Loading...
05-2209 (RC)M P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-000022091: Property Address: 78995 HIGHWAY 111 STE APN: 643-020-999-6 :-30903 Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 111500 Applicant: Architect or BUILDING & SAFETY DEPARTMENT BUILDING PERMIT eer,.;' 1(ti 17iO . CITY OF LA DUINi cimaNCE DEPT. 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 Profe sionals Code, d my License is in full force and effect. License Cl s: 13 Licens : 581636 �85fe.ontractor. / 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.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). ( 1 1 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 - w Owner: WASHINGTON 111 LTD C/O JACK TARR 30240 RANCHO VIEJO RD. STE. B SAN JUAN CAPISTRANO, CA 92675 Contractor: SIPOVAC CONSTRUCTION, INC. 72651 THOEDORA LANE PALM DESERT, CA 92260 (760)809-7538 Lic. No.: 581636 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/16/05 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 e the work rs' compensation provisions of Section 37 ` p of the Labor I shall fo ith,comply those provisions. licant: 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 building construction, and here a thorize representatives of this cou ty to nter upon t above-mentioned pro a for ins 'on purposes Cate: gnature (Applicant or Agen r Application.Number . . . . . 05-00002209 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 681.50 Plan Check Fee 442.98 Issue Date . . . . Valuation . . . . 111500 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 12.00 -----------------------------7---------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 42.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . •56.80 Plan Check Fee 14.20 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 2/12/06 Qty Unit Charge Per Extension BASE FEE 15..00 2090.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 41.80 Permit . . . MECHANICAL .Additional desc . . Permit.Fee . . . . 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 3.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 19.50 Permit . . . PLUMBING Additional desc . Permit Fee 166.50 Plan Check Fee 37.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15_.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 12.0000 EA PLB INTERCEPTOR 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 LQPERMU Application Number . . . . . 05-00002209 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1..00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 1.00 15.0000•EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments. Commercial Remodel "Jake's Pizza" TI, 11A3" Occupancy, Type VN Sprinkled. Occupant Load 83 ----------7----------------------------------------------------------------- Other Fees STRONG MOTION (SMI) - COM 31.50 Fee summary Charged Paid' Credited Due --------------------------------------------------------- Permit Fee Total 943.80 .00 .00 943.80 Plan Check Total 504.81 .00 .00. 504.81 Other Fee Total 31.50 .00 .00 31.50 Grand Total 1480.11 .00 .00 1480.11 Bin #. f City of LJ Quinta 4 �. Building Safety Division P l Permit i7 9 P.O. Box 1504, 78-4 95 Calle Tampico 3 67,5— Z Z U Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number: 2 . 'Address: . Legal Description: , City, ST, Zip• Contractor. e, Telephone: S Address: C`XXpa'� ::, Project Description: e :>::::> ................ City, ST, Zip: �S �✓ �o v _ /f Telephone: State Lic. #: Cid" Lic. # / Arch., Engr., Designer: / � i'6 C� C 7� c� ✓p Address: ' l f 0 City, ST, Zip: S Telephone:XX Con st cti on c• Occ — u P an. " 3 State Lic. 2 7 '.. Project ct Pe �c" rc Ic one): Nev Add'n Alter Repair Demo Name of Contact Person:: © n J C S 9 Ft.: #Stories: # Units: Telephone # of Contact Person: —t2- �� E stimated Val6e of Projec APPLICANT: DO' NOT WRITE BELOW THIS LINE -J # Submittal Req'd Rec'd TRACKING 3 Plan Sets Plan PERMIT FEES Check submitted NOS- Item Amount Structural talcs. Reviewed, ready for corrections 6 Plan Check Deposit ^ TrussCalcs. Called Contact Person t%1� �9 Plan Check Balance d Title 24 talcs.. Plans picked up Construction Flood plain plan Plans resubmitted r '� �N-techanical `• Grading plan 2"d Review, ready f correctio s/issuep/ - � ��/ , "Electrical Subcontactor List Called Contact Person / Plumbing Crani Deed Plans picked up H.O.A. Approval . Plans resubmitted ` � r_ ^Grading IN HOUSE:- 'rd Review, readyfor correctio s/issu 1. Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees • i t L ,1r. Total Permit Fees JAN -30-2006 MON 01:00 PM RIVERSIDE COUNTY FIRE Craig E. Anthony Fire Chlet Proudly serving the unincorporated areas of Riverside County and the Cities of; Banning Beaumont Culimesa a` Canyon Lake Coachella �S Dcscrt Hot Springs v+ Indian Wells Indio w Ike Elsinore of La Quinta Moreno vallcy :Palm Dcscrt Penis Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Bustcr, District I John Tdvaoiono, Diatrict 2 Jeff stone. District 3 Roy Wilson, , District a Murton Ashley, District S FAX N0, 17608637072 RIVERSIDE COUNTY FIRE DEPARTMENT Highway o, CA b• • Fax (70) 8U7072 January 2'7 2006 City of La Quinta Building Department Ref Washington Park: Verizon Wireless Ste 1 Jake's'Pizza Ste. 9 Riverside County Fire Department is granting a fire final for the following project located at 78-995 Hwy 11.1. Terry DeSoucy, Fire Systems Inspector EMERGPENCY SERVICES DIVISION - PLANNING SECTION • INDIO OFFICE 62-675 Highway 111, 2nd FL, Indio, CA 82201 - (760) 863-8886 • Fax (760) 863-7072 P. 03 C - Craig E. Anthony • Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of- Banning f: Bann ing Beaumont 0 Calimesa 0 Canyon Lake e% Coachella a% Desert Hot Springs 1e Indian Wells 0 Indio O Lake Elsinore C• La Quinta 0 Moreno Valley C• Palm Desert 6 Perris 0 Rancho Mirage San Jacinto 0 Temecula Board of Supervisors Bob Buster, District 1 John Tavagrione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 April 1, 2005 RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 Y b. Fax (760) 863-7012 Sipovac Construction, Inc. 72-651 Theodora Ln. Palm Desert, CA 92260 Re: Nonstructural Building, TA -Plan Review LAQ-05-TI-059 % Jakes' Pizza C"Z78-995 Hwy 111, Ste I Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit 1) Fire sprinkler system plans for the tenant 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) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have a durable and legible tag affixed for identification of the correlating tenant space. 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 4) Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted, along with a plan check/inspection fee, to the Fire Department for review. 5) In multi -tenant buildings, businesses shall post the 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 background. 6) Room capacity shall be posted in a conspicuous place on an approved sign near the main exit from the room. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Cc: City of La Quinta — Building Dept KV42W Dde" o wV4t0JECTSn%AG45-TW a.doe Sincerely, FRANK KAWASAKI Chief Fire Department Planner By 4 Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2'd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES,, REPORT TO SA0FORM ISUPPLEMENTAL T DATE SUBJECT; C., 14,.( f ! Z' -74 PERMIT NO. ADDRESS '-I t�' •9��I'� I � fl G' �I�► � �. i�'. ; ' � t� f INSPECTOR OVA, Im REMARKS: TLF bq-7 04ot, 6" law 14 61iv4l I.UVF 411 Ad,41 jJA,`AW 44a'Airw/ -4 U 6 6 It 4�,4 syk DEH -SAN -118 (Rev 8102) i Distribution: WHITE --Office; CANARY—Owner; PINK—Office i Certificate of Occupancy sRKtoLwjU'�Q'•C' . 14 iia s , OF TL 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 j y . provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. a d BUILDING ADDRESS: 78-995 Highway 111 Suite 9 t x Use classification: Commercial "Jake's Pizza" TI Building Permit No.: 05-2209 , Occupancy Group: A3 Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Washington 111 LTD Address: 78-995 Highway 111 City, ST, ZIP: La Quinta, CA 92253 - �b By: Daniel P. Crawford Jr. Date: 211106 ; Building Official �(n1[ply POST IN A CONSPICUOUS PLACE