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06-1863 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: I(6� T4ht 4 4a Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00001863 ` 78982 HIGHWAY 111 STE 1B 643 -080 -047 -9 -000000 - REMODEL - COMMERCIAL REGIONAL COMMERCIAL 40000 I hereby affirm under penalty of perjury Section 700) of Division 3 of the .License.Class: B C8 s:'/__ Date: a Co �AAr�ch�itectt or Engineer: /�/ e� "/V " � /� ----- - - - - -- ,ENSED CONTRACTOR'S DECLARA ION I am licensed under provisions of C apter 9 (commencing with an ro ess Is Code, and my cense is in full force and effect. cense No 4183 OWNER -BUILDER DECLARATION I m exempt from hContractor's State License Law for the I hereby affirm under penalty of perjtess hat a e e pt o the following reason (Sec. 7031 .5, Busi and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish,pair 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, 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 Professidns 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 exclusivelyntracti 'tensed contractors to construct the project (Sec. 7044, Business and Professions C e Contractors' State nse Law does not apply to an owner of property who builds or im s ther n, and who contracts for th projects with a contractors) licensed pursuant to the Contra rs' State Li nse Law.) (_ I I am exempt under Sec. B. C. for this reason Date: — Ow CONSTRUCTI DING AGENCY I hereby affirm under penalty of perjury t there is a construction lending agency for the performance of the work for which this permit is issued IS .3097, Civ. C.1. Lender's Name: Lender's Address: LQPERMIT Owner: ONE ELEVEN LA QUINTA C/O SABBY JONATHAN 42620 CAROLINE CT STE PALM DESERT, CA 92211 Contractor: CONSOLIDATED CONTRA 46753 ADAMS STREET LA QUINTA, CA 92253 (760)771-3345 Lic. No.: 824183 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: _ 6/19/06 jl1N 2 `� 2006 GIT` or L' QUilr+ INC. 0"N" E ir- T 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 oicy 1770749 1 certify that, in th r ormanc f the work for whit is permit is issued, I shall not employ any person in an anner so a o become subject to thew kers' compensation laws of California, and agree t should me subject to the worker compensation provisions of Section 3700 of the or Cod shall fo with comply wi hose provisions. Date!/7*'1 _ Applicant: WARNING: FAILURE TO SECU E W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C IM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI 1 N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR C DE, 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 beco null and void if work is not commenced within 180 days from date of issuance of such pe essatio ork for 180 days will subject permit to cancellation. I certify that I have read this application and state th he ab information is correct. I agree to comply with all city and county ordinances and state laws relating t buildi c nstruction, and hereby uthorize representatives ofthis unty to enter upon the above-mentioned pr art for nspection purposes. Date:�� Signature (Applicant or Agent): Application Number . . . . . 06-00001863 ------ Structure Information EXISTING BLDG.SHELL ----- Other struct info . . . . . CODE EDITION 01BMP04E05EN FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 26.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2480.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 349.50 Plan Check Fee 227.18 Issue Date . . . . Valuation . . . . 40000 Expiration Date 12/16/06 Qty Unit Charge Per Extension BASE FEE, 252.00 15.00 6•.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 97.50 Permit . . . ELECT - ADD/ALT/REM Additional desc. Permit Fee . . . . 76.35 Plan Check Fee 19.09 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/16/06 Qty Unit Charge Per Extension BASE FEE' - 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 103.00 .4500 ---------------------------------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 46.35• Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 35.00 Plan Check Fee 8.75 Issue Date . . . . Valuation 0 Expiration Date 12/16/06 } Qty Unit Charge Per Extension BASE FEE 15.00 , 3.00 4.5000 EA MECH VENT INST/ DUCT`ALT 13.50 1.00 6.5000 EA MECH VENT FAN 6.50 Permit . . . PLUMBING. • Additional desc . Permit Fee 36.00 Plan Check Fee 9.00 Issue Date . . . Valuation . . . . 0 LQPERDIIT A Application Number . . . . . 06-00001863 Permit . . . . . . PLUMBING Expiration Date 12/16/06 ` Qty Unit Charge Per Extension. BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments TENANT IMPROVEMENT FOR OFFICE SPACE (LANDAMERICA) SUITE 113,.2480 SF. "B" OCCUPANCY, TYPE V -N CONSTRUCTION, 26 TOTAL OCCUPANT LOAD. 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES. ---------------------------------------------------------------------------- Other Fees . . . ... . . . . ACCESSIBILITY PLAN REVIEW 22:72 ENERGY REVIEW FEE 22.72 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 496.85 .00 .00 496.85 Plan Check Total 264.02 .00 .00 264.02 Other Fee Total 45.44. .00 .00 45.44 Grand Total 806.31 .00 .00 806.31 1 TO/TO 39VJ ONI SNMlina 083AIN f�"'`� TOZOLE809L ts,;ST 9002/E0/S0 City of La Quintin 1dift asafew moon P.O Rm 1504, 78495 GAe TaWka V going, CA 92253 - (160) 777-7012 a Btdifg Permit ApplImim and Tr&,d* Sheet ,�, - 7 ,g — rl x7_ 1d1 &414vjAY c 1( �- OwnesN� E ( L-A��1A- w�- O� A.P.rrm*w. A Ie)8A-.TAMAIZlsk C,AJE CRY.sr.Zip;RAIJCka Y4IkA6S Gt 22,1,D Conte: �nJ Sdfl..ibcfC� C�nKR-AG'Clll I�) C q�o l s3 Am m s s �2��T T - � 1-) 4 W cny, sr.zip: �A 6)u i-1 M 6A T.6 n1A y►tYu-�U WI ��i' pct 'rte 11�U11 t 334 S?Ar-6 . -- &AA cstyLk.#. Amh.>v. fi-l. co :. �. ELI + t� 1 03o`i �3i 3 Addm= City. ST. ax. 77_-J� O TCebmo: el,ec N��cenma Con al`ypeomvmw. V7 Proj*cdVW(cutkm)_ New AWn Alar lir Dc— • sow;: i ouww M. r.,. _ Od 1 TO/TO 39VJ ONI SNMlina 083AIN f�"'`� TOZOLE809L ts,;ST 9002/E0/S0 i A �:.,..,..... � M. r.,. _ Od oj 1 TO/TO 39VJ ONI SNMlina 083AIN f�"'`� TOZOLE809L ts,;ST 9002/E0/S0 Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Cahmesa Canyon Lake ❖ .. Coachella Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta 4. Moreno Valley Palm Desert Penis 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 p& _ r3 FIRE DEPARTMENT 7g - gg2HW1i1 210 West San Jacinto Avenue • Perris, California 92570 . (951) 940-6900 . Fax (951) 940-6910 Date `� '" e City of LaQuinta Building Department The Riverside County Fire Departmenj is granting the Fire clearance for the following location Aj Please all if you should have questions 760-863-8886 Respectfully By D Terry DeSo cy Fire Systems Inspector �r•..: ': r�r-.rte' .. ,,, � 4A*i.:,., !`'�':. �� ..; � �:... 7 �;,�� ��. RIVERSIDE COUNTY FIRE DEPARTMENT Tom O'Keefe July 25, 2006 Fire Chief Proudly sewing the In cooperation with the California Department of Forestry and Fire Protection 210 West San o venue • Fax Unincorporated Shasta Fire Protection Areas of Riverside 3584 La Campana Way County and the Palm Springs, CA 92262 Cities of Barming Re: Fire Sprinkler Plan Review 4. LAQ4)6-TI-041/ Land American Commonwealth at 78982 Hwy 111, Ste 1 B, La Quinta, CA Beaumont . 6 The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside Calimesa County Fire Department Planning A Engineering personnel and are approved with the following 4• conditions: Canyon Lake 4• _ Coachella 1) The following inspections/tests are required to be witnessed by the Fre Department Planning 1% Resect Hot Springs Division staff: � a Overhead: All n must be visible. Ceiling panels must not be in lace. ) piping 9 Pa P Indian Wells b) Overhead: All piping must be visible and 200 psi hydrostatic for 2 hours. (Verify with field %*. inspector for hydro variance.) Ceiling panels must not be in place. (NFPA 13, Sec. 10-2.2.1, Indio Exception No. 4) 4• c) Final inspection. Lake Elsinore La Quinta 4• The Fire Department job card, approved plans and conditions letter must be at the job site or NO Moreno Valley inspection will be performed. Applicantrnstaller shall be responsible to contact the Fire ,*- Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection Pahn Desert date. Penis All questions regarding the meaning of these conditions should be referred to the Fire h Department Planning & Engineering staff at (760) 863-8886. Rancho Mirage 4• Sincerely, San Jacinto 4• Temecula Hobday Chief Chief Fire Department Planner Board of Supervisors By ,)4Z6,;AJe� Bob Buster, Sonia Cooley District I Fre Safety Specialist John Tavagliione, . District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District S EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 62-675 Mghway 111, 2n° R., Indio, CA 92201 • (760) 863-6886 • Fax (760) 863-7072 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, Caftornia.925 0 • 909 9 • Fax 90940-6910 Tom O'Keefe June 14, 2006 Fire Chief Proudly serving the II Carl Cox, AIA Architect Unincorporated 81-557 Dr. Carreon Blvd., Ste. Al Areas of Riverside Indio, CA 92201 County and the Cities of: Re: Non -Structural Building Plan Review Banning LAQ-06-TI-041 / 78-982 Hwy 111., Ste. 1-B 4. Beaumont _ Fire Department personnel have reviewed and approved the plans you submitted for the above 4. referenced project. Please be advised the following conditions apply as a part of the conditions for the Cahmesa " „ issuance of a building permit.. 4 - Canyon Lake 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire '. • Coachella Department for review, along with a plan/inspection fee. A licensed C-16 contractor will have to 4. submit plans for review and approval and modify the fire sprinkler system in accordance with NFPA Desert Hot Springs 13, 1999 Edition. The approved plans, with Fire Department Job card must be at the job site for all 4. inspections. Indian Wells .;. 2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have Indio durable and legible tags affixed for identification of the correlating tenant space. 4. Lake Elsinore 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. La Quinta 4. Moreno Valley 4) Approved building address shall be placed in such a position as to be plainly visible and legible from .;, the street and rear access if applicable. In multi -tenant buildings, businesses shall post the Palm Desert business name and suite number on back doors as well as the front. Suite numbers or letters must ❖ be a minimum of 6" in height. All addressing must be legible.and of a contrasting color with the Perris background and adequately illuminated to be visible from the street at all hours. 1• Rancho Mirage 4. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. San Jacinto Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling Temecula (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Board of Supervisors Planning & Engineering staff at (760) 863-8886. Bob Buster, District 1 Sincerely, John Tavaglione, District 2 Tracy Hobday Jun Venable, Chief Fire Department Planner District 3 Roy Wilson, District 4 By Marion Ashley, Walter Brandes District 5 Assistant Fire Marshal Cc: City of La Quinta — Building Dept. HAPEMP Dataua CaAta1PROJECTMTaLAoa&Tt D41.d•c - EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2"d R., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072