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BCOM2018-000544. w 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 .,..:, DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: MYKON BUILDERS INC 671 E COOLEY DR #112 COLTON, CA 92324 BUILDING COMMERCIAL/REMODEL BCOM2018-0005 79795 HIGHWAY 111 600440010 COSTCO / RESTROOM FACILITY REMODEL $40,000.00 D "13552 CITYOFLAQUINTA COMMUNITY DEVELOPMENT DEPARTf iEt�T LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 892943 Date: $ d Con�or�� 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 fending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/5/2018 Owner: COSTCO WHOLESALE CORP 999 LAKE DR ISSAQUAH, WA 92253 Contractor: MYKON BUILDERS INC 671 E COOLEY DR #112 COLTON, CA 92324 (909)825-7010 Llc. No.: 892943 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 3700 of the Labor Code, for the performance of the work for which this permit is issued. 4 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 polity number are: Carrier: EVEREST NATIONAL INSURANCE COMPANY Polity Number: 7600017,692171 I certify that in the performance of the work for which this permit is issued, 1 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 Cod shall forthwith comply with those provisions. Date: — D 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND -ATTORNEY'S FEES. APPLICANT 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 hmless the City of La Quinta, its officers, agents, and employees for any act or omissi n 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter u on the above- mentioned property for inspection purposes. Date: , dt — — / a Signature (Applicant or Agent):fA�* �- - x 1 ,J Date: 2/5/2018 Application Number: BCOM2018-0005 Owner: Property Address: 79795 HIGHWAY 111 l COSTCO WHOLESALE CORP APN: 600440010 999 LAKE DR Application Description: COSTCO / RESTROOM FACILITY REMODEL ISSAQUAH, WA 92253 Property Zoning: Application Valuation: $40,000.00 Applicant:. Contractor:. MYKON BUILDERS INC MYKON BUILDERS INC 671 E COOLEY DR #112 671 E COOLEY DR #112 COLTON, CA 92324 COLTON, CA 92324 (909)825-7010 --------------------------------------------------------------------------------------------- Llc. No.: 892943 Detail: RESTROOM REMODEL AT MAIN CUSTOMER FACILITIES, REMOVE FIXTURES, PARTITIONS AND MATERIALS DOWN TO FRAMING AND REPLACE WITH NEW. FIXTURE FLOW RATES TO BE PER CALGREEN AND ACCESSIBLE CLEARANCES PER 11B. THIS PERMIT DOES NOT INCLUDE ALTERATION TO ROUGH MECHANICAL, ELECTRICAL OR PLUMBING INSTALLATIONS. 2016 CALIFORNIA BUILDING CODES. 1 FINANCIAL •R • • DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2:00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT OTHER ELECTRICAL EQUIPMENT PC 101-0000-42600 0 $26.01 Total Paid for ELECTRICAL: $52.02 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $39.01 Total Paid for MECHANICAL: $78.02 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: $26.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, £A ADDITIONAL 500 SF 101-0000-42400 0 $46.82 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $37.44 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: $282.43 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 ENHANCEMENT.FEE: $5.00 TOTALS:4. ' PERMIT # . - -- GEM qf,a, DES.Y.IM--— ---- -. New SFD Construction: &X157710 , � • Address: PLAN LOCATION: Project Address: ,�%�%S ` Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 1 ��lti. o� Z - C C ' �-.1-- � /��/ � �.1.(Q L %•F -h N v S I /J W /'a� C CEJ Applicant Name: VVI. ,(v U1 c�S v•S., l,W &S Address: 1 . �` _ iao�C t72. U2 �- City, ST, Zip: �L�,�� y'�3 -Z- ZTelephone: U L Telephone:C j'e�S) 3 [E,3 5--/ S-, cnA�Fire Sprinklers SF Email:2L , A ,/_ � 3 J/L� SL c r-) Ilk. Valuation of Project $ Contractor Name: 0A 4 - New SFD Construction: &X157710 , � • Address: L / 2 Conditioned Space SF City, St, Zip �LTa� # Units: 9 2 2 Garage SF Telephone: U g -25 Patio/Porch SF Email: U L _ ouT cnA�Fire Sprinklers SF State Lic: �2 y3 City Bus Lic: Arch/Eng Name: oN , cc Construction Type: �3 Occupancy: Address: Jsg V' ZA CP�c A Grading: y.f` 114- City, St, Zip (!��; �, N (� Z z y Construction Type: Occupancy: Telephone: Bedrooms: ][Stories: Email: # Units: Email: . State Lic: CityBus Lic: Property. Owner's Name: New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephoner Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # ; Submittal Req'd'Rec'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report 1 Grading Plan (PM 10) Landscape Plan t 1 Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License