05-2391 (RC)f •tea'
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
OS -00002391
78401 HIGHWAY 111 STE
604-050-999- -
REMODEL - COMMERCIAL
COMMUNITY COMMERCIAL
3000
Ti-t�v 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
D HARSCH INVESTMENTS PROP.
- 78-401 HWY 111 SUITE -D
LA QUINTA, CA
LA QUINTA, CA 92253
Architect or
OU Contractor:
JUL 151 2005 3 ARROWS SPECIALTIES
2050 EXECUTIVE DRIVE SUITE D
PALM SPRINGS, CA 92262
CITY OFLAQUIvT� (760) 320-1814
FINANCE DEPT Lic. No.: 817409
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: B5License No.: 817409
trac
�—te' I tor:
/ 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 ($5001.:
(_ 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. , BAP.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: 7/15/05
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.
IL -1 -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 STATE FUND Policy Number 1744972
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
3700 of the Labor Code Is 11 rthwith comply with those provisions.
%t
Li
�efe: /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.
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 cons uction, and hereby authorize representatives
of this county to enters upon the above-mentioned property f inscti urposes.
p te: _2Li5" Q_5-i91gnature (Applicant or Agent):
Application Number . . . . . 05-00002391
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
54•.00
Plan Check Fee
35.10
Issue Date . . . .
Valuation . . . .
3000
Expiration Date
1/11/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
1.00 9.0000
----------------------------------------------------------------------------
THOU BLDG'2,001-25,000
9.00
Permit
ELECT - ADD/ALT/REM
_
Additional desc .
Permit Fee . . . .
26.94
Plan Check Fee
6.74
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
1/11/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
597.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
11.94
Permit .
MECHANICAL
Additional desc . .
Permit Fee
24.00
Plan Check Fee
6.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
1/11/06
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
TENANT IMPROVEMENT HEARING AID
OFFICE.July 12, 2005
11:17:53 AM
JJOHNSON SUITE -D
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . STRONG MOTION (SMI) - COM
.63
Fee summary Charged
---------------------------
----------
Paid Credited
--------------------
Due
Permit Fee Total
104.94
.00 .00
104.94
Plan Check Total
47.84
.00 .00
47.84
Other Fee Total
.63
.00 .00
.63
Grand Total -
153.41
.00 .00
153.41
LQPERMIT
N T.w
2'K4 W m,
i -
3(
RECEIVE®
AUG - 5 1986
% CITY OF LAOUINTA
O(•� R ,j G. BUILDING DEPARTMENT
i w l -i lit
C ti i ieAll �
6,&AZL4 s nR2K c.
Fes' ALA.d."'�
aTY
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c0rrdmunity Develop Ont/sumq. Dept.
a f` � i'
PERUjg
-
AN ALL A0PUCAS
®ATE
T4t!t 4 4 a"
P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(7 60) 777-7012
FAX (760) 777-701 1
To: Greg Butler, Building & Safety Manager To CDD: June 17, 2005
From: ,Doug Evans, Director=CDD Due Date. JUNE 24, 2005
Status: 1ST 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:
Address or General Location
TI -HEARING AIDE CENTER
78-401 HWY 111 SUITE D
Applicant Contact: SUSAN CUNNINGHAM 409-5037
The 7Combnity Development Department finds that:
...these Building Plans do not require Community Development
Department approval.
❑ ...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.
Do vans, Dir or -CDD Date
OCT -12-2005 WED 11:48 AM RIVERSIDE COUNTY FIRE FAX NO. 17608637072
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beawnont
Calunesa
Canyon Jake
Coachella
Drsurt Hot Springs
4 -
Indian
Indian Wells
S
Indio
Jake Elsinore
La Quinta
Moreno Valley
Palm .Desert.
41
Perris
4►
• Rancho Mirage
San Jacinto
Temecula ,
Dowd of Supervisors
Bob Buster.
District .I
John Tavni;Uono,
District 2
Jeff stone, t -
District 3
Roy Wilson,
District a
Marion Ashley,
District 3
RNERSIDE COUNTY
FIRE DEPARTMENT
ig Way 111, 25d, ndlo, • • 8X
-960) a63-70 72
October 12, 2005
City of La Quinta
Building Department
Re. Palm Springs Nearing Aid Center.
Riverside County Fire Department is granting a fire final. For the following
project located aewft -rr L-4.7--Suite-0,29F1 oor.
'T'erry DeS u ,y
Fire SV
Inspector
EMERGENCY SERVICES DIVISION . PLANNING SECTION . INDIO OFFICE
82875 Highway 111, 2n° FI., Indio, CA 02201 9 (760) 883.8886 a Fax (760) 9637072
P. 01
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
ee
Calimesa
O
Canyon Lake
ee
Coachella
Desert Hot Springs
e0
Indian Wells
O
Indio
ee
Lake Elsinore
ee
La Quinta
ee
Moreno Valley
O
Palm Desert
ee
Perris
ee
Rancho Mirage
ee
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
82-6/5 Y Fax863-70 12
June 27, 2005
Design Concepts
57445 29 Palms Hwy, Ste. 304
Yucca Valley, CA 92284
Re: • Non -Structural Building TA Plan Review
LAQ-05-TI-058 7 78-401 Hwy 111-, Ste D
Palm Springs Hearing Aid Center
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) The following conMon applies only if the buikfing currently has an existing fine sprinkler system.
Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Department for review, along with a plantiinspection fee. The approved plans, with Fire Department
Job card must be at the job site for all inspections.
3) Install portable fire extinguishers per Tide 19, but not less than 2A1 OBC in rating. Contact certified
extinguisher company for proper placement 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. 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.
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
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
B
Walter Brandes
Fire Safety Specialist
EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE
82675 Highway 111, 2- A., Indio, CA 92201 • (760) 863-8886 • Fax (160) 883-7072
°.-�Certificate of Occupancy
o��/a-
copy -
INOMRATM
OF Building & 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.
fi
BUILDING ADDRESS: 78-401 Highway 111 Suite D
Use classification: Commercial "Office" TI Building Permit No.: 05-2391
Occupancy Group: B Type of Construction: VN Land Use Zone: CC
Owner of Building: Harsch Investments Prop Address: 78-401 Highway Ill STE E,
City, ST, ZIP: La Quinta, CA 92253
By: Daniel P. Crawford Jr.
Date: 10/13/05
Building Official
POST IN A CONSPICUOUS PLACE
'0