04-6092 (RC) r` IIIIIIIIVIIIIIIVIIIIIII32
IE
a �
0 0�
V
BUILDING & SAFETY DEPARTMENT
(760).777-7012
OF5Sci� /78,49 -C:AL.LE �T�MPICO FAX (760) 777-7011
OCs A QUINTA, CALWORNIA 92253 INSPECTION REQUESTS (760) 777-7153
t) 1004 [U
CITY OFt,ABUILDING PERMIT
FINAN..I;bFPtrA
Application Number . . . . . 04-0000.60-92 Date 10/25/04
Property Address X78900 AVENUE 47 STE 111 l
1
APN: 643-0_50___01_6-28_6 __-_2423_0 -
Application description . . . REMODEL - COMMERCIAL
Property Zoning . . . . . . . REGIONAL COMMERCIAL
Application valuation . . . . 30000•
Owner Contractor
------------------------ ------------------------
LATHROP THOMAS ORR BUILDERS
C/O VISTA LA QUINTA LLC 39301 BADGER, SUITE #300
45524 TOWNE ST PALM DESERT CA 92211
INDIO CA 92201 (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 11 . 00
FIRST FLOOR SQ FTG 1035 . 00
---------------------------------•--'-----------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . 284 . 50 Plan Check Fee 184 . 93
Issue Date Valuation . . . 30000
Expiration Date 4/25/05
Qty Unit Charge Per Extension
BASE FEE 252. 00
5 . 00 6 . 5000 THOU BLDG 25, 001.-50, 000 32 . 50
----------------------------------------------------------------------------
Permit . . . . . . ELECT - ADD/ALT/REM
Additional desc
Permit Fee . . . . 35 . 70 Plan Check Fee 8 . 93
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/25/05
Qty Unit Charge Per Extension
BASE FEE 15 . 00
1035 . 00 . 0200 ELEC GARAGE OR }NON-RESIDENTIAL .20 . 70
------------------ -------------------------------------------------------
Permit . . . . . . MECHANICAL
P.O. BOX 1504 • �i/
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant: Architect or Engineer:
Applicant's Mailing Address. �— Architect or Engineer's Address:
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 License i p�IF force and effect.
License Class �l� `License No.
Date 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'cbMPENSATION 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
issu d. My��a((ork�ers')) mpensation insurance carver and poli r&m"e
C � (� rf!.!MlS� ' Policy Number' t__Z_
T `��
I certify that,in the performance of the work for which this permit is issued,1 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
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIO 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 Ouinta,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.
1 certify that I have read this application and state that the above information is correct. Iagree to co ply with all city and county ordinances and state laws relating to building
construction,and hereby authorize representatives of this c4nty nter upon t above-me 'oned roperty for inspection purposes.
Date ! �gnature(Applicant or Agent)
M
Page 2
Application Number 04-00006092 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
----------------------------------------------------------------------------
Permit PLUMBING
Additional desc
Permit Fee . . . . 36 . 00 Plan Check .Fee 8 . 25
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/25/05
Qty Unit Charge ' Per Extension
BASE FEE 15 . 00
3 . 00 6 .0000 EA PLB FIXTURE 18 . 00
1 . 00 3 . 0000 EA PLB WATER INST/ALT/REP 3 . 00
----------------------------------------------------------------------------
Special Notes and Comments
Commercial Remodel (1035 sgft) "American
Mortgage Advisors" TI , ".B" Occupancy,
Type VN Sprinkled, Occupant Load 11
------------r---------------------------------------------------------------
Other Fees . . . . . STRONG MOTION (SMI) - COM 6 . 30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 375 . 70 . 00 . 00 375 . 70
Plan Check Total 206 . 99 . 00 . 00 206 . 99
Other Fee Total 6 . 30 . 00 . 00 6 . 30
Grand Total 588 . 99 . 00 . 00 588 . 99
r
s
RIVERSIDE COUNTY FIRE DEPARTMENT
. In cooperation with the
` = California Department of Forestry and Fire Protection
4
82-675 Highway 111,2^d Fl.,Indio,CA 92201 .(760)863-8886 .Fax(760)863-7072
September 29,2004 l I IIIIIII VIII III VIII IIII 33
IE
Craig E.Anthony Lathorp Development, Inc.
Fire Chief 72-912 Willow St.
Palm Desert,CA 92260
Proudly serving the Re: Non-Structural Building TA Plan Review
unincoripomted LAQ-04-TI-122/78-900 Ave 47,Ste. 112
areas of Riverside
County and the
Cities of: Fire Department personnel have reviewed and approved the plans you submitted for the above
referenced project. Please be advised the following conditions apply as a part of the conditions for the
Banning issuance of a building permit.
Beaumont 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Calimesa Department for review,along with a plan/inspection fee. The approved plans,with Fire Department
Job card must be at the job site for all inspections.
4-
Canyon Lake
g. 2) Provide either a separate Knox Key Lock box,Model 4400,3200 or 1300, mounted per
Coachella recommended standard of the Knox Company or provide key(s)for inclusion in the general building
t• Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system,the
Desert Hot Springs lock boxes will require"tamper'monitoring. Special forms are available from this office for the
c• ordering of the Knox Box,this form must be authorized and signed by this office for the correctly
Indian wells coded system to be purchased.
.;.
Indo 3) Install portable fire extinguishers per Title 19,but not less than 2A10BC in rating. Contact certified
4.
Lake Elsinore extinguisher company for proper placement of equipment.
10
La Quinta 4) Approved building address shall be placed in such a position as to be plainly visible and legible from
e• the street and rear access if applicable. In multi-tenant buildings, businesses shall post the
Moreno Valley business name and suite number on back doors as well as the front. Suite numbers or letters must
e• be a minimum of 6"in height. All addressing must be legible and of a contrasting color with the
Pte'Desert background.
4-
Perris Please contact the Fire Department Planning&Engineering staff for final inspection prior to occupancy.
o•
Rancho Mirage
�. Requests for inspections are to be made at least 72ours in advance and may be arranged by calling
San Jacinto (760)863-8886.
o•
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,
District I FRANK KAWASAKI
Chief Fire Department Planner
John Tavaglione,
District 2
Jim Venable,
District 3
By
Roy Wilson, Walter Brandes
District 4 Fire Safety Specialist
Cc: City of La Quinta—Building Dept
Marion Ashley
District 5 K%PE2wP Dahlia albx wRaECMTMA004-n122.aoo
EMERGENCY SERVICES DIVISION •PLANNING SECTION •INDIO OFFICE
82-675 Highway 111,2nd FI.,Indio,CA 92201 •(760)8638886 •Fax(760)863-7072
IIII IIIIIIIIII ILII 31-1
IE
D D
v
Builders
Contractors&Developers
MEMORANDUM
TO: City of La Quinta- Building Department
FROM: Brian Orr
DATE: 11-10-04
RE: Tenant Improvement Pemuts: 0404-6�04-6093
tw Aqw 7
❑ URGENT 0 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 yuu have any questions.
rian
President
C
IIIII�I ILII I I ��IIII 27
IE
Cert�fica to of Occupancy
. Lrco�ou:rn�4
0Building & Safety Department
artment
This Certificate is issued pursuant to the requirements of Section 109 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 and/or use.
BUILDING ADDRESS: 78-900 Avenue 47 Suite 111
Use classification: Commercial "American Mortgage Advisors" Office TI Building Permit No.: 04-6092
Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: LQ Capital BLDG Address: 78-900 Avenue 47
City, ST, ZIP: La Quinta, CA 92253
�b By: Daniel P. Crawford Jr.
Date: 3/11/05
Building Official
POST IN A CONSPICUOUS PLACE
,. IIIIIIIVIIIIIIIIIIII28 ,
IE
,- Certificate . of Occupancy '
Tihi 4
19a
O OF9 '. Buildin & Safet Department
9► Y p
This Certificate' is issued pursuant to the requirements of Section 109W 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 and/or use. z
BUILDING ADDRESS: 78-900 Ave 47 Suite 111
Use classification: Commercial Office TI - Building Permit No.: 04-6092
Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: LQ Capital' Address: 78900 Ave 47,
City; ST, ZIP: La Quinta, CA 92253
l &In 1 By: Daniel P: Crawford Jr..
Date: 2/18/05
Building Official ?
POST IN A'CONSPICUOUS PLACE
I IIIIIIIIVIIIIIIVIIIIIII 30
IE •
Wi((� �'C
�0 Certificate of OccupancyF .
r W
L,7fD
x
� of 9ti Building y& Safety Department
This Certificate is issued pursuant to the requirements of Section 109 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 and/or use.
BUILDING ADDRESS: 78-900 Ave 47 Suite 111
f
Use classification: Commercial Office TI Building Permit No.: 04-6092
Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: LQ Capital Address: 78900 Ave 47
City, ST, ZIP: La Quinta, CA 92253
0't'.1 By: Daniel P. Crawford Jr.
Date: 2/18/05
Building Official
POST IN A CONSPICUOUS PLACE
I