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BCOM2018-003478-495 CALLE TAMPICO T4'vl D 41� a" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING COMMERCIAL/ADDITION Application Number: BCOM2018-0034 Property Address: 79795 HIGHWAY 111 APN: 600440010 Application Description: COSTCO / TENANT IMPROVEMENT Property Zoning: Application Valuation: $115,000.00 Applicant: SLAYDEN, MICHELLE P 1111 SARTORI AVE0 TORRANCE, CA 90501 MAR 14 2019 CITY OF LAQUINTA DESIGN & DEVELOPMENT DEPARTMENT 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: -8-- License No.: 956045 Date:-0 J " H-1 "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.). (_) 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-71S3 Date: 3/14/2019 Owner: COSTCO WHOLESALE CORP 999 LAKE DR ISSAQUAH, WA 92253 Contractor: C T S MECHANICAL INC 5171 EDISON AVE SUITE A CHINO, CA 91710 (909)465-6361 Llc. No.: 956045 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 the work For which this permit Is issued. AZI I have and will maintain workers' compensation insurance, as required by Sect on 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 ATI Policy Number: 7600016353 _ 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. ra Date: C./ — >�—� 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 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. Date: !�! Signature (Applicant or Agent): Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SLAYDEN, MICHELLE 1111 SARTORI AVE TORRANCE, CA 90501 BCOM2018-0034 79795 HIGHWAY 111 600440010 COSTCO / TENANT IMPROVEMENT $115,000.00 Owner: COSTCO WHOLESALE CORP 999 LAKE DR ISSAQUAH, WA 92253 Contractor: C T S MECHANICAL INC 5171 EDISON AVE SUITE A CHINO, CA 91710 Date: 3/14/20:9 ...1 (909)465-6361 i Lic. No.: 956045 ----------------------------------------- - ------- -------------------------------- Detail: INSTALLATION OF A NEW WALK-IN COOLER AND ASSOCIATE MECHANICAL,ELECTRICAL-AND PLUMBING, WITH RELOCATION OF COMPACTOR. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION • • ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 1 $160.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1.5 $187.50 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW 101-0000-42600 1 $125.00 Total Paid for BLDG CITY STAFF - PER HOUR: $472.50 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $5.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $41.60 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $10.40 Total Paid for ELECTRICAL: $104.02 DESCRIPTION ACCOUNT QTY AMOUNT FIRE NEW COMMERCIAL PC 101-0000-42420 0 $468.00 Total Paid for FIRE FEES: $468.00 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($43.34) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($117.03) DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $117.03 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $43.34 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $73.69 Total Paid for MECHANICAL: $73.69 DESCRIPTION ACCOUNT CITY AMOUNT PLAN CHECK DEPOSIT - COMMERCIAL 101-0000-42600 1 $500.00 Total Paid for PLAN CHECK DEPOSIT - COMMERCIAL: $500.00 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($20.00) DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($145.12) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($53.05) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($37.44) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($46.82) DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $46.82 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $37.44 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $53.05 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $145.12 Total Paid for REMODEL: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($32.20) DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $32.20 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($5.00) DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $0.00 �+� za *GSA PERMIT # 6Cv I t' /� / � v VJ PLAN LOCATION: Project Address: ,-C�� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: � ' Applicant Name:a(W VAC/ 1 Address: 1`�� City, ST, Zip: Telephone: 6kc) Email: Valuation of Project $ Contractor Name: --MI New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: —� 1�--V\ Ux. Construction Type: Occupancy: Address: ` Grading: City, St, Zip �U\ Telephone: �� U Bedrooms: Stories: # Units: Email: State Lic: C. 21 C�`Zj City Bus Lic: �$ 1 Property Owner's Name:Now Commere: 1 / Tenant Improvements: Address:' C�"l � Total Building `LA9 1 W4 U- SF City, ST, Zip \bS W- Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd Ree'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 ta Qw�fra PERMIT #bcomlcf�-C?C3q PLAN LOCATION: Project Address: .. 7 �� l 5 �� _ 1 1 Project Description: APN #: 7 V 11 Applicant Name: Aw4-kS Address: S n ( F4,r-5 a,i City, ST, Zip: C_ �o CA qr7lc Telephone: D Rc Email: Valuation of Project $ Contractor Name: C-T5 MkC,,A n,^� New SFD Construction: Address: k 0S,5 0)-> A Conditioned Space SF City, St, Zip C �-t SNU CA qC7 LO Garage SF Telephone: C6 p 6 5 Patio/Porch 5F Email: C45 y„Ae-v-k raw Fire Sprinklers SF State Lic: (7S6 Cry S City Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: C05TC-0 New Commercial / Tenant Improvements: Address: M z 0(L Total Building SF City, ST, Zip ZS ►jouak4 I b -� Construction Type: Occupancy: Telephone: LUS - 313 Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received 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 County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. BOX 7909 • RIVERSIDE, CA 92513-7909 STEVE VAN STOCKUM, DIRECTOR FOOD ESTABLISHMENT PLAN APPROVAL NOTICE Plan Check # 42820 Project Name Costco #638 Plans Submitted by Michelle Slaveden Date 9/24/18 Address 79795 Highway 111, La Quinta Phone 310-781- 8250x3 Owner Costco Wholesale Address 999 Lake Drive, Issaguah WA Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet. This approval is for the addition a new dairy walk-in. No other items are approve under this review. 1. The walk-in to have approved finishes, verified at inspection. 2. The walk-in must be able to hold dairy products in original sealed containers at a minimum 45 de rees Fahrenheit and all other items at 41 degrees. 3. The walk In condensate must drain into the existing evap system. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS CHECKED BY Tracey Ford Phone 760-863-8287 1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature Date Company Name Corona Hemet Indio Murrieta Palm Springs Riverside -west Riverside -East 2275 S. Main St #204 800 S. Sanderson #200 47-950 Arabia St "A" 38740 Sky Canyon Dr. 544 S. Paseo Dorotea 4065 County Circle 3880 Lemon St. Corona, Ca 92882 Hemet, Ca 92545 Indio, Ca 92201 Murrieta, Ca 92563 Palm Springs, Ca Riverside, Ca 92503 Riverside, Ca 92501 (951) 273-9140 (951)766-2824 (760) 863-8287 (951) 461-0284 92264 (951) 358-5172 (951) 955-8982 760-320-1048 Office Locations a Blythe * Corona a Hemet • Indio o Murrieta a Palm Springs + Riverside Phone (888)722-4234