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BCOM2019-0033wfE PaArr 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Titit 4 s(wQ9&& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING COMMERCIAL/REMODEL BCOM2019-0033 78015 MAIN ST STE 109 770121007 TQLAS / 2,375SF RESTAURANT TENANT IMPROVEMENT $50,000.00 Applicant: TQLAS INC - SEBASTIAN PRIETO 78015 MAIN ST STE 109 LA QUINTA, CA 92253 D OCT 0 / 2019 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 Busi ess and Professions Code, and my License is in full force and effect. License Class: B License No.: 771883 OWNER -BUILDER ECLARATION 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.). (_) 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 vdith 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 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/7/2019 Owner: BUILDING A L Q 6 ASHDOWN PL HALF MOON BAY, CA 92253 Contractor: MARVIN INVESTMENTS INC 78100 MAIN STREET #203 LA QUINTA, CA 92253 (760)600-0758 Llc. No.: 771883 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 the work for which this permit is issued. .i6r I have and will maintain workers' compensation insurance, as required by Section 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 CQMECU58TION INSURANCE FUND Policy Number: 2a29192 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 shout came subject to the workers' compensation provisions of Section 3700 oft abor Code, I shall forthwith comply with those provisions, WARNING: FAILURE TO SECURE WORKERS' C MPENSATION 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 ofthis 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. certify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state la relating to building construction, and hereby authorize representatives of this city nter upon the above - mentioned property for inspection purposes. SI(Applicant or Agent): 2 Date: 10/7/2019 Application Number: BCOM2019-0033 Property Address: 78015 MAIN ST STE 109 APN: 770121007 Application Description: TQLAS / 2,375SF RESTAURANT TENANT IMPROVEMENT Property Zoning: Application Valuation: $50,000.00 Applicant: TQLAS INC - SEBASTIAN PRIETO 78015 MAIN ST STE 109 LA QUINTA, CA 92253 Owner: BUILDING A L Q 6 ASHDOWN PL HALF MOON BAY, CA 92253 Contractor: MARVIN INVESTMENTS INC 78100 MAIN STREET #203 LA QUINTA, CA 92253 (760)600-0758 Llc. No.: 771883 Detail: TQLAS AGAVE BAR & GRILL / 2,375SF TENANT IMPROVEMENT/VB/A-2 OCC/149-OL/SPRINKLED. THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE, NEW LIGHTING OR DISTRIBUTION EQUIPMENT, OR HVAC EQUIPMENT REPLACEMENT. NO PATH OF TRAVEL UPGRADES REQUIRED PER BUILDING OFFICIAL DETERMINATION. TUMF ASSESSMENT NOT TRIGGERED PER 2018 HANDBOOK. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 2 $322.00 Total Paid for BLDG CITY STAFF - PER HOUR: $322.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $10.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $2.68 Total Paid for ELECTRICAL 2018: $66.72 DESCRIPTION ACCOUNT QTY AMOUNT FIRE NEW COMMERCIAL PC 101-0000-42420 0 $480.00 Total Paid for FIRE FEES: $480.00 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $5.34 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $40.02 Total Paid for MECHANICAL 2018: $98.72 DESCRIPTION ACCOUNT QTY 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 ($39.90) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($13.34) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($13.34) DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $39.90 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $66.82 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $106.72 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING 2018: $285.60 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $21.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($96.05) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($120.05) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($54.43) DESCRIPTION ACCOUNT CITY AMOUNT 101-0000 42600 ($148.89) DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $120.05 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $96.05 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $148.89 Total Paid for REMODEL 2018: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($14.00) DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $14.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE I 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00