BWFE2017-020478-495 CALLE TAMPICO
LA QUINTA, CALIFORNWS2253
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
1 6& Qumro
4 'm
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/SPECIAL/ENGINEERED DESIGN
B W FE2017-0204
79795 HIGHWAY 111
600440010
COSTCO / SITE SPECIFIC /230LF BLOCK WALL WEST OF GAS STATION
$25,000.00
A
OCT 2 4 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
f 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.: 892943
Date: ' 10 - Z `4 `-0;- (` Contrac_to
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 I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 10/24/2017
Owner:
COSTCO WHOLESALE CORP
999 LAKE DR
ISSAQUAH, W a 92253
Contractor:
MYKON BUILDERS INC
671 E COOLEY DR #112
COLTON, CA 92324
(909)825-701C-
Llc: No.: 892943
WORKER'S COMPENSATION DECLARATION
Thereby affirm under penalty of perjury dneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 300 of the Labor Code, for the performance
oft e w rk for which this permit is issued.
e and will maintain workers' =ompensation 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: EVEREST NATIONAL INSURANCE COMPANY Polity Number:
7600017692171
_ 1 certify that in the performance cIf 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 - hat, if I should become subject to the
workers' compensation provisions of Sectioc 3700 of the Laler� ode, I shall forthwith
comply with those provisions. �, r
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,,300). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKKOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building'Official for a permit subject to
the conditions .and restrictions set forth on Vois application.
1. Each person upon whose behalf this apoication 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, ani the applicant, each agrees to, and shall
defend, indemnify and hold harmless the CiYw of La Quinta, its'officers, agents, and
employees for any act or omission related t®the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app ocation 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 cancellati on.
I certify that I have read this application and ;tate 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 authorise representatives of this city to diZLYY p D t e above-
mentioned property for inspection purposes.
Da�-1 n' 2`i- IT"Signature (Applican-or-Agen
Date: + 10/24/2017
Application Number: BWFE2017-0204
Owner:
Property. Address;
COSTCO WHCLESALE CORP
APN: 600440010
999 LAKE DR
Application Description: COSTCO /SITE SPECIFIC /230LF BLOCK WALL WEST OF GAS STATION
ISSAQUAH, W4 92253
Property Zoning:
Application Valuation: $25,000.00
I
Applicant:
Contractor: I
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: 230 TOTAL LF (176 LF) OF 6' GARDEN WALL AND (57'4" LF) OF 2'10" HIGH BLOCK WALL [SITE SPECIFIC ENGINEERING (JONATHAN ZANE
ARCHITECTURE)] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING INHERE VISIBLE FROM OUTSIDE THE
PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM,
AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
R •
r
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$46.80 -
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$52.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$65.02
Total Paid for BLOCK WALL: $163.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
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
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEM =NT FEE:
$5.00
/ti
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City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
6L,1F6, V17-
Project Address: 7 7 : S
Owner's Name: nf `
Er J if
A.P. Number
Address:
Legal Description:
City, ST, Zip:
Contractor:M y KO 13 U Z'
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Telephone:
Address: 6 }/ -
E•66,VRV
PI -Z . SM 2
Project Description:
City, ST, Zip:
Ga -7,
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A j, r t (� o .0 1/t,.
Telephone:
(909) ctx-
_. _ _
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State Lic. #:
`ity Lic #:
2 �_ �o ,, l� µ'
Arch, Engn, Designer:
-r2 tI /�
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Address: /qN
95� • 1 A L" A A 'Z .
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City, ST, Zip: ` C .
92 7-1/-.
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Telephone: X09\ ADO
State Lic. pN (0
Construction Type:
Proj. Type New Add'n
Occupancy:
Altei Repair
Demo
Name of Contact: -PS &-g-
SgFt: `
#Stories
# Units:
Telephone of Contact:Estimated
S"3
Value of Projects 2S
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Ch ick Deposit:
Truss Calcs
Called Contact Person
Plan Ch,.ek Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Meehan -cal:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading,
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees '
Total Pe -mit Fees