11-0352 (RC)ter„
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
CApplicati6r Number: __ 11-00000352 '
Property Address: 78995 HIGHWAY 111 STE
APN: 643-020-056- -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 160000
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 lass: B C6 icrep o.: 740882
r Date: '147Contractor:
\ f
OWNER -BUIL ER 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 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. , 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
PO BOX 1623
PALM DESERT, CA 92261
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/23/11
Contractor:
TIMBERWOLFF CONSTRUCTION, INC.
1659 W. ARROW ROUTE
UPLAND, CA 91786 —a
(909).949-0380
Lic. No.: 740882V; 20�e
Ui U F' U1lffiA
-----------------------------I-:2"^-- iT- - -----
WORKER'S COMP(<fil5lfif0 DECLARATION -
1 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 0000220-2010
_ 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
,rt1 37/00 of the Labor o , 1 hall forthwi[Fj,e p ith those provisions.
k _ Date: !/ �l Applicant:. v - V � _
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 bu' construction, and hereby authorize representatives
of this county to enter upon the above-mentioned prope ty or i�spect�ion/p`ur s
Date:` /' V /f Signature (Applicant or Agent):
Application Number . . . . . 11-00000352
Structure Information
Construction Type ...
. . . TYPE V, UNPROTECTED
Per
.Occupancy Type . .
. . MERCANTILE
Extension
Other struct info . .
. . . CODE EDITION
2010
BASE
FIRE SPRINKLERS
YES
2.00
OCCUPANT LOAD
72.00
-----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3358.00
Permit . . .
BUILDING PERMIT
EA
Additional desc .
B/C <=3HP/100K BTU
9.00
Permit Fee . . . .
849.50 Plan Check Fee
552.18
Issue Date . . . .
Valuation . .
. . 160000
Expiration Date
6/20/12
EA
Qty Unit Charge
Per
Extension
Permit
BASE FEE
639.50
60.00 3.5000
----------------------------------------------------
THOU BLDG 100,001-500,000
-----------------------
210.00
Permit : . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
108.30 Plan Check Fee
27.08
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
6/20/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
3.00 3.0000
EA ELEC APPLIANCES
9.00
154.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
69.30
Permit MECHANICAL
Additional desc .
Permit Fee 59.00
Issue Date . . .
Expiration'Date . . 6/20/12
Plan Check Fee 14:75
Valuation 0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
4.5000
EA
MECH
VENT INST/ DUCT.ALT
9.00
1.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
9.00
1.00
6.5000
EA
MECH
AH <=10K CFM
6.50
3.00
-------------------------------7--------------------------------------------
6.5000
EA
MECH
VENT FAN
19.50
Permit
. . . . . .
PLUMBING
LQPERMIT
i
LQPERMIT
Application Number . . . . . 11-00000352
Permit . . . PLUMBING
Additional desc .
Permit Fee. . 67.50 Plan Check Fee
16.88
Issue Date . . . . Valuation . . .
. 0
Expiration Date 6/20/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 6.0000 EA PLB FIXTURE
18.00
3.00 7.5000 EA PLB WATER HEATER/VENT
22.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
3.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 9.00
-----------------------------------7----------------------------------------
Special Notes -and Comments
REMODEL & EXPANSION OF VERIZON WIRELESS
STORE. EXPANSION INTO PORTION OF SUITE
2. TOTAL AREA = 3358SF. OCC. LOAD = 75.
M OCCUPANCY TYPE V -B CONSTRUCTION W/
FIRE SPRINKLERS.2010 CODES.
APPLICATION EXTENSION GRANTED PER CBC
105.3.2. BUILDING PERMIT MUST BE
PURCHASED ON OR BEFORE TUESDAY jANUARY
3, 2012.
September 21, 2011 2:41:04 PM bhanada..
------------------------------------------------------------ -----------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
55.22
ART IN PUBLIC PLACES -COM
780.00
BLDG STDS ADMIN (SB1473)
7.00
ENERGY REVIEW FEE
55.21
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 1084.30 .00 00
1084.30
Plan Check Total 610.89 .00 .00
610.89
Other Fee Total 897.43 .00 00
897.43
Grand Total 2592.62 .00 .00
2592.62
#
�P City of, La Quinta
G Building 8r Safety Division
Permit # P.O. Box 1504,78-495 Calle Tampico
3 � � 14.1Quinta, CA 92253 - (760) 777-7012
' Building Permit Application' and Tracking Sheet
Project Address:
Owner's Name:. �(//j3e�/I✓ jG� �� L7 fj
A P. Number.
Address: d dG
�B I8 .B�fiLA'%%�'T/DIS �I .
Legal Description:
Contractor. f�.D
City, ST, Zip: Zve
/ Alp 9 /
-7&"01-7.7,r-
Telephone: 7907 >�i.�,'='. .,•M
Project Description: ppEL AX Ams�a
O
Address:'
City, ST, Zip:
it20 ECS 0' !'
Telephone:
State Lic. #:
Arch., Eagr., Designer. (,AV5/C
z
City Lia #; '
Address: 2°i /%fGfL f
UG
City., ST, Zip:
/l).t/+. d off/
Telephone: 7_ /1
State Lic. #: Cf� - 2 `Ig q,?
w n.
`: • ..r ` `
.w�i.:....»%~
Construction Type:— • Occupancy:
Project type (circle one): New. Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft : �3S- #Stories: /
# Unit;:o ._
Telephone # of Contact Person:Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Rec'd
TRACMG PERMU FEES
Plan Sets
Plan Cheek submitted Amount
Structural Calm
Reviewed, ready for corrections Plan Check Deposit.
Truss CaIcs•
Called Contact Person Plan Check Balance
Title 24 Calci.
Z
Plans picked up Construction
Flood plain plan
Plans resubatitted Mechanical
Grading plan
2i6 Review, ready for correctio issueEiectrital
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S,Md.
H.O.A. Approval
Plans resubmitted Grading
INHOUSE -e
'n° Review; ready for eorreedonsfissue Developer Impact Fee
Planning Approval
Called Contact Person AJ.P.P.
Pub: Wks. Appr
Date of permit issue
School Fees
'g
✓: q- / 2 �� -� ermit Fees
?.tamu- �/ MAY 09'2012
,'/q - /a d -w.
sm
To: Greg Butler, Building & Safety Manager To CDD:
From: Les Johnson, Director -Planning Due Date:
Permit #: Status:' /Oel clG
Buy tcling, Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description:' !� Qda'.�:f - 0_-Omm . VI •
Address or General Location:
Applicant Contact:a0/
The Planning Department finds that:
0 ...these Building Plans do not require Planning Department approval.
0 ...these Building Plans are ap . roved by the Planning Department.
O these Building Plans r quire corrections. Please forward a copy of the
att h d corrections the applicant: When the corrections are made
seetqm them to 'he Planning Department foror review.
nning-
J
7 l Date
Plar^;ng Depcftent
Birt #
City of La Quinta
= Building & Safety Dkislon
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
1 J Building Permit Application and Tracking Sheet �.�t
Project Address: �'. ,
�U / / Owner's Name: �� �/ ii/NG2VLam.
A. P. Number:
Address:
Legal Description:
Contractor: City, ST, Zip:
%/S/r%/�D — C�¢L• 2ZP> rl
Telephone: 7 77
Address:
Project Description:
City, ST, Zip:
Telephone: '.<>.:z�t?>:�>:>::�:«.z::::. f . •.«.:::
State Lic. # : City Lic. #:
Arch., Engr., Designer: '
Address: 4
City, ST, Zip:
Telephone: iJ31 ?j7f'o`{ t{ 4...,.:`..:.•�,. "..
.} ,
.•<• 4 Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Al
Sq. Ft.: 33sd # Stories: # Units: .^--
Telephone # of Contact Person: Z
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd
TRACKING
PERMIT FEES
Plan Sets Plan Check submitted
Item Amount
Structural Calcs. Reviewed, ready for corrections
7-11? -Plan Check Deposit
Truss Calcs. Called Contact Person ('1
c) Plan Check Balance
Title 24 Calcs. Plans picked up
Constriction
Flood plain plan Plans resubmitted
5 Mechanical
Grading plan 2" Review, ready for correction ssue O 1 Electrical
Subcontactor List Called Contact Person
Plumbing
Grant Deed � 1(
Pians picked up S.M.I.
H.O.A. Approval Plans resubmitted
Grading
IN HOUSE:- Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval Called Contact Person
A.I.P.P.
Pub. Wks. Appr Date of permit issue a
School Fees
Total Permit Fees
714111 t!Afi . lkmr� r P i'- tt.Uk.J vev%stj 1914-04 s /sev G/Yc. Art 41,vr✓a�%-
• �IGGfUiit/
�ra
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495'CALLE TAMPICO (760) 777-7012
LA QUINTA; CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To PD: 04-08-11
From: Les Johnson, Director -PDD Due Date: 04-15-11
Permit #: 11-352 Status: - 1 ST REVIEW .
Building Plans Approval
(This is an approvaLto issue a Building Permit)
The -Planning Department has reviewed the Building Plans for the following
project: r
,Q
Description: TENANT IMPROVEMENT / VERIZON WIRELESS
Address or General Location: 78-995 HWY 111 STE. 1
Applicant Contact :HENRY FASHEH 626-201-3092, .
v
The -Planning Development Department finds that:
a
AP - 8 Z0 i
CITY OF LA QUJl j'S.A
a,'UNING liEPARTn 011
❑ ...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.
Les Joh s n, Director -PD Date
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM 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
RIVERSIDE COUitirilP' FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd,., Ste. #201, Palm Desert, CA 92211-4131. Phone (760) 863-8886
. Fax(760)863-7072
www.rvcfire.org
June 30, 2011
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ-1 I -TI -013 Verizon Wireless 78-995 Hwy 111 #1 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 of the 2010 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2010 CBC.
A minimum 2Al0BC 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.
Approved suite address shall be placed in such a position to be plainly visible and legible from
the street. Said numbers shall contrast with their background.
An approved audible interior notification alarm device shall be provided in approved location. A
C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire
Department for review and approval prior to installation
A durable sign stating "This door to remain unlocked duriing 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 of the correlating tenant space. Key(s)
shall be provided at time of final inspection.
As 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.
Sincerely,
By:
Jas Stu b e
Fire Safety Specialist