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BCOM2018-0007�78-495 CALLE TAMPICO. C D,aw LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING COMMERCIAL/OTHER NON-RESIDENTIAL Application Number: BCOM2018-0007 Property Address: 42800 WASHINGTON ST APN: 609040028 Application Description: WSA PHASE 2 / 1,100SF LAUNDRY/MAINT BLDG/VB/B/20-OL/SP Property Zoning: Application Valuation: $72,620.00 Applicant: STUDIO E ARCHITECTS 2258 FIRST AVENUE SAN DIEGO, CA 92101 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {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. C-5. C-8 License No.: 446341 Date: iy 6ontractor. 1 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. M44, 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011' INSPECTIONS (760) 777-7153 Date: 7/27/2018 Owner: REDEVELOPMENT AGENCY CITY OF P0BOX 1504 LA QUINTA, CA 0 Contractor: SUN COUNTRY BUILDERS INC DBA SUN COUNTRY 138 CIVIC CENTER DRIVE #204 VISTA, CA 92084 (760)630-8042 Llc. No.: 446341 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 ork for which this.permit is issued. I:have and will maintain workers' compensation insurance, as required by Sefcti n 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9039194 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. , n, _ WARNING: FAILURE TO SECURE WORKE, RY COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL 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 c' o enter upon the above - mentioned property for inspection purposes. r ) Date:Signature (Applicant or,Agent) • Date: 7/27/2018 , Application Number: BCOM2018-0007 Owner:. Property Address: �42800 WASHINGTON ST REDEVELOPMENT AGENCY CITY OF APN: 609040028 P O.BOX 1504 Application Description: WSA PHASE 2 / 1,100SF LAUNDRY/MAINT BLDG/VB/B/20-OL/SP. LA QUINTA, CA 0 Property Zoning: Application Valuation: $72;620.00 Applicant: Contractor: STUDIO' E ARCHITECTS SUN COUNTRY BUILDERS INC DBA SUN COUNTRY 2258 FIRST AVENUE 138 CIVIC CENTER DRIVE #204 SAN DIEGO, CA 92101 VISTA, CA 92084 (760)630-8042 Llc. No.: 446341 Detail: 1,100SF LAUNDRY AND MAINTENANCE FACILITY [VB/B/20-OL/SPRINKLERED/BUILDING: LAUNDRY/MAINTENANCE] THIS PERMIT DOES NOT INCLUDE SITE WALLS, SITE LIGHTING, CARPORTS OR TRASH ENCLOSURES. TUMF, MSHCP AND DIF NOT COLLECTED DUE TO BUILDING BEING ACCESSORY TO OVERALL DEVELOPMENT. 2016 CALIFORNIA BUILDING CODE. .;'.DESCRIPTI.ON ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - COMMERCIAL 270-0000-43201 0 $363.10 Total Paid for ART IN PUBLIC PLACES - AIPP: $363.10 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $13.00 Total Paid for ELECTRICAL: $39.01 DESCRIPTION ACCOUNT CITY AMOUNT NON-RESIDENTIAL, FIRST2,000SF 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: $207.53 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 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 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $5.20 Total Paid for MECHANICAL: $135.23 DESCRIPTION ACCOUNT CITY AMOUNT NEW CONSTRUCTION PERMIT 101-0000-42400 0 $500.32 Total Paid for NEW CONSTRUCTION PERMIT: $500.32 DESCRIPTION ACCOUNT QTY AMOUNT NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $933.36 Total Paid for NEW CONSTRUCTION PLAN CHECK: $933.36 DESCRIPTION ACCOUNT QTY AMOUNT BACKFLOW DEVICE 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT CITY AMOUNT BACKFLOW DEVICE PC 101-0000-42600 0 $5.20 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.01. DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.20 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $182.00 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $182.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $65.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $39.00 DESCRIPTION ACCOUNT CITY I AMOUNT WATER SYSTEM INST/ALT/REP 101=0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $621.43 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 SMI - COMMERCIAL 101-0000-20308 0 $20.33 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $20.33 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00