07-232746650 Adams Street Suite 101
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA., CALIFORNIA 92253
57 4 4
• "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00002327
Property Address: 46650 ADAMS STSTE 101
APN: 649-820-999- -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 20000
Applicant: Architect or Engineer:
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 Professionals Code, and my License is in full force and effect.
License
/Class: BLicense No.: 684857
\'\ Date: //J =Contractor:
OW R-tllUILD2R DECLARATIONI hereby affirm under penalty of perjury that I am ex fromthe Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Profess o e: a y or coup y a -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.).
(_) 1, 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 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:
LQPERMIT
Owner:
JEAN BOETTCHER
60367 DESERT SHADOW DRIVE
LA QUINTA, CA 92253
(760)777-1145
Contractor:
EDWARDS CONSTRUCTION INC,
51455 DESERT CLUB DRIVE
LA QUINTA, CA 92253
(760)777-8202
Lic. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/09/07
-----------------------------------------------
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 GRANITE STATE Policy Number 3368904
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
Date/)/ 3700 of the Labor Code, I shall forthwith comply with those provisions.
`-' Applicant:
WARNING: FAILURE TO SECURE WORK SAT ON COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COS OMPENSATION, 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 Director of Building and Safety for a permit subject to the
conditions and restrictinns 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 toany 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 relasi w Ing co tion, and hereby authorize representatives
of th untypon the above-mentiolted-pl eEacycl4C j tion purposes.
nature (Applican` t or
Application Number . . . . . 07-00002327
------ Structure Information 2,434SF TI [SUNSHINE STATIONERY]
-----
Other struct info . .
. . . CODE EDITION 2001/2005
FIRE SPRINKLERS YES
MIXED-USE OCCUPANCY M
OCCUPANT LOAD
66.00
---------------------------------------------7------------------------------
1ST FLOOR SQUARE FOOTAGE
2434.00
Permit .. . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation . . . .
20000
Expiration Date
4/06/08
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
63.68 Plan Check Fee
15.92
Issue Date . . . .
Valuation . . . .
0
Expiration Date
4/06/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2434.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
48.68
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
83.50 Plan Check Fee
20.88
Issue Date
Valuation . . . .
0
Expiration Date
4/06/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
2.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
33.00
2.00 6.5000
----------------------------------------------------------------------------
EA MECH VENT FAN
13.00
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
57.00 Plan Check Fee
14.25
LQPERMIT
Application Number . . . . . 07-00002327
Permit . . . . . . PLUMBING
Issue Date . . . . Valuation . . . .
0
Expiration Date 4/06/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
4.00 6.0000 EA PLB FIXTURE
24.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
-1_00-------_3_0000-EA----PLB-WATER-INST/ALT/REP----------------3_00-
Special Notes and Comments
2,434SF TI [SUNSHINE STATIONERY] V -NR/
M-OC/66.-OL. THIS PERMIT DOES NOT
INCLUDE EXTERIOR SIGNAGE. 2001 CBC,
CMC, CPC, 2004 CEC, 2005 ENERGY.
October 9, 2007 4:55:26 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW
13.45
ENERGY REVIEW FEE
13.45
Fee summary Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 411.18 .00 .00
411.18
Plan Check Total 185.60 .00 .00
185.60
Other Fee Total 26.90 .00 .00
26.90
Grand Total 623.68 .00 .00
623.68
LQPERMIT
46650 Adams Street Suite 101
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: ? AJ ayn S sL S4 e_) O J
Owner's Name: Te &,r) n e p Lh r
A. P. Number:
Address: LOD 3(,'1 C kC, OW S r,
Legal Description: Ttnan. %DVrnei? (
Contractor: 1j(
City, ST, Zip: C,- OU; v , C A- °! a a S3
Telephone Q —7-77 — )
Address:
Project Description:
City, ST, Zip:
l ]'
_-e i'1u Y1I'--t Ivl 1-oV, e n
Telephone:
1 r,ly Shi /1 TI vn
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:`
CCir; Q( .(,t a,v-_-
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: .- 8 (Q Q
Estimated Value of Project: ab,Dao
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up v((
a
Construction
Flood plain plan
Plans resubmitted
b
Mechanical
Grading plan
2"' Review, ready for corrections! suV
Electrical
Subcontactor List
Called Contact Person
%bt
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
t
Grading
IN HOUSE:-
'Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
co Sys
bl sl2 a Ff 'w '1 x s
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
.Banning
Beaumont
4.
Calimesa
:•
Canyon Lake
Coachella
:•
Desert Hot Springs
4.
Indian Wells
Indio
Lake Elsinore
..
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY :FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • • Fax (909) 940-6910
August 23, 2007
Jeanne Boethcher
46-650 Adams St Suite 101
La Quinta, Ca. 92253
RE: TENANT IMPROVEMENT PLAN CHECK
LAO -07 -TI -077 46-650 Adams St Suite 101 Sunshine Stationary La Quinta, Ca. 92253
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307
of the 2000 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Provide a door Key for the existing Knox Lock Box.
A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location within 76 walking
distance from any point in your building or suite
ELECTRICAL PANEL BOX:
All breakers must be labeled and a clearance of 36 inches must tw maintained around the panel at all times.
OTHER REQUIREMENTS:
Fire Sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along a
plantinspection fee. A licensed 6-16 contractor will have to submit: plan for review and approval and modify the fire sprinkler
system in accordance with NFPA 13, 1999 Edition. A licensed C-16 contractor shall do all sprinkler work and certification. The
approved plans, with Fire Department Job Card must be at the job site for all inspections.
Approved building address shall be placed in such a position a to be plainly visible and legible from the street. Said numbers
shall contrast with their background.
A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit
door. The sign shall be in letters not less than one inch high on a (mritrasting background.
ApplicanUinstaller shall be responsible to contact the Fire Department to schedule inspections. A re -inspection fee will be
required if more than one (1) inspection is necessary. Requests for inspections are to be made at least 72 hours in advance
and may be arranged by calling (760) 863 -MM.
All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff
at (760) 863-8886.
Sincerely,
Tracy Hobday
Chief Fire Department Planner
By.
Norman Davidson
Fire Safety Specialist
2AIdrich Ja
Fire Systems Inspector
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
CERTIFICATE OF COMPLIANCE
,9
Desert Sands Unified School District
47950 Dune Palms Road BERMUDA DUNES O
U= RANCHO MIRAGE CJ
Date 6/24/05 La Quinta, CA 92253 INDIAN WELLS
V_ PALM DESERT
No. 27336 (760) 771-8515.�(� LA QUINTA
_y INDIO r��
Q L
Owner Thomas Enterprises APN # 649-020-043
Address Jurisdiction La Quinta
City Zip Permit #
Tract # Study Area
Type Commercial No. of Units 4
.Lot #
No.
Street
Unit 1
79070
Hwy 111
Unit 2
79174
Hwy 111
Unit 3
79024
Hwy 111
Unit 4
46650
Adams
Unit 5
S.F.
Lot # No.
5470
Unit 6
9030
Unit 7
4946
Unit 8
8340
Unit 9
Unit 10
Street S.F.
Comments per Norman Barrett, certificates to be mailed to Smith Consulting Architects, 1220 EI Camino
Reale, Suite 200, San Diego, CA 92130.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for Poring, sleeping, cooldng, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.36 X 27,786 S.F. or $10,002.96 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By OC/Wachovia - Norman Barrett
Name on the check
Check No. 750818932
Telephone 858-793-4777
Funding Commercial
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by aron McGilvrey Payment Recd
$10,002.96 Over/Under
Signature e
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the DistrictCs) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
A