11-0831 (RC)kO. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:11-00'000831
L`78271
Property Address:
HIGHWAY 111
APN:
604-050-013-2 -000000-
Application description:
REMODEL - COMMERCIAL
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
55000
T-4bt °f 4 Q"
Architect or Engineer:
a1P
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
I hereby affirm under penalty of perjury the m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the auges ad Professionals Code, and my License is in full force and effect.
Lice
nsCI s: B License No.: 962901
ate: ` ontract
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, 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 i:ontractor(s) licensed
pursuant to the Contractors' State License Law.). .
(_) I am exempt under Sec. , BAP.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:
LQPERD1IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/28/11
Owner:
M & H REALTY PARTNERS.II
C/O CPTS NO 2170
1371 OAKLAND BLV NO 200
WALNUT CREEK, CA 94596 D
Contractor: !�
TRIANGLE SYSTEMS INC SEP 2 9 201
14248 ALBERS WAY
CHINO, CA 91710 CITY OFLgQUINTq
(951) 712-5491 F1 A.
Lic. No.: 962901
-----------------------------------------------
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 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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier FARMINGTON CAS Policy Number UB3A75261-6
I certify that, in the performanc of the work for which this permit is issued, I shall not employ any
person in any manner so as o become subject to the workers' compensation laws of California,
and agree that, if I should ec me subject to the workers' compensation provisions of Section
37 0 of the Labo ode, h II forthwith comply with [hose provisions.
/pct. ,
WARNING: FAILU 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 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
whosebenefitwork 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.
I certify that I have read this application and state that the abov information is correct. I agree to comply with all
city a county ordinance/anatoe laws relating iin truction, and hereby authorize representatives
/a'te:sZA/4Vnature
ttoo a ter upbve-mention property for ection ur oses.
(Applicant or A nt):
Application Number .
. . . . 11-00000831
Structure Information
Occupancy Type . .
. . .. MERCANTILE
Other struct info . .
. . . CODE EDITION 2010
FIRE SPRINKLERS YES
------------------ ----------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
765.00
Permit
ELECT - ADD/ALT/REM
Additional desc,.
Permit Fee . . . .
30.30 Plan Check Fee
7.58
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/26/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
765.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
15.30
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
437.00 Plan Check Fee..
284.05
Issue Date
Valuation . . . .
55000
Expiration Date
3/26/12
Qty Unit Charge.
Per
Extension
BASE FEE
414.50
5.00 4.5000
THOU BLDG 50,001-100,000
22.50 '
Permit
MECHANICAL
Additional desc .
Permit Fee
73.00 Plan Check Fee
18.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/26/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
10.00 4.5000
EA MECH VENT INST/ DUCT ALT
45.00
2.00 6.5000
----------------------------------------------------------=-----------------
EA MECH EXHAUST HOOD
_ 13.00
Permit
PLUMBING
Additional desc'. ..
Permit Fee
60.00 Plan Check Fee
15.00
Issue Date
Valuation . . .
0
Expiration Date
3/26/12 .
Qty. Unit Charge
Per
Extension '
LQPERMIT
.
Application Number . . . . . 11-00000831
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 6.0000 EA PLB FIXTURE
30.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
-------------------------=--------------------------------------------------
Special Notes and Comments
REMODEL765 SF OF EXISTING PHARMACY. ADD
WAITING ROOM, CONSULTATION ROOM AND
UNISEX TOILET. 2010 CODES.
---------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN
REVIEW
28.40
BLDG STDS ADMIN (SB1473)
3.00
ENERGY REVIEW FEE
28.40
Fee summary Charged Paid Credited
---------- '---------- ---------- ----------
Due
-----------------
Permit Fee Total 600.30 .00
.00
600.30
Plan Check Total 324.88 .00
.00
324.88
Other Fee Total 59.80 .00
.00
59.80
Grand Total 984.98 .00
.00
984.98
LQPERMIT '
Bin ICb
Qty of La Quinta
-Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: -7 62:7 1
Owner's Name:
A. P. Number:
Address:ictit-cll\m A/c
Gift- -Mt'l
Legal Description:
Contractor: ✓
Address: tu_,Y�3 A uy-�b
City, ST, Zip: Agk^D L& * 00 7
-telephone:
Project Description:
MtOOV- INTE140-R-
City, ST, Zip: CAN'04->i CA C1 V7 10
Telephone:
,
NN", -i*.
crl� or r;��6_PLAIG
State Lic. # 0 I
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
.
Construction Type: Occupancy:
Project type (circle/ne): New Add'n Alter Repair Demo
t.: q.
SF16 "T# Units:
I # Stories: I
Telephone # of Contact 0ei-son:C(,51_zq1_1_B*zz0
I Estimated Value of Project: Es 0-0c)
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount'
Structural CalcS.'
Reviewed, ready for corrections
7
tY7
Plan Check Deposit
Truss Cates.
Called Contact Person j
Plan Check Balance
Title 24 Cales.
Plans picked up
0
g I
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2-d Review, ready for correction (4sue)
Electrical
Subcontactor List
Called Contact Person I e4 VA Ara
02
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
ITotal Permit Fees'
R, P. f T
ep,
fir,•
�j X_—A rX_ ff. 21 W
P.O. Box 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (7 60) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: �•S ' / %- /�
From: Les Johnson, Director -Planning Due Date: 6- a4 -/ I
Permit #: Status: /JY elK
Building Plan. Apprcaval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:. ,
Description: l.��6.%�0� �%t l,e�2Cr� GcIGQZ,,,2,f �a -
Address or General Location: S 7e o? W
Applicant Contact: 22� �/�'t.l� 7 J�-y�- 92 7-0
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
...these Bui ding Plans are approved b the Planning' Department.
❑ hese Buil ing Plans require corrections. Please forward a copy of the
at ched co sections to the applicant: When the corrections are made
pie .,e `etur them to the Planning Department for review.
'Lesnson, D��ecr-Planning ' Date
,
received
AUG 17 2011
t city os La GUnto
Plosnnine. E�O?a• lncn4
Rivms= Couwy FIRE DEPAR'i"MEl`iT'
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
John R. Hawkins - Fire Chief
210 West San Jacinto Avenue — Perris, CA 92570
(951) 940-6900 — www.rvcfire.org
PROUDLY SERVING THE
September 26, 2011
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
BANNING
LAQ-1 I -TI -033 Vons/ Safeway 78-271 Hwy 111 La Quinta, CA
BEAUMONT
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT
CALIMESA
AN OCCUPANCY PERMIT.
CANYON LAKE
It is prohibited to use/process or store any materials in this occupancy that would classify it as an
COACHELLA
"H" occupancy per Sec. 307 of the 2010 CBC.
DESERT HOT SPRINGS
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
EASTVALE
INDIAN WELLS
A minimum 2A1 OBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
INDIO
visible location within 75' walking distance from any point in your building or suite. Fire
extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal
JURUPA VALLEY
service tag attached to the extinguisher, or purchased from a retail store with a sales receipt
LAKE EISINORE
attached. A licensed fire extinguisher company must service extinguisher yearly.
LA QuINTA
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel
MENIFEE
at all times.
MORENO VALLEY
A durable sign stating "This door to remain unlocked during business hours" shall be placed on
PALM DESERT
i
or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a
PERRIS
contrasting background.
RANCHO MIRAGE
As may be necessary to maintain proper fire sprinkler protection due to constructions changes, a
RuBIDOUX CSD
C-16 licensed contractor must submit plans, designed in accordance with the CFC and NFPA 13
SAN JACINTO
to the Fire Department for review and approval prior to installation.
TEMECULA
An approved audible interior notification alarm device shall be provided in approved location.
WILDOMAR
A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire
Department for review and approval prior to installation
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections.
BOARD IS
SUPERVISORS:
A re -inspection fee will be required if more than one 1 inspection is necessary. Requests for
P q � () � p ry. q
inspections are to be made at least 72 hours in advance and may be arranged by calling (760)
BOB BUSTER
863-8886.
DISTRICT 1
JOHN TAVAGLIONE
All questions regarding the meaning of these conditions should be referred to the Fire
DISTRICT 2
Department Planning & Engineering Staff at (760) 863-8886.
JEFF STONE
DISTRICT 3
JOHN BENOIT
/ Si cerely,
DISTRICT 4
MARION ASHLEY
DISTRICT 5
By:
Jason
ubble
Fire Safety Specialist
EXISTING OR NE
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SEE DETAIL
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BASE SECTIO
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SEE DETAIL 5
1/2" GAP FOR TOP SHOE
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ON BOTH SIDES OF RXMOD UNIT
(DO NOT FASTEN TO TOP SHOE)
PRE-INSTALLED CLEAT
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SCALE DATE
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3
SCALE: 6" = V_o.'
SREETND.
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EXISTING OR NEW WALL
GC WALL, EXTEND AS
NEEDED TO MEET RXMODEND
WITH 1/4" GAP
SIDE TRIM
PIN NAIL
PROVIDE WOOD BLOCKING
PROVIDE 1/4" GAP FOR SHIMS
BETWEEN GC WALL
AND RXMODEND
MODULAR END UNIT
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FASTEN RXMOD, RXMODF,
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4
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EXTERIOR
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IF NEECIED
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SCALE DATE
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MARK CORNER UNIT POSITION
ON FLOOR, OFFSET FROM CURTAIN
WALL EDGE TO MATCH POSTION OF
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LOOSE STOP
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3/4" 1/4" TYP
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SCALE DATE
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POSITION FIRST THEN ADD
THE TYP MODULAR UNITS
TYP RXMOD UNIT. -------\
BASE AND TOP TRIM,
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MARK CORNER UNIT POSITION
ON FLOOR, OFFSET FROM CURTAIN
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135°
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JOB # N/A
DRAWN BY SHEET#
DRAFTER 1 OF 1
SCALE DATE
6' = 1'-0' 5116/2011
SHEET NO.
2.10
PRE -LAMINATED GLASS PANEL,
INSTALLED IN FIELD
PRE-INSTALLED 1/16"T X 3/8"W GLAZING TAPE,
REMOVE COVER TO EXPOSE ADHESIVE
PIN NAIL LOOSE GLASS STOP,
INSTALL AFTER FASTENING MODULAR
UNITS AND GLASS PLACEMENT
I FASTEN MODULAR UNITS
UNDERNEATH. GLASS STOP
FILLER
TYP RXMOD UNIT
RX INTERIOR
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42° HEAD CASING LENGTH
364' DOOR CLEARANCE -
41' HEAD CASING LENGH
DOOR CASING DETAIL - PLAN
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22°
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CASING - PLAN SECTION
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SCALE: 1'
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18° 3'
JAMB - PLAN SECTION
4
SCALE: 6"
HEAD CASING
chlR
PASSAGE DOOR
JAMB
SEE DETAIL 4
THIS SHEET
HEAD CASING
CASING
SEE DETAIL 3
THIS SHEET
1.
4
CASING 1/4" SHIM SPACE
SEE DETAIL 3
THIS SHEET
ENLARGED DETAIL - PLAN
2
SCALE: 1 1 /2" = 1'-0"
5/8" SHEET ROCK
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ROUGHJAMB
5/8° SHEET ROCK
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JOB # NA
DRAWN BY SHEETO
PA/TT 1 OF 1
SCALE DATE
AS SHOWN 5/18/2011
SHEET NO.
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