04-6292 (RC)Tedf 4 4 Q"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number
Property Address
APN:
Application description
Property Zoning . . . .
Application valuation .
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
. . . 78865 HIGHWAY 111
643-020-022- -
. . . REMODEL - COMMERCIA
. . . REGIONAL COMMERCIALFFPD) . . . 125000
Owner +Contractor
EAGLE HARDWARE & GARDEN INC AEC ARRIS,
Date 2/14/05
FEB 14J?'
�r1' OF LA
C/O TAX DEPT
P.O. BOX 5099•
P 0 BOX 1111
ANNISTON
AL 362
NORTH WILKESBORO
NC 28656 (256) 237-1601
WCC: EXEMPT
WC: EXEMPT
08/31/05
CSLB: 839365
05/31/06
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type .
. . . MERCANTILE
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION•
2001
----------------------------------------------------------------------------
FIRE SPRINKLERS
YES
Permit
BUILDING PERMIT
A
Additional desc ..
-
Permit Fee
727.00 Plan Check Fee
472.55
Issue Date
Valuation . .
. . 125000
Expiration Date
8/14/05
e„
Qty Unit.Charge
Per
Extension
BASE FEE
639.50
25.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
87.50
Permit
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
97.50 Plan Check Fee
24.38
Issue Date
Valuation-
0
Expiration Date
8/21/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
10.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
7.50
5.00 7.5000
EA ELEC PWR APP >1 TO <=10
37.50
1.00 37.5000
EA ELEC SVC <=600V/>200A/<=1000A 37.50
----------------------------------------=-----'--------------=----------+-----
t;
Permit . . . . . .
MECHANICAL
P.O. Box 1504 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: D • Z
Applicant:
Applicant's Mailing Address:
Date:
Architect or Engineer:
�•4'Qa�D S. /,/.4t/ .JS
Architect or Engineer's Address:
(5?tCO RUZ'.4 san- 3m
Lic. No.:e '- a2 ?6 5.�
BUILDING PERMIT DECLARATIONS
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 a Ljcense is iy�ull force and effect. ?3 913
��at •/'�� OS _La for ,/`/�. �. �iQe.z5
' 'OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' 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
.sC
My workers' compensation insurance carrier a d olicy number are:
57f.AeA.L45U w dc rJ�irocp 2 #Sr9QAe4')r .ExD
_ 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
MMM Z444,04&1AJ f3Q.4��t%U
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.
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
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 employeesfor 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 I 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 cancellati
I certify that I have read this application and state that the above informs n i rrect. I agree to comply with all y and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to en u the above -tuned proper r inspection purposes.
. d 1' ,
Page 2
Application Number. . . . 04-00006292 Date 2/14/05
Additional desc
Permit Fee 130.00 Plan Check Fee 32.50
Issue Date . . . Valuation . . . . 0
Expiration Date 6/21/05
Qty Unit Charge Per Extension
BASE FEE 15.00
5.00 16.5000 EA, MECH'B/C >3-15HP/>100K-500KBTU 82.50
5.00 6.5000 EA MECH AH <=10K CFM 32.50
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�_ Permit . . . . PLUMBING
Additional desc
Permit Fee . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 6/21/05
Qty Unit Charge Per Extension
BASE FEE 15.00
5.00 6.0000 EA PLB FIXTURE 30.00
-----:----------------------------------------------------------------------
Special Notes and Comments
COMMERCIAL - INSTALLATION OF FIVE (5)
ROOFTOP HAVAC UNITS. STRUCTURAL,
ELECTRICAL, MECHANICAL AND PLUMBING WORK
INCLUDED. 2001 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 26.25
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 999.50 .00 .00 999.50
Plan Check Total 540.68 .00 .00 540.68
Other Fee Total 26.25 .00 .00 26.25
Grand Total 1566.43 .00 .00 1566.43
OCT -14-04 THU 12:28 PM RIV, CO, FIRE P&E INDIO FAX NO, 1 760 863 7072 P. 1
Craig E. Anthony
Fire Chief
Yroudly ur%LT g the
unincorWfaied
areas of Riverside
County and the
Cities o!•
Blanning.
Beaumont
e.
Calimesa
4•
Canyon I abu
4•
Coachclla
1)cserl DIOL Springs
4•
Indian Wells
Indio
r•.
Lake Elsinore
'r
La Quinla
Morello Valley
Palm Iks.n
3
}'crus
Rancho Mirage
Ole
San Jacinto
4
Teitieculu
Rrwrd of Supervisors
Bob Nuater,
Mtrict 1
John'r'avagliima.
1)iplric9 2
Jim%cnnAla,
Disuict 3
Di%uicl 4
Vtiiriorl Asliley
INStr]Ct 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
82-675 Highway 111, 2nd FL, Indio, CA 92201 • (760) 863-8886 ■ Fax (760) 863-7072
September 6, 2004
Harold J. Havens
6700 Antioch Plaza, Suite 300
Merriam, KA 66204
Re: Non -Structural Building TA Plan Review
LAQ-04-TI-117 / Lowe's
Fire Department personnel have reviewed and approved the plans you
odf the onfor the abov s for the
referenced project. Please be advised the following conditions apply as a part
issuance of a building permit.
1) As may be necessary to provide proper bre required. sprinkler Fire sprinktection ler system plansue to the new for the tenant
modification to the existing system may
improvement area 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.
2) Modifications to the existing fire alarm system may be required for the new equipment. System
plans must be submitted to the Fire Department for review, along with a plan checlUnspectlon fee.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
Applicantlinstaller shall be responsible to contact the Fire Department to schedule inspections.
Requests for inspections are to be made at least 24 hours in advance and may be arranged by catling
(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,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Building Dept
H %PE2%W P oata\U a&ta%PROJECTS%I IAAQ04-TL717.ax
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 21" FI.. Indio, CA 92201 • (760) 863-8886 • Fax (760) 863.7072
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
Harold J. Havens
6700 Antioch Plaza #300
Merriam, Kansas 66204
October 20, 2004
PLAN CHECK NO. 04-6292 SECOND/FINAL CHECK
ADDRESS 78-865 Hwy 111 #208 OCCUPANCY M
SCOPE OF WORK Install roof top equipment TYPE -OF -CONST. V -N spkd
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTAand the State of California Amendment.
APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by: Hue C. Luu, PE
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext. #752
1
VCA File No. LQ -16749
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Oscar Orci, Planning Manager
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: /d o� 0T
Due date-��4i 0
Status:—&f Review
Building Plans Approval
(This is an approval to issue a building permit)
The Community Development Department has reviewed the Building Plans for the
following project:
i
Description: Z Z Ie: S �&lw
Address or general location: ZT 46.5— 96&)Y // h
Applicant Contact: ,���1S1t! /��"ZS exi r9�'s 36 -- ,4379
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
a val.
these Building Plans are approved by the Community Development
Department.
O ...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 Community Development Department for review.
O3
Orci, Planning
Date