05-5094 (RC)P.O. BOX 1504
td1 78-495. CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00005094
Property Address:
78370 HIGHWAY 111 STE
APN:
604-050-048- -
Application description:
REMODEL - COMMERCIAL
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
70000
Applicant:
Architect or
130
aIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
1 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 Class: B License No.: 834232
ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe ' 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 _ 1 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
I—) 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: ( 1A
LQPERMIT
Owner:
MADISON PTM LA QUINTA
78370 HIGHWAY 111, STE. 200
LA QUINTA, CA 92253
Contractor:
AIKEN, WILLIAM JAMES
40025 CHOLLA
RANCHO MIRAGE, CA 92270
(760)880-8746
Lic. No.: 834232
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/23/05
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 B T� Vu Policy Number F.X2b2W 00IZJ524—ZOO-
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 Cod I fo ith comply with those provisions.
ate: � Z' 2 '- :cant:
WARNING: FAILURE TO SECURE RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI AL 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 any act or omission related to the work being
perfor e6vnder, or following issuance of this permit.
2. Any ermit issuer as a result of this application becomes null and void if work is not commenced
' with 180 da s from data of issuance of such permit, or cessation of work for 180 days will subject
perm: lation.
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 co t ti and hereby authorize representatives
of this county to enter upon the bove-mentioned grope 15 oses.
ASI 2 23 �r
,,idnature (Applicant or Agent). _
Application Number . . 05-00005094
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 504.50 Plan Check Fee :
327.93
'
Issue Date Valuation . . . .
70000
Expiration Date 6/21/06
Qty Unit Charge Per
Extension
BASE FEE
414.50
20.00 4.5000 THOU BLDG 50,001-100,000
---------------------------------------------------------------------"-------
9.0.00
Permit ELECT - ADD/ALT/REM'
Additional desc .
Permit Fee . . . . 43.40 Plan Check Fee
10.85
Issue Date Valuation . . . .
0
"
'Expiration Date 6/21/06
Qty - Unit Charge Per
Extension
BASE FEE
15.00
1420.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
-------------------------------------------------------
28.40
Permit MECHANICAL
Additional desc .
Permit Fee . . 75.50 P1an.Check Fee
18.88
Issue Date . . . . Valuation
0
Expiration Date_.6/21/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 9.0000 EA MECH FURNACE <=100K
27.00
3.00 9.0000 EA MECH B/C <=3HP/100K BTU
27.00
1.00 6.5000 EA MECH VENT FAN
----------------------------------------------------------------------------
6.50
Permit . . . PLUMBING
Additional desc .
Permit Fee 36.00 Plan Check Fee
8.25
Issue Date . . . . Valuation
0
Expiration Date . . 6/21/06
'
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 6.0000 EA PLB FIXTURE
18.00
.1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
Commercial Remodel Sunsational Tanning
LQPERMIT
.
LQPERMIT _ '
Application Number
05-00005094
ry}��
k---------------------------------------------------------------
----- --
Special Notes and Comments -
Salon B Occupancy, Type.VN.
Sprinkled, 1420 sgft, Occupant
Load 15
-----------------------------------------------------------
Other Fees . . .
STRONG MOTION
-----
(SMI) COM
14.70
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 659.40
.00
.00
659.40
Plan Check Total 365.91
.00
.00
365.91
Other Fee Total 14.70
.00
.00
14.70
Grand Total 1040.01
.00
.00
1040.01
LQPERMIT _ '
�,��t5iI3R'COUe� Ta:RIVERSIDE COUNTYFIRE DEPARTMENT210 West San Jacinto Avenue Perris, California 92570 (951) 940-ffidd Fax (951) 940-6910
:wy
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of-
4-
Beaumont
f:4.Beaumont
Calimesa
Canyon Lake
Coachella
r. .
Desert Hot Springs
Indian Wells
s;.
Indio
e•
Lake Elsinore
e•
La Quinta.
40.
Moreno Valley
-
Ole
Palm Desert
Perris
Rancho Mirage
San Jacinto "
Temecula
Board of Supervisor
Bob Buster,
District 1
John Tavaglione,'
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
Date
City of LaQuinta
Building Department
RE SLLnSQt10N&1 Lo r�
I
The Riverside County Fire D partment is .granting. the Fire clearance for the following
location I � - 31 J 3 Z)
Please call if o should have questions 760-863-8886
r
Respectfully
By C�:�7�
Terry DeSou
Fire Systems Inspector
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
r.
Beaumont
4.
Cahmesa
g.
Canyon Lake
Coachella a '
ee
Desert Hot Springs
Indian Wells
.;.
Indio
4.
Lake Elsinore
o,.
La Quinta
Moreno Valley
4.
Palm Desert .
4. .
Perris
4.
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 S
RIVERSIDE COUNTY
FIRE DEPARTMENT
Highway82-615 Indio, a Fax -
December 6, 2005
Candice Designs
75-347 Kelsey Circle S.
Palm Desert, CA 92211
Re: Non -Structural Building TA Plan Review _
LAQ-05-TI-106 /J8=370 130�� —�
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. A licensed C-16 contractor shall do all
sprinkler work and certification. The approved plans, with Fire Department Job card must be at the
job site for all inspections.
2) Provide an interior notification device within the unit for notification upon activation of the fire
sprinkler system. Plans must be submitted to the Fire Department for -review, along with a plan
check/inspection fee.
3) Provide an additional illuminated exit sign as noted on Sht. E-1.
4) Provide keys 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.
5) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified
extinguisher company for proper placement and spacing of equipment.
6) Approved building address shall be placed in such a position as to be plainly visible and legible from
the street and rear access if applicable. Suite numbers or letters must be a minimum of 6" in height.
All addressing must be legible and of a contrasting color with the background.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
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.
�Cc: City of La Quinta — Building Dept.,
R%PE2W DateUA Ciira%PR01ECMTILLAQ45TF106.d0e
Sincerely,
Tracy Hobday
Chief Fire Department Planner
By "�GL
Walter Brandes
Fire Safety Specialist
EMERGENCY SERVICES DIVISION . PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2"d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Certificate of Occupancy
OF 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: 78370 HIGHWAY 111, STE. 130 (Sunsational Tanning Salon)
Use classification: COMM Building Permit No.: 05-5094
Occupancy Group: B Type of Construction: VN Land Use Zone: CC
Owner of Building- MADISON PTM LA QUINTA Address: 78370 HIGHWAY 111, STE. 200
City, ST, ZIP: LA QUINTA CA 92253
> By: Richard Kirkland
Date- 3-3-2006
Building Off ici
IIH
POST IN A CONSPICUOUS PLACE
50)�