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BDEM2020-000178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: WENDALL VEITH 80300 ULLSWATER INDIO, CA 92203 ce-itit at aiefiaditrai DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT DEMOLITION/COMMERCIAL/OTHER BDE M 2020-0001 78555 HIGHWAY 111 STE 200 643220025 DR SCHULZE / DEMO 0 FEB 0 7 2020 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JDD 78555 HIGHWAY 111 SUITE 200 LA QUINTA, CA 92253 Contractor: JOSE LEONEL VALENCIA 49244 GILA RIVER STREET INDIO, CA 92201 (760)449-0605 Llc. No.: 887630 Date: 2/7/2020 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 License No.: 887630 Date: 7/9-__ 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).: (_) 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 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 Name: Lender's Address: 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 thewk,[or which this permit is issued. k•. '-! 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5016491 I certify that in the performance of the work for which this permit is Iss ed, shall not employ any person in any manner so as to become s • - ❑ uie .r compensation laws of California, and agree that, if libo� bec• a au.. ct t.. e/l workers' compensation provisions of Section 3300'of the L. • .r Cod I sh- • with comply with those provisions. Date: WARNING: FAILURE TO SECURE WOR. •5' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYETO 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 tone I agree to comply with all city and county ordinances and state law ating to build( construction, and hereby authorize representatives of this cl en uporjthe above -mentioned property for Inspection purposes. Date: of 2 o signature (Applicant or Agent Date: 2/7/2020 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: WENDALL VEITH 80300 ULLSWATER INDIO, CA 92203 BDEM2020-0001 78555 HIGHWAY 111 STE 200 643220025 DR SCHULZE / DEMO Owner: JDD 78555 HIGHWAY 111 SUITE 200 LA QUINTA, CA 92253 Contractor: JOSE LEONEL VALENCIA 49244 GILA RIVER STREET INDIO, CA 92201 (760)449-0605 Llc. No.: 887630 Detail: DEMO NON -BEARING NON -LATERAL RESISTING PARTITION WALLS. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK. PER 2019 CALIFORNIA BUILDING CODES FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT DEMOLITION, INTERIOR 101-0000-42404 0 $40.25 DESCRIPTION ACCOUNT QTY AMOUNT DEMOLITION, INTERIOR PC 101-0000-42600 0 $107.87 Total Paid for DEMOLITION 2019: $148.12 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $163.12 taadifrai — GEV1 f dr DESERT - PERMIT # 1M) c M)1jOOOOl PLAN LOCATION: Project Address: { Lj › GY" 16f.7-(f / / I Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 73b�1 D 4/� AfeAti— p3&iA'iij _ Applicant Name: y" _ V 6 C 7fi Address: to _ 1UOj,9��2 , LN!� City, ST, Zip: i)144ct 212��-v — - Telephone: 76(0 -q 5 - a- S6 Email: l,ii ire_ (-? x & rf,, Valuation of Project $ 1 Contractor Name: c4Pr-AL '�vt0:101N4 SMIC. New SFD Construction: Address: Conditioned Space SF 72,00 rnx44Neso; FALLS 711/2 City, St, Zip RINNCA40 M l IltA4 6 i CA 41Z 11D Garage SF Telephone: (7o) VI / . /4980 Patio/Porch SF Email: Fire Sprinklers SF State Lic: i o C f g o$ 2 City Bus Lic: Arch/Eng Name: \ j t U tie-` Construction Type: Occupancy: Address: ,.6..i11 A.e; /e> Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: es-24 -) City Bus Lic: Property Owner's Name: ,A y. / -64 �"�i� New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 1 .f ---''' rff.-0,- I•ji.1-, i r E 297 i3` NQREN._ 1 105-34�2025 4 ELEC. ROOM LEGEND -. `� a 1 ° I , I EXISTING WALLS TO l Er 14ft4 C ] EXISTING WALLS TO BE FREMOvED EXIT CORI Off' EXIT I-, I - I NEW o' C20 METAL STUDS z 10" O.C. I 1 I ' EXfT op 1 . TOILET I414 8 NOT A FART .., r ELEC. E -1 r PANEL _ cs.s r _ . fad> „... fJ (1 1 La. 4 lip (c-1 0 cc\ r,i. 1 r REMOVE I EIST- WALL rj 1 U J 6 11 I _. __. — — — i CQ ,t I r II I NEUJ oaoliR I I I OPEN/Na 1 i_ _. .__. .__. J ' I I REh10VE EXIST. GLC 'ET WALLS 1 RENIOvE EXIST. CABINETS coo � � / CITY OF LA QUINTA /// BUWIN & SAFETY DEFT. APPROVE ) I 1 FZEf'TOVE I I EXIST. WALL FliN 'I li'iIrT+ i li NEW DOOR ! I or�Er�Ir I I I I I y , r r�--,; I I b J I I I I DATE �� I I 2 --t.or.L 44 NO�1- 13EAi€mJC, _ JI - ,. - - � -II THIS PORTION DF !w�'�I.a� FT i P fsr'S E '4 Z REMOvE o L.`,' . EXIST_ WALL I I BLI IL❑ING NOT A PART OF TJ-11 S PE Rom:T a-- 0-4 4 T : 1 / . \ \ RE1`t'vE \ \X[ST, WALLL / / N\ \ I 0 REMOVE EXIST. WALL / \ OC N' \ \ \ \ � 124 REMOVE EXIST, CABINET \ NEW DOCIRN \ \ Q ENIT4Cs \ \ REMC/E Ex/ST. CABINET Q 1 r REmovE ~\ tD IN 3\ I \ , \ 1 NEw DOORS \ I EI-1pVE N. \ �=9 M OPENING \. EXIST. WALL N. 1i ri REMDvE rI I EXIST. WALL II I1 11 001111.111111111 I + REMOvE I ij • 111 EXI5T_ WALL 1 bzo _- I . DV )i ,dig I ii . _L":"--''')Y 1 1 ! pora ; 90,4e0.5ep t C- '1 ,[ IUD _ r` - f A DEMOLITION � ��7 SALE: Ili',' • 1'—O' r 1110 Permit Details PERMIT NUMBER City of La Quinta BDEM2020-0001 Description: DR SCHULZE / DEMO Type: DEMOLITION Subtype: COMMERCIAL/OTHER Status: ON HOLD Applied: 2/6/2020 AMA Approved: 2/6/2020 AMA Issued: 2/7/2020 JLIM Finaled: Expired: 8/5/2020 JLIM Parcel No: 643220025 Site Address: 78555 HIGHWAY 111 STE 200 LA QUINTA,CA 92253 Subdivision: PM 29791 Block: Lot: 1 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Valuation: $0.00 Occupancy Type: Construction Type: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: DEMO NON -BEARING NON -LATERAL RESISTING PARTITION WALLS. THIS PERMIT DOES NOT INCLUDE ANY OTHER WORK. PER 2019 CALIFORNIA BUILDING CODES 1 Process Summary Applied to Approved Approved to Issued ADDITIONAL SITES CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL AJ ORTEGA 4/8/2020 4/9/2020 LETTER FROM CONTRACTOR (CAPITAL - NOW CONTRACTOR HISTORY 1) REQUESTING BEING REMOVED FROM THE PERMIT, STATUS UPDATED TO ON HOLD, NO FURTHER INSPECTIONS UNTIL CONTRACTOR INFORMATION HAS BEEN UPDATED. NOTE ARMANDO MAGALLON 2/10/2020 2/10/2020 NEW CONTRACTOR NEEDS TO COME IN BEFORE ANY INSPECTIONS TAKE PLACE. PERMIT HAS BEEN PLACED ON HOLD. FEE FOR CHANGE OF CONTRACTOR HAS BEEN ADDED TO PERMIT. OFFICE MEETING ARMANDO MAGALLON 2/10/2020 2/10/2020 CONTRACTOR JOSE LEONEL VALENCIA WILL NO LONGER BE ASSOCIATED TO THIS PERMIT. I WILL BE PLACING THE PERMIT ON HOLD UNTIL NEW CONTRATOR COMES AND TAKES OVER PERMIT. Printed: Monday, April 24, 2023 11:53:30 AM 1 of 4 CRWSYSTEMS Permit Details City of La Quinta PUBLIC COUNTER VISIT AJ ORTEGA 2/6/2020 2/6/2020 MR VIETH CAME IN WITH CONTRACTOR INFORMATION, WHILE HERE WE COULD NOT FIND ACTIVE CITY LICENSE BUT IT HAS SINCE BEEN FOUND AND UPDATED, PERMIT IS READY TO ISSUE. PUBLIC COUNTER VISIT JACK LIMA 2/7/2020 2/7/2020 PERMIT ISSUED TO JOSE LEONEL VALENCIA. CONDITION TYPE CONDITIONS CONTACT DATE ADDED DATE REQUIRED DATE SATISFIED STATUS REMARKS NOTES READY TO ISSUE CHECKLIST ARMANDO MAGALLON 2/6/2020 2/6/2020 COMPLETE CONTRACTOR INFORMATION AND OWNER AUTHORIZATION IS NEEDED BEFORE ISSUANCE UPDATED CONTRACTOR AND LEASE AGREEMENT EXECUTED VERIFIED. CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT WENDALL VEITH 80300 ULLSWATER INDIO CA 92203 WVEITH36@YAHOO.0 OM CONTRACTOR (HISTORY) JOSE LEONEL VALENCIA 49244 GILA RIVER STREET INDIO CA 92201 CONTRACTOR (HISTORY) 1 CAPITAL BUILDING SERVICES INC 72100 MAGNESIA FALLS STE 2 RANCHO MIRAGE CA 92270 BILL@BUILDWITHCAPI TAL.COM OWNER JDD 78555 HIGHWAY 111 SUITE 200 LA QUINTA CA 92253 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY CHANGE OF CONTR/ARCH/OWNER PROCESSING 101-0000-42600 0 $107.87 $107.87 2/11/20 R59525 687966 DEBIT CAPITAL BUILDING SERVICES AMA Total Paid for ADMINISTRATIVE: $107.87 $107.87 Printed: Monday, April 24, 2023 11:53:30 AM 2 of 4 CRWSYSTEMS Permit Details City of La Quinta DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD ■ ■ PAID BY CLTD BY DEMOLITION, INTERIOR 101-0000-42404 0 $40.25 $40.25 2/7/20 R59418 0001 CREDIT CARD JOSE LEONEL VALENCIA JLIM DEMOLITION, INTERIOR PC 101-0000-42600 0 $107.87 $107.87 2/7/20 R59418 0001 CREDIT CARD JOSE LEONEL VALENCIA JLIM Total Paid for DEMOLITION 2019: $148.12 $148.12 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 2/7/20 R59418 0001 CREDIT CARD JOSE LEONEL VALENCIA JLIM Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 2/7/20 R59418 0001 CREDIT CARD JOSE LEONEL VALENCIA JLIM Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 TOTALS: $270.99 $270.99 INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST PERMIT TECH (1 DAY) ARMANDO MAGALLON 2/6/2020 2/7/2020 2/6/2020 APPROVED- CONDITIONS 1ST BLDG NS (1 WK) ARMANDO MAGALLON 2/6/2020 2/13/2020 2/6/2020 APPROVED-JAKE CONDITIONS APPROVED PERMIT OVER THE COUNTER. BOND INFORMATION Printed: Monday, April 24, 2023 11:53:30 AM 3 of 4 CRWSYSTEMS Permit Details City of La Quinta PERMIT NUMBER B D E M 2020-0001 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 2/6/2020 AJ ORTEGA NOTICE OF LEASE EXECUTION BDEM2020-0001 - NOTICE OF LEASE EXECUTION.pdf 1 DOC 4/9/2020 AJ ORTEGA WITHDRAWAL REQUEST FROM CONTRACTOR BDEM2020-0001 - WITHDRAWAL REQUEST FROM CONTRACTOR.pdf 1 Printed: Monday, April 24, 2023 11:53:30 AM 4 of 4 CRWSYSTEMS CAPITAL • BUILDING SERVICES • Removal of Contractor of Record Date: Permit No.: Project Location: 78-555 Hwy 111, Suite 2 La Quinta, CA 92253 April 6, 2020 Permit #BDEM2020-0001 Building and Safety Department, 72-100 Magnesia Falls, STE 2, Rancho Mirage, CA 92270 760-776-3800 State Lic. #1044032 Capital Building Services, Inc is respectfully requesting to be removed as the Contractor of Record for the above -mentioned permit. We are no longer perform any work at this location nor will be the C of R on the Tenant Improvements, even though we continue to see construction activity by others at this location. Respectfully, &t,6 Bill Sanchez, Principal Capital Building Services, Inc. 72100 Magnesia Falls, STE 2 Rancho Mirage, CA 92270 Phone: 760-776-3800 Email: bill@buildwithcapital.com Page 1 of 1