BCOM2015-003278065 Main St Ste 102
BCOM2015-0032
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c% 4 4 Qu&to-
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BCOM2015-0032
Property Address:
78065 -MAIN ST STE 102
APN:
770121012.
Application Description:
MARVIN/PARTITION WALL AND FITTING ROOM INTERIOR REMODEL
Property Zoning:
LA QUINTA, CA 92253
Application Valuation:
$3,000.00
Applicant:
OLD TOWN LA QUINTA LLC
78010 MAIN ST NO 201
LA QUINTA, CA 92253
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 Professions Code,
and my License is in full force and effect.
License Class: B License No.: 771883 / .-
Date: 7 I t l l-,-*) Contractor,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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
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).:
(1 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.).
I ) 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/1/2015
Owner:
OLD TOWN LA QUINTA LLC
78010 MAIN ST NO 201
LA QUINTA, CA 92253
F-r-
9Contractor:
MARVIN INVESTMENTS. INC
78100 MAIN STREET #203
LA QUINTA, CA 92253
o g
rV
(760)771-.2567
S
LIC. No.: 771883
z
y
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 t f r which this permit is issued.
I ve and will maintain workers' compensation insurance, as required by
S 00 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: _ Policy Number: _
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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: ( Applicant:
WARNING: FAILURE TO SECURE WOR RS' 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 city to en r upon the above-
mentioned property for inspection purposes. !%
/ Signature (ApplicantorAgrtDate: \
DESCRIPTION
`r `QTY
ACCOUNT
AMOUNT, `
-"PAID"
PAID DATE
PAIDOATE
9.
101-0000-42600
F"
$24.17
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$1.00
6/22/15
`PAID BY
METHOD ; ` .RECEIPT # ..''° `
, CHECK #
CLTD BY"
R7217
x 'u,
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRITIONK
OLD TOWN LA QUINTA LLC
CHECK
R7217
10152
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA
$1.00.
$1.00 '
$72.52
DESCRIPTION r `
6/22/15
_> ACCOUNT<
QTY
AMOUNT ::
ti;. CHECK #
' ` R " PAID
PAID DATE;;
CHECK
R7217
10152
MFA
DESCRIPTION is
ACCOUNT .
''QTY
AMOUNT #
DEVICES, FIRST 20
PAID DATE
101-0000-42403
U
$24.17
$133.43,
$24.17
6/22/15
PAID BY
METHOD?
s: METHOD
};'RECEIPT #
i CLT, D BY;.'
CHECK # F '_
CLTD BY`.
OLD TOWN LA QUINTA LLC
10152
CHECK
Total Paid forPARTITION: $205.95 $205.95
R7217
ACCOUNT '
10152
MFA
DESCRIPTION ' r dta
p ACCOUNTS
e QTY'
r AMOUNT''
=PAD
PAIDOATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
6/22/15
n: a PAID BY
METHOD
r RECEIPT # .'`
': CHECK #
CLTD BY
OLD TOWN LA QUINTA LLC
CHECK
R7217
10152
MFA
Total Paid for ELECTRICAL: $48.34 $48.34
DESCRITIONK
.. ACCOUNT'
fit.a
'AMOUNT.-'!'
' PAID
PAID DATE,
PARTITION
101-0000-42400
.0
$72.52
$72.52
6/22/15
PA
s ..:. iID BY
METHOD
•t RECEIPT # e
ti;. CHECK #
CLTD BYr
OLD TOWN LA QUINTA LLC
CHECK
R7217
10152
MFA
DESCRIPTION is
ACCOUNT .
''QTY
AMOUNT #
s .PAID
PAID DATE
PARTITION PC
101-0000-42600
0
$133.43,
$133.43
6/22/15
: PAID B
METHOD?
RECEIPT #"
; e CHECK #
i CLT, D BY;.'
OLD TOWN LA QUINTA LLC
CHECK
R7217
10152
MFA
Total Paid forPARTITION: $205.95 $205.95
' DESCRIPTION ' ,
ACCOUNT '
'.QTY;.
AMOUNT''
w + PAID
PAID:DATE
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$49.31
6/22/15
1 PAID`BY ':.
} METHOD '. `
RECEIPT # Y -
: ,.CHECK #
C
..LTD BY
OLD TOWN LA QUINTA LLC
CHECK
R7217
10152
MFA
DESCRIPTION'
ACCOUNT
QTY.
> AMOUNT
`PAID
PAID DATE
REMODEL, FIRST 500 SF PC
101-0000-42600'
0
$134.88
$134.88
6/22/15
-' PAID BY
METHOD'RECEIPT
#
CHECK #
°CLTD BY. !.
OLD TOWN LA QUINTA LLC
CHECK
R7217
10152
MFA
Total Paid forREMODEL: $184.19 $184.19
. , . 'DESCRIPTION
.`
s ACCOUNT z ' ,
QTY °
'AMO ` x w
PAID
PAID DATE.
SMI - COMMERCIAL
101-0000-20308
0
$0.84
$0.84
6/22/15
` PAID BY , ` `
< METHOD
`` RECEIPT #
CHECK # ,.
CLTD BY
OLD TOWN LA'QUINTA LLC
CHECK
R7217
10152
MFA
Total Paid forSTRONG MOTION INSTRUMENTATION SM! $0.84 $0.84
Description: MARVIN/PARTITION WALL AND FITTING ROOM INTERIOR REMODEL
Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED -CONDITIONS
Applied: 6/9/2015 AOR
Approved: 6/11/2015 AOR
Parcel No: 770121012 Site Address: 78065 MAIN ST STE 102 LA QUINTA,CA 92253 r
Subdivision: PM 30850 Block: Lot: 6
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: PARTITION WALL -TO REDUCE THE OVERALL SQUARE FOOTAGE OF SUITE 102 AND FITTING ROOM INTERIOR REMODEL. THIS PERMIT
DOES NOT INCLUDE A CHANGE IN OCCUPANCY, OCCUPANCY OF THE VOIDED SPACE OR ALTERATIONS TO MECHANICAL OR PLUMBIN(
INSTALLATIONS. 2013 CALIFORNIA BUILDING CODE.
j APPlied to Approved
ADDITIONAL
Printed: Wednesday, July 01, 2015 4:19:54 PM 1 of 3
SYSTEMS
... ,CHRONOLOGY TYPE STAFF, NAME
r 3 r
-CHRONOLOGY
ACTION DATE ..
` COMPLETION DATE'„ NOTES; P
•
- PHONED WELLS THAT THE PLANS ARE APPROVED AND READY
•
TO ISSUE WITH: FIRE RELEASE (EXPLAINED THEIR PROCESS
TELEPHONE CALL
AJ ORTEGA
6/11/2015 =
6/11/2015
AND WHAT THEY WOULD NEED) AND WORKMENS COMP
VERIFICATION DUE TO SUSPENDED LICENSE (SEE CSLB
•
WEBSITE FOR ADDITIONAL INFORMATION)
CONDITIONS
CONDITION
° .CONTACT -
DATE ,DATE n
, DATE ADDED`°' : STATUS REMARKS ,," NOTES:
-
47PE g
. REQUIRED
SATISFIED
READY TO ISSUE AJ ORTEGA
6/11/2015 _
INCOMPLETE
• + _
NAME TYPE '-
NAME:F R
ADDRESS
CITY STATE
ZIP PHONE-— FAX
APPLICANT
OLD TOWN LA QUINTA LLC . 78010 MAIN ST NO 201
LA QUINTA
CA
92253
Printed: Wednesday, July 01, 2015 4:19:54 PM 1 of 3
SYSTEMS
CONTRACTOR MARVIN INVESTMENTS INC' 78100 MAIN STREET LA QUINTA CA. 92253 welismarvin@gmail.co.
#203 m
OWNER OLD TOWN LA QUINTA LLC 78010 MAIN ST NO 201 LA QUINTA CA 92253
FINANCIAL INFORMATION
DESCRIPTION COU MOUNT
AC CITY PAID
PA16
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00
6/22/15 R7217
OLD TOWN LA
CHECK
MFA
QUIN
Total Paid forBUILDING STANDARDS ADMINISTRATION
DEVICES, FIRST 20
101-0000-42403.
0
$24.17
$24.17
-
6/22/15
R7217'
10152
CHECK
OLD TOWN LA
MFA
QUINTA LLC
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24 .17
6/22/15
R7217
10152
CHECK
OLD TOWN LA
MFA
QUINTA LLC
Total Paid forELECTRICAL: $48.34 $48.34
PARTITION
101-0000-42400
0
$72.S2
$72.S2
R7217
-.10152
CHECK
OLD TOWN LA
MFA
.6/21/15
QUINTA LLC
PARTITION PC
101-0000-42600
0.
$133.43
.$133.43
R7217
10152
CHECK
OLD TOWN LA
MFA.
.6/22/1S
QUINTA LLC
Total Paid for PARTITION: $205.9S $205.95
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$49.31
6/22/1S
R7217-
10152
CHECK
OLD TOWN LA
MFA
QUINTA LLC
REMODEL, FIRST 500 SF
101-0000-42600
0
$134.88
$134.88
6/22/15
R7217
101S2
CHECK
OLD TOWN LA
MFA.
PC
QUINTA LLC
Total Paid for REMODEL: $184.19 $184.19
SMI - COMMERCIAL
101-0000-20368
0
$0.84
$0.84
6/22/15
R7217
10152
CHECK
OLD TOWN LA _F
M 7F
QUINTA LLC
TO*tal Paid forSTRONG MOTION INSTRUMENTATION SMk $0.84 $0,84
Printed: Wednesday, ]u 0 2O154:19:54P N 2of3 .
.
'
INSPECTIONS
ATTACHMENTS
PARENTOIIOJECTSi
CREATED
TOWNER DESCRIPTION
--PATHNAME h
SUBDIR
ETRAKIT ENABLED
a
=REVIEW TYPE : ``
REVIEWERx
-
SENT DATE
DUE DATE
RETURNED
REVIEWS
- STATUS
y .',.
REMARKS'.._
_:=NOTES,
=:
0
z
DATE
APPLICATION.pdf
NON-STRUCTURAL -
AJ ORTEGA
6/9/2015
6/16/2015
6/11/2015
APPROVED
DOC
6/19/2015
1 WK
TI OLD TOWN TARAH
0
JADE BOUTIQUE.docx
JADE BOUTIQUE.docx
NON-STRUCTURAL -
LISA
6/19/2015
6/19/2015
6/19/2015
READY FOR APPROVAL
NOTTINGHA
_ CONDITION
1 WK
M
LISA
6/19/2015
6/19/2015
PLANNING - 1WK
NOTTINGHA
M
LISA
6/19/2015
6/19/2015
STRUCTURAL - 1 WK
NOTTINGHA
M
Printed: Wednesday,luly 01, 2015 4:19:54 PM 3 of 3
SYS7ENIS
ATTACHMENTS
Attachment Type ._
CREATED
TOWNER DESCRIPTION
--PATHNAME h
SUBDIR
ETRAKIT ENABLED
BCOM2015-0032 -
DOC
6/11/2015
AJ ORTEGA BUILDING APPLICATION
BUILDING
0
APPLICATION.pdf
- LAQ-I5-TI-020 BLDNG
LAQ-I5-TI-020 BLDNG
DOC
6/19/2015
LISA NOTTINGHAM. TI OLD TOWN TARAH
TI OLD TOWN TARAH
0
JADE BOUTIQUE.docx
JADE BOUTIQUE.docx
Printed: Wednesday,luly 01, 2015 4:19:54 PM 3 of 3
SYS7ENIS
Bin #
City of La Quinta
Building 8T Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #P.O.
uovwl415, b03
Project Address:7 6 P 2
Owner's Name: i p l ti U L
A. P. Number: ? O Z ( Q Q
Address: 1 ( 4. S , t Jt e 03
Legal Description:
w
City, ST, Zip: Lq { C 2S3
Contractor: Vv
a cti-
TeleP —
ho e.
-VUt
S O Z
Address: 7 ' cep - o
Project Description: V(
City, ST, Zip: 'Lo U2Z-T3
o L . `^ W (( UU J
Telephone:
P o .• u 2—
G
i11 Y•
ll
State Lic. # : %% City Lic. #:U
Arch., Engr., Designer: v (i
( --r VK a /,
Address: 3 — 3. L U" U [ 0 ,,
City, ST, Zip: 1 t T 2 ?-,C u
Tel a h
P Y —
e one:
:>
Con tr ucti n Type: Occupancy: aneYti.vKc vC
V •Ca
Lic. #:
oState
Project hPa (circle one): New Add' Repair r Dem
Name of Contact Person: We tl lrvl
Sq. Ft.:
# Stories: 1
# Units:
Telephone # of Contact Person: ( — Sl 2 ''" % 2
Estimated Value of Project:
APPLICANT: D O W E
li Submittal Req'd Recd PERMIT FEES
Plan Sets
Plan Check submittedII
Item
Amount
Structural Calcs.
II 11 nn ttidJ
Reviewed, ready for corrk.9. 2015
Plan Check Deposit
Truss Cales.
Called Contact Perp z1 i )P 4 A Q1 IT V
ITA
Plan Check Balance.
Title 24 Calcs.
Plans pickedOOMMUNI•iY DEVELOPMEN1
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Sdbcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
3" 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
RIVERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH -
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. 4201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfire.org
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
r
AND THE CITIES OF:
June 19th, 2015
BANNING
BEAUMONT
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ-I5-TI-020 Old Town Tarah Jade Boutique 78065 Main Street,Suite #C102 La Quinta
CALIMESA
CANYON LAKE
You have been issued an approved for a tenant improvement on an existing building. THIS IS NOT
COACHELLA
AN OCCUPANCY PERMIT.
DESERT HOT SPRINGS
EAsrVALE
It is prohibited to use/process or store any.materials in this occupancy that would classify it as a. "11"
occupancy per Sec. 307 of the 2013 CBC.
INDIAN WELLS
INDIO
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
JURUPA VALLEY
Install door hardware and exit signs as per Chapter 10 of the 2013 CBC.
LAKE ELSINORE
LA QUINTA
A minimum 2A1 OBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible
location within 75' walking distance from any point in your building or suite. Fire extinguishers can
MENIFEE
be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the
MORENO VALLEY
extinguisher, or purchased from a retail store with a sales receipt attached. A licensedfire
NORCO
extinguisher company must service extinguisher yearly.
PALM DESERT
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all
PERRIS
times.
RANCHO MIRAGE
Approved suite addresses shall be placed in such a position to be plainly visible and legible from the
Rue1DOUx CSD
street. Said numbers shall contrast with their background.
SAN JACINTO
1
An approved audible. interior notification alarm device shall be provided in approved location. A C-
TEMECULA
10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire
WILDOMAR
Department for review and approval prior to installation .
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
BOARD OF
SUPERVISORS:
contrasting background.
KEVIN JEF RIES
DISTRICT 1
DISTRICT
Provide key(s)to the tenants ace for inclusion in the main building Knox Box. Ke s shall have
P g Key(s)
durable and legible tags affixed for identification of the correlating tenant space. Key(s) shall be
JOHN TAVAGUONE
provided at time of final inspection.
DISTRICT 2
JEFF STONE
As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire
DISTRICT 3
sprinkler system plans for the tenant improvement area may be.required to be submitted to the Fire
JOHN BENOIT
Department for review and for relocation of sprinkler heads.(Sprinkler system may need a 5 year
DISTRICT 4
MARION ASHLEY
DISTRICT 5
certification before final is given).
Air handling systems supplying air in excess of 2000 cubic feet per minute to enclosed spaces within
buildings shall be equipped with an automatic shutoff. 2013 CMC(Sheet Number M1.0).
A UL300 hood/duct fire extinguishing system must be installed over the cooking equipment as
required by the California Fire Code, California Mechanical Code and adopted standards. System
plans must be submitted to the Fire Department for,review, along with current plan check/inspection
fee.
SUBJECT TO FIELD INSPECTION - Nothing in our review shall be construed as encompassing
structural integrity. Review of this plan does not authorize or approve any omission or deviation
from all applicable regulations. Final approval is subject to field inspection.
Applicant/installer 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) 863-8886.
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering Staff at (760) 863-8886.
By: Lisa Nottingham, Fire Safety Specialist
r