The URL can be used to link to this page

BCOM2019-001178-495 CALLE TAMPICO C& 0 D 4QUWCI LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: WALL/FENCE/SPECIAL/ENGINEERED DESIGN Application Number: BCOM2019-0011 Property Address: 78630 HIGHWAY 111 APN: 604050031 Application Description: STATER BROS / CART CORRAL Property Zoning: Application Valuation: $20,000.00 Applicant: P BILLYJO MONTOYA 301 SOUTH TIPPECANOE AVE JUL 0 2 2019 SAN BERNARDINO, CA 92408 B CITY OF LA QUINTA 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:9B License No.: !44461 Date: I LA 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).: (_) 1, 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 Narfie: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/2/2019 Owner: STATER BROS MARKETS 21700 BARTON RD COLTON, CA 92253 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 of th ar ich this permit is issued. ave and will maintain workers' compensation insurance, as required by Se :1 n 00 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: arrier: PROPERTY UALTYINSURANC£_CQMFANY Of iiARTFOR 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 thos provisions. Date: 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 -mentions ropertyforinspection purposes. Date: Signature (Applicant or Agent): Date: i/2/20n Application Number: BCOM2019-0011 Property Address: 78630 HIGHWAY 111 APN: 604050031 Application Description: STATER BROS / CART CORRAL Property Zoning: Application Valuation: $20,000.00 Applicant: BILLYJO MONTOYA 301 SOUTH TIPPECANOE AVE SAN BERNARDINO, CA 92408 Owner: STATER BROS MARKETS 21700 BARTON RD COLTON, CA 92253 Contractor: STATER BROS DEVELOPMENT INC PO BOX 150 SAN BERNARDINO, CA 92402 `(90�)733-5005 Llc. No.: 444461 ---------------------------------------------------------- ------------------------------ Detail: STATER BROS / 30LF OF TV HIGH CMU WALL TO CREATE CART CORRAL AREA AT EAST END OF ENTRVAREA [SITE -SPECIFIC ENGINEERED DESIGN]. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($125.00) DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 2 $125.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 0 $85.00 Total Paid for BLDG CITY STAFF - PER HOUR: $85.00 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $53.37 DESCRIPTION ACCOUNT CITY AMOUNT WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $66.71 Total Paid for BLOCK WALL: $120.08 DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 $2.25 Total Paid for Credit Card Fee: $2.25 DESCRIPTION ACCOUNT CITY AMOUNT FIRE NEW COMMERCIAL PC 101-0000-42420 0 $160.00 Total Paid for FIRE FEES: $160.00 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 RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 j DESCRIPTION I ACCOUNT I CITY I AMOUNT TECHNOLOGY ENHANCEMENT FEE 1502-0000-43611 10 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Qw�ra ta CALIFORNIA IFORNIA PERMIT # SCOV�A/W Ll PLAN LOCATION: oMA/' 5-r,a rz-7T ,f5' Project Address: "7 06a3b 1,11 ,111d! J/1 Project Description: APN #: LA au,N/% LEA 4,?Z,S 3 d �jTj% Cr7✓G/L9 L Applicant Name: //! .14� A dY k a Address: /S. T� ��c2,2�-4-✓c- City, ST, Zip:S',genaaiWd eA 92Yoy Telephone: 909 - %33Y-5vc-1'Z Email: /�,i1 �o� G�e�� Valuation of Project $ ,?ddaov Contractor Name: 15 7-q 7-m— aozc�,S New SFD Construction: Address: AA?6r-- ,aS Conditioned Space SF City, St, Zip Garage _ SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic:6,%W(P/ City Bus Lic: Architect/Engineer Name: 14e.4 Construction Occupancy: Address: /64/ A447f ((0 Grading: City, St, Zip L5 .Av&aes &?COe7 Telephone: ?13 - qo;j ,- �76 30 Bedrooms: Stories: # Units: Email: �w. (�l11r��{'Cc.�S �d�► State Lic: City Bus Lic: Property Owner's Name: Sq 9;ec;,5. New Commercial / Tenant Improvements: Address:,AS Ag0V0-- Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: 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