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BCOM2018-0047DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Building Commercial Permit Number: BCOM2018-0047 Property Address: 79785 HIGHWAY 111 STE 103 APN: 600440006 Legal Description Property Zoning: Valuation: $174,100.00 BUILDING PERMIT PHONE (760) 777-7125 �� WWW.LAQUINTACA.GOV APPLIED DATE: 11/29/2018 eca QISSUED DATE: 02/06/2019 CALIFORNIA Owner: P6K PORTFOLIO KDP 2301 ROSECRANS STE 2110, EL SEGUNDO, CA 92253 Applicant: Nathaniel Mlinar 1120 E. 80TH STREET, BLOOMINGTON, MN 5542( Contractor: Elder -Jones, Inc. 1120 E. 80TH STREET, BLOOMINGTON, MN 5542( PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the WORKERS' COMPENSATION DECLARATION (1, 2 or 3) 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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-mentioned property for inspection purposes. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 11/9/23 8:41 pm Page 1 of 1-311111]1Z"a4 N Ly, IkI Permit Type: Building Commercial Permit Number: BCOM2018-0047 Property Address: 79785 HIGHWAY 111 STE 103 Printed: 11/9/23 8:41 pm Page 2 of 5 1-3111101Z"a4NIT, lkI Permit Type: Building Commercial Permit Number: BCOM2018-0047 Property Address: 79785 HIGHWAY 111 STE 103 SPECTRUM / 3,482SF RETAIL TI/VB/M-OCC/58-OL/SPRINKLED *** 3,482SF RETAIL TI/VB/M-OCC/58-OL/SPRINKLED [SPECTRUM COMMUNICATIONS] THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE. PATH OF TRAVEL HAS BEEN STATED TO BE IN COMPLIANCE WITH CURRENT STANDARDS, VERIFICATION AND CORRECTION IF NECESSARY REQUIRED PRIOR TO OCCUPANCY. NO TUMF IMPACT UNDER 2018 FEE SCHEDULE. 2016 CALIFORNIA BUILDING CODES. Commercial Work Type Remodel Gross Square Footage 3482 Conditioned Square 3482 Footage Fire Sprinkler Square 3482 Construction Type V -B Code Edition 2016 Footage Number of Floors Building/Unit Occupancy Classification(s) Number of Appliance Alterations Number of Ventilation Fan(s) Water System Install or Alteration? 1 Number of Units 1 M: Stores, Markets, Gas Remodel Area Square 3482 Station Footage Occupant Load 58 New Electrical Square 3482 Footage 2 Number of 2 Number of Air 2 Condenser(s) Handling Unit(s) 3 Number of Plumbing 7 Number of Water 1 Fixtures/Traps Heater(s) Yes I Type Group Sq Ft Value I Printed: 11/9/23 8:41 pm Page 3 of 5 1-311111]1Z"a4 N IT, IkI Permit Type: Building Commercial Permit Number: BCOM2018-0047 Property Address: 79785 HIGHWAY 111 STE 103 Invoice No. Fee Fee Amount Amount Paid PERMIT-BCOM2018-00, REMODEL, EA ADDITIONAL 500 SF PC $134.47 $134.47 7 ART IN PUBLIC PLACES - COMMERCIAL REMOD $370.50 $370.50 FIRE COMMERCIAL TI PC $240.00 $240.00 FIXTURE/TRAP $93.38 $93.38 SMI - COMMERCIAL $48.75 $48.75 CON DENSER/COMPRESSOR $80.04 $80.04 NON-RESIDENTIAL, FIRST 2,000SF, PC $92.86 $92.86 NON-RESIDENTIAL, EA ADDITION 2,000SF $40.02 $40.02 REMODEL, FIRST 100 SF $54.43 $54.43 VENT FAN PC $16.02 $16.02 Credit Card Fee $36.70 $36.70 AIR HANDLER $80.04 $80.04 WATER HEATER/VENT $13.34 $13.34 WATER SYSTEM INST/ALT/REP PC $13.34 $13.34 Credit Card Fee $2.72 $2.72 RECORDS MANAGEMENT FEE - MAJOR $21.00 $21.00 APPLIANCE REPAIR/ALTERATION PC $10.68 $10.68 REMODEL, FIRST 500 SF PC $23.89 $23.89 REMODEL, FIRST 500 SF PC $125.00 $125.00 APPLIANCE REPAIR/ALTERATION $26.68 $26.68 TECHNOLOGY ENHANCEMENT FEE $5.00 $5.00 WATER HEATER/VENT PC $8.00 $8.00 AIR HANDLER PC $26.68 $26.68 FIXTURE/TRAP PC $93.38 $93.38 NON-RESIDENTIAL, EA ADDITION 2,000SF, PC $10.67 $10.67 VENT FAN $40.02 $40.02 BSAS SB1473 FEE $7.00 $7.00 REMODEL, EA ADDITIONAL 500 SF $168.07 $168.07 WATER SYSTEM INST/ALT/REP $13.34 $13.34 PLAN CHECK DEPOSIT - ADDITION/REMODEL $125.00 $125.00 CONDENSER/COMPRESSOR PC $53.36 $53.36 NON-RESIDENTIAL, FIRST 2,000SF $120.07 $120.07 FIRE COMMERCIAL TI $160.00 $160.00 Total for Invoice PERMIT-BCOM2018-0047 $2,354.45 $2,354.45 Grand Total for Permit $2,354.45 $2,354.45 Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 11/29/2018 0:00 FINAL** v.4 Inspection T-BAR/OVERHEAD v.3 Inspection FINAL** v.3 Inspection TEMP USE OF PERM PWR v.1 Inspection FINAL** v.2 Inspection Printed: 11/9/23 8:41 pm Page 4 of 5 1-31111111111]1Z"a4 N IT, IkI Permit Type: Building Commercial Permit Number: BCOM2018-0047 Property Address: 79785 HIGHWAY 111 STE 103 FINAL" v.1 Inspection T/I FINAL v.1 Inspection T-BAR/OVERHEAD v.2 Inspection DRYWALL NAIL v.1 Inspection T-BAR/OVERHEAD v.1 Inspection FRAMING v.1 Inspection ROUGH PLBG v.1 Inspection ROUGH ELEC v.1 Inspection ROUGH MECH v.1 Inspection SLAB v.1 Inspection UNDERGROUND PLBG v.1 Inspection UNDERGROUND ELEC v.1 Inspection Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 11/9/23 8:41 pm Page 5 of 5 Certificate of Occupancy Design & Development Department This Certificate is issued pursuant to the requirements of Chapter I Section 111 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction andlor use. BUILDING ADDRESS: 79785 HIGHWAY 111 STE 103 Use classification: M E RCAN TI L E - RETAIL STORE Occupancy Group: M Type of Construction: VB Code Edition: 2Q16 By: Date: Building Official: AJ ORTEGA 7111/2019 ,-JAMES WIATRAK Sprinkler Installed: YES Building Permit No.: BCOM2018-0047 Land Use Zone: CR Occupant Load: 5A Owner of Building: P6K PORTFOLIO KDP Address: 2301 ROSECRANS STE 2110 City, ST, ZIP: POST IN A CONSPICUOUS PLACE EL SEGUNDO CA 92253