BCOM2018-0008��•78-495 CALLF:TAMPJCO 4.4 : � aw
LA QUINTA, CALIFORNIA 92253 DESIGN.& DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
STUDIO E ARCHITECTS
• 2258 FIRST AVENUE
SAN DIEGO, CA 92101
BUILDING COMMERCIAL/OTHER NON-RESIDENTIAL
BCOM2018-0008
42800 WASHINGTON ST
609040007
WSA PHASE 1 / 2,567SF COMMONS BUILDING/VB/B, A-3/96-OL/SP
$197,716.70
DQ Contractor:
SUN COUNTRY BUILDERS INC DBA SUN COUNTRY
JUN •2 7 2018 V STA CIA 92084 R DRIVE #204 -
DESIGN.& CITY
I Y OF'LA NUINTA (760)630-8042
DEPARTMENT Llc. No.: 446341
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/27/2019
Owner:
REDEVELOPMENT AGENCY CITY OF
P0BOX 1504
LA QUINTA, CA 92203
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9
I hereby affirm under penalty of perjury one of the following declarations:
{commencing with Section 7000) of Division 3 of the Business and Professions Code, and
_ I have and will maintain a certificate of consent to self -insure for workers'
mylicense is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B. C-5, C-8 License No.: 446341
of the rk for which this permit is issued. '
q p
Whave and will maintain workers' compensation insurance, as required by
Contractor.
Section 3700 of the Labor Code, for the performance of the work for which this permit is
iU
issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUJ R DECLARATI N.
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9039194
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree that, if I should become subject to the.
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the Labor Code,'1 shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
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 t
Eat. O� t,�1 AP-P cant:
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).:
WARNING: FAILURE TO SECURE'WORK COMP A ON COVERAGE 15 UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale..
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. tf, however, the building or improvement is sold
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.):
the conditions and restrictions set forth on this application.
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application, the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractors) licensed pursuant to the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. B.&P.C. for this reason
following issuance of this permit.
2. Any permit issued as a result ofthis application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
Date: Owner:
for 180 days will subject permit to cancellation.
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 Na
Lender's Address:
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 ci y to enter upon the above -
mentioned property for inspection purposes.
Date: 6/27/2018
Application Number: BCOM2018-0008
Owner:
Property Address: 42800 WASHINGTON ST
REDEVELOPMENT AGENCY CITY OF
APN: 609040007 -
P O BOX 1504
Application Description: WSA PHASE 1 / 2,5675F COMMONS BUILDING/VB/B, A-3/96-OL/SP
LA QUINTA, CA 92203-
Property'Zoning:
Application Valuation: $197,716.70
Applicant:
Contractor:
STUDIO E ARCHITECTS
SUN COUNTRY BUILDERS INC DBA SUN COUNTRY
I
2258 FIRSTAVENUE
138 CIVIC CENTER DRIVE #204
SAN DIEGO, CA 92101
VISTA, CA 92084
(760)630-8042 l
Llc. No.: 446341 ,
-----------------
Detail: 2,567SF RECREATIONAL COMMONS BUILDING [VB/B, A-3/96-0L/SPRINKLERED/BUILDING: COMMONS/OFFICE/FITNESS] THIS PERMIT DOES NOT
INCLUDE'SITE WALLS, SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES. 2016 CALIFORNIA BUILDING CODE.
,•-.r:a•DESCRI-RTION
ACCOUNT CITY AMOUNT
ART IN PUBLIC PLACES - COMMERCIAL
270-0000-43201 0 $988.58
Total Paid for ART IN PUBLIC PLACES - AIPP: $988.58
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$8.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DIF -'CIVIC CENTER
252-0000-43200
0
$957.49
DESCRIPTION
ACCOUNT
CITY
'AMOUNT
DIF - FIRE PROTECTION
257-0000-43200
0
$438.96
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DIF - STREET MAINTENANCE
255-0000-43200
0
$487.73
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DIF - TRANSPORTATION
250-0000-43200
0
$11,923.72
Total Paid for DIF - OFFICE/HOSPITAL: $13,807.90
DESCRIPTION
ACCOUNT
CITY
AMOUNT -
SERVICES
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SERVICES PC
101-0000-42600
0
$13.00
Total Paid for ELECTRICAL: $39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$78.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF, PC
101-0000-42600
0
$20.80
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: $306:35
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE NEW COMMERCIAL PC
101-0000-42420
0
$468.00
Total Paid for FIRE FEES: $468.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
. 1,.:.;EXHAUST HOOD
101-0000-42402
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
EXHAUST.HOOD PC
1.01-0000-42600 ,
0
$5.20 ,
DESCRIPTION'
ACCOUNT
CITY
AMOUNT
VENT FAN
101-0000-42402
0
$26.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
VENT FAN PC
101-0000-42600
0
F $10.40
Total Paid for MECHANICAL: $405.69
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$607.82
. Total Paid for NEW CONSTRUCTION PERMIT: $607.82
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,285.86
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,285.86
'DESCRIPTION
ACCOUNT
CITY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BACKFLOW DEVICE PC
101-0000-42600
0
$5.20
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$18.20
DESCRIPTION
ACCOUNT
CITY
AMOUNT .
FIXTURE/TRAP
101-0000-42401
0
$156.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$156.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000=42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 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
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0060-42600
0
$13.00
Total Paid for PLUMBING FEES: $460.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE a 101-0000-42416 0 $10.00
4 Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
SMI -.COMMERCIAL
101-0000720308
0
$55.36.
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $5536
DESCRIPTION ACCOUNT !TY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION ACCOUNT QTY AMOUNT
OFFICE BUILDING 224-0000-20320 0 $13,316.06
Total Paid for TUMF - OFFICE: $13,316.06
TOTALS:
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