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04-5185 (RC) IIIIIII VIII III VIII IIII 25 IE a' BUILDING & SAFETY DEPARTMENT cw4 P.O. Box 1504 (760),777-7012 OF- 18-495 78-495 CALLS TAMPICO FAX (760) 777-7011 n t� LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT CIV I�'cation Number 04-00'005185 Date 8/23/04 -EF'y Address . . . . . . 78900 AVENUE 47 S TE. 110 APN: 643-090-016-286 -24230 - Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . REGIONAL COMMERCIAL Application valuation . . . . 75000 Owner Contractor ------------------------ ------------------_----- LATHROP THOMAS PACIFIC INLAND CONSTR, INC C/0 VISTA .LA QUINTA LLC 14093 BUSINESS CENTER DRIVE 45524 TOWNE ST LA QUINTA CA 92553 INDIO CA. 92201 (909) 565-1196 WCC: EXEMPT WC: EXEMPT 08/31/05 CSLB: 819855 05/31/05 CCC: - B ------ Structure Information COMMERCIAL REMODEL (DENTIST TI) ----- 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 20 . 00 FIRST FLOOR SQ FTG 1991 . 00 -----------------------------------------------------------------=---------- Permit BUILDING PERMIT Additional desc Permit Fee . . 527 . 00 Pian Check Fee 342 . 55 Issue Date Valuation 75000 Qty . .Unit Charge Per Extension BASE FEE 414 . 50 25 . 00 4 . 5000 THOU BLDG 50, 001.-100, 000 112 . 50 ---------------------------------------------------------------------------- Permit . . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 54 . 82 Plan Check Fee 13 . 71 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 1991 . 00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 39 . 82 } 0A P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 Ot INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. -619 Date: If `07,3• Cy Applicant: Architect or Engineer: 0 G Desian '- orihLng Applicant's Mailing Address: Architect or Engineer's Address: 1917 Moreno 61vy. #)9 Soon l�eyy, C0� 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 my Lic se is in full force and effect. 1 q License Class-t J License Nod 'Date. 2/ 7 Contractor �� OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 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).): 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.). U 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.). U I am exempt under Sec. ,BA P.C.for this reason Date Owner WORKERS'COMPENSATION DECLARATION I hereby of"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 pen-nit is isssuuVeld. y workers'compensation insurance carrier and policy number are: � -Carrier x r Policy Number =I certify at,in the performance of 66-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. 1 Date 2 Q7 Applicant -' i 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 infornation is correct. I agree to comply with all city and county ordinances and state laws relating to building constru ction,and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. -Date Signature (Applicant or Agent): J90 Page 2 Application Number . . . . . 04-00005185 Date 8/23/04 ------------------- -------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . 64 . 00 Plan Check Fee 16 . 00 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 2 . 00 9 . 0000 EA MECH FURNACE <=100K 18 . 00 2 . 00' .9 . 0000 EA MECH B/C <=3HP/100K BTU 18 . 00 2 . 00 6 . 5000 EA - MECH VENT FAN 13 . 00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee 97 . 50 Plan Check Fee 24 . 38 Issue Date . . . . -Valuation 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 12 . 00 6 . 0000 EA PLB FIXTURE 72 . 00 1 . 00 7 . 5000 EA PLB WATER HEATER/VENT 7 . 50 1 :00 3 . 0000 EA PLB WATER INST/ALT/REP- 3 . 00 ------------------------------------7--------------------------------------- Special Notes and Comments Commercial Remodel (Dentist TI) , "B" Occupancy, Type VN, Sprinkled, Occupant Load 20 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . . STRONG MOTION (SMI) - COM 15 . 75 Fee summary Charged Paid Credited Due ----------------- ---------- -7-------- ---------- --------- Permit Fee Total 743 . 32 . 00 . 00 743 . 32 Plan Check Total 396 . 64 . 00 . 00 396 . 64 Other Fee Total 15 . 75 . 00 . 00 15 . 75 Grand Total 1155 . 71 . 00 . 00 1155 . 71 h GAM OANM iMENT.bf fO�CT�. aadF1AF�PRO ifC1/pyo RIVERSIDE COUNTY FIRE DEPARTMENT r ,. In cooperation with the o y California Department of Forestry and Fire Protection E�g1�E �� 82-675 Highway 111,2nd FI.,Indio,CA 92201 •(760)863-8886 •Fax(760)863-7072 August 19 2004 IIIIIIIIIIIIIIIIIIIIIIIII 26 IE1A'TME� g ' IE Tom Tisdale Fire Chief Design & Drafting 1817 Morena Boulevard, #D Proudly serving the San Diego, CA 92110 unincorporated areas of Riverside Re: Non-Structural Building T/I Plan Review County and the LAQ-04-TI-099/ Dr. Rita Soto Cities of. 1787900 Avenue 47, Ste. 110 � Banning ❖ Fire Department personnel have reviewed and approved the plans you submitted for the Beaumont above referenced project. Please be advised the following conditions apply as a part of the Calimesa conditions for the issuance of a building permit. 4. Canyon Lake 1) Fire Department approval is based upon the 2001 CBC requirements for Group B occupancies. It is prohibited to use the occupancy in a manner that would classify it as a Coachella Group 11.2 occupancy per the 2001 CBC. e. Desert Hot Springs 2) As may be necessary to maintain proper fire sprinkler protection due to constructions Indian Wells changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review, along with a plan/inspection fee. The Indio approved plans, with Fire Department Job card must be at the job site for all inspections. 4. Lake Elsinore 3) Provide either a separate Knox Key Lock box, Model 3200, mounted per recommended La ta standard of the Knox Company or provide key(s) for inclusion in the general building Knox ,. Box. If the building/facility is protected with a fire alarm system or burglar alarm system, Moreno Valley the lock boxes will require "tamper" monitoring. Special forms are available from this ❖ office for the ordering of the Knox Box. Palm Desert Penis 4) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. e. Rancho Mirage 5) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact ❖ certified extinguisher company for proper placement of equipment. San Jacinto 6) Medical gas system plans must be submitted separately for approval prior to construction. Temecula Contractors should contact the Planning & Engineering office for submittal requirements. Board of Supervisors 7) 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 Bob Buster, shall post the business name and suite number on back doors as well as the front. Suite District 1 numbers or letters must be a minimum of 6" in height. All addressing must be legible and John Tavaglione, of a contrasting color with the background. District 2 Jim Venable, Please contact the Fire Department Planning & Engineering staff for final inspection prior to District 3 occupancy. Roy Wilson, A licant/installer shall be responsible to contact the Fire Department to schedule Distad 4 PP P P inspections. Marion Ashley District 5 EMERGENCY SERVICES DIVISION •PLANNING SECTION •INDIO OFFICE 82-675 Highway 111,2nd FI.,Indio,CA 92201 •(760)863-8886 •Fax(760)863-7072 Requests for inspections are to be made at least 24 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist Cc:City of La Quinta—Building Dept. HAPE2AM DataU QomtaxPROJECfSRAIAQ-04-TL.M(b).doc RIVERSIDE COUNTY FIRE DEPA RTMENT In cooperation with the California Department of Foreswy and Fire Pj otection 82-875 Highway 111,2W Fl.,Indo,CA 9=1 •(760)863-8886 Fax(760)8637072 July 14,2004 Tom rodale Fire Ct ef Design&Dra 1817Morena utevard,#Dp� the San Diego, 92110 areasof verstde Re: ctural Building T/1 Plan Review Courcy and the tAQ-4 4-TI-M/Dr.Rita Soto Cities of 78-jAv,nue 47,Ste.1 10 Bamdng Fire Departpknnel have completed a review of the plans you su cited for the above BeatreferencedstPlease be advised the hollowing eor�ons or must be and approved tryRiverside County Fine Deparhnent before a b can CalbMsa 4 ) Provide sS ecific locations for all medical gas stations to be provided. if nota r4pll� nsaretD Canyon Lake receive the same gasses,indicate where the specific types of gassesare to provided. .> Mr S;^ 0 ( ted LOCA-17-j Coadhena 2) Indicat 1 -hour wall locationso pians for the medical gas roon i as required by CBC,Sec.410 and CFC,kt 7404_ nd a - mou and Desert Jot closures, -hour fire resistive construction and protection of any into fire resistive constru n. fir: StO•N 1 f t ovit l flit- PAAf/raw Gd a�✓/ / o L 8 IndiaaweIls P-diL AdSirr+6�y ol'e t pre.. sola,✓ O 3) Provide rifying note that separate plans shall be of for and approval of the medical + gas she .t g S'fiY• 4-(;r /*x- Aa'72� "Ot-09,jr—ry ,f J�, A-LAI Lake Eosins 0 All questions i egarding the meaning of these conditions should be referr d to the Frye Department La Quinta Planning&En gineering staff at(760)863-8886. ow SMT. * Z MMMvanq Oey*u. D753 jib� Sincer, , 10190,, Palm Desett FRANI CKAWASAIG ptais® � _ bf T-, 1k p' t r04 Ce��J, Chief ire Department Planner Rancho D�faage y/ 'a' rSan Jacirlo TOS (• Q2 of tS �e-gep BY TCMOCWa Mtv ke, (4t f' Q,n/ Q+?. Walter Ekandes Fire fety Specialist Board of S%=visors Bob Busts, Distad 1 JohnTavae"iane, Distad 2 An Vcmbte, Disaict 3 Ray Wilson, Disk 4 KV4 2W QAWLa T&4W(&)doe it vion Ashley Diodat 5 EIMSEiGY MRVICES DIVISION•PLANNING SECTION•IMM OFFICE 82-05 Wgtmay 111.21d a,lnfo,CA SM •(MM 863 MS•Fmc 863-7072