08095 (RC)Address 7844 HWY 111
Owner
Platt Bim. Medi cal
Address `,�
City - Zip
P.O. BOX 1504 N 0. 08095
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
n-
"' ..
BUILDING:, TYPE CONST. OCC: GRP.
A.P. Number t a f nta PlazaTel.. .. .
Legal Description
Project Description D Ato da4w TA -mint 4sewyij,*_,-enJ
Address"-.
52-5 C>alin 5i.
City '" Zip
Tel.'.
State Llc `
&.Classlf , �,
City
Lic. # ,s ?.'
Sq. Ft.
Size
No. No. Dw.
Stories Units
Designer:; _
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address. '
Tel.
City . x
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. `•
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason:. (Sec: 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant /or such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 o/ the Business and Professions Code, or that. he 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 o/ not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will20S
do the'work; and the structure is not intended or offered for sale. (Sec. -7044, Buisness and
Professions 'Code: TherContractor's License Law does not apply to an owner o/ property who
- builds 'or, improves thereon and who, does such work himself or through his own employees,
provided that such 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 did riot build or improve forthe purpose of sale.)
❑ 1,, as owner of'the property, am exclusively contracting with licensed contractors to con-
struct the pfojeCt. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑,l am exempt under Sec. B. & P.C. for this reason
Estimated Valuation
�g
J 0
��3 V 00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
05
COf1St.
�i
Mech.
Electrical
A
Plumbing
S.M.I.
_
2,45
Grading
Driveway Enc.
Date - Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800• Labor Code.)
Policy No. Company
O Copy is filed with the city. - ❑ Certified. copy is hereby furnished.
• CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
This section need not be completed it the
( p permit is /or one hundred dollars ($100) valuation
or less)
'
i -+-
TOTAL
160 .SQ L ),I i
REMARKS
h117
AF,
-
i'FA 1 e I
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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate o/ Exemption you should become
subject to the Workers' Compensation provisions of .the Labor .Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.). .
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. .
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 city to enter the above..
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
6/13/"
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT. ®
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SQ FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
AMINGFINAL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
JAMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/.c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
OUND PLUMBINI� ",q
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. ®d
AMINGFINAL
INSP.
j L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
2��tvL
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION/C.>/
NSPECTIONIV ( d
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
'4, • t . 4c
BURNETT DEVELOPMENT COMPANY
HAND DELIVERED
29 November 1982
Mr. Wilford E: Kinsey
Senior.Plan Checker
Department of Building & Safety
County of Riverside
46=209 Oasis Street
Indio ; . CA 92-201-
Dear
2.201
Dear Bud:
Transmitted herewith is floor plan for Store K, Building
A, Plaza La Quinta, being 78-421 State Highway 111, La
Quinta, California. The subject store room;has been leased
as temporary offices for La Quinta Arts Foundation and will
be used by the Foundation in connection with the upcoming
'La Quinia Arts Festival to be held in March of next year.
As evidenced by the enclosed red lined floor plan,.the of-
fices will occupy only the front portion of the store and
will be carpeted,'with no fixtures or improvements being
done to the,off ice area or storage area with the exception
of the carpets.and painting in the office area. I.t is the
Foundation"s intent to install temporary portable partitions
and there will be no ,partitions installed which would be
"studs --tor dry wall.
s
.If;the enclosed is satisfactory,. -I would appreciate your is -
sung -the -appropriate permit in order that the Foundation
..may make the necessary arrangements for the required utilities
in anticipation of opening the offices the first week in De-
cember.
As always,,thank you very -much -for all your. cooperation.
dly,
F. Burnett
/kc
Encl. (noted)
cc: John Klimkiewicz
i
Pacific Mutual Building • 523 West Sixth Street • Los Angeles, California 90014 0 (213) 680-9315
i
r
Tit� Df 14a(ouinta
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Code certifying that at the time of issuance this structure was in compliance with the various.
ordinances of the City regulating building construction or use. For the following:
Use Classification
Group B2
BUILDING ADDRESS 78-421 HWY 111
Office Bldg. Permit No. 8095
Type Construction VN Fre Zone Use Zone CPS
Owner of Building Platt Bros. Medical Inc Address 81-709 Hwy 111 C-5
City Indio, CA 92201 Lonnie Day
By.
�V 'h Date: October 1, 1990
B ild'n Official
u i q
POST IN A CONSPICUOUS PLACE
9
I REVISION$ I BY I
DATE
SCALE
QF[A"
JOB _J
SHEET
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