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0112-182 (CSCS)LICENSED CONTRACTOR. DECLARATION -1 hereby affirm under penalty of perjury that I am licensed under provisions of nZhapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 'Date_; !,+✓l % Signature of Contractor / �. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier STATF, jyz„ Wr) Policy No. 160360 -ft; I - •,• %r (This section need not be completed if the permit valuation is for $100.00 or less). (•) 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, I sh4l fo hwith comply with those provisions. , / ,,Date: -:7 2 Applicant /'x 7 /'f/A,J} ;� �' ! Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in 31addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby'made to the Director of Building and Safety -for a. permit subject to the conditions and restrictions set forth on his application. ?r 1. Each person upon whose behalf this application is made & each person'at whose request and for whose benefit work is performed under,or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify } & hold .harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if 11-w rk is not commenced within 180 days from date of issuance of such permit, or cessation. of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to.the building construction, and hereby authorize, representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent) � :.Y! �r'��, � Date .f'?,. L / ;� BUILDING PERMIT PERM# t DATEVVALUATION ** a��re q:�p /�LOT TRACT t.,= -.� r ADDRESS ail�i �3 JOB SITE APNit➢,.(Jl OWNER CONTRACTOR / DESIGNER / EN (NEER f �lv'`�--'�JZ+�' .iah. �1�I'Jka'T�e, ��L.� i►f ">T3 �i�'s.'�=.�f �f *��'ii�i�S�, �:3�� ' 'yy��qY-�}08/4rr�yy 78.6'yfy�CyJ�l,•��€FCpxifi'�'�',;�'�''..113 rr7� +� .•y' RANCHO d1L1S:1'�..('SV7.d.'� ��S`h -7J4! IV IMAM r��} { 'L.+$pt ryl C)L1:'ink CA 927,1 3 f?60)771-3345 013X.,1. 218'0 USE OF PERMIT COMM STORP, (S Tall' STYPE OCCUPANCY-= ZONE, 31+LLODPS 648 SA ENTRY P.010 O'1'RUC TURF, PI+�R,jV% T IMCL 3DIR2w EWCk V`VAGLS, PJA.19t1V1v.C5VZMZNTS OUTSIDE 0 TUCCO PER PAA' SR P. } CIRC<`H!'�'.�1TIO 408.00 3 5PRINKLER 24,106.00 SP X13<: ,_V011TP1.ACf- AMOUNT 9:23"vo.40 is Er 76aCLL,ALL TIrID L,.091 OF C0.11iMVIC,B. A•1i3.7 f{ls.,J�e.'k7:F:iP:7 ]�,RRf+y.1`6."1" ANT, 01UMMAKY C01��"1'1:UCT1018 FEE 101-000-418-000 &0$+9150 PLA -11 CHECK YZE 1X31-000. 39-318 sa, t l t.67 FEE DEPOSIT 101.000.4,0.4,18 4101.)00'00 M:KCH AN 1CIAL, k`VE 101-000-421-000 $791.00 MUNMINOFEE UA -000-419-000 ;tl'fdOOG MOTION F99- tOiuiil,4' 100.000-241- O h.iRA0114011% -00042.1-000 shit. f DEVELOPER WPACT FE .P, RT .M PUB1,1C MAC= - C010 2,70-000-4,45--000 ;'x5,293.54 y�y yy t ��hn y..t, OTUD-�iG'1AIL oot, 1,7,* ,}`.CJ(Tnxx#S'YAVdry.I*�A.C'"yL•(tq�e��k.�syJ.'lylTr,'.i�4,.�'e[i�S.� +y^?��q'e4�1�t. y�.�fl1 �^,�^�{,{, JaS. 5 JL�1!!:."l"6'a5) 1Y;.J,aiJ �f.'.:}DVV�e)0 -t�7I G "•; it9ZNs �7,�$YeLPIMAU 32 MAR 11 2002 CBTYYf101F(.M}�� RECEIPT DATE" —f`'� t BY DAT:1FIVJLED INSPECTOFY LIZ INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs - Underground Ducts Forms & Footings Ducts Slab Grade p Z Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing _ Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath _ — /3 L 6� Sl Final Final/ POOLS - SPAS BLOCKWALL APPROVAL ' Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ �"� Heater Final Water Piping� Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral _ Pool Cover Sewer Connection idZ Encapsulation Gas Piping Gas Test Z_ Appliances Final COMMENTS: r36 13 % Final Utility Notice (Gas) IS /J. Zti L� -� U- O Z ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit��_ irV d� j S. S -,<- -,<-Rough Rough Wiring 3� L �T Low Voltage Wiring Fixtures �— Main Service Sub .Panels !�" �(/t/� L x� Exterior Receptacles G.F.I. Smoke Detectors f/�gw�L C„-, w G� C -- Temp. Use of Power - 7 <2 Final l=�? a moi— (J rle, -e- Utility Notice (Perm) L.) 8 e -a I ` j—/�� 7.0l_ 02— ✓ 8� C— :` Building / ✓ -- go Address ,� / ✓ V C_ Titivl 4 4 " P.O. BOX 1504 I 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 `�.y. I`T-2-17b I1-WV2-1919_7 H S✓ L y _ 77 ( ..� - •� � 345 State Lic. City & Classif. Lic. # Arch., Engr., Designer f, A A Address I Tel. CStae jtyt, t t2i,n IZIp I Lic.t# LICENSED CONTRACTOR'S DECLARATION 1 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 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Susiness 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 for 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 of 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 of not more than five hundred dollars ($500). (': 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, Buisness and Professions Code:The Contractor's License Law does not apply to an owner of 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 not build or improve for the purpose of sale.) I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) I'? I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 r7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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, alter making this Certificate of 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 a0plicant Date Mailing Address City, State, Zip APPLICATION ONLY Ulf Z -18Z BUILDING: TYPE'CONST. 2 OCC. GRP. c ` A.P. Number ( 3 - ZZ - oo3 a Legal Description Pte`# � Project Description ewJ�� .J7 Sq. Ft.�j ' �(� , 0/ No. No. DIN. Size G Z-�Stories Units Add ❑ Alter O Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 1 F- 4 of. v y TOTAL REMARKS 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 Issued by: Date Permit Validated Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 ` CERTIFICATE OF COMPLIANCE Date 2/27/02 APN # No. 22996 Jurisdiction La Quinta Owner Name One -Eleven La Quinta, LLC Permit #0112-182 No. 78-680 Street Highway 111 Log # City La Quinta Zip 92253 Study Area Tract # Parcel B 1,ot # Square Footage 24106 643-220-003 Type of Development Commercial No. of Units 1 Comments (Staples Store) 24106 s.f. At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions,under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of .34 X 24,106 or $ 8,196.04 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Wells Fargo Bank- Parin Columna Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Nicola Wong Payment Receive Check'No Signature Uli Telephone 760-771-3345 i1 Received $8;196.04 0737703188 NOTICE: Pursuant to Assembly Bill 3081 (CHAP 549, VATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting P.O.. Box 1504 78-495 CALLS TAMPICO (760).777-700.0 Shi�n�BrighterTha�Fver LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 April 3, 2002 Re: Staples La Quinta 78-680 Highway 111 Permit #0112-182 To Whom It May Concern: This letter is to authorize Desert Cities Development to request inspections for First Grout Lift and Slab. No other inspections are authorized until approved truss calculations are on the jobsite, unless this letter is superceded by a subsequent specific authorization. N#pIproved by:' Gre B tler Building & Safety Mana r Ref: Revised Framing Plan and truss calcs submitted 4/3/2002 4 MEMORANDUM To: Greg Butler, Building & Safety Manager From:- . Planning To CDD: o n Building Permit Release E(this� is-an-approval'to-issue_a Building -Permit)- J The Community Development Department has reviewed the following project: Description: Address or general location: 01 -.go A/ APN and/or legal description: The Community Development Department finds that: ❑ ... issuance of this Building Permit does not require Community \ ' Development Department approval. ® issuance of this Building Permit is•approved by the Community Development Department. Planning - - Date l T,it4t 4 ZP QuiKtv MEMORANDUM To: Greg Butler, Building & Safety Manager To PWD: 2 - From: From: Steven D. Speer, Senior Engineer Building Permit Release (this is an approval to issue a Building Permit) The Public Works Department has reviewed the following project: Description: Address or general location: %g' 6 8� �jc✓ y ) APN and/or legal description: (y3- 1�/— Oo3 The Public Works Department finds that: O ... issuance of this Building Permit does not require Public Works Department approval. ... issuance of is Buildin rmit is approved by the Public Works Department. Sven'D. Speer, Seniof A gineer bZ Date ASSESSOR'S PARCEL NUMBER COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH; APPLICATION. FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application.ts submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. LMS #------------ `,� Agent, contractor, Contact Person Ad re je - City State A lephone, owner r -s, Address �- City State lephone G Z JD� p Address City '�LP Lot SizeLU 00 vJater AgencylWell Use of PermitP/PSUP, PUP, etc. Legal Description �0 r Dwelling, MH Site Prep., a&• Signat a of Applicant // FDate I FOR OFFICE USE ONLY �1 CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 day, after date noted below may require repayment of fees. ❑ Other m ' Z ❑ Holding Tank Agreements Completed n Staff Specialist Lot Inspection Required 0 ❑ Certification of Existing S.D. System Required Thomas Bros. Page Grid lLu vvGCB Clearance Required L Date Lot Inspection Completed: Initials U) (Attach for DOH -SAN -007, Santa Ana Region Only) remarks: ❑ . Soils Percolation Report Required ❑ Mait.'enance Booklet Provided ❑ - Special Feasibility Boring Report Required ❑ Final InspEction by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR to inspection. Well Review Approved: SIGNATURE Date: Well Drilling Peirnit# Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: Date: t, REMARKS: i t ) , _ r C/42 / Soils Percolation Boring Report By Lic/Project # Date — Soils Map Page Soil Type Approved By - Date No. of Systems Type of System(s) No. Dwelling Units (1) Sep`" Tank Soil Rate Grease/Sand Fee $ J ❑ Holding Tank ❑ Replacement Bedrooms, Fixture Units Grease Intcp/Lint Trap ` Check # ❑ New ❑ Addition (1) Septic Tank must be 100' minimum from any wells. Z (2) Leach lines must be 100' minimum from any wells, including expansion Date r% ❑ Existing XConnect to Sewer O Gal. Gal. (� Sq. Ft. Total Linear idewall Allowance W Leach Bed sq. ft. Bottom Area Ft. ft. rock/ sq. ft. running ft. InstallLines) ft. long ft. wide of Bottom Area Inlet Tested Depth ❑ N/A with min. inches roc$. below drainline's U Proposed Bottom Tested Depth or Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (61) Seepage Pit Maximum Other: 0 Applicable Total Depth Allowable L) N/A Overburden FactorDepth ❑ 5' ❑ 6' TD U) Well Review Approved: SIGNATURE Date: Well Drilling Peirnit# Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: Date: t, REMARKS: i t ) , _ r Signature Date DEH -SAN -122 (Rev 8/01) INDIO: SOUTHWEST: Distribution: WHITE—Office File: YELL, 760-863-7000 909-600-6180 F.F. This application is,rAPPROVP'lDENIED for the category checked in — SECTION B -above, -regarding tthe design of a disposal system -as indicated - on the accompanied plot plan; using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above- 66C Revenue Code " ` t.. J 1 Fee $ J designed system. No constructions permitted in the required reserved 100% expansion area. ` Check # (1) Septic Tank must be 100' minimum from any wells. Z (2) Leach lines must be 100' minimum from any wells, including expansion Date r% Initial O area. (� (3) Sewer lines must be 50' minimum from any wells. � �� ! I � W U) (4) Seepage pits must be 150' minimum from any wells, including expansion RIVERSIDE: 909-955-8980 area. Signature Date DEH -SAN -122 (Rev 8/01) INDIO: SOUTHWEST: Distribution: WHITE—Office File: YELL, 760-863-7000 909-600-6180 F.F. 1p Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning ev Beaumont 4. Calimesa 4. Canyon Lake Coachella e. - Hot Springs 4. Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert 4. Perris 4. Rancho Mirage ..- San Jacinto 4. Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Tom Mullen, District 5 P/c RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 21Gest an Jacinto Avenue • Penis, Califomia 92570 . ( Fax (909) 940-6910 January 25, 2002 Desert Cities Development 46-753 Adams St. La Quinta, CA 92253 Re: Non -Structural Building Plan Review LAQ-02-BLDG-102 /Staples Store 7 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) The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in the 1998 CFC. A fire flow of 2,125 gpm for a 4 -hour duration at 20 psi residual operating pressure must be available'before any combustible material is placed on the job site. 2) The required fire flow shall be available from a (Standard/Super) hydrant(s) (6" x 4" x 21/2" x 21/2") located not less than 25' or more than 165' from any portion of the building(s) as measured along approved vehicular travel ways. 3) Prior to the issuance of a building permit, applicant/developer shall furnish one blueline copy of the water system plans to the Fire Department for review and approval. Plans shall conform to the fire hydrant types, location and spacing, and the system shall meet the fire flow requirements. Plans must be signed by a registered Civil Engineer and/or the local water company with the following certification: "I certify that the design of the water system is in accordance with the requirements prescribed by the Riverside County Fire Department". 4) Remove and relocate exit signs as noted on the plans. The following conditions must be met prior to occupancy; 5) Install a complete fire sprinkler system per NFPA 13. The post indicator valve and fire department connection shall be located to the front within 50' of a hydrant, and a minimum of 25' from the building. System plans must be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 6) Install a sprinkler monitoring system as required by the CBC and designed in accordance with NFPA 72. System plans must be submitted to the Fire Department for review, along with a plan check/inspection fee. 7) Install Knox Key Lock box, Model 3200, mounted per recommended standard of the Knox Company. If the building/facility is protected with a fire alarm or burglar alarm system, the lock box will require "tamper" monitoring. Special forms are available from this office for the ordering of the Key Box. This form must be authorized and signed by this office for the correctly coded system to be purchased. 8) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. EMERGENCY SERVICES DIVISION - PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 9) Install portable fire extinguishers per NFPA, Pamphlet #10, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 10) If the building is used for high piled/rack storage, the building construction and fire sprinkler system must meet NFPA 231 C and Article 81 of the 1998 CFC. 11) 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. Building address numbers shall be a minimum of 12" for building(s) up to 25' in height, and 24" in height for building(s) exceeding 25' in height. Minimum of 6" lettering is required for suite Identification. All addressing must be legible and of a contrasting color with the background. 12) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door. 13) A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit doors. The sign shall be in letters not less than one inch high on a contrasting background. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 24 hours in advance and may be arranged by calling (760) 863- 8686. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. HAPE2WPOATA"WIHTA%PROJECTSI3LD(3LPCd.0 -0-BLDG/02.Ox Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter':Brandes fire Safety Specialist SEP -04-02 WED 14;49 DESERT CITIES DEV FAX NO. 7607714431 P.04 ��••cv��"AFIRE PROTECTION~u� a rukrry JOB CARD ' Comments:._ THIS INSPECTION RECORD MUST BE - - -- — --- AT JOB SITE WITH AN APPROVED SET OF PLANS —_-. – -- OwnefBS " ' DateDate Inds. Lo4ation hby / -- "-- Case No. Sprinkler /C�ompaanj y Q' — Inds. Underground static D e Inspector .(200 PSI For Z Hrs. Prior to Inspection Time) (Confer Lard Pipe Only, Joints and Thrust Blocks Must Be Exposed). U�tlNgrot�nd Flush to �In �or •-�,p..� p S�' 7 a� ate. � e ..,— .._ _ . _... Overhead Static Date In• pector (200 PSI For 2 1•frs. Prior to Inspection Time)r 5 Date tntts. iO�Frnal , 8:8 r Inspector �• Fire Main Installer „ Underground Static y ----Tate Inspector (200 PSI For 2 Hrs. Prior to Inspection ,Time) (Center Load Pipe Only, Joints, and Thrrist Sfocks Must Be Exposed). Underground Flush Detc Inspector r Extinguishing System Installer Final'' i)ate In-pector-_.– . Fire Alarm Installer – �'a- • Final j D to Inspect - Tank InStatler �} Final Date Inspector FINAL for OCCUPANCY S InsEieclorb V atR DO NOT OCCUPY THIS STRUCTURE UNTIL AFTER FINAL INSPECTION, 264AS) (Re, 0r77t Date Intls. Date J Intlg.• Date Inds.. Date Intls.� r Q YOUNG ENGINEERING SERVICES Engineering Architecture -Surveying- Building & Safety Services Letter of Transmittal To: City of La Quinta Attn: Greg Butler Tel No.: We are forwarding: No. of Copies 1 . 1 1 1 X By Messenger Description: Plans (1't submittal) Date: 2/26/02 Project: Staples (2" check) 78-680 HWY 111 W.O.. Tract No.: Plans (2°d submittal) Structural calculations Soils report update By Mail Your Pickup Comments: Structural content is approvable. Please note that the bar joist are noted on the plans as a deffered submittal. This Material Sent for: Your Files Your Review Checking Other By: John W. Thompson Phone # 760-342-9214 X Per Your Request Approval At the request of: 47-159 Youngs Lane, Indio, CA 92201 (760)342-9214 Bronz Young Certificate of Occupancy City of La Quinta - - Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 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: BUILDING ADDRESS: 78-680 HIGHWAY 111 Use Classification: COMMERCIAL STORE (STAPLES) Bldg. Permit No. Occupancy Group: M Type of Construction: VN Land Use Zone 0112-182 CR Owner of Building: ONE -ELEVEN LA QUINTA, LLC Address: 71-084 TAMARISK City: RANCHO MIRAGE, CA 92270 Building Official By: DANIEL P. CRAWFORD JR. Date: 9/4/02 POST IN A CONSPICUOUS PLACE