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12-0496 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Ta!t 4Q" J BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 111 LA QUINTA CENTER C/O ROBERT P SANFORD 78060 CALLE ESTADO LA QUINTA, CA 922531 Contractor: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 PARTNERS an Date: 6/18/12 Applicant: Architect or Engineer: J G CONSTRUCTION t Application Number: `-12-00000496 Property Address: 78692 -HIGHWAY 111 APN: 643-220-014-16 -000000- Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 130000 Ta!t 4Q" J BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 111 LA QUINTA CENTER C/O ROBERT P SANFORD 78060 CALLE ESTADO LA QUINTA, CA 922531 Contractor: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 PARTNERS an Date: 6/18/12 Applicant: Architect or Engineer: J G CONSTRUCTION t 15632 EL PRADO ROAD ! C:4 4 +�►:)i� r� CHINO, CA 91710 r,f a (909)993-9393 LiC. No.: 671997 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B Lice se No.: 671997 r for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �/ ate v / Z Contractor: issued. 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SECURITY NTL Policy Number SWC1009093 following reason (Sec. 7031 .5, Business and Professions Code: -Any city or county that requires a permit to _ I certify that, in the performance of the work for which this.permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become su 'ect to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 2700 of the Labor e, hall fort ith comply with those provisions. 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).: D b �Z plicant: 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 ING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however,'the building or improvement is sold within. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 _ 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 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 constructi , and hereby authorize representatives of this{co my enter upon the above-mentioned prop y f nspecti purpo es, ate: v v Z Si ture (Applicant or Agent): Application Number . . . 12-00000496 LQPERMIT Structure Information Construction Type . . . . . TYPE V, UNPROTECTED 'Occupancy Type . . . . MERCANTILE Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS YES OCCUPANT LOAD 93.00 ------------------------------------------ IST FLOOR SQUARE FOOTAGE a 3150.00 . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 82.50 Plan Check Fee 20.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/15/12 ` Qty Unit Charge Per Extension BASE FEE 15.00 86.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 64.50 1.00 3.0000 -------------------------------------------------'--------------------------- EA ELEC APPLIANCES 3.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 744.50 Plan Check Fee 483.93 Issue Date . . . . Valuation . . . . 130000 Expiration Date 12/15/12 Qty Unit Charge Per. Extension BASE FEE 639.50 30.00 3.5000 THOU BLDG 100,001-500,000 105.00 Permit MECHANICAL Additional desc 1 Permit Fee 122.50 Plan Check Fee 30.63 Issue Date . . . . Valuation 0 Expiration Date 12/15/12 Qty Unit Charge Per Extension . BASE FEE 15.00 21.00 4.5000 EA MECH'VENT INST/ DUCT ALT 94.50 2.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 13.00 Permi t . . . PLUMBING Additional desc . Permit Fee 64.50 Plan Check Fee 16.13 LQPERMIT Application Number . . . . . 12-00000496 Permit . ... . . . PLUMBING Issue Date . . . . Valuation . . . . 0 Expiration Date 12/15/12 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6.0000 EA PLB FIXTURE 36.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00• 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00 ---------------------------------------------------------=------------------ Special Notes and Comments INTERIOR TENANT IMPROVEMENT - 3150 SF FOR RETAIL VITAMIN STORE "THE VITAMIN SHOPPE" 93 OCCUPANT LOAD TYPE V -B CONSTRUCTION. 2010 CODES. PERMIT DOES NOT INCLUDE EXTERIOR SIGNAGE. ---------------------------------------------------------------------------- Other Fees . . . . . . ACCESSIBILITY PLAN REVIEW 48.39 BLDG STDS ADMIN (SB1473) 6.00 ENERGY REVIEW FEE 48.39 Fee summary Charged Paid Credited -----------------------------------------=--------------- Due Permit Fee Total 1014.00 .00 .00 1014.00 - Plan -Check Total 551.32 .00 .00 551.32 Other Fee Total 102.78 .00 .00 102.78 Grand Total 1668.10 00 .00 1668.10 _. PROUDLY SERVING THE UNINCORPORATED AREAS OF -RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUX CSD SAN JACINTO TEMECULA WILDOMAR BOARD. OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION John R. Hawkins — Fire Chief 210 West San Jacinto Avenue - Perris, CA 92570 (951) 940-6900 — www.rvcfire.org May 14, 2012 RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-12-TI-036 The Vitamin Shoppe-78-692 Hwy -111 La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307 of the 2010 CBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per. Chapter 10 of the 2010 CBC. A minimum 2Al0BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location within 75' walking distance from any point in your building or suite. Fire extinguishers can be installed .by a licensed extinguisher company with a. State Fire Marshal service tag attached to the extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher company must service extinguisher yearly. All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting background. Approved suite addresses shall be placed in such a. position to be plainly visible and legible from the street. Said numbers shall contrast with their background. An approved audible interior notification alarm device shall be provided in approved location. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. Provide key(s) 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. Key(s) shall be provided at time of final inspection. .at t Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re -inspection fee will be required if more than one (1) inspection is necessary. 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. Sincerely, By, Jason Stubble Fire Safety Specialist a To: Greg Butler, :Building & Safety Manager To CDD: J`-- �- 1 VL From: Les Johnson, Director -Planning Due Date: S' 14 ` Io? Permit #: Status:_ A56. GG Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: e&��a,�, T / � , l • ,, Address or General Location: Applicant Contact: 944&,;t, 415"97¢- &00a X .-'ZO 7 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ...these Building Plans are approved by the Planning Department. ❑ these Building Plans reyfe' c4rections. Please forward a copy of the ttached corrections to a applicant: When the corrections -are made ieVse return them tot `Manning DepartmenT of� r review: John lanning receive av 4.7 � j city of Lia QUIV Flarning Qega"111 -Date APPLICATION'. # . BY ADDRESS ` ,� Y �. 44. VALUATION SQ. FT . UNIT COUNTS : lst FLOOR 2nd FLOOR COVERED PATIO : GARAGE . TYPE CONST: OCCUPANCY A/C­ FIRE- FIRE SPRINKLER # OF .BEDROOM ' FLOOD:.tiONE' # O.F :DNiTS: CODE EDITION ROOF TYPE MECHANICAL 2.------------ D t .# VENT FANS # EXHAUST HOOD A/C -<3 TON A/C >3 TON FAU <100,000 BTU FAU. >100,000 BTU DUCT ALTERATION PZ":Uma°11TG FIXTURES S -ENTER SEPTIC SYSTEM ROOF DRAINS WATER. HEATER WATER PIPING LAWN SPRILER .GAS -PIPING 1-4 GAS PIPING ->4' GAS METER 0 ` 2; TOILE.TS------------ B:ID.Efi SHOWERS.. BATHTUBS. 12 04<_ • S INKS BAH ..S INK .g.gQ Dom" OWN . :RANGE %. C©OKTOR.. DRINKING. FOUN WASHER DRYER e WATER HEATER ROOF DRAINS FLOOR DRAINS f ..KITCHEN -SINK VEG SINK y�,►-i-ov- - tY ,STINK FIREPLACE ELECTRICAL SQ. FT_ LIV GARAGE SQ, TEMP POWER LA'S FTXTURE. # FT GRADING <50.CU YDS >50 CU YDS CDD APPROVAL ENGINEER.APP. r I E Bin. # Qty. Of Quiffta Bulkft lit Safety Division P.O. Box 1504,7&495 Calle Tampico La.Quinta, CA 92253 - (760) 777 7012 Building Permit Application and Tracking Sheet Pemtlt # aa� l� Project Address—: ! D r 4�12 W I ( l Owner's Name:.( 3eK"Ole w, t.(t (O ..S A. P. Number. Address: �, D I I St St Legal Description: City, ST, Zip: I�YO^r_�tlM PM D4,77 Contractor. �.$ p • Telephone: `. v� / • T t� a :: •q Address: S�j . C@?1.�•� Project Description: T0N(,yci City, ST, Zip: Telephone: State Lia # : CityLic. #; Arch., Bngr., Designer N�%� ct2 i�d . --.. L �wbxw Address: J O &,tt e C> Ou. Qg : i. City, ST. Zip: hayyw,a CA.a+ I D� Telephone:45.al-74. State Lia #: C - t I,, t l 6 ' 1 Name of Contact Person: JA U I/li l'Cn1 Construction type:. Occupancy: t Project type (circle one): New Add'n Repair Demo Sq. Ft : 315 b# Stories: I #Univ: Telephone # of Contact Person: • (%Z Estimated Value of Project: 130 D00 APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACMG PERbUTFEFS Plan Sets a Pias Cheng submitted Amount Structural Calcs Reviewed, ready forrectio y y Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance Tithe 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mecharilcal Giading plan 2' Review, ready for correctio a�j.�j Electricalu Subcontactor List Called Contact Person Plmbing Grant Deed Plans picked up SAWL H.O.A. Approval Plans resubmitted Grading IM ROUSE.- '"' Review; ready for eorreetionsAssae Developer Impact Fee Planning Approval. Called Contact Person AXP.P. Pub. Wks. Appr - Date of permit Issue School Fees Total Permit Fees . f