLITION, INTERIOR PC
101-0000-42600
0
$1,749.06
$0.00
,PAID'$Y <> Q"` V$ 4 METHOD
;. dY'
`�RECEIPT #' rt
.,
r
E "
CHECK #,y��
r --LTD
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Total Paid for DEMOLITION:
TOTALS:00
$2,401.74
$0.00
I
n
,
Description: DEMOLITION OF INTERIOR NON BEARING PARTIONS
Type: DEMOLITION
Subtype: COMMERCIAL/OTHER Status: APPROVED
Applied: 9/24/2015 BHA
Approved: 9/24/2015 BHA
Parcel No: 600020029 Site Address: 79315 HIGHWAY 111 LA QUINTA,CA 92253
Subdivision: PM 33588
Block: Lot: 3
Issued:
Lot Sq Ft: 0
Building Sq. Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
LA QUINTA
Details: DEMOLITION OF INTERIOR PARTITIONS PER PLANS. INCLUDES CONCRETE EQUIPMENT CURBS AND CAP OFF OF EXISTING
ELECTRICAL. 2013 CODES
(760)808-2282
CONTRACTOR
• I 'V 4 i. �. i I' " ... � � i - - _
i
-
.., CbNDITIONS ..
Printed: Thursday, September 24, 2015 2:09:47 PM 1 of 2
SYSTEib1S
CONTACTS
NAME TYPE'.
NAME
`ADDRESSi
» . CITY
=STATE
`ZIP
PHONE efAX EMAIL'
APPLICANT
REX ABARRATE
BOX 223
LA QUINTA
CA
92253
(760)808-2282
CONTRACTOR
REX ABARRATE INC
BOX 223
THOUSAND
CA
92276
(760)808-2282
PALMS
01NNIFR
FSUITED
LA QUINTI TOURISM LP
71399 HIGHWAY 111
PALM DESERT
CA
9Z2G0
(760)808=2282
.
Printed: Thursday, September 24, 2015 2:09:47 PM 1 of 2
SYSTEib1S
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DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID DATE
#
CHECK #Y ,
METHOD
PAID BY
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,
=
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_RECEIPT
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DEMOLITION, INTERIOR
101-0000-42600
0
$0.00
.$1,749.06
Total Paid for DEMOLITION: $2,401.74 $0.00
..+.. 00
INSPECT.
IONS
RETURNED,. ' STATUS= REMARKS
REVIEW TYPE`:,' REVIEWER SENT DATE. .DUE DATE., NOTES
DATE;
1ST BLDG NS (1 WK) BURT 9/24/201S 9/24/2015 9/24/2015 APPROVED
HANADA
BOND INFORMATION _
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Printed: Thursday, September 24, 2015 2:09:47 PM 2 of 2
srs7enns
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ABAR RATE;
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# , City of La Quinta
Building 8i: Safety Division
Permit #I 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
j1N� L.D - f3C� Building Permit Application and Tracking Sheet
Project Address:
Owner's Name: .L X Q U I O N TA.lAR 1.S M L'
A. P. Number:
Address: H 1 6 "WA �' Sq 1 T
Legal Description:
City, ST, Zip: �tal ii1 1348 /• 2 o
Contractor:E' 66-4rr 4 e
Telephone: oo Z �
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Address:
Pro{jee�ct Description:
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City, ST, Zip: v o Wit �r
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TeleP h n
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State Lie. # : S (�
City Lie,#.`j h�>::
Arch., Engr., Designer:
Address:
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City, ST, Zip:
Telephone:
le one:
P
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Costru t'
c ton Type: O ecu c Y:
P �
Lie. #:
Project type (circle one):: New Add'n t erReP -0
Repair
Name of Contact Person:
�(�Ir
.D
s
#q. Units:
Telephone # of Contact Person: ih
`i 3 ^ cOq&1,
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PSRM1T FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for-corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jr0 Review, ready for correctionsrassue
Developer Impzct Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
---------------------
Total Permit Fees