0404-007 (ELEC)LICENSED CONTRACTOR 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 is in full force and effect.
License # Lic. Class Exp. Date
4404428 C10 045- 06/3oJ1;C
bate P11 Signature of Contractor !
f OWNER -BUILDER DECLAR TION{
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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 & policy no. are:
Carrier 1W 4:1PUNCH LO 0Y T_ _ Policy No. 1 S3W.16�g2
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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: /W In; �� Applicant !, l0 d� W-4 U. h
t
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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...
r
IMPORTANT Application is hereby made to the Director of. Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City,to enter upon
the above-mentioned property forr,insspection purposes.
Signature (Owner/Agent)li't.'taAA ✓"� Date
BUILDING PERMIT PERMIT a� � , ' T
401110
DATE / r f VALUATION LOT TRACT'
JOB SITE / q APN
ADDRESS
OWNER CONTRACTOR / DESIGNER / EN (NEER
MM !'ROPORRTY WWfAGE2 EWE LLO W'.�l.�RAT%D S10V ASSOC%ATM
12555 HIGH BLUFF TSR S" ! E 285 11643 PI -034 }M-110VAY `WO
A�1'I?L'CO Cr'� X7.130 RLC�l.JON C6! 92020
(619)579-2229 C&LO 30..97
USE OF PERMIT
VS. LUAT1ON
31000,00 i's
ESTI ' COQ OF CONUR UCRON.
WX7,CTRICAL F +9 1.01.000-420.000
Si3T3-T01.PJ_ COD TRUC`11014 AND PUN f�a,� 31%
A To � PElMW:P7? WS D -0V, X0W
APR 012004
CITU' OF LA QUINTA
RECEIPT DATE_ , BY �� - I DATEFI`� D, INSPECTOR
31M100
$30.00
TO.00
ZOAX)
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
'Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
* /La%r yfl w Gvowar liV fW 4'!0
�:a.IuJb� l ✓h',��Gd� CGWi tJ[r'�'O
�/ J4
/
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning ,
Beaumont
Calimesa
e'•
Canyon Lake
:•
Coachella
4.
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
r
Palm Desert
4.
Perris
Rancho Mirage
San Jacinto
.;
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
Highway 111, 2nd FL, Indio, Fax V60) 863-7072
May 2, 2005
WWCOT Architecture
3130 Wilshire Boulevard, Sixth Floor
Santa Monica, CA 90403
Re: Non -Structural Building TA Plan Review
LAQ-05-TI-040 / Coldwell Banker
78--297_ Hwy 111 J
_._
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 plan/inspection fee. The approved plans, with Fire Department
Job card must be at the job site for all inspections.
2) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
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.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
Applicantlinstaller.shall be responsible to contact the Fire Department to schedule inspections.
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,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Building Dept.
WEN& omu, ore %PMEC TNA0 os.n.oa.d=
. EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82.675 Highway 111, 214 FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
n
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Ita
dfacFSPAM
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COX
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OF LA QUINTA
-..,-DING & SAFETY DEFT.
APPROVED
FOR CONSTRUCTION
m
–A TEE BY—!Z
-- --- ------- -
V
NEW CHANNEL LETTERS. 12" X 16'6" "COLDWELL BANKER (LOGO)"
DOWNU 0 AND 51/2" X 6'4" "REAL ESTATE.
Sr4 rf tumm
COCOU141
UN G(XF
Aflesoif
pgroved OZ
E3 Planning Comm-ISSIOR
0 City C
0191,
epL 17"
L�o .7 L
Initials
Case No-7LS�'Qq
Exhibit — /— I
�h Conditions
PLAZA LA ul
Lot QU14T4 M, "A
M & H REALTY PAR71SIMS,
0 0 •
ALUMINUM CHANNEL
LETTER PAINTED WHITE
ItL OF FACADE
21'-U'± WALL WIDTH
16'-6"± OVERALL STRETCHOUT
6'-4` "REAL ESTATE" STRETCHOUT
z
I
PROPOSED LOCATION
NEW LETTERS & LOGO
ROUTED & PUSHED-
THRU ACRYLIC GRAPHICS
OPAQUE WHITE PLASTIC
BORDER W/ 3/4" TRIMCAP
EDGES PAINTED WHITE.
BUILDING WALL
RIGID METALLIC TUBING
1/2" FLEXIBLE METAL
CONDUIT
GTO CABLE
HIGH VOLTAGE
TRANSFORMER —
DISCONNECT SWITCH
ALUMINUM RACEWAY
OR TRANSFORMER BO
UNINTERRUPTED TO
HOUSEGROUND —
SECTION DETAIL
LETTER SPECIFICATIONS.
LOGO SPECIFICATIONS.,
FABRICATED ALUMINUM CHANNEL LETTERS W/ .375" WIDE OPAQUE WHITE
FABRICATED ALUMINUM CHANNEL LOGO W/ .375WIDE OPAQUE WHITE ACRYLIC PLASTIC BORDER.
ACRYLIC PLASTIC BORDER. 3/4" TRIMCAP EDGES & 5 OR RETURNS PAINTED
3/4" TRIMCAP EDGES & 5" OR RETURNS PAINTE WHITE. PUSH ED-THRU .500" THK. CLEAR ACRYLIC
WHITE. SHELF -CUT & PUSHED THRU .500" THK. CLEAR ACRYLIC PLASTIC LETTERS
PLASTIC ELEMENTS ("C" & "B") W/ SUB -SURFACE APPLIED 3M WHITE X3630-20 TRANSLUCENT VINYL
W/ 3M VT -1268 DARK BLUE VINYL OVERLAY FILM. 15MM 6500—WHITE NEON
FILM. LOGO FACE PAINTED TO MATCH 3M VT -1268 DARK BLUE VINYL FILM, 15MM 6500—WHITE NEON
ILLUMINATION. LETTERS TO BE SURFACE MOUNTED TO BUILDING FACADE.
ILLUMINATION. LOGO SURFACE MOUNTED TO BUILDING FACADE.
5" D P.
IRETURNSI
r I
ALUMINUM RETURNS
W/ U.L. LABEL ATTACHED
NEON GLASS STAND
ELECTROBIT INSULATOR
NEON TUBING
.188" THK. ACRYLIC PLASTIC
SIGN FACE
WATERPROOF @ WALL
PENETRATION
3/4"TRIMCAP EDGES
W/ RETAINING SCREW
1/4" DRAIN HOLE (LOWEST
POINT OF LETTER) TYPICAL
FASTENER (TO BE DETERMINED
BY WALL CONSTRUCTION)
NOT TO SCALE
ASCALE: 3/8"=l'-0"
0 • •
4'-6" SIGN PANEL
PANEL SPECIFICATIONS:
NON -ILLUMINATED 3/4" DP. MDF PANEL W/ BLACK PLASTIC LAMINATE (FACE & EDGES) & +
.188" THK. BLACK ACRYLIC PLASTIC LETTERS W/ LAMINATED BRUSHED BRASS METTLE MICA
FACES. SURFACE MOUNT TO RECEPTIONIST DESK AS REQUIRED.
PROPOSED LOCATION
FOR NEW SIGN PANEL
OBSCALE: 1 1/2" = 1'-0"
''RECEPTIONIST DESK
'`�'
... PR JKT
ORIGINAL CONCEPT
This designColdwell Banker1
SALESMAN
Curt Bauer
®
DESIGN N0.
exclusive property ADDRESS
of • . •• Sign• • • •
Associates •cannot
DATE -JOB NO.
1/4
-
SHEET
be reproduced • • DATE
SCALE DESIGNER
•
CUSTOMER APPROVAL
withoutor �n Part
• •consent.1
• B
SILITE M', EI. C'AJON. CALIFORNIA 9'ZQZQ (619) 579-2229: FAX, (6:19) 5T9-765:8',.• 7&ZQKAYAENFtU115TAVENUE,
SUITE F, VAN NUYS -CALIFORNIA '3'1406
($18) 786-9731 FAX (818) 786'4961 www.isasign.com
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
ee
Desert Hot Springs
4.
Indian Wells'
Indio
Lake Elsinore
.y
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
re
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District t
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
210 West San Jacinto Avenue a Perris, California 92570. (951) 940-6900 . Fax (951) 940-6910
March 18, 2005
City of La Quinta
Building Department
Re: Fire Life Safety Clearance
Shell final occupancy only
The Riverside County Dept Department is granting a fire and life safety clearance
For the following project located ar-,77 -30-5---H---W—
B
5 H ry 11:1,.La-Quintal`—�
NS/jl
I
By N -Q.
Neal Stephenson
Fire Systems Inspector