BCOM2018-002878-495 CALLE TAMPICO ` D "
0 VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/28/2018
Permit Type/Subtype:
BUILDING COMMERCIAL/REMODEL
Owner:
Application Number:
BCOM2018-0028
STATER BROS MARKETS
Property Address:
78630 HIGHWAY 111
21700 BARTON RD
APN:
604050031
COLTON, CA 92253
Application Description:
STATER BROS / INTERIOR REMODEL W/SITE ACCESSIBILITY UPGRADES
Property Zoning:
Application Valuation:
$375,000.00
Applicant:
RMCA ARCHITECTS
1541 WILLSHIRE BLVD STE 110
LOS ANGELES, CA 92253
OCT 01 2018
6CITY0FLAWNTA "
04MMl_IN ITY OEYEVMENT0EFA9MENT
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: Bf License No.: 444461
Dater l 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 Name:
Lender's Address:
Contractor:
STATER BROS DEVELOPMENT INC
PO BOX 150
SAN BERNARDINO, CA 92402
(909)733-5005
Llc. No.: 444461
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
oft gwork for which this permit is issued.
L{ 1 1 have and will maintain workers' compensation insurance, as required by
5ectron 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: PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFOR Policy
Number: 72WNS11907
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. /`�'l //r7
Date: l0'_1 _/ V Applicant: 6-wl e ' ` q,`e,,f
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 harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
fallowing 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 upon the
above -mentioned property for inspection purposes. /
{late: _ LQ �� Signature (Applicairl or Agent):
Date,"" 9/2-9/2018
Application Number:
BCOM2018-0028
Owner:
Property Address:
78630 HIGHWAY 111
STATER BROS MARKETS
APN:
604050031
21700 BARTON RD
Application Description:
STATER BROS / INTERIOR REMODEL W/SITE ACCESSIBILITY UPGRADES
COLTON, CA 92253
Property Zoning:
Application Valuation:
$375,000.00
Applicant: Contractor:
RMCA ARCHITECTS STATER BROS DEVELOPMENT INC
1541 WILLSHIRE BLVD STE 110 PO BOX 150
LOS ANGELES, CA 92253 SAN BERNARDINO, CA 92402
(909)733-5005
i Uc. No.: 444461
----------------------------------
Detail: INTERIOR REMODEL THROUGHOUT MARKET WITH EXTERIOR SITE ACCESSIBILITY IMPROVEMENTS. THIS PERMIT DOES NOT INCLUDE ADDITIONAL
SQUARE FOOTAGE OR ALTERATION TO EXISTING OCCUPANCY AND OCCUPANT LOADS. 2016 CALIFORNIA BUILDING CODE.
DESCRIPTION ACCOUNT QTY AMOUNT
ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 1 0 $1,375.00
Total Paid for ART IN PUBLIC PLACES - AIPP: $1,375.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($125.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER
101-0000-42600
5
$125.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER
101-0000-42600
0
$475.00
Total Paid for BLDG CITY STAFF - PER HOUR: $475.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$15.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $15.00
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
NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$156.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF, PC
101-0000-42600
0
$41.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
101-0000-42403
0
$117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$90.50
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $405.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIALTI
101-0000-42421
0
$156.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIALTI PC
101-0000-42420
0
$234.00
Total Paid for FIRE FEES: $390.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
AIR HANDLER
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
AIR HANDLER PC
101-0000-42600
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$52.02
DESCRIPTION
ACCOUNT
CITY
ANROUNT
EVAPORATIVE COOLER
101-0000-42402
0
$26.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EVAPORATIVE COOLER PC
101-0000-42600
0
$26.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$26.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$10.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN
101-0000-42402
0
$65.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN PC
101-0000-42600
0
$26.00
Total Paid for MECHANICAL: $361.45
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$780.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$780.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.80
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$13.00
Total Paid for PLUMBING FEES: $1,671.82
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$444.79
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$355.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100 SF 101-0000-42400 0 $53.05
DESCRIPTION
REMODEL, FIRST 500 SF PC
DESCRIPTION
SMI - COMMERCIAL
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT QTY
101-0000-42600 0
Total Paid for REMODEL:
ACCOUNT QTY
101-0000-20308 0
Total Paid for STRONG MOTION INSTRUMENTATION SMI:
ACCOUNT QTY
502-0000-43611 0
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
AMOUNT
$145.12
$998.64
AMOUNT
$105.00
$105.00
AMOUNT
$5.00
$5.00
ta opk,Q"KrrvDi"N't'Al - op"
Project Address: 78630 Highway 111, La Quinta, CA 92253
APN #: 604-050-031
Applicant Name: Jesse Lara
Address: 1541 Wilshire Blvd, Suite 110
City, ST, Zip: Los Angeles, CA 90017
Telephone: (213) 483-0530
Email: jlara@rmcaarchitects.com
Property Owner's Name: Stater Bros. Markets
Address: 301 Tippecanoe Avenue
City, ST, Zip San Bernardino, CA 92408
Telephone: (909) 733-5005
Email: Heriberto.Garcia@staterbros.com
PERMIT #
or
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Grocery store remodel
Lf:Mf, rye 1 1)(-> I i .
G./
Valuation of Project $ 375,000
New Commercial / Tenant Improvements:
Total Building 42,630 SF
Construction Type: III-B Occupancy: M
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
P-00 ,
�• � dr
OFFICE USE ONLY
# 1 Submittal I Rec'd Rec'd
Plan Sets
Structural Cates
Truss Calcs
Title 24 Cates
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtee Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
Plan Submittal
Building Permit Number: BCOM2018-0028
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
7/31 /2018
Job Site Address 1 78630 Hwy 111 La Quinta, Ca 92253
Owner's Name Stater Bros. Markets
Number, Street, or PO Box 301 S. Tippecanoe Avenue
City, State, Postal Code San Bernardino, CA 92408
Owner's Phone Number (909)733-5298
Owner's E-Mail Address die. mia
Project Manager's Namel Eddie Garcia
Project Manager's Phone Number (951) 203-6672
Project Manager's E-mail Addressl eddie,garcia@staterb.ros.com
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage[
City Approval By
Date of City Approval
Materials To Be Discarded
Stater Bros. Development, Inc.
301 S. Tippecanoe Avenue
San Bernardino, CA 92408
3,200
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse*
*Describe Items
Tons
Not recyclable Product
Recyclable Masonry (broken)
Recyclable Plaster
Recyclable Scrap Metal
Recyclable Tile (floor)
Recyclable Tile (roof)
Recyclable Wood
Recyclable Landscape Debris
Tons
Recyclable
Recyclable
Recyclable
Recyclable
Recyclable
Recyclable
Recyclable
4.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
12.00
0.00
0.00
0.00
0.00
0.00
Totals: Recycle Trash
12.0 1 4.01
Projected Diversion:
75.00%
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted
from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials
generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is
issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition
project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the
name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are
adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly
reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station.
9/29/2018
Owner / Developer / Project Manager / Superintendant Date
September 27, 2018
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92253
RE: Stater Bros. Market #128 La Quinta
78-630 U.S. Highway 111
La Quinta, CA 92253
To whom it may concern:
This letter is to serve as authorization for Heriberto (Eddie) Garcia, Project Manager, to
act on behalf of Stater Bros. Development, Inc. in obtaining any required permits
associated with the above referenced project.
Please contact my office at 909-733-5277 should have any questions or need further
assistance.
Sincerely,
STATER BROS. DEVELOPMENT, INC.
Scott Limb -her
Vice President Const/Maint
SL/da
V/
EsGil
A SAFEbuitt"Company
DATE: SEPT. 18, 2018 ❑ APPLICANT
❑ JURIS.
JURISDICTION: LA QUINTA
PLAN CHECK #.: BCOM2018-0028 SET: II
PROJECT ADDRESS: 78630 HIGHWAY 111
PROJECT NAME: STATER BROS. STORE #128 REMODEL
❑ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
® The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to-
® EsGil staff did not advise the applicant that the plan check has been completed.
❑ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted
Mail Telephone
(by l.V ) Email:
Fax In Person
® REMARKS: On detail 18/ST1, specify 2x10 framing is at 16"o.c., instead of 8'o.c. spacing, as noted.
This is a structural review only, as per the building official's instructions.
By: ALI SADRE, S.E.
EsGil
9/11
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576