05-0302 (CSCS) Revision 1P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 a (P Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: _ 05-00000302 --
Property Address: 1
APN: 79024 HIGHWAY 111
Application description: 649-820-999- - -
Property Zoning: NEW COMML - STORES & CUSTOMER SERVICE
Application valuation: REGIONAL C
Applicant: Architect or Engineer:
Lic. No.:---------------
--------------------------------------------------
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 C ss: 833207 LicenseNo.: WC001517982
� Date: Contractor. �J.
J 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).:
(_) 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
---------------------------------
FOURTH QUARTER PROPERTIES
45 ANSLEY DR
NEWNAN, GA 30263
Contractor:
EWING
77885
PALM.
LiC.
BUILDERS
LAS MONTANAS, S
DESERT, CA 92211
No.: WC001517982
Date: 8/28/06
------------------------------
-------- `-� -- --
WORKER'S COMPENSATION DECLARATION V
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 6833 Policy Number GRANITE STATE
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
–91 37,00 f the Labor Code, I shall forthwith comply with those s.
P
.Date: pplicant:
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 hereby authorize representatives
of this couryy to ent
er
upon the above-mentioned property for inspection purposes.
11
Date: C9gnature (Applicant or Agent): ti–,_—
N
Application Number .
. . . . 05-00000302
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1070.00
Plan Check
Fee
695.50
Issue Date . . . .
10/28/05
Valuation
. . . .
222457
Expiration Date
11/05/06
Qty Unit Charge
Per
Extension '
BASE
FEE
639.50
123.00 3.5000
------------------=---------------------------------------------------------
THOU BLDG
100,001-500,000
430.50
Permit . . .
ELEC-NEW COMMERCIAL
Additional desc .
Permit Fee . . . .
103.92
Plan Check
Fee
25.98
Issue Date . . . .
10/28/05
Valuation
. . . .
0
Expiration Date . .
11/05/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4446.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
88.92
Permit .. . .
GRADING PERMIT
Additional desc . .
Permit Fee . . . .
15.00
Plan Check
Fee
.00
Issue Date . . . .
10/28/05
Valuation
. . . .
0
- Expiration Date
11/05/06
Qty Unit Charge
Per
Extension
------------=---------------------------------------------------------------
BASE
FEE
15.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . .
69.00
Plan Check
Fee
17.25
Issue Date . . . .
10/28/05
Valuation
0
Expiration Date
11/05/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 9.0000
EA MECH
FURNACE <=100K
27.00
3.00 9.0000
----------------------------------------------------------------------------
EA MECH
B/C <=3HP/100K BTU
27.00
- Permit ... .
PLUMBING
Additional desc .
Permit Fee
30.00
Plan Check
Fee
7..50
LQPERMIT
Application Number 05-00000302
Permit . . . . PLUMBING
Issue Date 10/28/05 Valuation . . .
. 0
Expiration Date 11/05/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB ROOF DRAIN
12.00
1.00 3.0000 EA. PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
4446 SQ. FT. SHELL BUILDING ONLY (PAD
1).June 10, 2005 2:01:06 PM JJOHNSON
AS OF 8-28-06 CHANGE OF CONTRACTOR TO
C4. EWING BUILDERS
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -COM
1092.28
CHANGE OF CONTRACTOR
4.50
DIF CIVIC CENTER - COMM
422.37
ENERGY REVIEW FEE
69.55
DIF FIRE PROTECTION -COMM
142.27
HOURLY PLAN CHECK
122.15
STRONG MOTION (SMI) - COM
46..71
DIF STREET MAINT FAC -COMM
102.25
DIF TRANSPORTATION - COMM
7664.90
Fee summary Charged Paid Credited
-----------------
Due
--------------------------------------
Permit Fee Total 1287.92 1287.92 .00
7 -
.00
Plan Check Total 746.23 .746.23 .00
.00
Other Fee Total 9666.98 9662.48 .00
4.50
Grand Total 11701.13 11696.63 .00
4.50
LQPERMff
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
A. P. Number:
Owner's Name:
Address:
Legal Description:
i
Contractor:
City, ST, Zip:
Telephone:
Project Description:
Address: ":�-e5E�'SLALS
City, ST, Zip: 014
Telephone: ��j4— 5SZ (
.x
{�
State Lic..# :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
*
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up .
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
d'd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
08/23/2006 19:59 6192229607 T. PAGE 01
2385 Shelter Island Drlva
Suite 202 '
San Diego, California 92106
THOMAS ENTERPRISES, INC. TO 519,222.9603
Fax: 619,222.9607
www,thomasent.tom
Mr. Greg Butler
The City of LaQuinta
Dear Mr. Butler,
Please accept this letter as notice that VCC (Vratsinas Construction Co.) has been replaced by
Ewing Builders to rebuild the building which burned (pad 1) on our development known as The
Pavilion at La Quinta located at the 'comer of Adams St. and 111.
If you require additional documentation please call me at 619/300-0484.
Sincerely,
Mel Kuhnel
VP of Development
Thomas Enterprises, Inc.
...
Aug -23. 200.6 4:35PM Construction Design Systems, INC
Brian Ewing
From: Mel Kuhnel [mkuhnel@thomasent.com]
Sent: Wednesday, August 23, 2006 3:02 PM
To: gbutler@la-quinta.org
Cc: Brian Ewing
Subject: La Quinta
Mr. Greg Butler
The City of LaQuinta
No .4981 pP 1! of
Dear Mr. Butler,
Please accept this letter as notice that VCC (Vratsinas Construction Co.) has been replaced by Ewing Builders to
rebuild the building which burned (pad 1) on our development known as The Pavilion at La Quinta located at the
comer of Adams St. and 111.
If you require additional documentation please call me at 619/300-0484.
Sincerely,
Mel Kuhnel
VP of Development
Thomas Enterprises,. Inc.
8/23/2006
r
�GSS1
Structural Engineers.
November 20, 2006
Mr. Norman Barrett
Project Architect
Smith Consulting Architects
12220 El Camino Real, Suite 200
San Diego, CA 92130
Tel: 858-793-4777
Fax: 858-793-4787
Re: The Pavilion at La Quinta — Pad I Building Fire Damage Construction Report
Dear Mr: Barrett:
We have reviewed the construction of Pad 1, at The Pavilion at La Quinta project. All of the
construction concerns listed our Construction Observation Report dated, October 31, 2006, have
been resolved. The construction of Pad I appears to be in general conformance to the
construction documents.
Please call if you have any questions.
Sincerely,
GSSI Engineers
Oscar Gonzalez, S.E.
Principal
I
I
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated .
Areas of Riverside
County and the
Cities of:
Banning
❖
Beaumont
Calimesa
46
Canyon Lake
4.
Coachella
Desert Hot Springs
Indian Wells
Indio
4.
Lake Elsinore
41 -
La Quinta
Moreno Valley
Palm Desert
4.
Perris
.;.
Rancho Mirage
4 -
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
San acus o venue • ems, a omia . FaX 10
September 26, 2006;
! K
i 2006
P.S. Fire Pros, Inc.
4633 E. Sunny Dunes Rd. CITY OF LA' GOIN 6A
Palm Springs, CA 92264 CO JiPUNiTY DiEVEc OPOIFNT
DE!✓.4�,f i �s
Re: Fire Sprinkler Plan Review
LAQ-05-BP-012 / the Pavilion @ La Quinta Pad 1 at'79024 Hwy 111, La Quinta
The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside
County Fire Department Planning & Engineering personnel and are approved with the following
conditions:
1) Permanently marked identification signs shall be attached to all control valves.
2) A sign shall be located adjacent to the alarm bell worded as follows:
a) SPRINKLER FIRE ALARM - WHEN BELL RINGS CALL 911
3) Provide for 24 hour monitoring of the sprinkler alarm system.
4) The following inspections/tests are required to be witnessed by the Fire Department Planning
Division staff.-
a)
taff:a) Overhead: All piping must be visible. Ceiling panels must not be in place.
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,
Exception No. 4)
c) Final inspection.
The Fire Department job card, approved plans and conditions letter must be at the job site or NO
inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to
schedule inspection(s) a minimum of 72 hours prior to the requested inspection date.
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning 4 Engineering staff at (760) 863-8886.
Sincerely,
Tracy Hobday
Chief Fire Department Planner
B•
Y
Sonia Cooley
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