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05-1597 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T`ht 4 4 Q" BUILDING & SAFETY—DEPARTMENT ING LJ,� Application Number: 05-00001597 D Owner: Property Address: 78297 HIGHWAY 111 MAY 18 2005 M & H REALTY PARTNERS II APN: 604-050-008- - - C/O PETER MERLONE Application description: REMODEL - COMMERCIAL 353 SACRAMENTO ST 21ST FL Property Zoning: COMMUNITY COMMERCIAL CITY OF LA t) TA SAN FRANCISCO, CA 94111 Application valuation: 60000 FINANCE DEPT. Contractor: Applicant: Architect or Engineer: CULVER CONSTRUCTION INC, B J �ndLa,r li(JL(%�% �TRC�/TEGTS 5550 EDGEMAR AVENUE ANAHIEM, CA 92807 (714)998-6915 1709 Lic. No.: 755479 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 Professionals Codeand my License is in full force and effect. License Cla s: B License No.' 755479 PS Contracto,., 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 ISec. 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 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 andProfessionsCode: 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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.). 1 _ 1 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: LQPERINITT VOICE (760) 777-7012 FAX (760) 777-7011 _INSPECTIONS (760) 777-7153 Date: 5/17/05 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 STATE FUND Policy Number 15114905 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. j Date: * Op D.S ppl� 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 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 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 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 above information is co rect. I agr o comply with all city and county ordinances and state laws relating to building construction, and reb aut o ' e representatives of this cou ty t enter upon the above-mentioned property for i s tion pur ses. Date: S Sig t pplicant or Agent): Application Number . . . . . 05-00001597 - Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 459.50 Plan Check Fee 298.68 ` Issue Date . . . . Valuation 60000 Expiration Date 11/13/05 Qty Unit Charge Per Extension BASE FEE 414.50 10.00 4.5000 THOU BLDG 50,001-100,000 -----------------------------------------------------------=---------------- 45.00 Permit . . . ELECT - ADD/ALT/REM Additional desc ' Permit Fee . . . . 50.00 Plan Check Fee 12.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/13/05 Qty Unit Charge Per Extension BASE FEE 15.00 1750.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------- ----------------------------------- 35.00 Permit . . . MECHANICAL Additional•desc . Permit Fee . . . . 28.50 Plan Check Fee 7.13 Issue Date . . . . Valuation 0 Expiration Date 11/13/05 . Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ------------ --------------------------------------------------------------- Special Notes and Comments COMMERCIAL INTERIOR RENOVATION - 1750 SQ.FT.EXPANSION OF OFFICE USE. 16 OCCUPANT LOAD ADDED. "B" OCCUPANCY,. TYPE V -N CONSTRUCTION, 64 TOTAL OCCUPANT LOAD. 2001 CODES. THIS PERMIT, INCLUDES DEMOLITION OF EXISTING PARTITIONS AND CEILING ELEMENTS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 29.87 - - ENERGY REVIEW FEE 29.87 Fee summary Charged Paid Credited --------------------------------------------------------.- Due Permit Fee Total 538.00 .00 .00 538.00 Plan Check Total 318.31 .00 .00 318.31 C LQPERMIT Application Number . . 05-00001597 ; Other Fee Total 59.74 .00 .00 59.74 Grand Total 916.05 .00 .00 916.05 P.O. Box 1504 APPLICATION ONLY 78-105 CALLE ESTADO e 7 � �� AV LA QUINTA, CALIFORNIA 92253 Address i / Z, - City rCity Zip ractor Address BUILDING: TYPE CONST. _OCC. GRP. 'r's A.P. Number/,,/3-77t9 — l//K Tel. Legal Description Project Description State Lid: City & Classif. Lic. # Arch.,,Engr., Designer Address , ( _ Tel. City Zip State Lic. # C LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. SIGNATURE DATE i OWNER -BUILDER DECLARATION— -- I hereby affirm that 1 am exempt from the Contractor's License Lawfor the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Permit to construct, alter, Improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such, permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter9 (commencing with Section 7000) of Division 3 or the Business and Professions Code, or that. he 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 civfl penalty of not more than five hundred dollars ($500). ❑ 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or Improve for the purpose or sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property•who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) O I am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less:) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT.- If, after making this Certificate or Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued. (Sec. 30.97, Civil Code.) Lender's 'Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 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 enter the above.. mentioned property for Inspection purposes. Signature of applicant Date _Mailing Address City, State, Zip BUILDING DIVISION OnS f fit? if) t 5 ?4 07—?A—AA i A iU CASH i Y C! AL i 2:5().OU ZONE: BY: Minimum Setback Distances: Sq. Ft. No. Size Stories No. Dw. Units New ❑ Add ❑ AltWli l Repair ❑ -Demolition ❑ Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date - Permit Validated by: Estimated Valuation 00 ,D V Validation: PERMIT AMOUNT Plan Chk. Dep. �,, 010 Plan Chk. Bal. Const. a/ .Mech. Electrical Plumbing y pp S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS OnS f fit? if) t 5 ?4 07—?A—AA i A iU CASH i Y C! AL i 2:5().OU ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date - Permit Validated by: Validation: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLq F, 1ST FL. SQ. FT. ® $ ROUGH PLUMB. UNITS HEATING (ROUGH) STORAGE TANK 2ND FL. SQ. FT. l� SEWER OR SEPTIC TANK ROUGH WIRING YARD SPKLR S ROCK STORAGE FOR. SD. FT. ® GAS (ROUGH) MOBILEHOME SVC. BAR SINK OTHER APP./EQUIP. GAR. SQ, FT. ® GAS (FINAL) POWER OUTLET ROOF DRAINS CAR P. SQ. FT. WATER HEATER SERVICE DRAINAGE PIPI WALL SQ. FT. WATER SYSTEM DRINKING FOUNTAIN =$ SQ. FT. ® FINAL INSP. URINAL FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ ROOFING WATER PIPING NOTE: Not to be used as property tax valuation VENTILATION FLOOR DRAIN MECHANICAL FEES FIRE ZONE ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LATHING LAUNDRY TRAY MESH AIR HANDLING UNIT CFM KITCHEN SINK INSULATION/SOUND ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. INSPECTOR'S SIGNATURESIINITIALS, SQ. FT. ® c BATH TUB GARDEN WALL FINAL -70040 SQ. FT. ® c P6, 105- WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER Q GAS PIPING PERMIT FEE 0(0 PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING -Cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL Planning & Engineering Office 46-209 Oasis Street, Suite 405 Indio, CA 92201 '(619) 342-8886 Haugaard Elrod 221 E. Walnut St., Suite 238 Pasadena, CA 91101 RIVERSIDE COUNTY FIRE DEPARTMENT OF CA(����� IN COOPERATION WITH THE y '� CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION v� RAY HEBRARD '4r�ENr FIRE CHIEF 01 August 5, 1988 Planning & Engineering Office 4080 Lemon Street, Suite 11L Riverside, CA 92501 (714) 787-6606 PLAN CHECK PLOT PLAN NO. 88-395 Re: Thrifty, Jr. Highway 111.& Washington St. La Quinta, CA E Fire Department personnel have completed a review of the plans you submitted for the above referenced project. The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in Ordinance 546. A fire flow of 4000 gpm for a 3 hour duration at 20 psi residual operating pressure must be available before any combustible material is placed on the job site. The fire flow required is based on the applicant/developer providing 4 hour fire resistive walls where all compartments shall not exceed 12,000 square feet. The existing water mains and fire hydrants will provide sufficient fire protection for the proposed project. THE FOLLOWING CONDITIONS MUST BE MET PRIOR*TO OCCUPANCY: A three (3) hour fire -rated, self closing door assembly constructed per UBC 43-2 standards must.be installed in the opening of the four-hour rated area separation wall. Install portable fire extinguishers per NFPA, Pamphlet 1110, but not less than 2AlOBC in rating. Contact certified extinguisher company for proper placement of equipment. Requests for inspections and/or tests are to be made at least 48 hours in advance and may be arranged by,calling (619) 342-8886. A plan check/inspection fee of $85.00 must.be paid the the Riverside County Fire Department prior to final inspection. F ,Haugaard Elrod 8/5/88 Re: Thrifty, Jr. Page 2. La Quinta PP 88-395 Please contact the Fire Department for a final inspection prior to occupancy. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff. Sincerely, RAY REGIS Chief Fire Department Planner By Dennis D. Dawson Deputy Fire Marshal to El QUI NTA Ic DIN & SAF DEPARTMENT f'of TNti 777 2 MAY IIjS8EM9N I WEST LINE 777 1 3<"- . I Owner 44 & IY' lk"t Xy jNfi S 11 Contractor." 110 :c- Permit Number 05 159 7 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-797 HIGHWAY 111 COMMERCIAL INTERIOR RENOVATION - 1750 SQ FT EXPANSION OF OFFICE USE. 16 OCCUPANT LOAD ADDED. "13" OCCUPANCY. TYPE V -N CONSTRUCTION, 64 TOTAL OCUPANT LOAD. 2001 CODES. THIS PERMIT INCLUDES DEMOLITION OF EXISTING PARTITIONS AND CEILING ELEMENTS. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UN IL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WO.R UNTIL A OV SIGNED j INTERIOR GYP. BD. (DRYWALL/) EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS IU/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS) FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING ` MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED 9 /Z 11S ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Twy/ °F 4Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: 4-28-2005 From: Doug Evans, Director-CDD Due date: 5-16-2005 Status: I" Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: Tenant Improvement/Expansion Coldwell Banker Address or general location: 78-297 Highway 111(Von's Center) Applicant Contact: Katherine Aguilar 668-5473 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community evelopment. Department for review. 14 Doug Evans, Dire tor- D / Date Certificate of Occupancy I. 1,=� 5 G� OF9ti Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 78-297 Highway 111 Use classification: Commercial Realty Office TI Expansion 1750 sgft Building Permit No.: 05-1597 Occupancy Group: B Type of Construction: VN Land Use Zone: CR Owner of Building: M & H Realty Partners II Address: 353 Sacramento St 21St FI City, ST, ZIP: San Francisco, CA 94111 ,! r� By: Daniel P. Crawford Jr. Date: 6/8/05 Building Official POST IN A CONSPICUOUS PLACE