BCOM2017-004678 495.LALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING COMMERCIAL/REMODEL
BCOM2017-0046
50680 EISENHOWER DR STE 102
773370029
A FLORES EXCAVATING/ 1,074SF OFFICE TI/VA/B-OCC/10-OL/SPRINK
$10,000.00
Applicant:
SOUTHWEST CONCEPTS
78115 CALLE ESTADO STE 105
LA QUINTA, CA 92253
NOV 222017
Cr)Y 0FLA QUINT
COMAI2T" MWLOPMW DEPAfiTMENT
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 ofthe Bus ine and Pr fens"ans Code, and
my License is in full force and effect.
License Class: C12, A License No.: 610005
D�,t ' 1 i 12Z I 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 applicantfor the permit tofile a signed
statement that he or she is licensed pursuantto the provisions ofthe Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
L_) 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.).
(_) I, as owner ofthe 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 Marne:_
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/22/2017
Owner:
CANYON SUNSET LP
3366 VIA LIDO
NEWPORT BEACH, CA92253
Contractor:
A FLORES EXCAVATING & GRADING INC
P 0 BOX 1036 -
LA QUINTA, CA 92247
(760)360-0255
Uc. No.: 610005
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe 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 the work for which this permit is issued.
4, r®I have and will maintain workers' compensation insurance, as required by
Section 3700 ofthe Labor Code, for the performance ofthe work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy Number:
I certify that in the performance ofthe workfor which this permit is issued, I
shall not employ any person in any manner so as to beco subject tot a workers'
compensation laws of California, and agree that, if I sho d nme s the
workers' compensation provisions of Section 37 oft bor Cod shall rthwith
comply with those provisions.
Dates 1( Zt I I I Applicant: LJ
WARNING: FAILURE TO SECURE WORKEZ' 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 OFTHE 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 behalfthis 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 ab e
I agree to comply with all city and county ordinances and st la
construction, and hereby authorize representatives of this y to
mentioned property for inspection purposes.
Da 41�z f SignaTUMI(ApplicantorAgent
Date: 11/22/2017
Application Number: _
BCOM2017-0046
Prop"Address:
50680 EISENHOWER DR STE 102
APN:
773370029
Application Description:
A FLORES EXCAVATING/ 1,074SF OFFICE TI/VA/B-OCC/10-OL/SPRINK
Property Zoning:
Application Valuation:
$10,000.00
Applicant: ,
SOUTHWEST CONCEPTS
78115 CALLE ESTADO STE 105
LA QUINTA, CA 92253
Owner:
CANYON SUNSET LP
3366 VIA LIDO
NEWPORT BEACH, CA 92253
Contractor:
A FLORES EXCAVATING & GRADING INC
P 0 BOX 1036
LA QUINTA, CA 92247
(760)360-0255
LI c. No.: 610005
Detail: 1,074SF OFFICE TI/VA/B-OCC/10-OL/SPRINKLED [A FLORES EXCAVATING] THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE OR MECHANICAL
OR PLUMBING ALTERATIONS. ADDITIONAL PERMITTING MAY BE REQUIRED FOR ACCESSIBILITY UPGRADES BASED ON THE LEVEL DETERMINED IN THE
FIELD. TUMF AND DIF NOT ASSESSED DUE TO NO CHANGE IN DEVELOPMENT USE. 2016 CALIFORNIA BUILDING CODES.
4, l.w)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($26.01)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($26.01)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
4
$26.01
Total Paid for ELECTRICAL: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIALTI
101-0000-42421
0
$156.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIALTI PC
101-0000-42420
0
$234.00
Total Paid for FIRE FEES: $390.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($69.18)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PARTITION
101-0000-42400
0
$69.18
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PARTITION
101-0000-42400
0
$8.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PARTITION PC
101-000OA2600
0
$143.56
Total Paid for PARTITION: $152.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($2.80)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
10170000-20308
0
$2.80
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00
DESCRIPTION
I ACCOUNT
I QTY
AMOUNT
Bin #
11Ul
1 o o.qG Qty of La Qulnta
I Building gr Safety Division
l I P.O. Box 1504,-78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�Al
Project Address: Q D F 3� IeA rh OW40r
Owner's Name: � jer b re
A. P. Number: �% 3 — � % � (�� S �
Address: �sP� r.
Legal Description:
Contractor: V � p/" i3� t U`
City, ST, Zip: � i"/1 O� q*7
Teiephone:
Address:
Project Description: -
City, ST, Zip:
Telephone:
State Lic. # : City Lic. #•:
Arch., Eng�r.,7Designer: ] (/�{�
S f �1 U F ' V
141p� EM 122
xl i+ C r�r' G� L
Address: J 1 �Cpll t SR' •p ��.�
T- Sl L— V F—f� t
City, ST, Zip: t,4_ (:JC)! A
TeIephone:7 5-&4 707
State Lic. M
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n After Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 7(yQ -70
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING PERMIT IDES
Plan Sets
Plan Check submitted Item Amount
Structural Cafes.
Reviewed, ready for corrections Plan Check Deposit
Truss Cafes.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
r'. Review, ready for corrections/issue Electrical
Subcontactor Ust
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"` Review; ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Permit Number: BCOM2017-0046
Applied: 11/7/2017 Approved.
Issued: Finaled:
Status: UNDER REVIEW
Parent Permit:
Parent Project:
Details
Description: A FLORES EXCAVATING/ COMM T.I.
Site Address: 50680 EISENHOWER DR STE 102
City, State Zip Code: LA QUINTA, CA 92253
Applicant: SOUTHWEST CONCEPTS
Owner: CANYON SUNSET LP
Contractor: OWNER / BUILDER
LIST OF
SENT DATE RETURNED DUE DATE TYPE
DATE
CONTACT STATUS REMARKS
-T
Review Group: AUTO
11/7/2017
11/7/2017 11/8/2017
1ST PERMIT TECH (1 MARY FASANO
COMPLETE
Notes:
11/7/2017
11/21/2017
1ST BLDG NS (2 WK)
BUILDING BUCKET
Notes:
11/7/2017
11/14/2017
1ST PLANNING (1 WK) PLANNING BUCKET
Notes:
11/7/2017
11/14/2017 1ST FIRE (1 WK)
FIRE BUCKET
Notes:
f
Printed: Tuesday, 07 November, 2017 1 of 1 ^ n r