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BDEM2018-000878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: C&Wr41wQal�rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT DEMOLITION/COMMERCIAL/OTHER BDEM2018-0008 46630 WASHINGTON ST 643020062 WASHINGTON PARK / INTERIOR DEMO OF EXISTING IMPROVEMENTS $48,000.00 Applicant: GREG BONANO / MONARCH HOMES DESERT DIVISION 79120 FOX RUN LA QUINTA, CA 92253 I BA nl,T 10 1.M CiTYOFLAQUINTA COMMIl�lifY OEVMPMENTMPAR7MEHT 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.: 457228 Date:C ntract , 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.). (_) 1, 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/10/2018 Owner: WASHINGTON 111 LTD 30240 RANCHO VIEJO ROAD #B SAN JUAN CAPISTRANO, CA 92253 Contractor: MONARCH HOMES DESERT DIVISION INC DBA DA 49-950 JEFFERSON ST #130-134 INDIO, CA 92201 (760)413-8863 Llc. No.: 457228 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 flew k for which this permit Is issued. �.. Ir�ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9045509 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. Date:•_ o ` 16, ,/ C r Applicant: /��,O___ WARNING: FAILURE TO SECURE WORKERS' COMP NSATION 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 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 upon the above -mentioned property for inspection purposes. Dat. nature (Applicant or f Date: 10/10/2018 Application Number: BDEM2018-0008 Property Address: 46630 WASHINGTON ST APN: 643020062 Application Description: WASHINGTON PARK / INTERIOR DEMO OF EXISTING IMPROVEMENTS Property Zoning: Application Valuation: $48,000.00 Applicant: GREG BONANO / MONARCH HOMES DESERT DIVISION INC DBA 79120 FOX RUN LA QUINTA, CA 92253 Owner: WASHINGTON 111 LTD 30240 RANCHO VIEJO ROAD #B SAN JUAN CAPISTRANO, CA 92253 Contractor: MONARCH HOMES DESERT DIVISION INC DBA DA 49-950JEFFERSON ST#130-134 INDIO, CA 92201 (760)413-8863 Llc. No.: 457228 Detail: INTERIOR DEMOLITION OF EXISTING TENANT IMPROVEMENTS ONLY. THIS PERMIT DOES NOT INCLUDE WORK, SUITE DEMISING WALL, REMOVAL OR ALTERATION OF EXISTING LATERAL RESISTING OR LOAD BEARING CONSTRUCTION, EXTERIOR DEMOLITION, OR BUILDING OCCUPANCY. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT DEMOLITION, INTERIOR 101-0000-42404 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT DEMOLITION, INTERIOR PC 101-0000-42600 0 $104.55 Total Paid for DEMOLITION: $143.56 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: David Jacobsen Building co. October 10, 2018 City of La Quinta Building Department 78-495 Calle Tampico La Quinta, CA 92253 RE: Permit Number BDEM2018-0008 46630 Washington Street La Quinta, CA 92253 As the contractor on this project I guarantee that work will not be performed outside of demolition, and that I understand that if any work beyond demolition will be assessed an investigation fee for work commenced without a permit equal to the permit fee for the proposed tenant improvements per the adopted building division fee schedule. DZJasen Contra or 49-950 Jefferson St. #130-134, Indio, CA 92201 760.413.8863 Fax 760.454.0355 Email davidpjacobsen@aol.com CSL457228 Project Address: 46630 Washington St., La Quinta APN #: Applicant Name: Gary Beutler Address: 80801 Via Pessaro City, ST, Zip: La Quinta, CA 92253 Telephone: 916-826-7777 Email: garyjbeutler(Mgmail.com PERMIT #��+:; PLAN LOCATION: C. Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech Demolition of 6,000 sq. ft. vacant space Valuation of Project $ $48,000 Contractor Name: New SFD Construction: Address: Monarch Homes Desert Division, Inc. D$A David Jacobsen Construction Conditioned Space SF City, St, Zip 79120 Fox Run La Quinta, CA 92253 Garage SF Telephone: 760-413-8863 Patio/Porch SF Email: davidpjacobsen@aol.com Fire Sprinklers SF State Lic: CityBus Lic: Arch/Eng Name: Designer Stracts Inc. Construction Type: Occupancy: Address: 550 S. Oleander Road JGrading. City, St, Zip Palm Springs, CA 92264 Telephone: 760-636-8951 Bedrooms: Stories: # Units: Email: anton stracts,com State Lic: City Bus Lic: Jack Tarr -Man in Property Owner's Name: Owner: Washington 111, Ltd New Commercial / Tenant Improvements: Address: _ 30240 Rancho Viejo Road #B Total Building Space Rented 6,000 SF City, ST, Zip San Juan Capistrano, CA 92675 Construction Type: Occupancy: Telephone: 949-795-1401 This is a demolition pegit onl. Email: . .. com 79495 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 Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License Building Permit Number: ?�"9y Project Description: Tenant Demo/improvementExempt: O (Materials may contain hazardous wastes and are not subject to re tin°Construction Debris Management Plan g provisions) Plan Submittal Date 9/27/2018 Job Site Address l 46630 Washington St Owner s Name Jack Tarr Number, Street, or Po Box 46630 Washington St City, state, Postal Code La Qluinta, CA. 92253 Owner's Phone Number 949-795-1401 Owner's E-Mail Address Project Manager's Name David Jacobsen Project Manager's Phone Number 413-8863 Project Manager's E-mail Address do r banano mail.com Builder/ Contractor David Jacobsen Number, Street or PO Box 49950 Jefferson St #130 City, State, Postal Code Indio, CA. 92201 Project Square Footagel Approx. 5,760 sq ft City Approval By renado Gouldlock-DEC1surrtec Waste Date of City Approval Z To Be Discarded: Product Trash Asphalt Brick/Block Cardboard Commingled Concrete Drywall Donated / Reuse" "Describe Items Tons A4501Not recyclable Recyclable Recyclable Recyclable 0.00 Recyclable 2.75 Recyclable 0.00 RecvclablA Totals: Recycle Trash $.5 4.5 Product Tons Masonry (broken)N3.25 Plaster Scrap MetalTile (floor)Tile (root)WoodLandscape Debris Projected Diversion: 66.389� 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 I h a I completion, implementatlon and adherence of the Debris Management Plan (DMP) for the above named project shaft guarantee Ihat at least 65% of the jobsite waste Is diverted from landfilling. The remaining material will be recycled or reused. ) will divert, for recycling of 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 owners) and shall remain their property throughout the construction andlor 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 owners) and the owner retains legal responsibility for ensuring that the provisfons of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthty reports. If self -hauling, all refuse material from this project site must be taken to an approved recycle or transfer Owner) Developer 1 Project Manager) Superfntendant Date YY H 0 < U U). 00 0 N 0 C7) CD Zso is iissil--, 'AyyK L 0 f z2 A --- s7 r ------- 4-1 F- 7 TV 10 1 pmX sm TisiT. �- cq 7 s"T- i 41 2t2 'ton jj REMOVE EXISTING /�' A's e—, -T i FL :2-0s:-- en---- --- REMOVE EXISTING WALLS 1E EXISTIN6 Ll:sl �-A e"N" &'x4' -- --1 11 'IT - Is i '10 15 t if A -0r)K /,—/ ly ff p /t / V-- /,—/ / */ REMOVE EXISTI SUESTROOM�< REMOVE EXISTING RE5TROOMS////A REMOVE EXISTING HALL 5 /////, X///-- MOVE EXISTING ILIN6/ REMOVE EX15TIN& ViALL�74/11-1 9 REMOVE EXISTING A A L L 5 /— /-/ / V/v // Z/ 0 71 A j ANN ow —984M I AIX AM — I is v REMOVE EXISTING I r1s, Ass OEILIN& REMOVE EXISTING FLOCRIN6L—z / x//244 Ilk J� ssssss-� —W r r, fir i 44- —!fj 4 41 r. , 3"'l f A s is :issisI, ouji--- sk, VE 6E\,- i lix "`11 z\ ry --D,- P, A Sim lk r v is it Lail j lit, L Is, Is— - i LP -7� X I 1A s if s t tl 11 11 t L AREA I Al , va, p rs I� Noe 0-- Is' V) is, AREA OF BUILIN& REA TO L IL � DEMELITION REMAIN_ 3 T1, (/A T -TIC - r I LLJ r '—NEA DEM15IN6 AALL\- IR E L it ri —J 5. f fr Jol� 13 REMOVE EXISTING 9 A FLOORIN& r17V, /7 so Ilk J PU� r it w L i1W L -on -y Ile Is Av r LJL 12 01 L f <E CQ REMOVE EXISTING L ' A R ECEILINO < YU REMOVE EXISTING FLOORIN,6, ]ED. MOW rsi f i i it A I L Nll IT' ell, G D Y zi i)T<� iv 7 — F Y 4 A om A 4� Tit k J. d -4 V fl N H i it US R E I V E u DEMOLITION PLAN50ALE, 1/4" 1'-0" 1 OCT 0 1 2018 CITY OF LA QUINTA COMMUNM DEVELOPMENT lt T Oka LL 1at CITY OF-LkQUI CODE" COMPLIANCE DATE BY WA-0 -*F Arl- 81 61 41 21 01 N (D 0 IL < >j r d O- cz M m :E cy) (D 0 (6 cz z 0 OZ W LU Dye xz x z X LU X Z LU x Lu T 81 PLOT; 11/21/201e5 2:1 FM FILE: DEMO