04-6270 (OFC), i,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t, . -440"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
04-00006270
Property Address:
789GS—HIGHWAY 111
APN:
643-020-999-6 -30903 -
Application description:
NEW COMML - OFFICE/BANK
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
258769
P—P.P90
rchitect or Engineer:
PIA
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 License No.: 397692
Date: 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).:
1—) 1, 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 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.).
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Date:
t;.% d
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:
WASHINGTON 111 LTD
C/O JACK TARR
30240 RANCHO VIEJO RD SUITE B
SAN JUAN CAPISTRANO, CA 92675
Contractor:
MOOREFIELD CONSTRUCTION, INC.
3415 S. SEPULVEDA BLVD
LOS ANGELES, CA 90034
(310)390-9400
Lic. No.: 397892
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/09/05
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 1686016-2005
1 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
3700 of the Labor Code, I shall fort
)fflvith comply with those provisions.
Bat&�-OSant: ir7�740N ��� C%iJ
WARNING: FAILURE TO SECURE WORKERS' COMPqSATION 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 hereby authorize representatives
of this county to enter upon the above-mentioned property for
rinsp/epq'on purposes.
,z S Si er
ure (Applicant or Agent): J7�X(' ,0 `ef-EY [.Elle 54iac iAa m cw
LQPERMIT
Application Number
04-00006270
------ Structure Information 5133 SQ. FT. SHELL ONLY BUILDING
-----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . BUSINESS <50
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC
FIRE SPRINKLERS
MIXED-USE OCCUPANCY B
1ST FLOOR SQUARE FOOTAGE
5153.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
1196.00 Plan Check Fee
777.40
Issue Date . . . .
Valuation . . . .
258769
Expiration Date
8/14/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
159.00 .3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
556.50
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
159.00 Plan Check Fee
39.75
Issue Date . .
Valuation
0
Expiration Date
8/14/05
_
Qty Unit Charge
Per
Extension
BASE FEE
15.00
5.00 11.0000
EA MECH FURNACE >100K
55.00
5.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
82.50
1.00 6.5000
----------------------------
EA MECH VENT FAN
------------------------------------------------
6.50
Permit . . .
ELEC-NEW COMMERCIAL
Additional desc .
Permit Fee . . . .
118.06 Plan Check Fee
29.52
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/14/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
5153.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
103.06
Permit . . .
PLUMBING
Additional desc .
LQPERMIT
Application Number . . . . . 04-00006270
Permit PLUMBING
Permit Fee 79.50 Plan Check Fee
19.88
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 8/14/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
2.00 6.0000 EA PLB ROOF DRAIN
12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 7.5000 EA -PLB VACUUM BRKR FIRST 5
7.50
4.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
12.00
1.00 15.0000 EA PLB GAS METER
-----------------------------------------------------------------------------
15.00
Permit . . . GRADING PERMIT."
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 8/14/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
5153 sq, ft, shell building
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
77.74
ART IN PUBLIC PLACES -COM
1273.84
DIF CIVIC CENTER - COMM
489.53
ENERGY REVIEW FEE
77.74
DIF FIRE PROTECTION -COMM
164.89
HOURLY PLAN CHECK
299.99
STRONG MOTION (SMI) - COM
54.34
DIF STREET MAINT FAC -COMM
118.51
DIF TRANSPORTATION - COMM
8883.77
Fee summary Charged Paid Credited
----------
Due
-----------------------------------------------
Permit Fee Total 1567.56 .00 .00
1567.56
Plan Check Total 866.55 650.00 .00
216.55
Other Fee Total 11440.35 .00 .00
11440.35
Grand Total 13874.46 650.00 .00
13224.46
.LQPERMIT
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
'gimes.' It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.36 X 5,153 S.F. or $1,855.08 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By OC/city Nat'l Bank - Bill Sanchez Check No. 829381977
Name on the check Telephone 485-5308
Funding Commercial
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Shar McGilvr y Payment Recd
$13855.08 Over/Under
C_
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to`4tify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
'Embossed Original -Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
CERTIFICATE OF COMPLIANCE
��rrIEDS
�
Desert Sands Unified School District
: �X? �o
47950 Dune Palms Road
BERMUDA DUN S °
Date
12/14/04
La Quinta, CA 92253
rr RANCHO MIRAGE
V, INDIAN WELLS
..
No.
26702
(760) 771-8515
PALM LA QUINTA y
�'QINDIO
y7�
0
Owner
Washington III LTD
APN #
643-020-017
Address
Jurisdiction
La Quinta
City
Zip
Permit #
Tract #
Study Area
Type
Commercial
No. of Units
1
Lot # No. Street
S.F. Lot # No.
Street S.F.
Unit 1!
78965 Highway 111
5153 Unit 6
Unit 2
Unit 7
Unif3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments Commercial Shell Building
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
'gimes.' It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.36 X 5,153 S.F. or $1,855.08 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By OC/city Nat'l Bank - Bill Sanchez Check No. 829381977
Name on the check Telephone 485-5308
Funding Commercial
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Shar McGilvr y Payment Recd
$13855.08 Over/Under
C_
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to`4tify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
'Embossed Original -Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting
W-�..37
P.O. Box 1504
78-495 CALLE TAMPICO_
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Doug Evans, Director -CDD
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: AUGUST 1, 2005
Due Date: AUGUST 8, 2005
Status: 1 St Check
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:
Description:. REVISION TO REAR WINDOW SPACING
SEE ATTACHED
Address or General Location: WASHINGTON PARK
78-965 HWY 111 BLDG 2
'Applicant Contact: BILL SANCHEZ 485-5308
The Community Development Department finds that:
r
❑ ... T, se Building. Plans Do- Not Require Community Development
partment Approval.
..These Building Plans Are Approved By The Community Development
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 Community Development Department
For Review.
►,
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: 9-.10-2004 T_
Due date: 9-30-2004
Status: IST 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:
Description: 5153 SF Shell Building
Address or general location: 78-965 Hwy 111 (PAD 2)
Applicant Contact: BILL SANCHEZ 760-485-5308
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
aper
...these Building Plans are approved by the Community Development
Department.
1
❑ ...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.
C
T�
�•
FL
y -
►,
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: 9-.10-2004 T_
Due date: 9-30-2004
Status: IST 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:
Description: 5153 SF Shell Building
Address or general location: 78-965 Hwy 111 (PAD 2)
Applicant Contact: BILL SANCHEZ 760-485-5308
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
aper
...these Building Plans are approved by the Community Development
Department.
1
❑ ...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.
C
P.O. Boa 1504
78-495 CALL.L TAMPICO
LA QUINTA, CAI_II'ORNIA 92253
BUILDING & SAFI--I-), DL'PARTMI-NT
(760) 777-7012
FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: October 20, 2005
From: Doug Evans, Director -CDD Due Date: October 27, 2005
Status: 1ST 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:
Description: Revisionswhileunderconstruction-See Attached
Address or General Location: 78-965 Hwy 111 (Pad 2)
Applicant Contact: Bill Sanchez
760-485-5308
The Community Development Department finds that-
... these
hat:...these Building Plans do not require Community Development
Department approval.
...these Building Plans are . approved by the Community Development
0
e Department.
0
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections ,are made
please return tem -to the Community Development Department for
review.
Dou vans, Director -CDD - Date
J
KEN OKAMOTO & ASSOCIATES, INC.
-p SHEET
STRUCTURAL ENGINEERS
3186-F AIRWAY AVE. JOB
COSTA MESA, CA 92626
(714) 444-2422 Fax(714)444-2122
PROJECT NAME:
tA �WLZ7
r
'you
ss�ki(50N
V
KEN OKAMOTO & ASSOCIATES,INC.
STRUCTURAL ENGINEERS
3186-F AIRWAY AVE, COSTA MESA CA 92626
TEL (714) 444-2422 FAX (714) 4442122
PROJECT NAME: WASHINGTON PARK- PAD 2
OCT p 0 2005.
I/4 TYP.
I
1 151/2
i I bx HEADER
I IL
I I�-
SHEET 10-07A
JOB 04506
LA WINTA, CA
1 3/5" x KNIFE PL. w/
I 1 5/5" x BEAM WITH SEAT PL. w/
(2) 3/4 (P M.B. DAP INTO BEAM
I
I/4
TUBE COL. PER PLAN
F 223
°4t P.12-. a
"CTU'
A division of
Imperial Irrigation District
81-600 Avenue 58 • La QuiCI' •L,�QUNTA
BUILDING & SAFETY DEPT-
APPR D20,'
FOR CONST CTION
KKE Architects
Mr. Carlos Olivares
pq 2'`�CO B
20321_ .. SW. -Bireh_St --Suite201
...---•'--"y.-�.�-i-
Newport Beach, CA''
_ 92660
`• Subject: Available Short Circuit Current Calculation for Washington Park Pad No. `
2 for a 3ph, 400Amp, 120/208V Panel at 87965 Hwy 111, La Quinta
Dear Mr. Olivares:
The available Short Circuit Current at the secondary terminals of the transformer is
10,202 Amps RMS Symmetrical at 208 volts.
This. is based upon the following information:
1) Transformer size: 150 KVA
2) Transformer impedance: 4%
3) Primary voltage: 7,200/12,470Y volts
4) Secondary voltage: 208 volts
5) High -side KVA available: 185,000 KVA
6) Transformer connection: Wye/Wye
- "7JNo-motor contribution to fault current-`: - — - _ --- -
Please contact me should you have any questions, -at (760) 398-5820.
Thank You, _
I�
Carlos Partida
Distribution Coordinator
CP/ms
SECFAULT.Ltr. WashingtonParkPad2
t.
A.-
JAN -27-2006 FRI 10;59 AM RIVERSIDE COUNTY FIRE
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Rivmide
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
14-.
Indian wells
y
]Indio
Lake Elsinore
P.
La Quinta
Moreno Valley .
.5.
Palm Desert
Paris
Rancho Mirage
Sure Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stonc,
District 3
Roy Wilson.
District 4
Marion A9hley,
District 5
FAX N0, 17608637072 P. 02
RIVERSIDE COUNTY
FIRE DEPARTMENT
82-675 Highway 111. 2nd FL, 101o, . Fax
January 27, 2006
City 'of La Quints
Building Department
Ref- Washington Park
r
Riverside County Fire Department is granting a fire finAl. For the following
Project located at 78995 & 965 Hwy.
I By
Terry DeSo
I y
Fire Systems Inspector
EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE
82-675I•11ghway 111, 2^" R. Indlo, CA 92201 • (760) 663-8.886 • Fax (760) 863-7072
JUN 28 2005 8:468M
January 31, 2005
HP LASERJET 3200
p.2
The Keith Companies
•'1 dg�os"� •��
0
Mr. Timothy Jonasson, City Engineer
P.O. Box 1504 �•\
78-495 Calle Tampico
La Quinta, CA 92253
-RE: WASIUNGTON PARK
Pad 2 Certification
PGP No. 04117
Dear Mr. Jonasson:
The building pad, for the above referenced parcel, has been surveyed under my direct
supervision and has been found to be within substantial conformance to the approved. precise
grading plan. The Grading Permit No. is #3962.
YriFi:No: :P1alneltt::;.i: fci ,
Pad 2 72.70 72.68 0.02
Sincerely,
THE KEITH COMPANIES, INC.
R se 1 J Mullins; PLS 3712 U RWML MUWNS 4
D' ctor of Survey No. 3712
Exp_ A& -i+
�t
,
0:\40889\40889OChdocs\CER25\C-LQ.PAD CERTMASHINQTON PARKPAD 2.4oc
Palm Desert Division
73.733 Fred Waring Drive
Suite 100
Palm Desert
Cal'6amia 9226D.2590
1760 346.9644
F: 760.346.9368
www.kelthmcom