RC (04-5455)78065 Main St Ste 101
04-5455
° h reG 1a
BUILDING & SAFETY DEPARTMENT
P:0. Box 1504.
(760)"777-.7012
78-495 CALLETAMPICO FAX (760) 777-701 T
LA QUINTA, CALIFORNIA: 92253 INSPECTION REQUESTS. (760).777.-7153:.:
BUILDING PERMIT
Application Number
0.4-0-0005455 Date
7/23/04
Property Address
'78065 MAIN ST STE 101
APN-i
770-121--003-,
Tenant nbr,-'* name'
.101 KSL SALES M
-I
FF C
Appli.catio*n. description
-.,..- REMODEL -.COMMERC-
h%
Property
VILLAGE COMMERCIA
Application' valuation
.17.600
JUL 2'61004
-
Owner
Contractor
7 CIT-YOFLAQUINTA,
FjIMAN-CLE 109_BT
----------------------------
OLD TOWN- LA QUINTA
---------- ,_-j
MARVIN- -INVESTMENTS, INC
*
780:80 CALLE:ESTADb#206
78080. CALL5 88TAbb. SUi T %
E' . `2.0 i' -
'LA* QUINTA': CA:'
LA- QUINTA .CA.
52-253'
QUINTA CA'
92,253..
WCC.- FUND
.. :.STATE
144-012520.04
;'07/0-1/05.
CSL8: 771883
11./30/05
CCC.
-=---------=----=---------
Structure Information ----------------------------
-
Construction'Type
TYPE. V .1 - HR
Occupancy Type
-MERCANTILE
Flood* Zone
'FLOOD'ZONE A0.
Ot he r. 's t Tuot - - info
CODE EDITI ' ON :.2001:..
FIRE SPRINKLERS,- -YES
MIXEDLU.SE OCCUPA14CY.
:OCCUPANT, LOAD. :33>.
-00 --
-
FIRST FLOOR SQ FTG
---------- ------------------------------------------------------
Permit BUILDING
-------------------
PERMIT
Additional-desc
-Permit 'Fee. .....189.00
Plan-Check.Fee
122 * -8
Issue'Date '.
Valuation17600
Qty Unit Char e
.9
Pe r'
Extension
BASE FEE
.45. 00
16.0-0. .9'..0000 THOU'
-----------------------------------------------------------
'BLDG 2,001-25,0.00
144.00
Permit ELECT-
-----------------------
7 ADD/ALT/REM
Additional.. desc:..,
..Permit. Fee
4-8.80 Plan .Check :Fee
1.2.20.,
Issue Date.
Valuation
.0
Qty Unit :Change.
Per
'Extension
r
P.O. Box 1504 VOICE"(:760) 777-70T2
78-495 CALLE TAMPiCO FAX (760) 777-7011
LA QUiNTA, CALIFORNIA 92253 INSPECTIONS (760)'777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: L
Applicant: Architect or E ngi er:
Applicant's Mailing Address: Arc ' t r freer' Add ess:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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 iM full force and effect.
License Class LLicense No.
Date. / Contractor M%C-
OWNER-BUILDER DECLARATION
1 hereby affirmunder penalty of perjury that I am exempt from the Contractors` State License Law for the following reason (Sam 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 pernit 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 ire 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•improvemerds 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 oonstnict the project (Sem 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
WORKERS' COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:.
1 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
My a ynpensation insurance caner and q cy bpr r
Carrier ' [/ Policy Number 2 7 J (kj
_ I certify that, in the performance of the work`for which this permits issued, l shall not employ any person in any. manner so as to become subject to the workers'
compensation laws of Califomiai and agree that, If 1 should become subject to the workers!.. compensation provisions of Section 3700 of the Labor Code, l shall
forthwith comply with those provisions. .
Date ' 2 Applicant
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 3708 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.performanoe of the work for which this pernit Is Issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders 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. 1 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.
Date " / Signature (Applicant orAgent):
f Page
2
Application Number 04-00005455 Date
7/23/04
Qty Unit Charge Per
Extension
BASE FEE.
15.00
1690.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
33.80.
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee'.. 24.00 Plan Check Fee
6.00
Issue Date Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 4..5000 EA MECH VENT INST/ DUCT ALT
9.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Special Notes and Comments
- - - - - - - - - - - -
COMMERCIAL INTERIOR TENANT IMPROVEMENT
SUITE 101 1690 SQ.FT. KSL SALES
OFFICES, M B OCC. TYPE V-1HR.W/ FIRE
SPRINKLER SUBSTITUTION. 2001 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
12.28
Fee summary Charged Paid Credited
------------------
Due
---------- -------------------- --------
Permit Fee Total 261.80 .00 .00
7
261.80
Plan Check,Total 141.05 .00 .00.
141.05
Other Fee Total 12.28 '.00 .00
12.28
Grand Total 415.13 .00 .00
415.13
DEC -27-04 MON 6:23 PM RIV, CO, FIRE P&E INDIO FAX H. -1 760 863 7072 P, l
RIVERSIDE COUNTY FAZE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
San 3actnto Avenue . er is. Cahl9w, ) NUMax
Craig Anthony
Fire Chief
Proudly serving the
Unincorporated
Areas of Riw,7side
County and the
Cities of:
I3amluig
r.
Beaumont
Calimesa
.N
Canyon Luke
Coachella
,.
Iksevt Hot S})rings
Indian wells
a
Indio
4, .
Uke Elsinore
La t,)uinta
Moreno Vullev
Palm Dcscsi
r,.
Penis
4.
Rancho Mirage
P+
San Jacinto
Temecula
Board of Supervisors
Bob Buster.
District 1
John Txvnglronc,
1)uhiut 2
Jan Vetutbie.
I.)1sLYUt 3
Roy Wilson,
District 4
Marion rL:tdey_
District S
December 27, 2004
City of La Quinta.
Building Department
Re: LAQ-04-TI-124
CLN REAL ESTATE
The Riverside County Fire Department is granting the clearance for a building
permit for the following project located at -78065 Maiii St suite 101, La Quinta.
Please call if you should have Questions.
Respectfully .
FRANK KAWASAKI
Battalion Chief / Fire Marshall
By
Terry oucy
Fire System Inspectors
EMERGENCY SERVICES DIVISION • PU JiWNG SECTION • INUIO OFFICE
82.675 Highway 111..2!1 FI., Indio, CA 92201 • (760) 863-8866 • Fax (760) 863-7072
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
v
Beaumont
4•
Calimesa
4.
Canyon Lake
Coachella
Desert Hot Springs
ee
Indian Wells
r,.
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
r.
Perris
Rancho Mirage
`r
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley
District 5
fir. ; ,., .r. - r y •: Y
RIVERSIDE COUNTY FIRE'DEPARTMENT
In cooperation with the
California Department of Foresoy and Fire Protection
82-675 Highway 111, 2nd FL, Indo, CA 92201 a (760) 863-8886 . Fax (760) 863-7072
October 15, 2004
John Stanford
73-350 EI Paseo, Ste. 207
Palm Desert, CA 92260
Re: Non -Structural Building TA Plan Review ;
LAQ-04-TI-091 /78-065 Main St., #101 '
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
issuance of a building permit.
1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Department for review, along with a planrnspection fee. The approved plans, with Fire Department
Job card must be at the job site for all inspections.
2) Provide either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per -
recommended 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, the
lock boxes will require "tamper" monitoring.
3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified
extinguisher company for proper placement of equipment.
4) 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 name and suite number on back doors as well as the front. Suite numbers or letters must
be a minimum of 6 in height. All addressing must be legible and of a contrasting color with the
background.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
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 — Bldg. Dept.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072