0011-024 (RC),e LICENSED CONTRACTOR 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 # Lic. Class Exp Date
76659
date 2Qrdnature of ContractorIN
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 3700.0f the Labor Code, for the
performance of the work -for which this permit is issued.
I have and will maintain workers' compensation insurance, as requitecitsr '
Section 3700 of the Labor Code, for•,the performance. of the work-�.LW which this
permit is issued. My workers' compensation insurance"`carrier &'policy no: are:
Cartier 011,'h k�`tiYl'Ji�'.: �` r 'Policy No. 1"i fll!•'UD
t
(This section need not be completed if the permit valuation is for $100.00 or less).
() I certify that in the performance of the work for which•this permit Js issued,
I shall not employ any person in any manner so as. to become subject to the
workers' compensation laws of California, and ;Tgree that if I should become
subject;o the workers' compensation provi"sionsof Section 3700 of the Labor
Code, I aILfP�thwCk com l th•'h"
o.s-e- ..r.o.vislo
Date: Appican
Warning:
�.----" '
Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
••-IMPO_RTANT Application is hereby made to the Director of Building and. Safety
for a permit subject -to--the conditions and 'restrictions set forth on his
application. C .
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant.to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned roperry for inspection pur oo esu
Sig ture (Owner/Agent) — " Date ' , 7
yir
.
BUILDING PERMIT PERMIT#
DATE VALUATION LOT jAY24 TRACT
�+
JOB SITE
ADDRESS 7$_757 H,iG.'"W tN III �
JAPN
OWNER
CONTRACTOR / DESIGNER / ENGINEER
pfly BANK & A-ATJSr
LICT) iYEM, CiY'.t�RF,l T, .114L.
50 NORTH 3 rD1M T= DLVD
8-600 "EUC��{WKI't 3.4 3.
XYMONA 2A. 91675
L AQjJit TA CA 92253
�,° 0} 71-33 5 l`:i? 2180
USE OF PERMIT
T}N.APd'1` 0408 OVIOU0 144 TO 130.11'3"0N MA6t1::)`+'.T • 13NTIERi lOP. P,9 MM OOP I,. '
VJkWA31ON—
3�
- '�
�y'¢� ,( �'Np �oy� q/V �^n,
((yp�r 7 ►►M1�;(('�(��,pp COST
JUMNA1.7...S D '1.�O�LT.l. 1J.4' C-00 .Z.�V�. C,110N
FKV W.MARY
PLAN PW3.1MK M',
C,UNSTRUC;TION FEL? tCl'k-:t?i �dkL�flfki3 1,15S.f30
K.L.CTki.ICM_FDIt Iia?,-i}Cr�f-X9 4-i)Wf� ;?i0.9i1
.4TP-01NOixiQ'1'1:0'!d PIXE COtAM 7.00-WQ441 -WO
SUp,,t'3°Cy3'Ai..00iq„z t'i1C'h:0.N AND PLAN CHW9.
a'. ISS PRE -PAID RMS
RECEIPT
DATE „
By/'
DAT INA ED
INSPECTOR
�
I
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
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
cv�
Final
Final
' 2 d
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground PIN. 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
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
j - /�/� ic-�
j l v ' 0 [ {r2
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring c V
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final U
Utility Notice (Perm)
3 Structur
'.Truss:C
Titk.74
Gcaof: D,
Seuoul;<F
SUb.Ci)nt:
Coritr ci
Ciy Busi.
Workers
Plawdog
Pub»Wlt
FiresiVIai
Construction T e: _ Occupancy:
Project (circle ne): Add'n Alter Repair De o
Sq. Ft # Stories: # Units:
Estimated Valueof Project:
%?Lc. ,b uP t f Lw� aN L1131CO w"�,, Pl-Su(&mj1' w LJ-* PhVjQ*Zqb" �t�b
-01 12.36P
i
IY OF LA QUINTA
UILDING & SAFETY DEPARTMENT
777-7012
AI' � � 2ooi INSPECTION REQUEST LINE
�:
i li DEPT. 777-7153
Owner PFF BANK & TRUST
C�ontmctor DCD DEVELOPMENT INC
Permit Nunftr 0101-236
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
"ADDRESS 78-7.52 HIGHWAY 111
TEMPORARY ELECTRICAL SERVICE AS
1'x!:62 TUP 2000-279
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND $Y$TEM
GROUND PLUMBING
PIE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
C.^,NCRETF SLAB
JOISTS & GIRDERS
ELECTRICAL GROUNDWORK
50 NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH. PLUMBING
ROUGH GAS & GAS TEST
SiEAT!NG & VENT- AJC
BOND BEAM
O.K. TO WRAP
GROUT U 4' C] 8'
FRAMING
N'SU LATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
E);7;RICR LATH
POOL PRE PLASTER
000L FENCE & GATE
SPENER SEPTIC TANK
FINALS
{Nf•F_4,PJ ItZif
HEATING - A/C
HOUSE NUMBEI
in.S3 fln"Z11 crc
r ti \F a ;.,( )w I- k
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
P.02
CITY OF LA QUINTA
- 5 BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153 p 11
Owner PFF BANK & TRUST hIpV 9 7 71
Contractor
Permit Number 0011-024
POST ON JOB IN CON. ICUOUS PLACI
INSPECTOR MUST SIGN ALL APPLICABLE SPA
J08 ADDRESS 78-752 HTG'44WAY 111
TENANT IMPROVEMENT - INTERIOR
REMODEL
TYPE OF INSPECTION DATE I INSP
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
PRE-GUNITE _ _
DO NOT POUR CONCRETE UNI: IL ALL ABOVE HAS BEEN SI ED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIG ED
ROUGH rEpcTIRfG
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF:...
BOND BEAM
O.K. TO WRAP
GROUT D 4' 0 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVIt
HAS BEEN S
EXTERIOR LATH h
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
_ FINALS i
ELECTRICAL %•.Y� +
PLUMBING I
1 FINAL GAS TEST i
HEATING - A/C
JOB COMPLETED
TEMP POWER l
F,rr,, Uepf.. 6 j II't'
ABOVE APPROVALS DO NOT INCL
TURN ON UTILITIES OR OCCUPY eU,.,NTGTO
City of La Quinta
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying approval.
Project: PFF Bank .& Trust - (TI in old Boston.Market)
78-752 HIGHWAY 111
Applicant Contact: Desert Cities - Contact Mario Jaramillo 909 981 5188
pplication / Circulation Date. 11-01-00
Date
Community Development Department
Christine Di Iorio, Planning Manager Date
Public Works Department
\kWGD
Steve Speer, Senior Engineer Date
Building and Safety Department
Greg Butler, Building and Safety Department Manager
Health Department
Date
Fire Department
Date
Schools Fees Paid
Date
Date
13
k -
. . PACKAGE
DEOIdNED FOR.,
CyCUSTOM VAULT CORPORATION
162 Danbury Road
Ridgefield, CT 06877
*w/ ///.
JOB NAME:
LOCATION:
Quantity
7
8
1
5
1
1
tel: 203.431.7646
fax: 203.431.7656
www.customvault.com
PAGE: 1 OF 4
DATE: 08/22/2000
PFF BANK . M #-. C-1 177
L@@ _ ____, CA DWG1 #: V-00-1177
kA, 4�0.t�+TA P.O. #: N/A
MATERIALS INCLUDED
Description
U.L. CLASS 1—LMV PANELS INCLUDING (1) PORT VENT—[32 TOTAL]
MISC. (18 GA.) STEEL CORNER ANGLE @ 10'-0"
BUCKET OF SHIMS
3" x 3" (18 GA.) ATTACHMENT ANGLE @ 10'-0"
U.L. CLASS 1 SCEPTER VAULT DOOR (RHS)
W10 x 30 STEEL BEAM @ 10'-6"
STRUCTURAL /INSTALLATION INFORMATION
APPROXIMATE
WEIGHT
VAULT WEIGHT:
14,050 Ibs.
DOOR WEIGHT:
2,550 Ibs.
BEAM WEIGHT:
580 Ibs.
TOTAL WEIGHT: 17,180 Ibs.
ACTUAL
SHIPPING WEIGHT: 3,100 Ibs.
WEIGHT OF HEAVIEST PANEL= 755 Ibs.
PANEL THICKNESS = 5 1/2"
LARGEST DIMENSIONS
L= 10'-6" Dt
W= 37„
D= 10" L
PACKAGE INFORMATION
ISSUE DATE COMMENTS
A. 08/22/00 SEE VLD— ." 6 p'1111 � lb 0
4 Y No. " 4 f>
NATIONAL SAFE OF CALIFORNIA .31
2334 WEST VALENCIA DRIVE
FULLERTON, CA 92833
714-870-9686 FAX 714-870-9112 F Of CA
91) DRAWN BY: JAR
CHECKED BY: D M W
CUOTOMER
APPROVAL:
AM WED PACKVE WAST BE WRMN D -M --
INTFItAi MAL VAULT, W MOM VAULT CAN BE 304MJUM.
Page 2 of 4
V-00-1177
NOTES: Issue A
C-1177
1) All beams, steel angles, flat stock, bolts, etc. to be included if specified
in Bill of Material. "Supplied by others" denotes other than manufacturer.
2) Contractor and/or building owner to provide clear access for largest panel
shown (i.e. length, width and thickness).
3) Existing slab to be of sound construction and uniform throughout. Slab to
be smooth and level.
4) Clearance between top of vault and overhead obstructions is to be 6"(Six inch)
minimum. In cases where such clearance is not feasible, vault manufacturer
must be notified prior to vault fabrication.
5) Any additional penetrations into any part of vault system must be approved
by vault manufacturer. The penetrations must be integral with the vault
panels and specified prior to the manufacture of panels.
6)
No superimposed dead or live
loads to be placed on
ceiling without approval
from the vault manufacturer.
7)
On voul'ts with sides other than
modular vault panels, connection interface
between panels and customer
provided surfaces are
the responsibility of others.
Recommendations shown may
be modified by others,
as required.
8)
All grouting of vault doors and
door pits to be done
by the General Contractor
.
if applicable.
9)
Panel dead load per S.F.S.A. =
24 (±107.) Ibs./ft2
10) Dimensions in parenthesis are the actual size of the panel after the tolerance
has been taken off. For factory use only.
11) To prevent the formation of condensation on the interior and exterior surfQces
- of the modular vault panels, the vault must be located in a dry environment
with a minimal temperature differential between the interior of the vault and
the area surrounding the vault. In order to maintain a dry atmosphere,
dehumidification is recommended at all times.
t
U
(17 5/ �)
214 18"
on
7'— 10
N - O
O
I
iD
W10x30 Beam ®8'—g' N21-
W10x30 Beam ®10'-6"
cn
—o
N
I
U7
9'-7"+0• #o
I
O
g" 3'-3"C• N�cli
N
O H7 \
GGdd�v
22 22"
254 c�-o 0 0
2'-0j" 3'-102" 4' -6j -
PLAN VIEW - VAULT WALLS
SCALE: 1/4*=1'-0'
(3) 1" DIA. ACCESS CONDUITS
1" OVERHANG I (OFFSET THRU CEILING)
O
1
03
Page 3 of 4
V-00-1177
Issue A
C-1177
CoQ, OVESSI
�c 44
i2-31-0
co Cll\
OF C AIDE
®_ DENOTES EXISTING
PANELS
//
SCEPTER ///
//
///
0DOOR
RHS
•
///�
///
///
t
///
///
///
���.00
O
1
03
Page 3 of 4
V-00-1177
Issue A
C-1177
CoQ, OVESSI
�c 44
i2-31-0
co Cll\
OF C AIDE
®_ DENOTES EXISTING
PANELS
Pogo.. 4 of 4
I" OVERHANG
8'-9" V-00-1177
Issue A
TYP. BOTH SIDE
C-1177
S
NOTE: CUT EXISTING W 10x30
®8'-11" TO 8'-9" .
(3) 1' DIA. ACCESS CONDUITS
(OFFSET THRU CEILING)
10'-6"
4 1/2" CEILING
OVERHANGace
i
(26")
27' 37"
30" 32"
TYPICAL
L ---i
29 WIDTH 3441-
(28 3/4")
PLAN VIEW — VAULT CEILING
SCALE. 114'=i'—o'
eco r(�f�
H OzF\
No. 2 o
E Hl
lF Of C Al
®_ DENOTES EXISTING
PANELS
L 3`3" 306 TO BE USED AS A
WALL TO FLOOR ANCHOR ONLY. DO NOT
VAULT WALL, USE FOR STRUCTURAL SUPPORT.
%,0 N14.Ti
/—K8. h a tit" ac.
I
WALL TO FLOOR CONNECTION DETAIL INTERIOR OF VAULT
SCALE. N.T.S.
(Recommended connection, see note 17)
PROPRI E TAR Y
PANEL CONSTRUCTION
LAMINATED LAYERS OF ANTI -BURGLAR ATTACK AND TORCH RESISTANT MATERIALS HELD
TOGETHER WITH HARD PINS AND RESIN .
18 CA. STEEL SHEET
ALLOW SUPERIMPOSED LIVE LOAD 50 LB / S.F.S. 0 14' — 0"
PANEL CONSTRUCTION DETAIL
SCALE: N. T.&
MEETS U.L. CLASS 1 TESTING SPECIFICATIONS
APPENDIX A
V-00-1177
Issue A
C-1177
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:
Use Classification: COMMERCIAL
Occupancy Group: B Type of Construction:
78-752 HIGHWAY 1 1 1
Owner of Building: PFF BANK & TRUST
Building Offici4l
v ni
Bldg. Permit No.: 0011-024
Land Use Zone: CR
Address: 550 NORTH INDIAN HILL BLVD.
City: POMONA CA 91675
By: KIRK KIRKLAND
Date: 1-29-01
POST IN A CONSPICUOUS PLACE