06-2635 (RC)P.O. BOX 1504�^� VOICE 760 777-7012
78-495 CALLE TAMPICO 4FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/18/06
Application Number: t06-00002635 Owner:
Property Address: 79150 HIGHWAY 111 STE 102 FOURTH QUARTER PROPERTIES
APN: 649-820-999- - - 45 ANSLEY DR
Application description: REMODEL - COMMERCIAL NEWNAN, GA 30263
Property Zoning: REGIONAL COMMERCIAL (760) 613-3783
Application valuation: 800000 D
Contractor:
Applicant: Architect or Engineer: SEP 1 8 2006 GREPPIN CONSTRUCTION
37925 6TH STREET, EAST #310
CITY OF LA QUINTA PALMDALE , CA 93550
FINANCE DEPT (661)273-2457
Lic. No.: 476150
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 BusinessI Profess' als C e, and my License is in full force and effect.
License Class: 13 / Li5lo.:i476150
Date: - L / 17 O(eContractor
(/ OWNER -BUILDER DECLARATION
I.hereby affirm under penalty of perjury at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Busi ss 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 (5500).:
(_ 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 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.).
(_ 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
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 oftyb work for which this permit is issued, I shall not employ any
person in any manner so/asome su ' ct to the orkers' compensation laws of California,
and agree that, if I shoulsubj o thew ers' ompensation provisions of Section
/0,0/-ofthe Labor Codec pl it ose p isions.
Date: L 6(Applicant:
WARNING: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. IN ADDITIJ4 TO THE COST OF COMPENSATION,'DAMAGES'AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR 90DE, 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 abo i ormati s correct. I agree to comply with all
city and county ordinances and state laws relating to buildi co trust a hereby authorize representatives
of this county to enter upon the above-mentioned prope for i s c ' poses.
Date: Q �STgnature (Applicant or Agent):
Application Number .
. . . . 06-00002635
------ Structure Information
T.I. @
EXISTING SHELL BLDG STE
102 -----
Other struct info . .
. . . CODE EDITION
01BMP04E05EN
FIRE SPRINKLERS.
YES
MIXED-USE OCCUPANCY
M/S-1
OCCUPANT LOAD
477.00
--------------------------------------------------------------
1ST
FLOOR SQUARE FOOTAGE
16178.00
-------------
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
2939.50
Plan Check Fee
1910.68
Issue Date . . . .
Valuation . . .
. 800000
Expiration Date
3/17/07
Qty i7nit Charge
Per
Extension
BASE
FEE
2039.50
300.00 3.0000
----------------------------------------------------------------------------
THOU BLDG
500,001-1,000,000
900.00
Permit . . .
ELECT.- ADD/ALT/REM
Additional desc . .
Permit Fee
172.95
Plan Check Fee
43.24
Issue Date . . . .
Valuation . . .
. 0 -
Expiration Date
3/17/07
Qty Unit Charge
Per
Extension
BASE
FEE -
15.00
.7500
-PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
'3.00 18.5000
EA ELEC
SVC <=600V/<=200A
55.50
1.00 37.5000
EA ELEC
SVC <=600V/>200A/<=1000A
37.50
111.00• .4500
----------------------------------------------------------------------------
EA ELEC
DEVICE/FIXTURE >20
49.95
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . . .
204.00
Plan Check Fee
51.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/17/07
Qty Unit Charge
Per
Extension
- -
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE <=100K
18.00-
.5.00. 11.0000
EA MECH
FURNACE >100K
55.00
1.00 9.0000
EA MECH
SUSP/WALL HEATER
9.00
-2.00 9.0000
EA MECH
B/C <=3HP/100K BTU
- 18.00
5.00 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
82.50
1.00 6.5000
EA MECH
VENT FAN
6.50
LQPERMIT
Application Number . . . . . 06-00002635
------------------------ ---------------------------------------------------
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 150.75 Plan Check Fee
37.69
Issue Date . . . . Valuation .
. 0
Expiration Date 3/17/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
15.00 6.0000 EA PLB FIXTURE
90.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.'00
3.00 .7500 EA PLB GAS PIPE >=5
2.25
1.00 15.0000 EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
16,178 SF. RETAIL INTERIOR TENANT
IMPROVEMENT W/ STOREFRONT MODIFICATION.
[DSW SHOE STORE],SUITE 102, "M"
OCCUPANCY, TYPE V -N CONSTRUCTION, 477
_
OCCUPANTS, 2001 CBC,CMC,CPC, 2004 CEC,
2005 ENERGY CODES.ILLUMINATED SIGNS ARE
NOT A PART OF THIS PERMIT.
**** A SEPARATE PERMIT IS REQUIRED FOR
STORAGE RACKS AND FIXTURES****
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
191.07
ENERGY REVIEW FEE
191.07
STRONG MOTION (SMI) - COM
168.00
Fee summary Charged Paid Credited
-----------------
Due
---------- ----- ----- ---------- ----------
Permit Fee Total 3467.20 .00 .00
3467.20
Plan Check Total 2042.61 .00 .00
2042.61
Other Fee Total 550.14 .00 .00
550.14
Grand Total 6059.95 .00 .00
6059.95-
CITY OF LA QUINTA SUB-CONTRACzTgR LIST 0� 9-18 G
JOB ADDRESSh I �/ �� Z PERMIT. NUMBER Q 6 - Z 6 3� OWNER � y� � P�-r BUILDER
7 /
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
f b 'Id' ermit For each applicable trade all information requested below must be completed by applicant. "On File" is not an acceptable response. �4' 1
V ui mg p
,-
.:........ State.:.Contractor sLicense r.
Workers Com ensation Insurance:'`:° "
City Business License_.:..:
Trade / Classification
Contractor
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp: Date
Ixx/xx/xx)
EARTHWORK (C-12)
CONCRETE (C-8)
P l CD NS
I, '
lPONf'770.3
"L - �O
2- Oc - 7
FRAMING I0-5)
R P P I AJ CO NS-(
STRUCT: STEEL j6 51)
MASONRY (C-29)
/A
?`
PLUMBING (C-36)
f - TO JO 'PL6'on R iJ6
G 3
% &,7 5
S-3 -ZOO
LATH, PLASTER (C-35)
tJ
DRYWALL (C-9)
V Tf- P P I !•% Cp NS '
HVAC (C-20)
G4-11- Ilk-) T-
C` d
Jc-
fo I3til e
b b(7
d
ELECTRICAL. ICA 0) :
R O U G l� (_ l_�CT-
�-
(p 3Cy L 'Z 2% .
3 31 O
0W
A06FING (C=39) :
SHEET METAL (Q43)-
Ar
FLOORING lC`=:15) .. .;;..
+- CAQ
L -
J1- %O
2 O
GLAZING (C-17):.. ;. ..
l./ G L45-
7 1
v
66°-03 ...zoo
l—.
INSULATION (C-2) .
SEWAGE DISP (6-42)
PAINTING (C=33) ;
k) pw5
e)
CERAMIC TILE (C-54)
_ iL
ez%
�9
a,
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING_ (C-27)
POOL (C-53)
Bin #
CoA
Q of La urn to
� Q
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
✓✓
ntroject Address: ��
l� M 4N OT,
Owner's Name:
P. Number: —-0
Address: 1F5 e. ,
City, ST, Zip: 601(MA\N�, OAA 4'5Sl
gal Description:
hIv1
Idress:"'"'
Tele hone• <:;r;•:•.::si:>•:»»:<;;:•:<:::< <,.
Project Description: � ►.Q.1/l u (I
" �� �A -"' .
City, ST, Zip: ti(, Q
`
:,:.... yy'
State Lic. # :
City Lic. #;
� V - W1 00-11L
Arch., Engr., Designer:/2(Aq,,44/lC
,
Address: -mo ��( c"WL. ��,HAO
City., ST, Zipoe7ct t l` ( O (�' �i f�
--1q72- 4 7S
Telephone: -V5-!?j-7
<:.
Construction Type: Occupancy:
Project type (circle one): Kew> Add'n Alter Repair Demo
Sq. Ft.: (p #Stories: #Units:
State Lic. #:
:`.: :s:<::;,<•;::;;;:.;':::;::: ;;:•;:<::: < ,;:
Name of Contact Person: GJ �
Telephone # of Contact Person. 0•?./ ff�
Estimated Value of Project:cco
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
3
Plan Check submitted T, Item
Amount
Structural Calcs.
o�
Reviewed, ready for corrections Z, Plan Check Deposit
Truss Cales.
Called Contact Person Z Plan Check Balance,
Title 24 Calcs.
p(
Plans picked up Construction
Flood plain plan
Plans resubmitted echanical
Grading plan
2" Review, ready for corrections/issue lectrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"' Review, ready for correctionsii aI Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
7111 44, -3 vet auc. 7.611.0 o
t I f'&#t -4 d D P
7114-1O lO GOD q PROVR OLE- -
7/Z5-/0(PgTp A��.eovAel��
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Foresoy and Fire Protection
21 OWest San Jacinto Avenue • Peffis, FaX
(909) 940-6910
Tom O'Keefe July 21, 2006
Fire Chief
Proudly serving the Smith Consulting Architects
Uniaoorporated
Areas of Riverside 12220 EI Camino Real, Ste. 200
County and the
San Diego, CA 92130
Cities of:
4g
e•
RE: TENANT IMPROVEMENT PLAN CHECK
Beaumont
LAQ-MTI-048 / DSW Shoe Warehouse at 79150 Hwy 111, Suite 102,
O
La Quinta, CA
Calimesa
Canyon Lake
You have been issued a release for a tenant improvement on an existing building. THIS IS
c•
NOT AN OCCUPANCY PERMIT.
Coachella
`%
It is prohibited to use/process or store any materials in this occupancy that would classify it
Desert Hot Springs
C.
as an "H" an per Sec. 307 of the 2000 UBC.
occupancy cY
Indian Wells
4%
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Indio
.C•
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Lake Elsinore
e•
La Quinta
Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard
4%
of the Knox Company. Plans must be submitted to the Fire Department for approval of
Moreno Valley
mounting location/position and operating standards. Special forms are available from this
h
Palm Desert
office for the ordering of the Key Lock Boxes. This form must be authorized and signed by
this office for the correctly coded system to be purchased. If the building/facility is protected
Perris
with a fire alarm system or burglar alarm system, the lock boxes will require "tamper"
monitoring.
Rancho Mirage
San Jacinto
A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
c•
visible location within 75' walking distance from any point in your building or suite. Fire
Temecula
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.
Board of Supervisors
Bob Buster,
ELECTRICAL PANEL BOX:
District I
All breakers must be labeled and a clearance of 36 inches must be maintained around the
JohnTavaglione,
panel at all times.
District 2
rnn Venable,
OTHER REQUIREMENTS:
District 3
Approved building address shall be placed in such a position a to be plainly visible and
Roy Wilson,
4
legible from the street Said numbers shall contrast with their background.
Marion Ashley,
District s
Applicantrnstaller 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.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Hig" 111, a FI., Indio, CA 92201 • (760) 863-9886 • Fax (760) 863-7072
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,
Tracy Hobday
Chief Fire Department Planner
By:
Sonia Cooley
Fire Safety Specialist
• S.ep OG .2006 1:41 Pm
4
IID ENERGY
7603915999
.,.....�
A Wh4d. of ,
Imperial trrigarl to District
81-600 Avenue SB • La Quinta, CA 92253 ' viww:tid.com gy
IIDPD=DDC September 6, 2006
Smith Consulting Architects
Norman Barret.
12220 El Camino Real, Suite 200
San Diego, CA 92108
Subject: Available Short Circuit Current Calculation for DSW Inc
Located at 79 150 Hwy 111 Suite 102, La Quinta.
Dear Mr. Barret:
The available Short Circuit Current at the secondary terminals of the transformer is
20,477 Amps RMS Symmetrical at 480 volts.
This is based upoo'the following information:
-1) T ansformer size: 750 KVA
2) Transformer impedance: 4%
.3) Primary voltage: 7,200/12,470Y volts
4) Secondary voltage. 480 volts
,5) High -side KVA available: 185,000 KVA
6) Transformer connection: Wye/Wye
7) No motor contribution to fault current.
Please contact me should you have any questions, at (760) 398-5820.
Thank You,
Carlos Partida
Sr, Project Manager
t-
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Certificate of Occupancy
4
a�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: 79-150 HIGHWAY 11`1 `
Use classification: COMMERICAL (DSW SHOES) Building Permit No.: 06-2635
Occupancy Group: B Type of Construction`. V=N Land. Use Zone: CR
Owner of Building: FOURTH QUARTER PROPERTIES Address: 45 ANSLEY DR
City, ST, ZIP: NEWNAN, GA 30263
By: STEVE TRAXEL
.Date: 10-26-06
Building Official
POST IN A CONSPICUOUS PLACE