05-0410 (RC)1
P.O. BOX 1504 4
^'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
Application Number. OS -0,0-0-0_0410.
Property Address: 78965 HIGHWAY 111
APN: 643.-020-999-6 -30903 -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 165000
Applicant:
Fc
A
Architect or Engir
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam 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.: 538824
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 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.l.
( 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:
WASHINGTON 111 LTD
C/O JOHN ANDERHOLT
P O BOX 1623
PALM DESERT, CA 92261
Contractor:
TENANT IMPROVEMENTS CO.
75-400 20TH AVE
DESERT HOT SPRINGS, CA 92241
(760)329-7464
Lic. No.: 538824
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/01/05
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 EXEMPT Policy Number EXEMPT
_ 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
3700 of the Labor Code,I shall f/o/rthwith comp) with those provisions.
Dat^
e Applica� nt '_^� r
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I 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 inspection gurposes.
Application Number . . . . . 05-00000410
LQPERMIT 4
\
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 867.00 Plan Check Fee
563.55
Issue Date . . . . Valuation . . . .
165000
`
Expiration Date 12/28/05
Qty Unit Charge Per
Extension
BASE FEE
639.50
65.00 3.5000 THOU BLDG 100,001-500,000
----------------------------------------------------------------------------
227.50
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 118.00 Plan Check Fee
29.50
Issue Date Valuation . . . .
0
Expiration Date 12/28/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 9.0000 EA MECH FURNACE <=100K
45.00
5.00 9.0000 EA MECH B/C <=3HP/100K BTU
45.00
2.00 6.5000 EA MECH VENT FAN
----------------------------------------------------------------------------
13.00
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 61.50 Plan Check Fee
15.38
Issue Date . . . . Valuation . . . .
0
Expiration Date .. 12/28/05
CZY
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 6.0000 EA PLB FIXTURE
36.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1..00 - 3.0000 EA PLB WATER INST/ALT/REP
----------------------------------------------------------------------------
3.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . 110.88 Plan Check Fee
27.72
Issue Date . . . . Valuation . . .
0
Expiration Date .12/28/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
4794.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
95.88
----------------------------------------------------------------------------
Special Notes and Comments
Commercial Remodel "REMAX Real Estate"
LQPERMIT 4
Application Number,
. . . . . 05-00000410
----------------------------------------------------------------------------
Special Notes and
Comments
Office TI, 4794 sqft,
"B" Occupancy,
Type.VN Sprinkled,
Occupant Load 48
---------------------------------=--=---------------------------------------
Other Fees . . .
. . . . . . STRONG
MOTION
(SMI) - COM
34.65
Fee summary
Charged Paid
Credited
Due
-----------------
Permit Fee Total
--------------------
1157.38
----------
.00
----------
.'00
1157.38
Plan Check Total
636.15
.00
.00
636.15
Other Fee Total
34.65
.00
.00
34.65
Grand'Total
1828.18
.00
.00
1828.18
4
19
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
j (760) 777-7012
FAX (760) 777-7011
To CDD: 02/08/05
Due date: 02/13/05
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:
roject:Description: TI- REMAX /l
Address or general location: 78-965 HWY 111, PAD #2, La Quinta,CA.
Applicant Contact: WILLIAM AZZALINO 949-903-4033
The Co unity Development Department finds that:
... these Building Plans do not require Community Development Department
approval.
❑ ...these Building Plans are approved by the Community.Dgyelopment
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. f`
vans, Planning
Date
CITY OF LA Q INTA SUB -CONTRACTOR LIST _'
9I.0 PERMIT NUMBER 05 - OWNER BUILDER 7-� n/9_ T-1� r�yefiNl
JOB ADDRESS 7q % �� GIIfl
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
..
i afion
Trade / Chssrf c
.....
Contractor .....
..:....................... StBte..Contractor s License ..................................................
Workers..Com
.ensation:.... s...:..........................
p...............
�
it. :Bus ess
Classification
License Number
Exp. Date
Carrier Name
PolicYNumber
D
Number
LicenseExPatoCI
Date
.
Exp.
e. 9 .A B C - 8
1 xx xxxx 1
xx/ xx xx
/ 1
Fund, CaICo m
e. . State Fu 1
( P
9
is
Format Var e 1
xx x
xx /
x/ 1
1 xx xx 1
xx x x
xx /
/ 1
EAR T:H:IN:ORK:
FR0.1VtIN:G{C:1.::.>,_::.::::::::.:.
�. 'C
o c� 1�R W aLL.
-
l
7 :i, t
3 3 cG
�T � N t0
i
/ s
- O to
I
� 2 S
7
•310
S 6
:PLU:.MBIN(1.....
LATH..P;L:ASTER (C.:35
.:.:::1:::::::
LA
cam-
C _C�
'�. O 1
-3 1 'oL
S�'RT/E ]`--OG
J
s % .Z S-
�'3 1.
-
t fC v�
_o
Ci Z O
7 S / �
O
� n
R sex
P
SC 2
so 7
O
b . Ig
L�CRICAL.IC„1b1:::::;.:;:::::
(E LLiGT
C /Z?s
Y l °1
5 -31 -o -t
�RQ�-erraeQ
/�.�% 7 3S
7 -OS
19so_
. O -//
I
s
(.
SHFEE. >'
ENSULATIQ;N.:(..>-::::.1,:.::.::::::.:.
�tlp ✓A fJ C� �N STs► tvoT/C°
a�o-�a
O/
�
-3o
S iiTE
Ss�
T
O �
..�
6
-T
Cc
- o -o
3
fiK
1.
TRAM 4<
FENCING:.;:.::.::>>:.; :.:::::::::::::::::::
:::::::::: .
L411DSCAPIN:G:fC.:
a
1
Craig E. Anthony
Fire Chief
Proudly serving the
Unincorporated
areas of Riverside
County and the
Cities of -
Banning
Beaumont
.;.
Cahmesa
Canyon Lake
Coachella
.;.
Desert Hot Springs
4 -
Indian Wells
Indio
Lake Elsinore
La Quinta
.4.
Moreno Valley
Palm Desert
Perris
Rancho Mirage
'San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
82-675 Highways 111, 2"d A., Indio, CA 92201. (760) 863-8886. Fax (760) 863-7072
June 22, 2005
To: City of La Quinta
Building Department
Attn: Danny
Re: Release for Permit _
Laq-05-BP-030 /�Re a 78-965_Hw --Ill = P-ad`2-77
The Riverside County Fire Department hereby releases the above referenced project for
issuance of a permit for construction, at the discretion of the Building Department.
Res ,
Dale A. Evenson
Fire Safety Specialist
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd Fl., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Craig E. Anthony March 28, 2005
Fire Chief
RIVERSIDE COUNTY
FIRE DEPARTMENT
82-675 Highway lo. ax -12
Proudly serving the
William Azzalino, Architect
unincorporated
2407 Port Whitby Place
areas of Riverside
Newport Beach, CA 92660
County and the
Cities of:
Re: Non -Structural Building Plan Review
LAQ-05-BP-030 / Remax Real Estate
Banning
41 -
78-965 Hwy 111
Beaumont
Beaumont
4.
Fire Department personnel have reviewed and approved the plans you submitted for the above
Calimesa
referenced project. Please be advised the following conditions apply as a part of the conditions for the
issuance of a building4. permit.
Canyon Lake
1) The Fire Department is required to set a minimum fire flow for the remodel or construction of all
Coachella
commercial buildings using the procedure established in the 2001 CFC. A fire flow of 1750 gpm for
a 2 -hour duration at 20 psi residual operating pressure must be available before any combustible
Desert Hot Springs
material is placed on the job site.
Indian wells
•'.
2) The required fire flow shall be available from a Super hydrant(s) (6" x 4" x 21/2" x 21/2") located not
less than 25' or more than 165' from any y portion of the building(s) as measured along approved
vehicular travel ways.
Lake'Elsinore-
e•
3) Prior to the issuance of a building permit,-applicant/developer shall furnish one blueline copy of the
La Quinta
water system plans to the Fire Department for review. Plans shall conform to the fire hydrant types,
:•
location and spacing, and the system shall meet the fire flow requirements. Plans must be signed
Moreno valley
by a registered Civil Engineer and/or the local water company with the following.certification: "I
''
certify that the design of the water system is in accordance with the requirements prescribed by the
4. Palm Desert
Riverside County Fire Department".
Perris
4 Install Knox Ke Lock box, Model 3200, mounted
Y per recommended standard of the Knox
Rancho Mirage
Company. If the building/facility is protected with a fire alarm system or burglar alarm system, the
lock boxes will require "tamper" monitoring. Special forms are available from this office for the
San Jacinto
ordering of the Key Switch. This form must be authorized and signed by this office for the correctly
4•
coded system to be purchased.
Temecula
5) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
Board of Supervisors
6) Install portable fire extinguishers per True 19, but not less than 2A1 OBC in rating. Contact certified
Bob Buster,
extinguisher company for proper placement of equipment.
District 1
7) Approved building address shall be placed in such a position as to be plainly visible and legible from
John Tavaghone,
District 2
the street and rear access if applicable. Building address numbers shall be a minimum of 12" for
building(s) up to 25' in height, and 24" in height for building(s) exceeding 25' in height. All
Jeff stone,
addressing must be legible and of a contrasting color with the background.
District 3
Roy Wilson,
8) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door.
District 4
Marion Ashley;
District 5
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 20° A., Indio, CA 92201. • (760) 863-8886 • Fax (760) 863-7072
t
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
Applicantrnstaller shall be responsible to contact the Fire Department to schedule inspections.
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.
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Building Dept
Certificate of Occupancy
--=T4&t,��
G� OF�w Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 78-965 Highway 111
Use classification: Commercial (Remax) Office TI Building Permit No.: 05-0410
Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: Washington III Ltd Address: 78-965 Highway 111
City, ST, ZIP: La Quinta, CA 92253
.,.� By: Daniel P. Crawford Jr.
Date: 5/16/06
Building Official
POST IN A CONSPICUOUS PLACE