13-0732 (RC)w IX �I M
'P.OBOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 3-00000732---1
Property Address: 78696 -HIGHWAY 111
APN: 643-220-014-16 -000000-
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 19000
Applicant:Architect or Engineer:
Cl4� ��e`�
14,44-
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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: B L' ansa No.: 897784
Date: Contractor:
OWNE - ILDER 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 ($500).:
(_ 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 1, 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.).
( 1 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
Owner:
111 LA QUINTA CENTER PARTNERS
C/O ROBERT P SANFORD
78060 CALLE ESTADO
LA QUINTA, CA 92253
D
Contractor:
JEN'S CONSTRUCTION INC
5612 HUDDART AVENUE
ARCADIA, CA 91006
(626)203-2387
Lic. No.: 897784
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/22/13
�� � t 1
- `
OF LA Ql)1%TA
CITY _ _...c nEPT.
------------------
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 and policy number are:
Carrier STATE FUND Policy Number 9006549
_ 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
-
3700of the Labor Code, I shall forthwith comply wi those provisions.
Date:y �K—• 1�pplican, �4/! v
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT VERAGE 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 t
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 construction, and hereby authorize representatives '
of this county to enter upon the above-mentioned property for inspection urposes.
Date: - _2 Z-�gnature )(Applicant or Agent): y
s Application Number .
. . . . 13-00000732
Permit . . .
BUILDING PERMIT
' Additional desc .
Permit Fee . . . .
198.00
Plan Check Fee
128.70
Issue Date . . . .
Valuation . . . .
19000
Expiration Date
2/18/14
Qty Unit Charge
Per
Extension
BASE FEE
45.00
17.00 9.0000
-------------- -------------------------------------------------------------
THOU BLDG 2,001-25,000
153.00
Permit . . .
ELECTRICAL 2013
Additional desc .
Permit Fee . . . .
23.83
Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/18/14
Qty Unit Charge
Per
Extension
1.00 23.8300
----------------------------
LS ELEC FIXTURES, FIRST 20
-----------------------------------------------
23.83
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . .
11.92
Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/18/14
^
Qty Unit Charge
Per
Extension
1.00 11.9200
----------------------------------------------------------------------------
EA MECH APPL
REP/ALT,
11.92
Permit . . .
PLUMBING 2013
Additional desc .
Permit Fee . . . .
23.84
Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date..
2/18/14
Qty Unit Charge
Per
Extension -
1.00 11.9200
EA PLBG WATER
HEATER/VENT
11.92
1.00 11.9200
EA PLBG WATER
INST/ALT/REP
11.92
-----------------------------------------------------------
Special Notes and Comments
-----------------
• TENANT IMPROVEMENT JJ'S
SPA . PER 2010
CALIF BUILDING CODES.
August 21-, 2013 9:20:59 AM jjohnson.
----------
---------------------------------
Other Fees
---------------------------------
BLDG STDS ADMIN (SB1473) -
1.00
LQPERMIT .
LQPERMIT
Application Number...
. . . .
13-00000732
-----------------_----------------------------------
Other Fees .
. . . . . .
PLAN CHECK,
ELECTRICAL
23.83
PLAN CHECK,
MECHANICAL
4.77
PLAN CHECK,
PLUMBING
19.0.7
STRONG MOTION (SMI) - COM
3.99
Fee summary
Charged
------ - ---
Paid
----------
Credited
---------- ----------
Due
-----------------
Permit Fee Total
257.59
.00
.00
257.59
Plan Check Total
128.70
.00
.00
128.70
Other Fee Total
52.66
.00
.00
52.66
Grand Total
438.95
.00
.00
438.95
Bin # (
Qty of -La Q uin to
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 6c7 �p [ &t4WAY • 1 '
Owner's Name: l 1 / ^ C6
ogle
A. P. Number:
Address: -T& *6(DD r=>STA-D )
Legal Description:City,
Contractor:
J
i/
Address: (2 H ?� V Z
ST, �� 3
•r<;''t4:?':;," t`v::tt
elephone: ��d •–� '`i �.SQ�� >:: x:><#v
O
Project Description:
City, ST, Zip: CAD A- C <� % o6
— �Jeco 1-700 CA F7/
Tele hone: • ll' � �`G ��7
"s•::<:;;},..;::><>�:>:<}>:�<• • •..:
��
State Lic. # :
City Lic. #•:
Arch., Engr., Designer: �)*e_ Aj
Address: -P.4D, P,�&ZC 4-4�.0
City, ST, Zip: U$b u6 A57T-06
Tele hone: ' 5 78 lL)
<•`<:r.�?.y;st<�.:"��i ::;f{��<:.a<:�:r#k;#:�::>:s �,:< ,
::>Ez:»:;°°: ::;r>r:<:>;:r`>><r; <'s`
onstructi n Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'nAlte Repair Demo
Name of Contact Person: -Ezj:�1
Sq. Ft.: -7 �
# Stories: l
#I nits:
Telephone # of Contact Person:. .107
Estimated Value of Projec . 8n6
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING I
PERMIT FEES
Plan Sets
fl
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections 4417
Plan Check Depol
Truss Calcs.
Called Contact Person `
Plan Check Bala
Title 24 Calcs:�`�
Plans picked up
Constructio 141AA
Flood plain plan
Plans resubmitted
Mecha cal U&ID
Grading plan
2a" Review, ready for correctionissue
Electr 1 6�4 t7
Subcontactor List
Called Contact Person
PIU4* Fo 0 JW
Grant Deed
H.O.A. Approval
Plans picked up
Plans resubmitted
S. C,
Gr ding
IN HOUSE:-
'"' Review, ready for corrections/issue
De toper Impact Fee
Planning Approval
Called Contact Person l `
A*P.
Pub. Wks. Appr
Date of permit issue
School Fees
•
CAWa
AD& u D
Total Permit Fees
C—> - �-- .
IV0 c,j3-p�
4
tIG1�GV
Building & Safety Department
78-495 Calle Tampico
PO Box 1504
La Quinta, CA 92253
(760) 777-7012 voice — (760) 777-7011 fax
To: Greg Butler, Building Official
From: Les Johnson, CDD Director
Permit # - 13-732
To PD: June 11, 2013
Due date: ASAP
Status: 0 st e w
Building.Plans Approval
(This is an approval to issue a Building Permit)
{
The Planning Division has reviewed the Building Plans for the following project:
Description: T.I. FOR Spa
Address or general location: 78-696 Highway 111,
Applicant Contact: SKIP LYNCH 578-1077
The Planning Division finds that:
❑ ...these Building Plans do not require Planning Division approval.
these Building Plans are approved by the Planning Division.
❑ ...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 Planning Division for review.
Les meson,//Community Development Director Date
Note: PLEASE RETURN PLANS WITH GREENSHEET TO THE BUILDING
DIVISION.
FWERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
CALIFORNIA DEPARTMENT OF FORESTRY
AND FIRE PROTECTION
ems-- Riverside County Fire Dept.
77933 Las Monta6as Rd. Ste 201
R/VER SIDE,' { Palm Desert, CA 92211
760-863-8886 Fax: 760-863-7072
Inspection Line: (951) 955-5282
JOB CARD
THIS INSPECTION RECORD MUST BE AT JOB SITE
WITH THE APPROVED SET OF PLANS
S.
Owner .JJ S pj + Date
Location T � � • � 1
Case No.
Sprinkler Company f ire A'A'A-ai
Uh4erground Visual Date
(Joints an st Blocks Must Be Exposed)/
Underground St to Inspector
(200 PSI For 2�/ rior to Inspection Ti
Date
Overhead-6lntie� �Q�.r Date Inspector
v.;f Y-�i. . �, .. xt d'_"` w..•.��...L��S.�`. ty'JS'
Overhead Finaly - Date Inspector
Main Installer
nderground Visual Date
(Joints aqd Thrust Blocks Must Be Exposed)
UndergrbQnd Static Date
(200 PSI For 2 . Prior to Inspection Time)
Underground
Extinguishing System
Final
Fire Alarm Installer
Final
Date Inspector
Inspector
Date Inspector
RECEIVED
AUG 0 6 2013
CITY OF LA QUINTA.
COMMUNITY DEVELOPMENT
NOV-26-2013 TUE 04:53 PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072
P. 01/01
Riverside County Fire Department Fire Protection Planning Section
I_
Yilveraae office; 2309 Marker SL, Sle. 150, River lde, CA 92501 Ph (On 1) 96BA777 Fax (051) 055-1065
Murrlela Otlleo; 3A403 Los Alsmoe RG., Sle A, Murrlelo, CA 02e03 Ph. (951) 500•6160 Fax I951) 6 O-GIca
Palm Deeen Ofllco; 77-933 Les Momallm Rd., n 201 Palm n05cR, CA 92211.41 31 Ph. (-160) 861-6666 1'/60) 863-7072
Fire Department Clearance/Release
Date:
F-ax: 76D - 777- 7023
Tract/Parcel Map ##:
Permit/Lot#: "z?- v28
Job Site Address: 1 Av�-q/xr
Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
4M�Wenl Final For Occupancy
Building Plan Check Fees Paid
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection
Planning office for further assistance.
Authorizing Signature For Release
Zj�r/'��/�
Print Name
11/26/2013 TUE 16:03 FAX
� .�
*********************
*** FAX RX REPORT ***
*********************
RECEPTION OK
JOB NO.
5511
DESTINATION ADDRESS
UNKNOWN
SUBADDRESS
DESTINATION ID
ST. TIME
11/26 16:03
TX/RX TIME
00,19
PGS.
1
RESULT
OK
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
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD
SAN JACINTO
TEMECULA'
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. #261, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax(760)863-7072
www.rvcfire.org
June 25, 2013
Fire Protection Specialist
Re: Fire Sprinkler Plan Review
LAQ- I 3 -TI -028 JJ Spa 78-696 Hwy 111 La Quinta, CA
The sprinkler plans you submitted for the above referenced project have been reviewed by Rivers:
County Fire Department Planning & Engineering personnel and are approved with the following
conditions:
1) Permanently marked identification signs shall be attached to all control valves.
2) The following inspections/tests are required to be witnessed by the Fire Department Planning
Division staff:
a) Overhead Rough and Hydro. All piping must be visible with "coupons" attached to all
mechanical tee taps. Ceiling panels must not be in place.
b) Final inspection.
The Fire Department job card, approved plans and conditions letter must be at the job site or NO
inspection will be performed. Applicant/installer shall be responsible to contact the Fire Departrr.
to schedule inspection(s) a minimum of 72 hours prior to the requested inspection date.
All questions regarding the meaning of these conditions should be referred to the Fire Departmen
Planning & Engineering staff at (760) 863-8886.
Sincerely,
Jason Stubble
Fire Safety Specialist
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Where to Buy
Where to Buy
La Quinta, CA 92253
Chane Location
0— Best Tec
i 73850 Dinah Shore Dr.
Unit 111
Palm Desert, CA 92211
More Info
Plumbing Solutions
Po Box 892223
Temecula, CA 92589
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30080 Cone Cantera
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