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05-5070 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05---00005070--� Property Address: 78370-HTGHWAYy111 STE .APN: 604-050-048- - Application description: REMODEL— COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 15000 Applicant: Architect or BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR' LARATION I hereby affirm under penalty of perjury that I am licensed under ovisio of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofession ode d my License is in full force and effect. License Class: B No.: 466671 -- Dat/ f L Contractor 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 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 I mprove 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: 12%12/05 Owner: ' MADISON PTM LA QUINTA 78370 HIGHWAY 111, STE. 200 LA QUINTA, CA 92253 r 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 3760 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 is all not employ any person in any manner so as to become subject to the workers' pensation aws of California, and agree that, if I should become ubject to the ers' c pensat'on pr isions of Section 3700 of the Labor Code, I shall f hwith com 7 tho pr on —D�./4r LZ.- APPlicant: . WARNING: FAILURE TO SECURE WOERS' 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 l subject permit to cancellation. I certify that I have read this application and state that the above information is c I agree::1 with all city and county ordinances and state laws relating to building con uction, any authorizatives of this county to enter upon the above-mentioned property for i c ' rt pur S. Date:f/L-lL Signature (Applicant or Agent):. Application Number . . . . . 05-00005070 Permit .. . BUILDING PERMIT Additional desc _ Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date Valuation 15000 Expiration Date 6/10/06 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 . . . . 33.42 Plan Check Fee 8.36 Issue Date . . . Valuation . . . . 0 Expiration Date 6/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 921.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL -----------------------;---------------------------------------------------- 18.42 Permit MECHANICAL' Additional desc . Permit Fee 19.50 Plan Check Fee 4.88 Issue Date - Valuation . . . . 0 Expiration Date 6/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 t ---------------------------------------------------------------------------- Special Notes and Comments Commercial Remodel "Law Office" TI, 921 sgft, "B" Occupancy, Type VN Sprinkled Occupant Load 10. ---------------------------------------------------------------------------- Other Fees . . . . . . . . STRONG MOTION (SMI) - COM 3.15 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total, 214.92 .00 ..00 214.92 Plan Check Total', 118.54 .00 .00 118.54 Other Fee Total 3.15 .00 .00 3.15 Grand Total 336.61 .00 .00 336.61 LQPERMIT N # City of La Q uinta Building a Safety Division �� P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ermit # Project Address: Owner's Name: \SnN vo A. P. Number: Address: -7$ 3-7 d W Legal Description: City, ST, Zip: Telephone: Project Description: v yme2i Contractor:22 Address: City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: �1� D I C. s DmwiA -Sr 09M Address: %r . 75U K 7G L 4f Tf, . S.. City, ST, Q -T C1'ZZ I Telephone: -I 6 0 , $$ O . go ( State Lic. #:&' A Name of Contact Person: ��• ,9 IGS Construction Type: —?- Occupancy:. Q 1 h Project type (circle one)(N v Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person - Value of Project: APPLICANT:.DO NOT WRITE.BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES. Plan Sets Plan Check submitted �� Item Amount Structural Cates. Reviewed, ready for corrections !///, Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up /% Construction Flood plain plan Plans resubmitted A%27 Mechanical Grading plan tad Review, ready for correctio s/issu—Electrical Subcontactor List Called Contact Person p Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'ro Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees IO��i It C'A 0.:1- 0t 12�p5 3��r•> -e,o _� u�rctIcv P.O. Box 1504 QUILLING & SAFE -i-), DIEPARTMIENT 75-495 CALLI_ TANIPICO (760) 777-7012 LA QuINTA: CALII'ORNIA 92253 FAX (760) 777-701 1 To: Greg Butler,.Building & Safety Manager To CDD: 10-31-2005 f=rom: Doug Evans. Director -CDD Due date: 1 1-12-2005 Status: 1" Review Building Plans Approval (This is an approval to issue a Building Permit) The COnlnlunity Development Department has reviewed the Building Plans for the following project: Desci-Toon: TI -Law Offices Address or general location: 78-370 Highway 1 11 #275 � 6 Applicant Contact: Candice 880-3016 The ConlnlLnlity Development Department {finds that: ❑ ...these Building Plans do not require COnlnlunity Development Department �/ approval. ...these Building Plans are approved by the C0111111LIlllty 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 thein to the COI1lIllLllllty Development Department for review. (0.3.05 ug CXns; Director -CDD Date s/ Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Cahmesa Canyon Lake Coachella Desert Hot Spring: 4. Indian Wells Indio .;. Lake Elsinore .;. La Quinta .;. Moreno Valley 4 - Palm Desert Perris Rancho Mirage San Jacinto Temecula Board of Superviso Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District Marion Ashley, District! i RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 Highway 111, 2nd Fl., Indio, CA 99201• Fax (760) 863-7072 January 19, 2006 City of La Quinta Building Department Ref: Point Happy LAQ-05-TI-065 (Ste 285) LAQ-05-TI-105 (Ste 270 or275)' Riverside County Fire Department is granting afire final. For the following Project located at 78370 Hwy 111 Ste 285 and St 270. By Terry DeSoucy Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2'd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning ., Beaumont 4., Cahmesa 4. Canyon Lake .; Coachella Desert Hot Springs Indian Wells Indio 44. Lake Elsinore 4.1- La ;La Quinta Moreno Valley 44. Palm Desert 4. Perris 4. 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 k RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 High aY 111, 2, w Fl., Indio, ax863-7072 December 6, 2005 Candice Designs 75-347 Kelsey Circle S. Palm Desert, CA 92211 Re: Non -Structural Building T/I Plan Review LAQ-05-TI-105 / 78-370 Hwy 111, #275 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 shall do all sprinkler work and certification. The approved plans, with Fire Department Job card -must beat the job site for all inspections. 2) Provide an interior notification device within the unit for notification upon activation of the fire sprinkler system. Plans. must be submitted to the Fire Department for review, along with a plan checkrnspectionfee. 3) 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. 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. 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. HAPEmP DataLLa Ou`da1PROJECTSTIILAO-05-T4105.da Sincerely, Tracy Hobday Chief Fire Department Planner By � Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 c " ' ' F 0� CITY OF Ldp QUINTA SUB-CONTR LISTt� 7 Q PERMIT NUMBER �-S h2�_ OWNER_ � (/ BUILDER_ JOB ADDRESS ° �� This form shall be costed on the iob with the Building Inspection Card at all times in a consoic�l,.�ous place. Only persons appearing on this list or their mployees 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 each a plicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. it. For P rm7777 ::..:::.::.:.:....:. .. In a :..:.:..;...;.......;..> .;. of build p :.:.:.::...:.: Biisnes license::. ".':'.`::`: State Contractor s License - V9i omper► • .. ^�^..�r.�... ....:... oike�s G sa'tion• IR�ur'arice : . "City. .. Trade EARTHWORK .(C-12) CONCRETE (C-8) rRUCT. STEEL f C-51) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C=27). •.: POOL (C-53) Company Name CPassification License Number Exp. Date Carrier Name Policy Number Exp. Date Licervse Number Exp. Date (e.g._A, B, C-8) (xxxxxx) (xx/xxlxx) (e.g. State Fund, CalCompl (Format Varies). Ittxlxxlxx) . (xxxxl Ixxlxxlxx) i'ixA 7.3 f,*X �3/ -07 �voo�.r� Gam. X 6116 s�9� /-Zs J, A AAM t,6a,41,60,446,D� ti� A 79 2 C— 38 30 I LZ ZZo -z P -bd to ="'-Vp �y�� `�Nv 6,# RX e�,O eV fZ* o �ooloZ3/ o00 l6a Lzd Q 3 �c ooh US - -06 3-Z� oG 386- o,3 z -/s -D 6=30-,0 G - Z:5�3 s.r 3,31 o 3 �a- �� Certificate -of Occupanc Y 4 U c_�_ -� • �� fIV�� OF Building & Safety Department a, S ; F 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 p provisions of the Building Code and the various ordinances of the City regulating building .: e p construction and/or use. f BUILDING ADDRESS: 78-370 Hi hwa . a v 111 Suite 275 r A Use classification: Commercial "Law Office" TI Building Permit No.: 05-5070 Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Madison PTM La Quinta Address: 78-370 Highway 111 Ste 200 t' § City, ST, ZIP: La Quinta, CA 92253 �. By: Daniel P. Crawford Jr. Date: 1/20/06 Building Official � POST- IN A CONSPICUOUS PLACE ` '9 - ..._....__.,_- pity of La s. Quinta: Building 8i Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 5 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's NameAA : S A. P. Number: C Address: E Legal Description: City, ST, Zip: �s 3 Contractor: /B, �� _ Tel — -- eP hone: — Address: Project Description: City, ST, Zip: — Telephone: State Lic. # : City Lic. #; Arch., Engr , Desig n Address: 5 G G City, ST, Zip: G f�•�/('T �� Z/� Telephone: hon e. y 3 D D I 6 State Lic.#: Con stru ti on Type: Occupancy': cY - Project ct type (circle one): New Add' n - Alter Repair Demo Name of Contact Person: � �V � w��s'� Sq'. Ft.: #Stories: #Units: Telephone # of Contact Person: ,17 rj 5 Estimated Value of Project: �� 1 fid .L —s� APPLICANT: DO NOT WRITE BELOW THIS LINE # SubmittalRe' q ' d Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 75 Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted 114echanical Grading plan 2"d ectrical Subcontactor List Called ContgctEctsa 77TCI= Plumbing Grant Deed Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Ty— Total Permit Fee's"^- -711 c D _ '00 e<A _ - ---- -- ° .�'� - - 51-10