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Home My WebLink AboutRC-14-36878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 CApplication Number: RC -14-368_ Property Address: 45280 SEELEY DR APN: 604630053 Application Description: INFUSION CENTER T.I. Property Zoning: Application Valuation: $214,000.00 Applicant: EISENHOWER MEDICAL CENTER 39000 BOB HOPE DR RANCHO MIRAGE, CA 92253 4 Twit 4 VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/11/2014 Owner: EISENHOWER MEDICAL CENTER 39000 BOB HOPE DR RANCHO MIRAGE, CA 92253 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.: 343108 te: �"ontractor: 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 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 ) 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: V Contractor: GREEN TOWNE INC P 0 BOX 13981 PALM DESERT, CA 92255 (760)636-5701 Llc. No.: 343108 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. 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: _ Policy Number: _ 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 those provisions. k `` icantt////.. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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- mentioned property for inspection purposes. Qate:� 1)( � \ SIgAatdr<Applicant or Agent): FINANCIAL INFORMATION -=DESCRIPTION. `~ ACCOUNT" °QTY, AINI,OUNT , PAID PAID DATE ART IN PUBLIC PLACES - COMMERCIAL. REMOD 270-0000-43201 0 $570.00 $0.00 PAID BY - METHOD ` RECEIPT#rt F�'``CHECK # 'CLTD BY,. Total Paid forART IN PUBLIC PLACES - AIPP: $570.00 $0.00 . DESCRIPTION ACCOUNT QTY- ; :AMOUNT r,`` PAID e. PAID DATE, BSAS SB1473 FEE 101-0000-20306 0 $9.00 $0.00 PAID BY ' ' ' . ' . METHOD r` RECEIPT:# CHECK# ` 4 CLTD BY , Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $9.00 $0.00 ` ' c DESCRIPTIONW. a ;';:. ACCOUNT • QTY , ; ' •.;. AMOUNT P+ " PAID. PAID DATE.. DEVICES, ADDITIONAL 101-0000-42403 0 $285.66 $0.00 PAID -BY _-� _. "METHOD'.-, . RECEIPT# y CH ECK # aCLTD BY . Total Paid forELECTRICAL: $285.66 $0.00 :DESCRIPTIONi `' ACCOUNT, QTY < ,,: AMOUNT,.,.---:'- " PAID PAID DATE AIR HANDLER 101-0000-42402 0 $35.75 $0.00 PAID -BY "METHOD j :,ti -RECEIPT•# - CHECK # CLTD BY i' DESCRIPTION " .�',ACCOUNT'. QTY AMOUNT . PAID ,'' _ .. •PAII)tDATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $11.92 $0.00 .PAID BY (. - �METHOD�. RECEIPT # " -'CHECK# ,,. ; -CLTD.BY`_ x 'DESCRIPTION 1- ACCOUNT..„ , CITY, . AMOUNT � + =_- . `PAID ,. s "PAID DATE. VENT FAN 101-0000-42402 0 $11.92 $0.00 PAID BY ;,° , METHOD r j ; RECEIPT;# ' -• m CHECK # CLTD BY Total Paid forMECHANICAL: $59.59 $0.00 DESCRIPTION ::. "''� i ,' ACCOUNT ' QTY AMOUNT:.: ` :PAID) PAID DATE FIXTURE/TRAP 101-0000-42401 0 $83.44 $0.00 PAID BY '• ,+ '_' i'' ,. ' ,; ",.:METHOD ` ` Fr R RECEIPT #' ', CHECK;# ' .,- CLTD BY` DESCRIPTION :- . _ _ ,- , '. "ACCOUNT ;' QTY _ AMOUNTµPAID_- PAID DATE. WATER HEATER/VENT 101-0000-42401 0 $11.92 $0.00 P PAID:BY r :� # ' METHOD `• 'RECEIPT # i^ ,3 r ` . CHECK!# t CLTD BY .' a� ` sDESCRIP,TION = ,. ` ACCOUNT QTY =''° AMOUNT - PAID ;PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 PAID -BY yMETHOD _ RECEIPT# ;! „CHECK# F _' CLTD BY 0 Total Paid for PLUMBING FEES: $107.28 $0.00% -=` .DESCRIPTION �� ,` ' '' r-ACCOUNTz` QTY '' AMOUNT : ` �PAIDF^' 'r' ,PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $110.55 $0.00 f 4. PAID BY ':: -� ; METHOD" s %RECEIPT# f CHECK# CLTD'BY ;DESCRIPTION.'' QTY T ' AMOUNT RAID PAID DATE REMODEL, EA ADDITIONAL 500 SF.PC 101-0000-42600 0 $102.96 $0.00 ' ' PAID BYE Wiz; n METHOD :.RECEIPT'# .. CHECK,# LTD BY DESCRIPTION - . _„ r < ' ACCOUNT,`QTYP ' " AMOUNT "s a PAIDPAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $48.62 $0.00 .� PAID BYMETHOD'. RECEIPT# ' CHECK# a� CLTD BY;" .DESCRIPTION ACCOUNT CITY "s AMOUNT ' k y PAID PAID„DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $132.99 $0.00 " PAID -BY s: METHOD _ 'RECEIP.T # { �'- _ K CHECK # , �. CLTD BYr, Total Paid for REMODEL: $395.12 $0.00 TOTALS:00 0 DESCRIPTION• QTY PAID PermitTRAK6.65 ,RG -14 368-,; Address:,45280 SEELEY. DR �,, 'J# 604630053� , - 1,426.651, ART -IN PUBLIC PLACES- AIPP = - + �' # r'= �,- � $570.00 ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $570.00 E BUILDING STANDARDS ADMINISTRATION $SA= " ` r; ;a $9.00,1 BSAS SB1473 FEE 101-0000-20306 0 $9.00 fi ELECTRICALS . t - - „$z 85.66 DEVICES, ADDITIONAL 101-0000-42403 0 $285.66 i MECHANICAL • - ? •.. _ , .. �.c � � . � 959 $5 APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $11.92 AIR HANDLER 101-0000-42402 0 $35.75 VENT FAN 101-0000-42402 0 $11.92 PLUMBING.FEES ..x :�- . : $107.28 WATER HEATER/VENT 101-0000-42401 0 $11.92 WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 FIXTURE/TRAP 101-0000-42401 0 $83.44 . REMODEL $395.12' REMODEL, FIRST 500 SF PC 101-0000-42600 0 $132.99 REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $110.55 REMODEL, FIRST 100 SF 101-0000-42400 0 $48.62 REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $102.96 TOTAL Date Paid: Friday, July 11, 2014 Paid By: GREEN TOWNE INC Cashier: PJU Pay Method: CHECK 7319 Printed: Friday, July 11, 2014 2:51 PM 1 of 1 RWIZ V.CiF AA C {, (13 Bin #ILC 4r*\\- Perntit #, o,iJ" f {; r: ;;:;7 u!#fl!i, mpt"^ La Quinta, C"A ?2253 - (7 60) 777-70 I 2 Building Permit Application and Tracking Sheet City of IA Quinra Project Address:5 -'L SEEuqy sRrsf . Owncr's Namc: E \,:gN\tOt-r:fR fttDl CA\- CEt\' A. P. Number:ioo'q -Oq.i q bcqjqo-oqs Addrcss: 3aoOO @B Hc;?E Dr<r oE City, ST, Zip: P-ns.r C iu> H \pAGe- CA \ZflC 1W-8tl-szout. t-JA T sc Contractor: Legal Addrcss:lroject Description: \ XiTee-f Oa -T T- . t N city, sl Zip:Exrci-rNrG. sr+gLL' qpp('-e, - N\ Er.-.-) Tclcphonc:t sTerar o3-- (r)QLr-S Purr rn Br t\ L Statc Lic. # :CityLic. #; I Er-,Fr::fl?-r.Ar* . HrJnc Ouc-T \l)c]R]<oNlu 53 Aa(.)$rrErSArch., Engr., Dcsigncr: Pngi Fl(, Addrcss: 5O 1O slt)r:s t-'b,+B -33?q r zr Lr n:Lt z"- r, t-FfEry-I- ciry, sr, ziP: sFsr Dl €co. c/q (78'-\bW,L rctcphonc: fu, !1--TSq { 9]J ^r :'tA r t -6. r GR.ooP BOccupanryConstruction Typc: \ t Projecttype(circleone): Ncw @) Attcr Repair Demo TcoEr eEs$ENamc of Contact Pcrson: Statc Lic. #, C ' Sq. Ft.: ZBtoS # Stories: 3 # Units: --I# of Contact Person:T,I APPLIGANT: DO NoT WRTTE BELOW THIS LINE Esrimated Value of Projcct: q il Rcg'dSubnrittal Rcctd TRACKING ?ERMIT FEES (Plau Sets 3 Plan Check submittcd 4ls Itcnr Anrount Struclunl Calcs.Plan Chcck DcpositRevicrved, rerdy for corrcctions Truss Calcs.Called Contecl Pcrson *lan Chcck Balance Title 24 Crlcs.Plans pickcd up bt Construction Flood plain plan Mcchantcat r .tPlans resubmilted ,r*a I N .T Grading plan v .t?2 Electrical \t2'r Rcview, rezdy for corrccl ue I )A Lva Subconlactor List t?2 Ptumblng ZCalled Contact Pcrsou ?o I r3 Grnnl Dced \I s.M.I.rh'vPlans pickcd up If.O.A. Approval Plans resubmitted Grading \ IN IIOUSE:-Dcvelopcr Impact Feer" Reyierv, rcady for corrcclions/issue Plrnning Approvrl \J t/A.I.P.P.Callcd Conlact Person Pub. \Mks. Appr Datc of pcrmlt issuc Sclrool Fces Total Pcrmil Fces 14?Jt.b, FFrcs ul4 n,a*P r3"D qt tt/ / , , ,a*/"{&W Building & Safety Department 78-495 Calle Tampico PO Box 1504 La Quinta , CA 92253 (760) 777-7012 voice - (760) 777-7011 fax To: Greg Butler, Building Official From: Les Johnson, CDD Director Permit # N/A To PD: April23,2014 Due Date: Mav 7.2014 Status: 1tt Review Building Plans Approval (This is an approval to issue a Building Permit) The Planning Division has reviewed the Building Plans for the following project: Description : TENANT IMPROVEMENT Address or g eneral location: Eisenhower Medical Center, 45280 Seeley Dr. Applicant Contact:Denise Burkett 619-754-4833 The Planning Division finds that. tr ...these Building Plans do not require Planning Division approval. \ .these Building Plans are approved by the Planning Division. tr .these Building Plans require corrections. Please forward a copy of the atta corrections to the applicant. When the corrections are made pleas return them to the Planning Division for review. S/"r /,{ Le son, Community Development Director Date Note: PLEASE RETURN PLANS WITH GREENSHEET TO THE BUILDING DIV!SION. _.0cT-27-2014 r10N .04 :l 9 PIl RIVERSIDE COUNTY FIRE FAX NO. 17608637072 P, OI/OT 'a-, Riverside CountY Fire DePartment %- t4-7Gg Fire Protection Planning Section RlvcrEl(G Ollicot ?300 Mr,fiol 61., Sto. l50,c^ 92501 Ph 4051) 066.{777 Fqx (651} 9ED'{880'ioiir eooltS0 Fax (05,|) €00516'l i-c-r i r pi'. tzso) asi-sstts (760, 853'707?M!nlal8 oltlcr'304s3 Lor Allnlon Rd., 910 A, Uu c^ 0258s Ph Fr|m D6ron ol(lco: 77'933 Lar Mor'ltrllw Rd,, r 20'l Pil Ec:rrt, EA 9221 Fire DePartme Clearance/Release Date:1012712014 Fax: TracUParcel MaP #: PermiULot #; Job Site Address: ARGYROS INFUSION LAO-14-rl-o12 45280 s EELEY DRIVE TC.r"c-*7:t*r ou LA OUINTA APPROVED Final For Release Shetl Fin Final Fo Recordation FIRE SPRINKLER / Tl FINAL For Building Permit(s) al Onty (No Tenant) r Occupancy Buildi Plan Check Fees Paid Buildin Plan Check Fees Not Paid Other F Fees Required lf you should have any questions, please Planning otfice for further assistance' the appropriate Riverside County Fire Protection Authorizlng Signature For Release KOHL HETRICK Form C - R€vlsod 6/1S/2014 'T-,r, LA OUINTA B&Stlt, - @ra ' Print Name