06-1872 (RC)P. Oki BOX 1504
78-445 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Applicati6nNum6er-
0000187
06= 21
Property -Address:
`78370 -HIGHWAY 111 STE 265
APN:
604-050-048- - -
Application description:
REMODEL - COMMERCIAL
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
20000
Tavl aF 4 Q"
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 CI ss: B Lice se No.: 466671
\ Date: ( a4 Contractor:
14
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.).
(_ 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.).
(_) 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
VOICE• (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/14/06
Owner:
MADISON PTM LA QUINTA
78370 HIGHWAY 111, STE. 200
LA QUINTA, CA 92253
Contractor: - 2406
MARVEST Lk
JU78750 SAINT THOMAS DRLADU�NTA
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
I�- Code, for the performance of the work for which this permit is issued. My workers' compensation
insuran$..e�carrier and policy number are:
Carrier FrIW44PT J%7� ! /7 Policy Number EX'E V!i�T-- 1 k Y6is.-06
_ 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
/100 of the Labor CodA, I shall forthwith com y wit those provisions.
']ate: b OL- Applicant:
WARNING: FAILURE TO SECURE WORKER 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 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 hereby authorize representatives
\of this c[o'u�n y to n'tb�upon the above-mentioned property or inspection purpos
bate: 'Signature (Applicant or Agent):
Application Number . . . . . 06-00001872
------ Structure Information EXISTING SHELL
-----
Other struct info . . . . . CODE EDITION
O1BMP04E05EN
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
B
OCCUPANT LOAD
12.00
1ST FLOOR SQUARE FOOTAGE
- ----------------------------------------------------------------------------
1118.00
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . 207:00 Plan Check Fee
134.55
Issue Date Valuation . .
. . 20000
'Expiration Date 12/11/06
Qty Unit Charge Per
Extension
BASE FEE
45.00
18.00 9.000.0 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
162.00
Permit . . . ELECT -.ADD/ALT/REM
` Additional desc .
Permit Fee . . . . 65.60' Plan Check Fee
16.40
Issue Date . . . . Valuation . .
. . 0
Expiration Date 12/11/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
15.00
1.00 18.5000 EA ELEC SVC <=60.OV/<=200A
18.50
38.00 .4500 EA ELEC DEVICE/FIXTURE >20
----------------------------------------------------------------------------
17.10
Permit MECHANICAL
Additional desc .
Permit Fee 19.50 Plan Check Fee
4.88
Issue Date . . . . . Valuation . .
. . 0
Expiration Date.. 12/11/06
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
SUITE 265 TENANT IMPROVEMENT,TYPE V -N
CONSTRUCTION, "B" OCCUPANCY,12=
OCCUPANT LOAD. "WEST COAST ESCROW" 2001
CBC, CMC,2004 CEC, 2005 ENERGY CODES.
LQPEILINIIT
Application Number
06-00001872
----------------------------------------------------------------------------
Other Fees . . .
.
ACCESSIBILITY
PLAN REVIEW
13.46
ENERGY REVIEW
FEE
13.46
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
292.10
.00
.00
292.10
Plan Check Total
155.83
.00
.00
155.83
Other -Fee Total
26.92
.00
.00
26.92
Grand Total
474.85
.00
:00
474.85
-%
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: May 09, 2006
From: Doug Evans, Director -CDD Due Date: May 19, 2006
Status: 1 sc 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: T. I. Escrow Office
Address or General Location: 78-370 Hwy 111 Ste. 265
Applicant Contact: Candice Noto 760-880-3016
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development
Department approval.
...these Building Plans are approved by the Community Development
ment
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 � o
Dgggfo7aris, Director -CDD
.ZZ,oC
Date
Craig E. Anthony
Fire Chief.
Proudly serving the
unincorporated
areas ofRivetside
County and the'
Cities o
i
Banning
o'
Beaumont
Calimesa
d
Canyon Lake
Coachella
Desert Hot Springs
d
Indian Wells
Indio
Lake Elsinore
La Quints
Moreno Valley
<e
Palm Desert
6
Penis
Rancho Mirage
4.
San Jacinto
40
Temecula
Board of Supervisors
Bob Buster, ,
District 1
John Tavagiione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
210 West San Jadnto Avenue a Perris, California 92570 . (951) 940-6900 . Fax (951) 940-6910
Date ` --I 0
City of LaQuinta
Building Department
RE
2"�
The Riverside County Fire Department is anting the Fire, clearance for the following
location(79- .7d;. o v5.
Please call ' you should have questions 760-863-8886
s
Respectfully
By
&so
Terry T DeSou
JC
Fire Systems Inspector
Craig Anthony
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
.g
Beaumont
Calimesa
Canyon Lake
Coachella
4.
Desert Hot Springs
4.
Indian Wells
Indio
4.
Lake Elsinore
La Quinta
Moreno Valley
4.
Palm Desert
Perris
Rancho Mirage
4.
San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Asbley,
District 5
May 17, 2006
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • • Fax (909) 940-6910
Candice Designs
75-347 Kelsey Circle S.
Palm Desert, CA 92211
Re: Non -Structural Buildin Plan Review
LAQ-06-TI-037. 78-370 Hwy 111, Ste. 265
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 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.
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) 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.
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
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.:�.City7of.La Quinta�B,uilding Dept
H1PEMP DataLLa Ouu'arta%PROJECTSTRLAO-06-037.&
Sincerely,
Tracy Hobday
Chief Fire Department Planner
By 'd�JL
Walter Brandes
Fire Safety Specialist
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd R., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
1
a,�,
Certificate of Occupancy
f
G� OFTg y p Building & Safety Department {
t
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
r
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. x
t
BUILDING ADDRESS: 78-370 Highway 111 Suite 265
k
I
Use classification: Commercial Office "West Coast Escrow" TI Building Permit No.: 06-1872
Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR
x,
A '
Owner of Building: Madison PTM Address: 78-370 Hwy 111 Ste 200
City, ST, ZIP: La Quinta, CA 92253
"dam By: Daniel P. Crawford Jr.
Date: 7/11/06
Building Official
POST IN A CONSPICUOUS PLACE I
- -
an