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04-6309 (RC)LA P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . ..C7994-00006309 ----- Date 10/25/04 Property Address . . . . . 390-HIGHWAY_1-11—�-� APN: 649-020-999-1 -31172 - Application description . . . REMODEL - COMMERCIAL Property Zoning.. . . . . . . REGIONAL COMMERCIAL Application valuation 140000 ti Owner. Contractor • - - - -- - - - - - - - - - - - - - - - - - - - KLEINE NEIL WAYNE - -- --.-------------- ORR BUILDERS -- - - --= 41910 BOARDWALK A-10 39301 BADGER, SUITE #300 PALM DESERT PALM DESERT PALM DESERT 9221t1"�^ �( 7�60) 360-6632 v CA 92211 - OCT % 2004W,CI,C : STATE FUND WC 1242824 07/01/05 CITY OF1_AQUINTA CSLB: 693077 07/31/06 FINANCE DEPT. CCC : B ------ Structure Information, 140000 T.I. ----- Construction Type . ... . . TYPE V - NON RATED Occupancy TypeMERCANTILE Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC -------------- FIRE SPRINKLERS YES -------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 779.50 Plan Check Fee 506.68 Issue Date Valuation . . . . 140000 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 639.50 40.00 3.5000 --------------------------------------- THOU BLDG 100,001-500,000 140.00 Permit . . . . . . ------------------------------------- ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 78.00 Plan Check Fee 19.50 Issue Date . . . . Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 1.00 .3.0000 EA ELEC APPLIANCES 3.00 100.00 .4500 ------------------- EA ELEC DEVICE/FIXTURE >20 45.00 ------------------ Permit . . . . . . --------------------------------------- MECHANICAL P.O. BOX 1504 78-495 CALE TAMPICO LA QUINTA, CALIFORNIA 9225 . 3 Ot 11q - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0"V-0/30 Applicant: z �, Applicant's Mailing Address: Date: / 0/ Architect or Engineer: Architect or Engineer's Address: Lic. No.: tSUILUING PERMIT DECLARATIONS 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 Liceg�A in tull force and effect. License Clas License No -4 F Date t3 _Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t /,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 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 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 exempbon. 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 1, 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 safe.). U 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.). U I am exempt under Sec. _, BA P.C. for this reason WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: — I have and 411 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 rk rs ' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is C S5Z , ;4pe tion insu arrier MyAorkers ensa rance camer d licy number � 4 L'� 0, Number. My '7 4;;-* —2—�l I certifq that,'In the performance of the work for which this permit is iMued, I Sball 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 shall forthwith comply with those provisions. .2 t Date) Applican _"�A� WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COV/AAGE 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. 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.). Lenders Name Lencler's Address 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 co)unty o enter upon the above-mentioned rty for inspecfion purposes. Dat Signature (Applicant or Agent) - y Page 2 Application Number . . . . . 04-00006309 Date 10/25/04. Additional desc Permit Fee . . . . 32.50 Plan Check Fee 8.13 Issue Date- Valuation . . . . 0 ,.Expiration Date. 4/25/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 6.5000 EA MECH VENT FAN 13.00 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc 411 Permit'Fee 55.50 Plan Check Fee 13.88 4 Issue Date . . . . Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extens , ion' BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50. 1.00 3.0000 EA PLB WATER INST/A'LT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments $140,000 interior T.I. ONLY Fee -summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 945.50 .00 .00 945.50 Plan Check Total 548.19 .00 .00 548.19 Grand Total 1493.69 .00 .00 1493.69 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 Tom Tisdale Fire Chief December 22, 2004 Proudly serving the To: La Quinta Building Department unincorporated areas of Riverside County and the Cities of-. Banning Re: Final fire Clearance Beaumont Calimesa The Riverside County Fire Department is granting a fire life safety clearance for Can -von Lake # LAQ-04-TI-107 /'t79---3 90 Hlghway 11 I Patio World Coachella Desert Hot Springs Indian Wells Indio If you have any questions contact me at 760-345-6954 Lake Elsinore La Quinta 4. Moreno Valle), Palm Desert Respectfully, Perris Rancho Mirage Neal Stephenson San Jacinto Fire Systems Inspector Temecula Board of Supervisors » Bob Buster, District 1 ' John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 09/01/2004 11:06 7603462856 PITCHFORK DESIGN PAGE 01 RIVERSIDE COUNTY FIRE, DEPARTMENT in cooperation with the Califvrilia Department of fo restry lend Fire Protectior:I 0 VV n iscudo AvenUe . erns,a rn to 92570• ' Max TENANT IMPROVEMENT PLAN CHECK kugust 10, 2004 Craig Anthony Re: Fire Chief ,r(%dty soving the laincorporated �rcas of Kiverside 't,untv and the �IIIC$ Ot•: iuroin� r. ;3cumoat ,.:al itriCJii if ("myon Lake Coachella 4.1 l:". n 1-1411 springs f6d;an Wells . 1 uct Ulsi,iorc 1.;, Oulnae 4.4 -IUnsrk+ volley v S:m lauiniv M �' ::maett��!• :i;iufj of Supervisors Pob Busier. 1':istriCt i )pF.u'fnvaglinnc, Disirict 2 Dimict 3 ltu+• �'ilsvn, Diarlct 4. Marion .-X�hley, District 5 Patlo$ Plus 79-390 Highway Ill La Quints, CA 92253 must Department y" have been rued a release for a tenant Improvement on an existing building. THIS IS NOT . AN OCCUPANCY PERMIT. Prior to opening your business, y 5u must content the Fire Qepam Planning & Engineering otfice to schedule an appointment for a Fire Safety inspection. You must tie present at time of inspection. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Prior to final inspection of any building, the applicant shall prepare and submit to the Fire Department for approval, a site plan designating required fire Ines with appropriate Isane painting and/or signs. Certain designated areas Witt be required to be maintained at fire lanes. Install panic hardware and exit signs as per Chapter 10 of the 2000 UBC. Shelving, counters, etc. must be in place, however, no merchandise may be placed in the building prior to.inspeclion. install a Manual and Automatic Fire Alarm per NFPA 72, whlrh must include initiation by manual pull, any, automatic device and activation of fire sprinkler wattir flow. System shall include occupant notification by audiovisual devices, and detectors In all unattonded spaces. System plan$ must be submitted to the Fire Department for review, along with a plai checkrnspection fee. ull ilaGI *aCilides Install Knox Lock Boxesi Models 4400, 3200 or 1300, mounted per recommended standard of the Knox Company. Plans muni, be submitted to the Fire Department for approval of mounting Iocetion/position and operating standards. Special forms are, available from this office for the ordering of the Key Lock Boxes. This form must be authoriz-ad and signed by this office for the correttty coded. system to be purchased, if Um building/fadlity is protected wo •a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring.. M;4I ► -471114► I if one .0) or more. heads are added to the fire sprinkler system, plans must be submitted to the Fire Department for review along with a plan check/Inspection feel. Fire sprinklers must cover all areas. A licensed sprinkler company must do any modification of th a t=ire Sprinkler system, with plena approved by the Fire Department. , EmeRGENLY swviceS DIvISION , aLkWliG SE-CnON • INDIO OFFICE s2-675 Mipnway III, 2nd FI., Indlo, CA 92201 • (;W) 863-8886 . Fax (760) 663-7072 09/01/2004 11:06 7603462856 PITCHFORK DESIGN PAGE 02 In a sprinktered building, you must maintain an 18 -inch clearance from bottom of sprinkler head to any shelving or stacked merchandise. Riser room shall be posted "Riser Room". A minimum 2A10BC Fire Extinguisher, (State Firs Marshal Approved) must be mounted in a visible location W MIn 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. Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door. All breakers must be labeled and a clearance of 36 inches must ire maintained around the panel at all times_ 'OTHER REQUIREMENTS: - .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. Building address numbers strati be a minimum of 12" for building(s) up to 25' in height, and 24" In height for buHding(s) exceeding 25' in height. Minimum of 6" lettering is required for suite identification. In strip centers, businesses shall Ix st the business name and suite number on back doors as Well as the front. All addressing must te legible and of a contrasting color with the background. Approved building address shall be placed in such a position a to be plainly visible and legible from the street. Said numbers shall contrast with their background, A durable sign stating "This door to remain unlocked during business hwrs" shall be placed on or adjacent to the frontexit doors. The sign shall be in letters not leas than one inch high on a contrasting background. P?ease contact the Fire Department Planning & Engineering Staff for final inspection prior to. occupancy. ApplicantRnstalier shall be- responsible to contact the Fire Department to schedule inspections. Are - inspection fee will be required if more than one (1) inspection is necessary. Requests for inspections are to be made at least 48 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 iii Engineering Staff at (780)' 863-8886. Sincerely, FFUINK KAWASAKI BEttallon Chief /t=ire Marshal By OFile Evenson Fire Safety Specialist I BUILDING & SAFETY DEPARTMENT OF T��V 777-7012 INSPECTION REQUEST LINE 777-7153 Q�� h-S� �•�� ismer KLEINE BLDG & DEV. lrnractor .- -Q RR avi l-brks 6mit Number 04-1-W-9- 6 3 a T F POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 1B ADDRESS'79-390 HWY I I I t rNANT IMPROVEMENT .A/C UNITS PAX:T OF [ELL BLDG PERMIT r TYPE OF INSPECTION DATE INSP. iMPORARY POWER �TBACKS a PLUMBING / WASTE ELECTRICAL / GROUNDING WINGS / STEEL NCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED IOF NAIL / PRE -ROOF 4AY TO WRAP %MING COMBINATION - G�- IOUGH ELECTRIC ITTOUGH PLUMBING OUGH MECHANICAL ULATION o C01lE�i NOW RK UNTIL ABOVE SIGNED ERIOR GYP. BD. (DRYWALL) I / i 7-Y n L, .•'_ ?:` `tMRIOR LATH $ TEST ',TIC ABANDONMENT NER CONNECTION ?;TIC / GREASE INTERCEPTOR Elk S MASONRY INSPECTIONS 1�TINGS / STEEL }ND BEAM E POOL / SPA / WATER FEATURE INSPECTIONS -GUNITE / SETBACKS [PLUMBING GAS 1.t,ELECTRICAL LPLASTER ALARMS/BARRIERS FINAL INSPECTIONS IP. USE OF PERMANENT POWER �;!r4✓ CTRICAL BING HANICAL (LIC WORKS DEPARTMENT A.MUNITY DEVELOPMENT DEPT. i AL / JOB COMPLETED 00, I ABOVE APPROVALS DO NOT INCLUDE RIGHT TO } TURN ON UTILITIES OR OCCUPY BUILDING �w I'd t,62160T 42unquepRIS aoC dLZ=SO SO bi ueC Certificate of Occupancy Ivm�oan �� OFT19� 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: 79-390 Highway 111 Use classification: Commercial Mercantile "Patio's Plus" TI Building Permit No.: 04-6309 Occupancy Group: M Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Kleine Neil Wayne Address: 41910 Boardwalk A-10 City, ST, ZIP: Palm Desert, CA 92211 --fib By: Daniel P. Crawford Jr. Date: 1/14/05 Building Official POST IN A CONSPICUOUS PLACE