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BCOM2015-0022LICENSED 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 Busines d Professions Code, and my License is in full force and effect. License Class: B License No.: 553607 1Date: / Z 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).: . (_J 1, 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.). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7644, 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 Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I ve and will maintain a certificate of consent to self -insure for workers' compensa 'o , as provided for by Section 3700 of the Labor Code, for the performance oQ k or which this permit is issued. have and will maintain workers' compensation insurance,, as required by Sectio 3700 of the Labor Code, for the performance of the work for which this permit is i sued. 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 bor Code, I shall forthwith comply with t ose rovisns. Date: O Applicant: WAR ING: 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. 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 r ting to building construction, and hereby authorize representatives of this city to en r pon the above- mentioned rop rty for inspection purposes. Dater Signature (Applicant or Agent)• - G f 78-495 CALLE TAMPICO U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/19/2015 Application Number: BCOM2015-0022 Owner: Property Address: 78271 HIGHWAY 111 HARSCH INV REALTY S — 1 C3 ) APN: 604050061 1121 SW SALMON ST 4TH F Application Description: VON'S G ROCERY/HARSCH/RE PLACE DISPLAY CASES AND REMOVE WALL PORTLAND, OR 92253 Z Property Zoning: n Application Valuation: $100,000.00 It�� in Applicant: Contractor: ABC DRAFTING STEVE JULIUS CONSTRUCTIO 4875 MARGBLEHEAD BAY DRIVE 230 CALLE PINTORESCO s -OCEANSIDE, CA 92673 o SAN CLEMENTE, CA 92673 To • • (949)369-7820 Llc. No.: 553607 �— 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 Busines d Professions Code, and my License is in full force and effect. License Class: B License No.: 553607 1Date: / Z 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).: . (_J 1, 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.). ( ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7644, 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 Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I ve and will maintain a certificate of consent to self -insure for workers' compensa 'o , as provided for by Section 3700 of the Labor Code, for the performance oQ k or which this permit is issued. have and will maintain workers' compensation insurance,, as required by Sectio 3700 of the Labor Code, for the performance of the work for which this permit is i sued. 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 bor Code, I shall forthwith comply with t ose rovisns. Date: O Applicant: WAR ING: 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. 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 r ting to building construction, and hereby authorize representatives of this city to en r pon the above- mentioned rop rty for inspection purposes. Dater Signature (Applicant or Agent)• - G DESCRIPTION FINANCIAL INFORMATION ACCOUNT-. QTY AMOUNT* PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 PAID BY METHOD: RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $4.00 $0.00 DESCRIPTION '" ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # : _ CHECK # CLTD BY DESCRIPTION : ACCOUNT QTY.' AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 - PAID BY METHOD -RECEIPT # - CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID, PAID DATE FIXTURE/TRAP 101-0000-42401 0 $48.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION; ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $48.6 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $120.90 $0.00 DESCRIPTION ACCOUNT, QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $1,370.25 $0.00 PAID BY " METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $1,096.20 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION - ACCOUNT ` QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD = RECEIPT #" CHECK # CLTD BY DESCRIPTION ACCOUNT ; _ QTY .. AMOUNT PAID ": PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD -RECEIPT # CHECK # CLTD BY ' Total Paid for REMODEL: $2,650.64 $0.00 DESCRIPTION ACCOUNT QTY : AMOUNT. PAID PAID DATE' SMI - COMMERCIAL 101-0000-20308 0 $28.00 $0.00 PAID BY METHOD RECEIPT # CHECK# CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $28.00 $0.00 TOTALS:• 00 Description: VON'S GROCERY/HARSCH/REPLACE DISPLAY CASES AND REMOVE WALL Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 4/21/2015 SKH Approved: 5/19/2015 JJO Parcel No: 604050061 Site Address: 78271 HIGHWAY 111 LA QUINTA,CA 92253 Subdivision: PM 19028 Block: Lot: 3 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $100,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INTERIOR REMODEL REMOVE SECTION OF WALLS TO CREATE SERVICE MEAT & FISH DEPT. NEW MEAT & FROZEN FOOD CASES AND PASTRY CASES. PAINT CURBS AND RE -STRIP ADA PARKING. PER 2013 CBC ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME . ACTION DATE COMPLETION DATE NOTES NEED FIRE AND HEALTH DEPT APPROVAL fire approved 5/7/2015 NOTE JIM JOHNSON 4/30/2015 5/19/2015 CALLED JAMES TO ASK ABOUT HEALTH DEPT APPROVAL. HE INFORMED ME HEALTH DEPT APPROVED PLANS, WILL BRING APPROVAL WHEN THEY PULL PERMIT PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 4/21/2015 4/22/2015 RECEIVED CALLED JAMED BANDY TO INFORM HIM I NEED FIRE AND HEALTH DEPT COMMENTS BEFORE I CAN ISSUE TELEPHONE CALL JIM JOHNSON 4/30/2015 4/30/2015 HEALTH DEPT APPROVED. WILL BRING APPROVAL WHEN THEY PULL PERMITS CONDITIONS Printed: Tuesday, May 19, 2015 9:07:50 AM 1 of 4. SYSTEMS FINANCIAL INFORMATION CONTACTS PAID DATE RECEIPT # CHECK METHOD PAID BY CLTD - BY BSAS SB1473 FEE 101-0000-20306 .0 $4.00 $0.00 NAME TYPE NAME - ADDRESSI ° CITY, STATE ZIP PHONE FAX EMAIL APPLICANT ABC DRAFTING 4875 MARGBLEHEAD OCEANSIDE CA 92673 (714)300-6000 $24.17 $0.00 BAY DRIVE Total Paid forELECTRICAL: $48.34 $0.00 FIXTURE/TRAP 101-0000-42401 CONTRACTOR STEVE JULIUS CONSTRUCTION INC 230 CALLE PINTORESCO SAN CLEMENTE CA 92673 (714)300-6000 OWNER HARSCH INV REALTY 1121 SW SALMON ST PORTLAND OR 92253 (714)300-6000. 4TH FL 101-0000-42401 0 $12.09 $0.00 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK METHOD PAID BY CLTD - BY BSAS SB1473 FEE 101-0000-20306 .0 $4.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $4.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid forELECTRICAL: $48.34 $0.00 FIXTURE/TRAP 101-0000-42401 0 $48.36 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $48.36 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $120.90 $0.00 REMODEL, EA 101-0000-42400 0' $1,370.25 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $1,096.20 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 Printed: Tuesday, May 19, 2015 9:07:50 AM 2 of 4 SYSTCtiAS DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # • METHOD. PAID'BY CLTD REVIEW TYPE REVIEWER SENT DATE DUE DATE STATUS REMARKS NOTES BY REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 ' PC PENDING COMMENT FROM HEALTH & FIRE DEPT. NON-STRUCTURAL JIM JOHNSON 4/21/2015 5/5/2015 4/30/2015 APPROVED fire dept. approved with conditions 5/7/2015 HEALTH DEPT APPROVED Total Paid forREMODEL: $2,650.64 $0.00 SMI - COMMERCIAL 101-0000-20308 0 $28.00 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $28.00 $0.00 TOTALS:00 Printed: Tuesday, May 19, 2015 9:07:50 AM 3 of 4 C sysretits PARENT PROJECTS RETURNED REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE STATUS REMARKS NOTES DATE PENDING COMMENT FROM HEALTH & FIRE DEPT. NON-STRUCTURAL JIM JOHNSON 4/21/2015 5/5/2015 4/30/2015 APPROVED fire dept. approved with conditions 5/7/2015 HEALTH DEPT APPROVED PAINT CURBS AND RE -STRIPE ADA PARKING Sheet CS -1.2 _ 1. Detail 3 and 4: Flip symbol and line up symbol with the parking stall. 2. Detail 6: Paint 36" x 36" white symbol on blue PUBLIC WORKS AMY YU 4/30/2015 5/14/2015 5/13/2015 READY FOR APPROVAL ' background with white border. - CONDITION 3. Detail 4: Recommend to provide aft of detectable warning on curb ramp. 4. Recommend to replace accessible signs to remove the word "RESERVED" and accessible signs to read "PARKING ONLY". GAVE PLANS BACK TO JIM JOHNSON FIRE JACQUELINE. 5/1/2015 5/15/2015 5/7/2015 APPROVED- see conditions GARCIA CONDITIONS Printed: Tuesday, May 19, 2015 9:07:50 AM 3 of 4 C sysretits CITY ENGINEER - IJOTIM 15/13/2015 I5/14/2015 I 5/14/2015 I COMPLETE I I REVIEW NASSON Printed: Tuesday, May 19, 2015 9:07:50 AM 4 of 4 J SYSTEMS Iain #„_;,.-.� ."-"• C Permit # �s City 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 Project Address: 7g 1 f'STt w J I Owner's Name: A. P. Number: Address:) �,2 S , M C 7� q i } S " /? U •e . Legal. Description: City, ST, Zip: J� t l- C A 1 z s -5 Contractor: V Gv r v � Ted d O hone•C le 7 � —3 6 (o Address!2-S.0 r Project Description: 1-6 r- S e r V G L City, ST, Zip: Cr, G' -to to r- S4 o r n- ; Telephone: ele h Po . (o ,7 � Q N State Lic. # : City Lic. #t S: r. -V ...t� 4�-IL��S Arch., Engr., Designer: 1? -L Or -,4 ' � h \t Address: YR S M C, ?>Je 1, C4 City., ST, Zip: Q C tP0, e,; Jc- NQS 7 Telephone: le one: P g 2i $ State Lic. #: G— 16, SYR ................................. Construction n TY Pe: ancY0ccu • ) type ( , Project a circle one): New Add'n Alter Repair De ) ep mo Name of Contact Person: (� ` �� ►^1-c I J4vt U q Sq. Ft.: Q. 3 U l # Stories: # Units: Telephone # of Contact Person: ^oC 9�—j �t �S .� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan20. Review, ready for correctio srissue I G1Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: 'rd 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 96 Total Permit Fees . co KM&4x,5 4- A*ROO&D tlrtET �- I�a�d t.Y tf 2.o-. 4 z,gsLg81 }'+a Permit Reviews City of La Quinfia Permit Number: BCOM2015-0022 Applied: 4/21/2015 Issued: Status: APPROVED Parent Permit: Parent Project: Approved: 5/19/2015 Finaled: Description: VON'S GROCERY/HARSCH/REPLACE DISPLAY CASES AND REMOVE WALL Site Address: 78271 HIGHWAY 111 City, State Zip Code: LA QUINTA, CA 92253 Applicant: ABC DRAFTING Owner: HARSCH INV REALTY Contractor: <NONE> Details: INTERIOR REMODEL REMOVE SECTION OF WALLS TO CREATE SERVICE MEAT & FISH DEPT. NEW MEAT & FROZEN FOOD CASES AND PASTRY CASES. PAINT CURBS AND RE -STRIP ADA PARKING. I LIST OF RETURNED SENT DATE DUE DATE TYPE CONTACT STATUS i DATE REMARKS Review Group: ALL 5/1/2015 5/7/2015 5/15/2015 FIRE [JACQUELINE GARCIA APPROVED- see conditions CONDITIONS Notes: - -- Review Group: AUTO 4/21/2015 4/30/2015 5/5/2015 NON-STRUCTURAL JIM JOHNSON APPROVED Notes: PENDING COMMENT FROM HEALTH & FIRE DEPT. fire dept. approved with conditions 5/7/2015* HEALTH DEPT APPROVED Review Group: PW IST READY FOR 4/30/2015 5/13/2015 5/14/2015 PUBLIC WORKS AMYYU APPROVAL - CONDITION Notes: PAINT CURBS ANDRE-STRIPE ADA PARKING o Sheet CS -1.2 1. Detail 3 and 4: Flip symbol and line up symbol with the parking stall. 2. Detail 6: Paint 36" x 36" white symbol on blue background with white border. 3. Detail 4: Recommend to provide 3ft of detectable warning on curb ramp. 4. Recommend to replace accessible signs to remove the word "RESERVED" and accessible signs to read "PARKING ONLY". GAVE PLANS BACK TO JIM JOHNSON 5/13/2015 5/14/2015 5/14/2015 CITY ENGINEER - REVIEW TIM JONASSON COMPLETE Notes: Printed: Tuesday, 19 May, 2015 1 of 1 CR& sysrEMs Permit Number: BCOM2015-0022 Description: VON'S GROCERY/HARSCH/REPLACE DISPLAY CASES AND REMOVE WALL Applied: 4/21/2015 Approved: Site Address: 78271 HIGHWAY 111 Issued: Finaled: City, State Zip Code: LA QUINTA, CA 92253 Status: UNDER REVIEW Applicant: ABC DRAFTING Parent Permit: Owner: HARSCH INV REALTY Parent Project: Contractor: <NONE> Details: INTERIOR REMODEL REMOVE SECTION OF WALLS TO CREATE SERVICE MEAT & FISH DEPT. NEW MEAT & FROZEN FOOD CASES AND PASTRY CASES. PAINT CURBS AND RE -STRIP ADA PARKING. Printed: Thursday, 30 April, 2015 1 of 1 CRWY57FMS LIST OF REVIEWS RETURNED SENT DATE _:. D.UE DATE ' DATE _. TYPE CONTACT STATUS REMARKS Review Group: AUTO 4/21/2015 4/30/2015 5/5/2015 NON-STRUCTURALJ JIM JOHNSON APPROVED Notes: — --- PENDING COMMENT FROM HEALTH & FIRE DEPT. Review Group: PW IST 4/30/2015 5/14/2015 PUBLIC WORKS PUBLIC WORKS –BUCKET L Notes; PAINT CURBS AND RE -STRIPE ADA PARKING Printed: Thursday, 30 April, 2015 1 of 1 CRWY57FMS PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALI M ESA CANYON LAKE COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RuBIDOux CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE. DISTRICT 3 JOHN BENOIT .DISTRICT 4 MARION ASHLEY DISTRICT 5 RIV-Vole 00 FIRE 0 IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886 • Fax (760) 863-7072 www.rvcfire.org May 7, 2015 James Bandy 4875 Marbleheaed Bay Dr. Oceanside, CA 92057 RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-I5-TI-016 Vons Grocery 78271 Hwy 111 La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307 of the 2013 CBC. . THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door- hardware and exit signs as per Chapter 10 of the 2013 CBC. 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 be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher company must service extinguisher yearly. All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. A durable sign stating "This door to remain unlocked when building is occupied" 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 contrasting background. Display street numbers in a prominent location on the address side of building(s) and rear access if applicable. All addressing must be legible, of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. All lettering shall be to Architectural Standards. Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. Key(s) shall be provided at time of final inspection. As. it may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. e v A five year sprinkler service and certification for the existing fire sprinkler system'is required per Title 19. A licensed C-16 contractor must complete the servicing and certification. Documentation of completed work must be submitted to the appropriate Fire Protection Planning office. The maintenance records for the fire sprinkler system must be available on-site for review by field Inspector/personnel. ' . The existing fire alarm system shall be modified to provide proper coverage as required by the California Building Code, California Fire Code and . adopted standards. A C-10 licensed contractor must submit plans to our office for review and approval prior to installation.. ' A UL 300 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. The extinguishing system must automatically shut down gas and /or electricity to all cooking appliances upon -activation.. A C-16 licensed contractor must submit -plans to the Fire Marshal's office for review and approval prior to installation. Alarm system supervision is only required if the building has an existing fire alarm systema (if applicable) Applicable room door(s) shall be posted "ELECTRICAL", "FACP", "FIRE RISER" AND "ROOF ACCESS" on the -outside of the door so it is visible and in a contrasting color. 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. Sincerely, /<'ali�ueZute �ae�c�i Fire Safety Specialist