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05-0258 (RC)P.O ~" `t OF T� S-4 C O `p C�%��:`���Q U I N T44f 4 4 a" BUILDING & SAFETY DEPARTMENT 1504 _ (760).777-7012 LLE TAMPICO F • FAX (760) 777-7011 k, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Ap ication Number . . . 05-0000.2:57 Date 3/21/05 Property Address . . . . . . 78370 HIGHWAY 111 STE 200 APN: 604-050-048- - Application description REMODEL - COMMERCIAL Property Zoning . . . . . . . COMMUNITY COMMERCIAL Application valuation . . . . 50000 Owner . - ----------------------- MADISON'PTM LA QUINTA 71361 SAN GORGONIQ RD RANCHO MIRAGE CA 92270 Contractor -=---------------------- PRIMUS CONTRACTING GROUP, INC 1409 SO. 600 WEST, SUITE D BOUNTIFUL UT 84010 WCC: STATE FUND WC: 1705181 10/01/05 CSLB: 814726 11/30/06 CCC: B ------ Structure Information •COMMERCIAL REMODEL MADISON DEV TI ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type BUSINESS <50 Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 35.00 2ND FLOOR SQUARE FOOTAGE 3474.00 ------'----------------------------------------------_------------------------ Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation 50000 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 THOU BLDG 25,001-50,000 162.50 ---------------------------------------------------------------------------- Permit . .. . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 84.48 Plan Check'Fee}. 21.12 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3474.00 .0200 ELEC GARAGE OR NON=RESIDENTIAL 69.48 -7 --------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc ., Permit Fee . . . 19.50 Plan Check Fee 4.88 Issue Date Valuation . . . . 0 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: P5. 255 Applicant: Applicant's Mailing Address: Date: J • .21-0.5 Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Code, and my License is in full force and effect. License Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U I am exempt under Sec. ----- BA P C,for this reasRn V/6S WORKERS' 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 Policy Number 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 tho 'sions. �te'�,,,� � � Applicant 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. 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 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 employeesfor 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 to comply with all city and county ordinances and state laws relating to building construction, an d herebythorize representatives of this county t me p he above- entioned property for inspection purposes. ate (JJ gnature (Applicant or Agent): O � Page 2 Application Number . . . . . 05-00000258 Date 3/21/05 Qty Unit Charge Per _ Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT -------------------=----------- INST/ DUCT ALT 4.50 --------------------------------------------- Permit . . . . . . PLUMBING Additional desc'. Permit Fee . . . 36.00 Plan Check Fee 9.00 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLP FIXTURE 18.00 1.00 3.0000 EA PLB WATER ---------------------------------------------------------------------------- INST/ALT/REP 3.00 Special Notes and Comments - Commercial Remodel - "Madison Development Office" TI, "B" Occupancy, Type VN Sprinkled, Occupant Load 35 ----------------------------------------------------------------------------- Other Fees . . . . . . STRONG MOTION (SMI) - COM 10.50 Fee summary Charged Paid -- - - - - - - - - - Credited Due - - - - ------ - - - - ------ - - - Permit Fee Total 554.48 - ------ - - - .00 - ------ .00 - - - - --- 554.48 Plan Check Total 304.43 .00 .00 304.43 Other Fee Total 10.50 .00 .00 10.50 Grand Total 869.41 .00 ..00 869.41 4 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager, To CDD: 01/26/05 From: Oscar Orci, Planning Manager : Due date: 02/05/05 Status:lsT 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: MADISON DEVELOP. Address or general location: 78-380 HWY 111;STE#200, La Quinta,CA. Applicant Contact: ED ALDERSON 771-1755 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Departmtent" y i , ap val. .. 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 Development Department for review. D Evans, Planning rector Date x9/07/2005 WED 17:05 FAX DEVELOPMENT September 7, 2005 City OfLa'Quinta .PO Box 1504 78-494 Calle Tampico La Quinta, California 92253 RE: Point Happy Madison Development TI 78370 Hiway #111 Suite #200 Attn: Danny Crawford Dear Danny: Pursuant to our conversation of this date, please be assured that Madison Development Co will not occupy or use the conference room in the subject tenant suite until such a time as the special ceiling is installed and approved by the Building Department. The anticipated date for the installation is October'7, 2005. Additionally, we will hang and support the HVAC ducting and outlets and "make safe" the electrical provisions in the room. Thank ou f r your cooperation on this matter. Ed Arderson Madison Development / Construction Manager Cc: Rick Wilkerson Primus Contracting 938 North Mountain Avenue . Ontario, California 91762. 909.933.9118 . Fax 909.933.0066 71361 San Gorgonio Road . Rancho Mirage, California 92270 : 760.776.1728 . Fax 760.773.0738 1001/001 -AUG -30-2005 TUE 04:16 PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072 P. 01 ---.--R- I-VERSIDEACOUNTY FIRE DEPARTMENT 82-675 Highway to, Fax Cralg E. Anthony Fire Chief Pmudly serving the unincorporated - August 30, 2005 area of Riverside County and the Cities Of. Banning Citybf La Quinta BCflIIIItOIIt Building Department • ' g. Cahmesa 44% Canyon Lake Re: Plaza Q Point Happy suite # 190 and 4-200 . Coachella Desert Hat Springs 0 The Riverside County Fire Department is granting a fire and life safety clearance for Indian Wens the following address 78370; Hwy_! 11,, La Quinta. Please call if you should have any. Indio questions. .4 - Lake Elsinore La. Quinta 3V Moreno Valley Palm Desert FRANK KAWASAKI Perris Battalion Chief/ Fire Marshal Rmcho Mirage Stn Jacinto Temecula By Terry DeSoucy r Fire.Systems Inspectors Board of Supervisors - Rob Buster, District 1 John Tavaglione, District 2' liff Stonc, District 3 Roy Wilson. ° District 4 r Marion Ashicy, TD/jl Districi 5 - EMERGENCY SERVICES DIVISION • PLANNING SECTION - INDIO OFFICE 82575 Highway 111, 2^" R. Indio, CA 02201 . (780) 863-8888 9 Fax (780) 883.7072 1 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa 4. Canyon Lake 4. Coachella :- Desert Hot Springs 4. Indian Wells 4. Indio 4. Lake Elsinore 4. La Quinta 4. Moreno Valley Palm Desert .;. Perris .;. Rancho Mirage 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 Highway82-675 111, 2nd FL, Indio, FaX (160) 863-70 IZ January 26, 2005 Prest, Vuksic, Architects, Inc. 44530 San Pablo Ave, Ste. 200 Palm Desert, CA 92260 Re: Non -Structural Building TA Plan Review LAQ-05-TI-010 /484*0Mwy 111, Ste. 200 ?g'320 r 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 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 and as noted on Sht. A7.1 of the building plans. 4) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement 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. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By � Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept. KAPEMP omun o rawaaEcrsmLno-osn-OID.ea EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE • 82-675 Highway 111, 2"d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 LI.WL� Certificate of Occupancy0 o : ..r ►f4 .: T40f ot Z 1. i,a 44 i � OFT19Building.& 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: 78-370 Highway 111 Suite 200 Use classification: Commercial "Office" TI Occupancy Group: B Type of Construction: VN Sprinkled Owner of Building: Madison PTM La Quinta Building Official Building Permit No.: 05-0258 Land Use Zone: CR Address: 71361 San Gorgonio Rd City, ST, ZIP: Rancho Mirage, CA 92270 By: Daniel P. Crawford Jr. Date: 11/16/05 POST IN A CONSPICUOUS PLACE �a.CIA, Temporary Certificate of Occupancy. 0 Copy Building & Safety Department 9► Y p f of �9w . E t s � This Certificate is issued pursuant to the requirements of Section 109 of the California Building AikA Code, certifying that, at the time of issuance, this structure was in compliance with the i provisions ' of the Building Code and the various ordinances of the City regulating building construction and/or use. Thirty (30) day temporary certificate issued 9/26/05, refer to attached correction list for items outstanding for Project Final Signature. BUILDING ADDRESS: 78-370 Highway 111 Suite 200 Use classification: Commercial "Madison Development Office" TI Building Permit No.: 05-0258 zxI } Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR Temporary occupancy approval does not include the use of the upper parking structure. f s Owner of Building: Madison PTM La Quinta Address: 71-361 San Gorgonio Rd. } I' a t City, ST, ZIP: Rancho Mirage, CA 92270 k By: Daniel P. Crawford Jr. j ` Date: Expires 10/26/05 Building Official iT i 5 F ". POST IN A CONSPICUOUS PLACE s