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12-1072 (RC)v P.O. BOX 1504 ri 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �- T12-00001072 Property Address: 78805 HIGHWAY 111 APN: 643-020-999-4 -30903 - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 50000 Tit!t a". BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: -------------------------------------------------- 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: 13 LicJen�/gNo.: 931142 Date: �2-70 Contractor: OWNER -BUILDER 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).: 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' completion, the owner -builder will have the burden of proving that he or she did not build or improve -for, the purpose of sale.). 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.). 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: WM LA QUINTA, LLC 80618 DECLARATION AVENUE INDIO, CA 92201 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/12/12 Contractor: DESIGN BUILD SOLUTIONS/I NS 6950 WEST MORELOS PLACE, STE 1 `'� 0 ��12 CHANDLER, AZ 85226 (602) 264-7263 OF LA Lic. No.: 931142 ` --- r1<�%,rp��pr ----------------------------------------------- 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 HARTFORD INS Policy Number 59WEQT2758 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 is compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cede, I shall Forthwith com ly with those provisions. ate: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 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 hereb authorize representatives _ of this county to enter up the above-mentioned propAsy forinsection.p poses Date: f 2��u gnature (Applicant or Agent,: 1 I ✓V Application Number . . . . . 12-00001072 Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . ... . BUSINESS <50 Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS YES OCCUPANT LOAD 54.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 5375.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . Valuation . . . . 50000 Expiration Date 6/10/13 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ----------------------------------------------------------------------- THOU BLDG 25,001-50,000 162.50 ----- Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 31.80 Plan Check Fee 7.95 Issue Date Valuation . . . . 0 Expiration Date 6/10/13 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 4.00 .4500 EA ELEC DEVICE/FIXTURE >20 1.80 ----------------------------------------------------- ---------------------- Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 46.50 Plan Check Fee 11.63 Issue Date . . . . Valuation . . . . 0 * Expiration Date 6/10/13 - Qty Unit Charge Per Extension BASE FEE 15.00 7.00 4.5000 EA MECH VENT INST/ DUCT ALT 31.50 ------------------------------------------------------------- Special Notes and Comments --------------- INTERIOR REMODEL OF "CHASE BANK" TO CREATE TWO NEW OFFICES. ELECTRICAL & MECHANICAL INCLUDED. AREA OF REMODEL = 1146 SF. ARCHITECT: DOUGLAS R. BROWN Application Number . . . . . 12-00001072 ---------------------------------------------------------------------------- Special Notes and Comments C23488. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 26.94 BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 26.94 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 492.80. ..00 .00 492.80 Plan Check Total 289.01 .00 .00 289.01 Other Fee Total 55.88 .00 .00 55.88 Grand Total 837.69 .00 .00 837.69 � d , Pennft # Project Addrrss: OS VIWQ ' Owner's Naim:. A P. Number Cq.T 2-064-;6:1-b etn. # 2 � i City of La Quina . Bukbg 8r Sareiy Division P.O. Box 1504,'76495 Carie Tampico 4.Quiva, CA 92233 -(760).777-7012 Building Permit A lication and Tracking Sheet PP $ Pennft # Project Addrrss: OS VIWQ ' Owner's Naim:. A P. Number Cq.T 2-064-;6:1-b Address: 3(Poo S .. Vfzi-3 roL. r DR Legal Description: City. SC, Zip: Z Contractor. NUT Address: �CS Telephone: 'OUZ is -• .y. Project Description: O City, ST, Zip: ^ Telephon„# e: State Lir- # : City Lie, #, ID � Arck, Engr., Designer. i •fL N Address: 444 J• e' e lo I City., ST. Zip: Az As2a , Telephone State Lie, CCP 715,+13S U Name of Contact Person:e66 LEPOMSq. Construction Type: Occupancy: . Project type (circle one): New Add'a Alter) Repair Demo Ft.: 14 W # Stories: # Units: Telephone.# of Contact Person: Estimated Value of Piojcct . -`;n Gc6 • D!vu-V q66 1/6 7(03 APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal ReWd Reed... TRACICD�IG PER?AUFEES PlsaaSNs 3 Plan Me& submitted ! Item Amount ` Strgctnrat Cates Reviewed, ready for corrections Plan Check Deposit. . Truss Calvo. Carred Contact Person Plan Check Balance. Title 24 Cal& Plans picked up onstruction Flood plain plan Plans resubmitted'. Grading plan Z'! Review, ready forcorrectlo ttsue ��SubeoataetorList is Called ContactPersoo(Grant DeedPlans picked up IVLI. ]MAL Approval Plans resubmitted Grading IN HOUSE:- w"`.Revtew, ready for correctionvissue Developer, Impact Fee Planning Approval Called Contact PersonEl Pub. VVks. Appr - Date of permit issue School Fees VT Total Permit Fees 4 u��cv P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 LA. QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: From: Les Johnson, Director -Planning Due Date: � -- �& ��- Permit #: t epi Status: Eluil ring Plans Approval (This is an approval to issue a Building Permit) The. Planning Department has reviewed the Building Plans for the following project: Description: Address or General Location: Applicant Contact: �� � ac.�, lJ. ' 7/a3 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 require corrections. Please forward a copy of the attached corrections to the applicant: When the corrections are made please return them to the Planning Department for review. Ls _' or -Planning D to ,f 01tvar l a:rc� F 1c 91Jeprwrner.� PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF. BANNING BEAUMONT CAL (MESA CANYON LAKE COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY { PALMI 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 RNEMDE COON rY FIRE D PARTMEW 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.rvcfiire.org October 24, 2012 RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-I2-TI-052 Chase Bank 78-805 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 ofthe 2010 CBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per Chapter 10 of the CBC. A minimum 2AIOBC 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. 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. Key(s) shall be provided at time of fmal inspection. As it 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. 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. S�cerely, C. By.`... Jason Stubble Fire Safety Specialist