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04-6093 (RC) .�'� Illllllllllllllllllllllil 23 '1 La/( ci6� 4 14 �u - iE --- Q, nt BUILDING & SAFETY DEPARTMENT 13504 (760) 777-7012 FZt��C� 2 �7 .4�95 �� w LE TAMPICO FAX (760) 777-7011 LA QUINTA; CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 C�c°�T BUILDING PERMIT u Application Number 0400006093 -Date 10/25/04 - Property Address . . . 78900_ AVENUE _47 _STE_106__- APN: 643-090-016-286 -24230 - Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . . . REGIONAL COMMERCIAL Application valuation 115000 Owner Contractor ------------------------ ------------------------ LQ CAPITAL BLDG ORR BUILDERS 39301 BADGER, SUITE #300 78900 AVENUE 47 PALM DESERT CA 92211 LA QUINTA CA 92253 (760) 360-6632 WCC : STATE FUND WC: 1242824 07/01/05 • CSLB: 693077 07/31/06 CCC: B - Structure Information COMMERCIAL REMODEL Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . BUSINESS <50 Other struct info CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 38 . 00 FIRST FLOOR SQ FTG 3740 . 00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee 692 . 00 Plan Check Fee 449 . 80 Issue Date Valuation 115.000 Expiration Date 4/25/05 Qty Unit Charge Per . Extension BASE FEE 639 . 50 . 15 . 00 3 . 5000 THOU BLDG 100 , 001-500, 000 52 . 50 ----------------------------------------------------------=----------------- Permit . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee 89 .80 Plan Check Fee 22 . 45 Issue Date . . . . Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 15 : 00 3740 . 00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 74 . 80 -------------=-------------------------------------------------------------- Permit . . . . . . MECHANICAL P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QuINTA, CALIFORNIA 922$3 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0q &093 Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: P 1141 Lic. No. BUILDING PERMIT DECLARATIONS 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 ss lrf�se is in full force and effect. 6 13 D-7^ nse Class(� �� icense No. !/ Date �i� y C/ ontractor OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors'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 Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 o 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).): U 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 or 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.). U I am exempt under Sec. ,BA P.C.for this reason Date Owner WORKERS'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 Vof the work for which this permit is issued. ,1 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'compensationi nce carrier and policy number are: erolicy Number I certify that,in the performance 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. /Date A ant / 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. 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes. /�e ignature(Applicant or Agent): Page. . 2 Application Number . . . . . 04700006093 Date " 10/25/04 Additional desc Permit Fee . . . 19 . 50 Plan Check Fee" 4 . 88 Issue Date . . Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 15 . 00 1 . 00 . 4 . 5000 EA MECH VENT INST/ DUCT ALT 4 . 50 ----------------- ------------------------------------------- . . . . PLUMBING Additional desc Permit Fee 48 . 00 Plan Check Fee 11 .25 Issue Date Valuation . . 0 Expiration Date 4/25/05 Qty Unit Charge Per' Extension BASE FEE 15 . 00 5 . 00 6 . 0000 EA PLB FIXTURE 30 . 00 1 . 00 3 . 0000 EA PLB WATER INST/ALT/REP 3 . 00 ----------------------- ---------------------------------------------- ..Special Notes and Comments Commercial Remodel '(3 , 740 sqft) , "American Mortgage Advisors" TI , "B" ..Occupancy,- Type VN Sprinkled, Occupant Load 38 . ---------------------------------------------------------------------------- Other Fees . . . . . . . . STRONG MOTION (SMI) - COM 24 . 15 Fee summary Charged Paid Credited Due ----------------- ---------- --- ------ ---------- ---------- Permit Fee Total 849 . 30 . 00 . 00 849 : 30 . Plan Check Total 488 . 38 . 00 . 00 488 . 38 Other Fee Total 24 . 15 . 00 .00 24 . 15 Grand Total 1361 . 83 . 00 . 00 1361 . 83 ' . RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the =.: California Department of Forestry and Fire Protection 82-675 Highway 111,2nd Fl.,Indio,CA 92201 •(760)863-8886 •Fax(760)863-7072 September 20,2004 I IIIIIII I I II VIII 22 IE i Craig E.Anthony Lathrop Development Fire Chief 72-192 Willow St. Palm Desert,CA 92260 Proudly serving the unincorporated Re: Non-Structural Building TA Plan Review areas of Riverside LAq-04_TI_120/American Mortgage County and the C778-900-Avenue-47,Ste. 1064-11 _� Cities of- Banning Fire Department.personnel have reviewed and approved the plans you submitted for the above referenced 4. project. Please be advised the following conditions apply as a part of the conditions for the issuance of a Beaumont building permit. ❖ Calimesa 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review,along with a plan/inspection fee. The approved plans,with Fire Department Job card must Canyon Lake be at the job site for all inspections. 4. Coachella 2) Provide either a separate Knox Key Lock box,Model 4400,3200 or 1300, mounted per recommended 4.1. Hot Springs standard of the Knox Company or provide key(s)for inclusion in the general building Knox Box. If the 4. building/facility is protected with a fire alarm system or burglar alarm system,the lock boxes will require Indian wells 'tamper"monitoring. Special forms are available from this office for the ordering of the Knox Box,this ❖ form must be authorized and signed by this office for the correctly coded system to be purchased. Indio 4. 3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware and as noted on Sht. Lake Elsinore A-2 of the building plans. .g La Quinta 4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified 11. Moreno Valley extinguisher company for proper placement of equipment. r,. Palm Desert 5) Approved building address shall be placed in such a position as to be plainly visible and legible from ❖ the street and rear access if applicable. In multi-tenant buildings, businesses shall post the business Perris name and suite number on back doors as well as the front. Suite numbers or letters must be a 4. minimum of 6°in height. All addressing must be legible and of a contrasting color with the background. Rancho Mirage Please contact the Fire Department Planning&Engineering staff for final inspection prior to occupancy. 4. San Jacinto Temecula All questions regarding the meaning of these conditions should be referred to the Fire Department Planning &Engineering staff at(760)863-8886. Board of Supervisors Sincerely, Bob Buster, FRANK KAWASAKI . District t Chief Fire Department Planner John Tavaglione, District 2 / Jim Venable, District 3 By Walter Brandes Roy Wilson, Fire Safety Specialist District a �Cc:_City of La Quinta-Building Dept) Marion Ashley District 5 HAPEMP Da1aVa QW�IPR0JECTS1TUAa06-W120.doe EMERGENCY SERVICES DIVISION •PLANNING SECTION •INDIO OFFICE 82-675 Highway 111,2nd FI.,Indio,CA 92201 •(760)863-8886 •Fax(760)863-7072 OD D Builders Contractors&Developers MEMORANDUM TO: City of La Quinta- Building Department FROM: Brian Orr DATE: 11-10-04 -RE: Tenant Improvement Permits:04-609 land 04-6093 4f ego Ave to ❑ URGENT LJ FOR REVIEW ❑ CONFIDENTIAL ❑PLEASE REPLY ❑ ORIGINAL MAILED NOTES/COMMENTS: Please remove Orr Builders as the General Contractor of record on these two tenant improvements. We have returned the approved plans and permit card for re-issuance to West Coast Builders. Please contact me if you have any questions. rian President