04-7715 (RC)I
P.O. Box 1504
BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760).777-7012?
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
Application Number
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation
Owner
BUILDING PERMIT
�. 04-00007715
. . . 79305 HIGHWAY 111 STE •5
649-030-999-7 -30420 -
. . . REMODEL COMMERCIAL
. . . REGIONAL COMMERCIAL
24316
STAMKO DEV CO
C/O PROVIDENT FINANCIAL MGMT
10345 W OLYMPIC BLVD 2 FL
LOS ANGELES CA 90064
Contractor
Date
1/18/05
JP CONSTRUCTION
P.O..BOX 614
INDIO CA 92202
(760) 42-7701
WCC: STATE FUND
WC: 2290026207
05/01/05
CSLB: 802380
12/31/05
CCC: B
---------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . MERCANTILE
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
_Other struct info . .
. . . CODE EDITION 2001
FIRE SPRINKLERS YES
OCCUPANT LOAD
79.00
---------------------------------=----------------------------=-------------
1ST FLOOR SQUARE FOOTAGE-:. 2408.00
Permit . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
252..00 Plan -Check Fee
163.80
Issue Date .. . . .
Valuation
24316
Expiration Date
7/18/05
Qty Unit Charge
Per
Extension
BASE FEE
45.00.
23.00 9.0000
-----------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit . .
Additional desc'.
----------------
ELECT
Permit Fee . . . .
63.1
Plan C
k Fee
15.79
Issue Date . . . .
JAN 1ael it
0
Expiration Date
7/18/0
Qty Unit Charge
Per 0! ANC DEP TA
Extension
BA SI=
15.00
2408.00 .0200
-------------------'----------------------------------------------------------
ELEC-GA1.RAGE OR NON-RESIDENTIAL
48.16
Permit,
MECHANICAL
P.O. Box 1504
78-495 CALLE TAMPICO w VOICE (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: _ 04- 77/S Date: �'/Q -05"
Applicant: I Architect or Engineer.
Applicant's Mailing Address:
L�Plk.04.11
Architect or Engineer's Address:
Lic. No..
MU1L-u114v rr-KMI l utGLAKATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professionals
Code and my Licans is in full force and effect. /
cense Class License No.I�
I Ift, rig V.I:j rtto
v OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 stricture, prior to its issuance, also requires the applicant for the permft to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' 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).):
U 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 or 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.).
U 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.). .
U 1 am exempt under Sec. . BA P.C. for this reason
Date Owner
WORKERS' 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
tNv of the work for which this permit is issued.
rJ 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
i ed y_wgrkers' compensation�rance came r nd Qo r number a
�er--i(_Y7 /Policy Number �9 e�,� re
_ 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 3700 of the Labor Code, I shag
forthwith comply with those provisions.
ate Ifict plicant '
WARNING: FAILURE TO SECURE WORKERS' COM SATION 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.
I hereby affirm under penaltyof CONSTRUCTION LENDING AGENCY
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
Lenders Address
IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT Safety ACKNOWLEDGEMENT
1. Each Y permit subject to the conditions and restrictions set forth on this application.
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 permll
issued as a result of this application, the owner, and the applicant• each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, 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 per it,_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 a�uthonzeresentatives of this county to enter upon the abov ntioned ro rt for inP Pe Y spection purposes.
Dateignature (Applicant or Agent): 5&
Page
2
Application Number . . . . . 04-00007715
Date
1/18/05
Additional desc
Permit Fee . . . . 19.50
Plan Check
Fee
4.88
Issue.Date . . . .
Valuation
. . . .
0
Expiration Date 7/18/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA MECH VENT
----------------------------------------------------------------------------
INST/ DUCT ALT
4.50
Special Notes and Comments
COMMERCIAL INTERIOR TENANT IMPROVEMENT
-
2480 SQ.FT. RETAIL [GOLF, ETC.] SUITE
5
j. & 6, "M" OCC. TYPE V -N CONSTRUCTION,
2001 CODES.
----------- -.----------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY
PLAN
REVIEW
16.38
ENERGY
REVIEW FEE
16.38
Fee summary Charged Paid
-- - - - - - - - -
Credited
Due
- - - - - - ------ - -- ------ - - -
Permit Fee Total 334.66
- --=--- - - -
.00
- ------
.00
- - - - - -
334.66
Plan Check Total 184.47
.00
.00
184.47
Other Fee Total 32.76
.00
.00
32.76
Grand Total 551.89
.00
.00
551.89
r ,>
• uCv
P.O.Ce
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 CDD:
a o
From: Oscar Orci, Planning Manager Due date:
Status: Review
Building Plans Approval
�C
(This is an approval to issue a building permit)
The Community Development Department has reviewed the Building Plans for the
following project: usL� -4
Description:�/—
Address or general location:
Applicant Contact: 0
The Co unity Development Department finds that:
:..these Building Plans do not require Community Development Department
approval.
❑ ...these Building Plans are approved by the Community Development
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 Community Development Department for review.
tsegrf Orci, Planning Maerger Date
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
`areas of Riverside
County and the
'Cities of:
"Banning
4 -
Beaumont
Catimesa
4 -
Canyon Lake
Coachella
..-
Desert Hot Springs
4.
Indian Wells
.;.
Indio
Lake Elsinore
:• .
La Quinta
Moreno Valley
4.6
Palm Desert
4 -
Perris
4.
Rancho Mirage
46
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jun 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
82-675 Highway 111, 2 FL, In io, CA 2201 - (760) 8637-98-86 . Fax (70 8 3-7072
December 13, 2004
MAF Architects
4337 Whitewood Ave
Long Beach, CA 90808
Re:. Non -Structural Building T/I Plan Review
LAQ-04-TI-133 /Golf, Etc.
79-305 Hwy 1.11, #5 & 6 4
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) 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, 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 either a key(s) for inclusion in the general building Knox Box
3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. One of the pair
of front doors shall be changed to "common-knowledge,'single operation° type hardware.
4) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified
extinguisher company for proper placement of equipment.
5) 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
business name and suite number on back doors as well as the front Suite numbers or letters must
be a minimum of 6n in height All addressing must be legible and of a contrasting color with the
background.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy
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,
FRANK KAWASAKI '
Chief Fire Department Planner
By >,& �JL,
Walter Brandes
Fire Safety Specialist
49c:.Cityi, of Ca.Quinta = Budding Deptl y ,
EMERGENCY SERVICES DMSION - PLANNING SECTION - INDIO OFFICE
82-675 HlghwaY 111, 2" a FI., Indio, CA 92201 9 (760) 863-8886 9 Fax (760) 863-7072
r
Certificate ®f Occupancy
i
k Ou
OF"I'Building & Safety Department
9► Y p
-
�
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
g
provisions of the Building Code and the various ordinances of the City regulating building
m '
l construction and/or use.
BUILDING ADDRESS: 79-305 HWY 111 STE #5
1
Use classification: COMMERCIAL Building Permit No.: 04-7715
f
}
.
Occupancy Group: M Type of Construction: VN Land Use Zone: CR
Owner of Building` STAMKO DEV CO Address: 10345 W OLYMPIC BLVD 2 FL'
I
City, ST, ZIP: LOS ANGELES CA 90064
- -, By: KIRK KIRKLAND
Date: 3-21-05
,a
Building Offic"
POST IN A CONSPICUOUS PLACE
L
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