05-4228 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
- __ __ I I
05-00004228
78370 HIGHWAY 111 STE
604-050-048- -
REMODEL - COMMERCIAL
COMMUNITY COMMERCIAL
50000
T4a'!vt1 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
135 MADISON PTM LA QUINTA
- 71361 SAN GORGONIO RD
RANCHO MIRAGE, CA 92270
Architect or Engineer:
PkA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam 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.: 466671
Date: Contractor:
l
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).:
(_ 1 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.).
( �) 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 am exempt under Sec. , B.&P.C. for this reass
ate:
I hereby affirm under penalty of perjury that there is a con ending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Contractor:
MARTINOVICH,
78750 SAINT
INDIO, CA 92
(760)360-525
Lic. NO.: 46
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/15/05
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 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 orkers' compensation laws of California,
and agree that, if I should be, a sub' o the wor s' compensation provisions of Section
/ /3700 of th�Labor Code, I fo ompl rth those provisions.
plicant:
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 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 w 's not commenced
within 180 days from date of issuance of such permit, or cess o work for 1 as will subject
permit to cancellation.
I certify that I have read this application and state that the above i rmation is correct. I agree to mply with all
city and county ordinances and state laws relating to building c struction, and hereby authoriz presentatives
of this�c y to enteruponthe above-mentioned property f ins ction pur o
ate6 2/_/ l✓Siure (Applicant or Agent):
Application Number .
. 05-00004228
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
414.50
Plan Check Fee
269.43
Issue Date . . . .
Valuation . . .
. 50000
Expiration Date
5/14/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
25.00 6.5000
--------------------------------------------------------------
THOU BLDG 25,001-50,000
162.50
-------------
Permit . . .
MECHANICAL
Additional desc .. .
Permit Fee . . . .
21.50
Plan Check Fee
5.38
Issue Date . . . .
Valuation
0
Expiration Date
5/14/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.5000
----------------------------------------------------------------------------
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
5/14/06
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
----------------------------------------------------------------------------
Special Notes and Comments
1500 SQ. FT. T.I ONE BATHROOM
----------------------------------------------------------------------------
Other Fees . . . . ._.
. . . STRONG
MOTION (SMI) - COM
10.50.
Fee summary Charged Paid
---------------------------
Credited
Due
Permit Fee Total
----------
479.50
-----------=--------
.00 .00
479.50
Plan Check Total
285.69
.00 .00
285.69
Other Fee Total
10.50
.00 .00
10.50
Grand Total
775.69
.00 .00
775.69
LQPERMIT
gin #
o
_(�Building-u-Safety-Division-------.._.__..__�_�-----_—_—_--
-City of La. Quinta
-
P.O. Box 1504, 78-495 Calle Tampico
_ La Quinta, CA 92253.- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # (b
Project Address: , �\
1 2L
Owner's Name: G
A. P. Number:
Address: I
Legal Description:
Contractor: 7
City, ST, Zip.
Telephone: %
Address:
Project Description: ,
City, ST, Zip:
U C
Telephone:
�5
—�
State Lic. # : . ,
City Lic. #:
Arch., Engr., Designe
Address
City, ST,Zip: @ i
Telephone O :" P
State Lic. #:�
Name of Contact Person: 1 �C\)
Construction Type: Occupancy:
Project type (circle one): ew Add', Alter Repair Demo
Sq. Ft.: / @6 # Stories: # Units: J
Telephone # of Contact Person:
Estimated Value of Project,• 50,000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
a
Plan Check submitted
4/�
Item
Amount
Structural Calcs.
Reviewed, ready or corrections
a�l /
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
to 1,
Construction
Flood plain plan
Plans resubmitted
��',
Mechanical
Grading plan
2"d Review, ready for correction /issue
Electrical
Subcontacto�. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/iue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
}
Total Permit Fees
S
-�,�X4 cotP- c) o
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760).777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler; Building & Safety Manager To CDD: 9-20-2005
From: Doug Evans, Planning Director Due date: 9-27-2005
Status:1 st Review
Building Plana Approval
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Treasures of the Vine
Address or general location: 78-370 Highway 111, Ste. 135
Applicant Contact: Ed Alderson 861-9541
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.
r "
❑ ... 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 CommpnitA Development Department for review.
Planning Director
Date
A
Craig E. Anthony
• Fire Chief .
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Batwing
Beaumont
❖
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
4.
Indio
Lake Elsinore
La Quinta
4.
Moreno Valley,
.Paha Desert
Perris
Rancho Mirage
4.
Sall 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
82-675 Ig way. 11, 2- Ff., Indio, CA 92201 9 (160) 863-8886F f072
September 29, 2005
Candice Designs
75-347 Kelsey Circle S.
Palm Desert, CA 92211
.Re: Non -Structural Building T/I Plan Review
LAQ-05-T1-089 / Treasures of the Vine
78-370 Hwy 111, Ste. 135
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 sprinkler system will have to be
modified and designed in accordance with NFPA 13, 1999 Edition. 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 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.
3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
4) 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.
5) 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. In multi -tenant buildings, businesses shall post the
business name and suite number on back doors as well as the front. 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.
H:nPE2%WP Data%La OUIM2%PROJECTSTRIAO-05.71-oog.doc
Sincerely,
Tracy Hobday
Chief Fire Department Planner
By "f
Walter Brandes
Fire Safety Specialist
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 21d A., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
CITY OF LA GUINTA SUB -CONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER . OWNER_. BUILDER
This form shall be posted on the job with the Building Inspecti n Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
M h"ilrfinn nermit. For each applicable trade, all information requested below must be completed by applicant. On File" is not an acceptable response.
Trade / Classification
Contractor*.,.*:.Stale
Contracto 's License `
r
�Morkeis Compensatwn lrisurance
City. Business License:::•
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx)
Exp. Date
Ixx/xxlxx)
Carrier Name
(e.g. State Fund. Caldomp}
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx) .
License Number "
dxxxx)
Exp. Date
(xx/xxlxx)
L
Company Name
EARTHWORK (C-12) :.;.
CONCRETE (C-8)
FRAMING ;(C-5)
$TRUCT. 57EEL (G-51)
•
MASONRY (.0-29)
PLUMBING (C-36)' .x
—AW/4 /I A d /tom/!�s(�
C`.3
/
3 y�0
T4lGd.
!J GLl 6 s17ye
LATH; PLASTER (C-35) '
XA I¢IL/f7 f�o�G D/t ti�
Z — /F/�%fl!/�''
L-
—�
38 �3 o
o
g �7 ��
Z_Z D
'3
fR =��✓
,Q l�'1
o y600�o Z3�
d
3/`� oo
- - 06
3 -Z0 6
3865
0.3
6y E
z -/S -D
6-30
6
DRYWALL (C-9) .:. X
HVAC�:,
ELECTRICAL. (C-10) ; Jt
RQOFIfVG
SHEET METAL (C=43) `.
FLOORING (C=:15}.:...
GLAZING (C-17).`
INSULATION (0-2) .X::
.SG/YM6 JW4.1
z 0Q L6 or�G
_30
S3 s r
3 -3� a
SEWAGE DISK; (6.42) .'
PAINTING (C=33)
4/�
3
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27).
P
POOL (C-53)
_
Glow 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.
t.
BUILDING ADDRESS: 78=370 Highway 111 Suite 135
Use classification: Commercial "Wine Retail" TI Building Permit No.: 05-4228
Occupancy Group: M Type of Construction: VN Land Use Zone: CR.
Owner of Building: Madison PTM La Quinta
Building Official
Address: 71361 San Gorgonio Rd
City, ST; ZIP: Rancho Mirage, CA 92270
By: Daniel P. Crawford Jr.
Date: 1/4106