07-2096 (RC)P.O. BOX 1504 y VOICE (760)' 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/07/07
Application Number: 07-00002096 Owner:
Property Address: 78370 HIGHWAY 111 STE 145 JUSTIN SILVER
APN: 604-050-048- - - 78-370 HWY 111 ST 0
Application description: REMODEL - COMMERCIAL LA QUINTA, CA 922 d
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 25000
SEP �,� Z00T.
Contractor: rr
Applicant: Architect or Engineer: WISE MAINTENANC & CONF
E
P.o. sox 1767 �G41V EPr
LA QUINTA, CA 92253
(760)564-0821
Lic. No.: 664238
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Co d my License is in full force and effect.
Licens Class: 13 icense No.: 66423
.41117—A I Contracto
WTOWNER -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).:
(_) 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—) 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:
LQPERMIT
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
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 forthwit comp) with those`
DateJ�. Applicant:
WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,060). 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 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 comply with all
city and county ordinances and state laws relating to building construction, and her ebtepresentatives
of this county to enter upon the above-mentioned property for inspection
Dat . Signature (Applicant or Agent):
Application Number .
. . . . 07-.00002096.
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
252.00 Plan Check
Fee
163.80
Issue Date . . . .
Valuation
25000
Expiration Date
.3/05/08
�. Qty Unit Charge
Per:
Extension
BASE FEE
45.00
'23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
65.40 Plan Check
Fee
16,35
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
3/05/08
Qty' Unit Charge
Per
Extension
BASE FEE
15.00
-----2520_00---_-----_0200-------ELEC-GARAGE
OR NON -RESIDENTIAL
-----_50_40-
.Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
24.00 Plan Check
Fee
6.00
Issue Date . . . .
Valuation
0
Expiration Date..
3/05/08
Qty Unit Charge
Per
Extension
BASE 'FEE
15.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9.00
----------------------------------------------------------------------------
Special Notes and Comments
JUST FITNESS TENANT IMPROVEMENT•.2520
SQ. FT.
----------------------- ------------------------------------------------------
Other Fees . . . . .
. . . . STRONG MOTION (SMI)
-. COM
.52
Fee summary Charged
Paid Credited
Due
---------------------------
Permit Fee Total
--------------------
341.40 .00
----------
.00
341.40
Plan Check Total
186.15 .00
00
186.15
Other Fee Total
.52 .00
.00
.52
Grand Total
528.07 .00
.00
528.07
LQPERMIT
o�i
Bi n
Permit #
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City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:. -78' = 3.70 Nw y Sfe r .
Owner's Name: l'
A. P. Number:
Address:
I
Legal Description: 0 jac)%71 4-7,OM'Y4 -U_ lr6VevKeY
City, ST, Zip: - 1,4, 01/x- ' gaas3
Contractor:Th-DTelephone:(-
Address:
Project Description:
City, ST, Zip: 66k wkW
tVW A_+
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
i
Address:
City, ST, Zip: r
• ��•
TelepTele hone:
P ~
� a �
�u.
ConstructionType:lQnunt= fDgccupancy:
State Lic. #: "'
Project type (circle one): New Add'n Alter Repair . Demo
Name of Contact Person: C-1 f, (� ��
Sq. Ft.:.9151
# Stories:
# Units:
Telephone# of Contact Person: 6 L. _c)) jp14--�i.bD
Estimated Value of Project: A.s�J
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
1/� .Item
Amount
Structural Calcs.
Reviewed, read or corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
a .Plan Check Balance
Energy Calcs.
Plans bicked up
Construction
Flood plain plans `
r r
Plans resubmitted , '
Mechanical,
Grading plan
2nd Review, ready for correct' ns/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing,-
lumbing -Grant
GrantDeed
Plans picked pp
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading,
IN HOUSE:- r
Rjr+;
r'
''"'Review, ready,for corrections/issue
Developer Impact Fee•
Planning Approval roval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
5161 -7
CC?�P��CF�PL a�
1�15C .
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of-
Banning
f
Banning
Beaumont
4.
Calimesa
4.
Canyon Lake
Coachella
Desert Hot Springs
.y
Indian Wells
.-
Indio
e
Lake Elsinore
La Quinta
4.
Moreno Valley
4.
Palm Desert
Perris
Rancho Mirage
4.
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
In cooperation with the
California Department of Forestry and Fire Protection
82675 Highway 111, Suite 2150 • Indio, California 92201 • (760) 863-8886 • Fax (760) 863-7072
July 27, 2007
Gagriel Jujan
45-175 Panoramic Dr. Suite A
Palm Desert, CA 92260
Re: Non -Structural Building Plan Review
LAQ-07-TI-062, Tustin Silver "Just Fitness7, 78-370,Eiwy: 111_, Suite.145,;La;C�uin'ta—.�
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 Department approval is based upon the 2001 CBC requirements for Group B occupancies. It is
prohibited to use, process or store any materials in the occupancy that would classify. it as a Group H
occupancy per Sec. 307 of the 2001 CBC.
2) Repair work and/or maintenance using open flame equipment, welding or the use of Class I, II, or III -A
liquids are prohibited.
The following conditions must be met prior to occupancy:
3) 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 will have to submit plans for review and
approval and modify the fire sprinkler system 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.
4) As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler
system plans for the tenant improvement area may be required to 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.
i
2300 Market Street, Suite 150 • Riverside, California • (951) 955-4777 • Fax (951) 955-4886
39493 Los Alamos Road, Suite A • Murrieta, California 92563 9 (951) 600-6160 • Fax (951) 600-6164
Buildings/facilities
5) 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.
Other requirements`.
6) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact a certified extinguisher company for
proper placement and spacing of equipment.
7) Shelving, counters, etc., must be in place, however, no merchandise may be placed in the building prior to inspection.
8) 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. Building address numbers shall be a minimum'of 12" for building(s) up to 25' in height, and 24" in height for building(s)
exceeding 25' in height. 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 and adequately illuminated to be visible from the street at all hours.
9) Approved building address or suite/unit number shall be placed in such a position as to be plainly visible. Said numbers shall
contrast with their background.
10) •A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit doors.
The sign shall be in letters not less than one inch high on a contrasting background.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
Applicant/installer 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,
J
Tracy Hobday
Chief Fire Departm ner
By
Norman Davidson
Fire Safety Specialist
2300 Market Street, Suite 150 • Riverside, California • (951) 9554777 • Fax (951) 955-4886
39493 Los Alamos Road, Suite A • Murrieta, California 92563 • (951) 600-6160 • Fax (951) 600-6164
John K. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
Count and the
Cities of.
Bannu ,a
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lane Elsinore
La Quinto
Moreno Vallee
Palm Desert
Penis
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
L P',',Roy,Wilson,
District 4
Marion Ashley,
District 5
RIVERS IDE COUNTY
FIRE DEPARTMENT
In cooperation Aarith the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 . Fax (951) 9'40-6910
Date / V 2 ? O -
L,4 0 tA I'm �a
Building Department
RE 1A54 0-ne s s -i�- 1 L -S
The Riverside County Fire t
location — 3 %Q 1
Please call if you should have
is granting the Fi1. re clearance for the following
stions 760-863-8886
V
y,
le
Fire Systems Inspector
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ip