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05-5558 (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: 05-00005558 78370 HIGHWAY 111 STE 604-050-048- - REMODEL - COMMERCIAL COMMUNITY COMMERCIAL 15000 215 Architect or T-- v -4t 4 4 Q" 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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Lice Class:pp,� License 66671 Date: D ontractor: _ O ER -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 k any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 15500).: (_ 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, 1(` 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.l. ( 1 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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/06/06 Owner: MADISON PTM LA QUINTA 78370,HIGHWAY 111, STE. 200 LA QUINTA, CA 92253 Contractor: MARTINOVICH, GEORGE., DBA MRVT 78750 SAINT THOMAS DRIVE INDIO, CA 92203 (760)360-5251 Lic. No.: 466671 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 _ 1 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 / 700 of the Labor Code, I shall f�rthwith comply ith t ose provisions. Date: 2 pplicant: , WARNIN FAILURE TO SECURE WORKE MPENSATION 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 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, and heteby authorize representatives of this county to enter upon the above-mentioned property fo inspectigP purposes. D ' nature (Applicant or Agent): '1vvvJ\vvv/`1 Application Number . . 05-00005558 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 162._00 Plan Check Fee 105.30 Issue Date . Valuation 15000 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ---------------------------------------------------------------------------- Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 52.05 Plan Check Fee 13.01 Issue Date . . . . Valuation. 0. - Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 49.00 .4500 EA ELEC DEVICE/FIXTURE >20 ---------------------------------------------------------------------------- 22.05 Permit . . . MECHANICAL Additional desc . Permit Fee . . 19.50 Plan Check Fee 4.88 Issue Date Valuation . . . . 0 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 ----------------=----------------------------------------------------------- Special Notes and Comments f_ COMMERCIAL INTERIOR T.I.SUITE 215, "B" OCCUPANCY (REAL ESTATE OFFICE), TYPE VN CONSTRUCTION, 1364 SF, 14 ,TOTAL r OCCUPANT LOAD -2001 C13C,CMC,2004 CEC, 2005 ENERGY. NOTE:PLAN CHECK FEES FROM EXPIRED APP. # 05-2919 ($91.50) ARE INCLUDED WITHIN THIS PERMIT. February 3, 2006 4:09:07 PM bhanada =--------------------------------------------------------.------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW -- 10.53 ENERGY REVIEW FEE 10.53 ' HOURLY PLAN CHECK 91.50 LQPERMIT Application Number . . . . . 05-00005558 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total 233.55 .00 .00 233.55 Plan Check Total 123.19 .00 .00 123.19 Other Fee Total .112.56 .00 .00 112.56 Grand Total 469.30 .00 .00 469.30 1 2 P.O. BOX 1504 75-495 CALI_r TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Doug Evans, Director -CDD BUILDING & SAFLTI' DuARTIVIFENT (7.60) 777-7012 FAX (760) 777-7011 To CDD: 12-23-2005 Due date: 1-04-2006 Status: 1" 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: Tenant improvement -Real Estate License Address or general location: 78-370 Hwy 1 l 1 Suite 215 Applicant Contact: Candace Noto 880-3016 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development :Department approval. ...these Building Plans are approved by the Commrunity 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. PF /Z-ZFr_dS Do u vans, Director: -CDD Date Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont •1 Calimesa Canyon Lake ❖ . - Coachella Desert Hot Springs Indian Wells Indio Lake Elsinore 4. La Quinta r. .Moreno Valley 4;. Palm Desert Pettis 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 5 RIVERSIDE COUNTY FIRE DEPARTMENT 210 West San Jacinto Avenue • ' Perris, California 92570 • (951) 940-6900 • Fax (951) 940 -6910' - Date ' 3 — — �0 City of LaQuinta Building Department The Riverside County Fire Department is granting the Fire clearance for the following location_M A 3 `1 y l%% Sk o21 S Please call if you should have questions 760-863-8886 UZ Respectfully �- -- Terry DeSou Fire Systems Inspector RIVERSIDE COUNTY FIRE DEPARTMENT 82-615 ig wayIndio, CA 92201 . Fax863-1072 E. Anthony July 22, 2005 Fire Chief !Iraig ' Candice Designs Proudly serving the 75-347 Kelsey Circle S. 1T1Y1°O�°rated areas of Riverside Palm Desert, CA 92211 purity and the `ties of: Re: Non -Structural Building Tfi Plan Review LAQ-05-TI-066 / Madison Dev., Spec. Spac Plaza @ Point Happy — Bldg. A, Ste�IeT r umont 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 Calimesa issuance of a building permit. •� Canyon Lake ,. 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Coachella Department for review, along with a plan/inspection fee. The approved plans, with Fire Department e• Job card must be at the job site for all inspections. Desert Hot Springs •�• 2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have Indian Wells durable and legible tags affixed for identification of the correlating tenant space. Indio ., 3 Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified ) P P 9• Lake Elsinore extinguisher company for proper placement of equipment. 4 - La Quinta 4) 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 Moreno valley business name and suite number on back doors as well as the front. Suite numbers or letters must •O be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the Palm Desert background. 4.1 - Perris Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Rancho Mirage Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling .;. (760) 863-8886. San Jacinto ❖ All questions regarding the meaning of these conditions should be referred to the Fire Department Temecula Planning & Engineering staff at (760) 863-8886. Board of Supervisors Sincerely Bob Buster' District 1 FRANK KAWASAKI Chief Fire Department Planner John Tavaglione, District 2 Jeff Slone, District 3 By f� Roy Wilson, Walter Brandes District 4 Fire Safety Specialist Cc: City of La Quinta — Building Dept. Marion Ashley, District H:W2WP DaWUA Q*ft 0JECMTRLWASTL-W doe EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2^a FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 � RIVERSIDE COUNTY FIRE DEPARTMENT YIndio, Fax V60) 863-7072 DEPARTMENT January 18, 2006 Craig E. Anthony Candice Designs Fire Chief 75-347 Kelsey Circle S. Palm Desert, CA 92211 Proudly serving the unincorporated Re: Non -Structural Building TA Plan Review areas of Riverside LAQ-06-TI-003 / 78-370 Hwy 111, Ste. 215 County and the Cities of: Fire Department personnel have reviewed and approved the plans you submitted for the above Big referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. Beaumont 4. 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Cahmesa Department for review, along with a planlinspection fee. A licensed C-16 contractor will have to Canyon Lake submit plans for review and approval and modify the fire sprinkler system in accordance with NFPA 13, 1999 Edition. The approved plans, with Fire Department Job card must be at the job site for all 4. Coachella inspections. :• Desert Hot Springs 2) Install an interior notification device within the unit for notification upon activation of the fire sprinkler •3 system. Plans must be submitted to the Fire Department for review, along with a plan Indian wells checkfinspection fee. 4. Indio 3) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have 4. Lake Elsinore durable and legible tags affixed for identification of the correlating tenant space. La o�ta 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. Moreno Valley ❖ 5) Approved building address shall be placed in such a position as to be plainly visible and legible from Palm Desert the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on door(s). Suite numbers or letters must be a minimum of 6° in Penis . height. All addressing must be legible and of a contrasting color with the background. 4. Rancho Mirage Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. 4. San Jacinto Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. Temecula All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Board of Supervisors Bob BusterSincerely, District 1 Tracy Hobday John Tavaghone, Chief Fire Department Planner District 2 Jeff Stone, District 3 � Roy Wilson, By District 4 Walter Brandes Fire Safety Specialist Marion Ashley, Cc: City of La Quinta — Building Dept. District 5 KAPEMP Daaaa QL*ft% taEcrsnuaa4*-Twro.da EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 8637072 p. ITY OF LA QUINTA SUB -CONT R. A TOR LIST \ JOB ADDRESS ERMIT NUMBER OWNER \_ 4 6 �K SG l� BUILDER This form shall be posted on the job with the. Building Inspection Card at all times in a conspicuous place. .Only' persons appearing on his 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 of building permit. Foir,each applicable trade, all information requested below must be completed by applicant:. "On File" is not an acceptable response. Classification, Trade / Class Contractor : ;; :<.:.>::.>::::::::Sta e::Contracto .s L�certse :.. •.::::>. f. r :.: '.. ': Wo keis Com a satio�:lcisurance:..: ' : °>':::...,.:::.. r n Cit : usmess. censer :• :: Y Company Name Classification. le.g: A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name le.g. State Fund, CalComp)' Policy Number. (Format Varies) Exp. Date . (xx/xx/xx) License Number" (xxxic) Exp. Date (xx/xxlxx) EARTHWORK (C-12) CONCRETE (C-8) ... - FRAMING .(C-5). STRUCT. s EL -(C-51) MASONRY (C-29) PLUMBING'(C=36) . LATH; PLASTER IC -351 a { DRYWALL (C-9) .:..: n Co . �� S u 8 yZ 0'6 / I JXDO .. c7 Cg i CSS" v Ys�..eolg_ 61 �.� S W 1 0-07- 5- ) . ELECTRICAL. (C-10) . . ; . / r'd H -R- C ho 6 tO q'/ Z _ /A/10;P2/7e . �RO :.. ::. SHEET. METAL (C'-43)'• FLOORING 1015f`-`%-':%:`-: ` .GLAZING (C'.!' .INSULATION'.(C-2) . � '-1-06. SEWAGE.DISf? (C-42). ? Ile PAINTING IC -33) r23 16 Z5 1 CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C=27.).' POOL (C-53) . - Certificate of Occupancyo G� OF �w 9► Y p Building & Safety Department r This Certificate is issued pursuant to the requirements of Section 109 of the California Building s Code, certifying that, at the time of issuance, this structure was. in compliance with the r provisions of the Building Code and the various ordinances of the City regulating building Ib construction and/or use. s E BUILDING ADDRESS: 78-370 Highway 111 Suite 215 s Use classification: Commercial "Real Estate Office" TI Building Permit No.: 5-5558 x t Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR - a 4 r Owner of Building: Madison PTM La Quinta Address: 78-370 Highway 111 Ste 200 F City, ST, ZIP:-La Quinta, CA 92253 .� By: Daniel P. Crawford Jr. Date: 3/10/06 Building Official- J ®per POST IN A CONSPICUOUS PLACE