08-1963 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001963
Property Address: 78341 HIGHWAY 111
APN: 604-050-013-3 -
Application description: REMODEL —COMMERCIAL
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 12000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License\No.: 906625
ate: —b tractor: !
OWNER -BUILDER DECLARATION
I hereby a rirmunder 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).:
(_) 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.). -
(_ 1 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—) 1 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:
LQPERMIT
Owner:
M & H REALTY PARTNERS II LP
12555 HIGH BLUFF DR NO 385
SAN DIEGO, CA 92130
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/08/09
Contractor:
KOMERICA CONSTRUCTION D �WO
776 CARHART AVENUEFULLERTON, CA 92833
(714)380-7417 JA8 109
Lic. No.: 906625
CITY OF LA QUINTA
---------------------------------------
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 EXEMPT Policy Number EXEMPT
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 ection
0 of the Labor Code, I shall fo hwithcomply with those provisions.
ate:(v pplicant:
WARNING: AILURE 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 Quinta, its officers, agents and employees for aKy act or omission relatedtothe 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
I certify that I have read this application and state that the above information is correct. I agree to comply with II��
city and county ordinances and state laws relating to building construction, and hereby authorize represe Ives ,
of this county to nt pon the ab ve-mentioned property for i pection purposes�.�
DLnffj Sign a (Applicant or Agent):
Application Number . . . . . 08-00001963
------- Structure Information 975SF TI/VB/B-OCC/10-OL
-----
Other struct info . .
. . . CODE EDITION
2007CODES
FIRE SPRINKLERS
NO
MIXED-USE OCCUPANCY
B
OCCUPANT LOAD
10.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
975.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc
'
Permit Fee -. . . .
34.50 Plan Check Fee
8.63
Issue Date . . . .
Valuation
0
Expiration Date
7/07/09
Qty Unit Charge
Per
Extension .
BASE FEE
15.00
975.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL 19.50
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
135.00 Plan Check Fee
87.75
Issue Date . . . .
Valuation . .
. . 12000
Expiration Date
7/07/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
10.00 9.0000
------------------------------------------------
THOU BLDG 2,001-25,000
---------------------------
90.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
26.00 Plan Check Fee
6.50
Issue Date
Valuation . .
. . 0
Expiration Date
7/07/09
Qty Unit Charge
Per
Extension
-
BASE FEE
15.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
1.00 6.5000
------------7- --- --------------------------------7---------------------------
EA MECH VENT FAN
6.50
.Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
43.50 Plan Check Fee
10.88
Issue Date . . . .
Valuation
0.
Expiration Date . .
7/07/09
LQPERMIT
Application Number . . . . . 08-00001963
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 6.0000 EA PLB FIXTURE
18.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
-------------------------7--------------------------------------------------
Special Notes and Comments
975SF TI/VB/B-OCC/10-OL [TY HEALING
CENTER] THIS PERMIT DOES NOT INCLUDE
ALTERATIONS TO THE EXTERIOR OF THE
BUILDING. 2007 CALIFORNIA BUILDING
CODES.
December 30, 2008 3:15:44 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . ACCESSIBILITY PLAN REVIEW
8.78
ENERGY REVIEW FEE
8.78
Fee summary Charged Paid Credited
Due
-----------------------------------------------------_---
Permit Fee Total 239.00 .00 .00
239.00
Plan Check Total 113.76 .00 .00
113.76
Other Fee Total 17.56 .00 .00
17.56
Grand Total 370.32 .00 .00
370.32
r
Names Maintenance - View.
Name type:
OW OWNER
Name:
M & H REALTY PARTNERS II LP
Address:
12555 HIGH BLUFF'DR NO 385
SAN DIEGO, CA 921.30
Phone 1:
(Work Phone)
Phone 2:
(Facsimile)
Phone 3:
(Mobile phone)
Phone 4:
(Emergency phone)
Email:
�OK Exit Cancel
Bin #
C I�
City Q f La Quanta
�.Q
Building U 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:s� L� `l
Owner's Name: kY w-
I t!
A. P. Number:
Address: -n
Legal Description:
Contrac or:
City, ST, Zip: av�" 17-
y
Telephone: IN
roject Description: n
pity, ST, ii 0:
►� ►SIG ;� i 1
Telephone:
tate Lic. # :
City
�
gr esigner•
'
_ _
Address: 'A —1
City, ST, Zip:
Telephone: 70
�y
4y m
Construction Type: _� Occupancy:
State Lic. #:
Project type (circle one): New Add'n to Repair Demo
Sq. Ft.: # Stories:
Name of Contact Person: �.�i�
Telephone # of Contact Person: Lj _ /lQ
Estimated Value of Proj
APPLICANT: DO NOT WRITE BELOW THIS NE 0
#
Submittal
Req'd
Rec'd
TRACKING.
'
�EERMTT"FE•ES
Plan Sets
Plan Check submitted
-VV
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
'
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/'issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
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
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of-
Banning
f
Banning
Beaumont
Calimesa
.;
Canyon Lake
Coachella
Desert Hot Springs
S•
Indian Wells
❖
Indio
4.
Lake Elsinore
La Quinta
4.
Moreno Valley.'
Palm Desert
Perris
-Rancho Mirage
Rubidoux CSD
4.
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5 ,
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 • Fax (951) 940-6910
December 23, 2008 .
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-08-TI-068 Ty Healing Center 78-431 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.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2007 UBC.
If this facility has existing supervised automatic fire sprinklers and if more than 20 sprinklers are
relocated / added plans are required and shall be submitted for approval
A minimum 2AIOBC 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.
OTHER REQUIREMENTS:
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.
Approved suite address shall be placed in such a position to be plainly visible and legible from the
street. Said numbers shall contrast with their background.
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 contrasting
background.
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.
r
All questions regarding the meaning of these conditions should be referred to the.Fire Department
Planning & Engineering Staff at (760) 863-8886.
incerely,
By:
Jason ubble
Fire Safety Specialist
. y
- Certificate of OccupancyoOW
� II,,II
Idca�anTID G��
C� OF Building y p & Safety Department
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
2007 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: 78-341 HIGHWAY 111
Use classification: COMMERCIAL (TY HEALING CENTER) Building Permit No.: 08-1963
Occupancy Group: B Type of Construction: VB Land Use Zone: CR
Sprinklers Installed: NO Sprinklers Required: NO Occupant Load: 10
Owner of Building: M&H REALTY PARTNERS II LP
Address: 12555 HIGH BLUFF DR #385
a
City, ST, ZIP: SAN DIEGO, CA 92130
By: STEVE TRAXEL
Building Official Date: MARCH 04, 2009
POST IN A CONSPICUOUS PLACE