BCOM2016-004678-495 CALLE TAMPICO, Twit
D 4 0"' VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
✓ Date: 1/11/2017
Application Number: BCOM2016-0046Q Owner:
Property Address: 79660 HIGHWAY 111 STE 103 Q UNES BUSINESS FARK
APN: 600030016 D 0 BOX 1216
Application Description: PALM TREE PALACE T.I. JAN 11
2017 ERMOSA BEACH, ZA 92253
Property Zoning:
Application Valuation: $90,000.00
CITY OF LA QUINTA
Applicant: DESIGN AND DEVELOPMENT DEPARTMENTFE�Ix BROTHERS CDNSTRUCTION COMPANY
BING ZHANG
1030 THIRD ST
CALEXICO, CA 92231
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. C36 License No.: 366032
Date:- I Contractor: rLC L 1 � DC7 '.S •ey i�(i i
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).:
(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 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 Address:
(760)469-0548
Llc. No.: 366032
WORKER'S COMPENSATI DN DECLARATION
I hereby affirm under penalty of perjury one of :he following declarations:
I have and will maintain a certificateof 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 the work for which this permit is issued, I
shall not employ any person in any manner so ;;s 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 3100 of the Labor Code, I shall forthwith
comply with those provisions.
1 � o
vara• ?i/- /l - % _nnnfi� nt;�J i� / �O•- 11'e -'e.2
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 FOP 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 appli:ation 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 tie 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 cance3lation.
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 city to enter upon the
above-mentioned property for inspection purposes.
Date:'J � (5'ignatur` e( pplican or Agent)•
0
Date: 1/11/2017
Application Number:
BCOM2016-0046
Owner:
Property Address:
79660 HIGHWAY 111 STE 103
DUNES BUSINESS PARK
APN:
600030016
P 0 BOX 1216
Application Description:
PALM TREE PALACE T.I.
HERMOSA BEACH, CA 92253
Property Zoning: "
' Application Valuation:
$90,000.00
Applicant:
Contractor:
BING ZHANG
FELIX BROTHERS CONSTRUCTION COMPANY
1030 THIRD ST
CALEXICO, CA 92231
(760)469-0548
Llc. No.: 366032
Detail: REPLACE NEW HVAC, RESTROOM, CEILING, PLUMBING, ELECTRICAL, KITCHEN EQUIPMENT PER 2013 CALIFORNIA BUILDING CODE
FINANCIAL .1.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF, PC
101-0000-42600
0
$10.13
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
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 CONSTRUC710N: $250.29
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$75.99
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EVAPORATIVE COOLER
101-0000-42402
0
$38.01
DESCRIPTION
ACCOUNT
QTY
..AMOUNT
EVAPORATIVE COOLER PC
101-0000-42600
0
$38.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$38.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$15.21
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$114.00.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$75.99
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$25.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$10.14
Total Paid for MECHANICAL: $544.70
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP .
101-0000-42401
0
$202.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Permit Number: BCOM2016-0046
Description: PALM TREE PALACE T.I.
/0
Applied: 9/29/2016 Approved:
Site Address: 79660 HIGHWAY 111 STE 103
Issued: Finaled:
City, State Zip Code: LA QUINTA, CA 92"a53
Status: UNDER REVIEW
Applicant: BING ZHANG
Parent Permit:.
Owner: DUNES BUSINESS PARK
Parent Project:
Contractor: TBD
Details:
REPLACE NEW HVAC, RESTROOM, CEILING, PLUMBING,
ELECTRICAL, KITCHEN EQUIPMENT PER 2013 CALIFORNIA BUILDING CODE
LIST OF REVIEWS
. RETURNED `.
`,
SENT DATE`" DUE DATE
TYPE;
CONTACT S-ATUS- REMARKS .r
- DATE
t.
Review Group: AUTO
9/29/2016
10/13/2016
1ST BLDG NS (2 WK)
BUILDING BUCKET
Notes
y
9/29/2016
10/13/2016
1ST PLANNING (2 WK)
PLANNING BUCKET
Notes: , °. ;: i{
Printed: Thursday, 29 September, 2016 1 of 1 sysreMs