BCOM2016-0056 Revision 278-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BCOM2016-0056
Property Address: 79485 HIGHWAY 111 STE 9
APN: 600020027
Application Description: MASSAGE ENVY/ INTERIOR T.I.
Property Zoning:
Application. Valuation: $184,000.00 �—
Applicant:
RAMON ALVARADO
13389 MOUNTAIN VIEW RD
DESERT HOT SPINGS, CA 92240
AUG 2 2 2017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.: 969828
ontractorl 1 e�
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 bf 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 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
VDate: 8/22/2017
Owner:
RABO BANK
74760 HIGHWAY 111 STE 200
INDIAN WELLS, CA 92253
Contractor:
BETTER BUILT INC
1050 NORTH "ALM CANYON DRIVE
PALM SPRINGS, CA 92262
(760)864-7364
Llc. No.: 969828
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 3 700 of the Labor Code, for the performance
ole orrk 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 pe6ormance of the work for which this permit is
issued. My workers' compensation insuran-e carrier and policy number are:
Carrier: MIDWEST EMPLOYERS CASUALTY OOMPANY Policy Number:
BNUWC0133053
_ 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.
nata7-Z?—r.-7Anima nll�ant
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 ACKAOWLEDGEMENT .
IMPORTANT: Application is hereby made tc the Building Official for a permit subject to
the conditions and restrictions set forth on ibis 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 Ciy 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 orlinances 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: ��! 7�_signature (Applicart-or Agent):
•
Date: 8/22/2017
Application Number: BCOM2016-0056
Owner:
Property Address: 79485 HIGHWAY 111 STE 9
RABO BANK
APN: 600020027
74760 HIGHWAY 111 STE 200
Application Description: MASSAGE ENVY/ INTERIOR-T.I.
INDIAN WELLS, CA 92253
Property Zoning:
Application Valuation: $184,000.00
Applicant:
Contractor:
RAMON ALVARADO
BETTER BUILT INC
13389 MOUNTAIN VIEW RD
1050 NORTH ?ALM CANYON DRIVE
DESERT HOT SPINGS, CA 92240
PALM SPRINGS; CA 92262
(760)864-7364
Llc. No.: 96982-8
Detail: TENANT IMPROVEMRNT CONSTRUCT, DEMO SOME EXISTING WALLS ADD NEW WALLS, NEW LIGHTING, ADD NEW SINKS IN MASSAGE ROOMS
AND MECH LAYOUT, PER 2013 CBC
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FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
RE -INSPECTION FEE
101-0000-42400 1 $76.00
Total Paid for ADMINISTRATIVE: $76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
0.75
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
1.5
$228.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
0.25
$38.00
-DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
0.25
$38.00
Total Paid for BLDG CITY STAFF - PER HOUR: $418.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$8.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST2,000SF
101-0000-42403.
0
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$88.16
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: ' $96.27
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$88.69
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$88.69
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$88:69
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTUREITRAP PC
101-0000-42600
0
$88.69
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12:67 .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
•0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES: $445.98
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
• 101-0000-20308
0
$51.52
Total Paid for STRONG MOTION INSTRUMENTA710N SMI: $51.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $1,320.67
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