0309-217 (RC)0 LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter W(commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
76279:1 R 05M 112C
Date // - ' - .Signature of Contractor •as -y-- ' rt " " ~�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from.the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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 & policy no. are:
Carrier ,i°1,�9TES�IJIIL? Policy No. IS5721.4-b.2
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 shall forthwith comply with those provisions.
,,at t • •'1' Applicants f� � f-~ '2
r
Warning: Failure to secure Workers,'"Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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. rr'^
IMPORTANT Application is hereby made to the Director of Building and Safety .
for a permit subject to the conditions and restrictions set forth on his M
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. J
Signature (Owner/Agent);Date r1 + = r J
' BUILDING PERMIT PERMIT"
C�.if�417
DATE VALUATION LOT' TRACT
&50010wao
JOB SITE
ADDRESS
APN
OWNER
CONTRACTOR / DESIGNER / EN (NEER
Co.
,a�l.� .S�.t �'�:�.',Z)r'�i�1.1�' Mi
3856 VT1ADOLCE
3656 V1A,DOL
MAWHAT°iEL .U. - r CA !P0292
MARMAD1, R ZY CA 90292
p1g)821.6161 cr211A. 2172
USE OF PERMIT
COtAMEFCIAIW h,kMODEu (UA:R3fiA1,LS 71) A260 S. F., "M
OCCUPANCY, TYPEVN SP.A.INXLED, SM OCCUPANT WAD
FpWAYED COST 0A3' C0.1-T€s7iUiT(M01'd
5090M.00
PF'�'+'h=*FFE MUMMY 'I .
CONSTRUCTION MV, 101-000418-yoo i %2,030,”
Pi..A14 CkiFZK FE . 101 _00043,Q-1419- $1.,mg.92
MEC.HANICAL MI 101.000.421.00€1 U13.00
ELW.TRICA1a FEE 101 X0000 420.000
STRO34G MOTION 'VEE - COMM I 00-00 04A. 1-000. $705.00
OC C1CTJi13�I�iPit:i"i�
''4s'l1.12
S PRE -PAM 1N
0.00
LA QUINYA
�c'�t�
CIV OF FERKITYDAM NOW
DEPT.
FINANCE
RECEIPT
DATE r
BY j
DAT
INSPE T
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation'
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior lath
Drywall - Int. lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg: Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out -
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer lateral
Pool Cover .
Sewer Connection
Encapsulation
Gas Piping
Gas Test 3
Appliances
Final • .
COMMENTS:
( .
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
4.4
Final
Utility Notice (Perm)
A '
Building
Address
Owner .... _
T4t�p 4 4 Qum&
P.O. BOX 1504
Y / 11 78-495 CALLE TAMPICO
r/ LA QUINTA, CALIFORNIA 92253
Mailing ( t
Address
ZiPe,.� d 5 3 Tel / / I"��•<t--
Contractor
�n
Address
State Lic.I City
& Classif. Lic. #
Designer 11e7RJ<nW112
A
Address Tel.'s
I I I 1,t 1 nr Is Y I A ryt
Cityj { Zip t State•
,61,%AC- /t 9 c) G;C% 2 Lic. # C I 36
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t.of Division 3 of the Business and Professions Code, and my license is in full force and
ellec
SIGNATURE DATE
\ OWNER•BUILDER DECLARATION
`I hereby affirm that I am exempt from the Contractor's License Law for the followi�
rea3on; (Sec. 7031.5.Business and Professions Code: Any city or county which r quires a
perm)t\to construct, alter, improve, demolish, or repair any structure, prior to 'I'S
I uance also
requires the applicant for such permit to lila a signed statement that he is licens pursuant to
the prod�' tons o! the Contractor's License Law, Chapter 9 (commencing with S "0 7000) of
Division 3\of the Business and Professions Code, or that. he is exempt therefr", and the basis
for the allhe9ed exemption. Any violation of Section 7031.5 by 'any appl' ant for a permit
subjects the Applicant to a Civil penalty of not more than five hundred dollars (8500).
I-! I, as owneippf the property, or my employees with wages as their so compensation, will
do the work, and the structure is not intended or offered for sale. (S . 7044, Buisness and
Professions Cotle\\Tlh�e Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself orIse
gh his own employees,
provided that such i provemenis are not intended or ofreretl for 1!, however, the building
or improvement is sola within one year of completion, the owneder will have the burden
ofproving that he tlitlnot build or improve !or the pupose o! sale.)
I'I I, as owner of the pr ! arty, am exclusively contracting wit nsed contractors to con-
struct the project. (SeC. 044, Business and Professions Cod . The Contractor's License Law
does not apply to an owne\`o�! property who builds or improve thereon, and who contracts for
such projects with a confractot{s) licensed pursuant to the Contra or's License Law.)
i7 1 am exempt under Sec. \B. & P.C. for this eason
Date owner \ /
WORKERS' CO\MPENSAT19W DECLARATION
I hereby affirm that I have a certificate of onsent to self -insure, or a certificate of
Worker's Compensation Insurance, ora 6 rrtifiedycopy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
C71 Copy is filed with the city. 0 Certi Ie copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
1 WORKERS' CO PENSATION INSURANCE
(This section need1nof be completed i/ t e permi\isfcr one hundred dollars (5100) valuation
or less.)
Icertify that in the performance ing workhich this permit is issued, I shall not
employ any person in any manners as to becubject to the Workers' Compensation
Laws of California. -
Date Owner
NOTICE TO APPLICANT: If, afle making this Certificate of Exemption you should become
subject to the Workers' Comp nsation provisions of thq Labor Code, you must forthwith
comply with such provisions or thf permit shall be deemed revoked.
` CONSTRUCTION LENDING AGEf\ Y
I hereby affirm the there is a construction lending agency\or the performance of the
work for which this pe mit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a buijdng permit when properly filled cut, signed and v (dated, and is subject to
expiration it wyrk thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree Io Comply with all city and county ordinances and state laws relating to building
construcgon, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signpture of a0plicant \.e
4fing Address
City, State, Zip
APPLICATION ONLY
LDING: TYPE"CONST._OCC. GRP.
P. Number
Legal Description
Project Description - Min, S BACs
Sq. Ft.
Size 1
n/�� No.
fit✓ Sto
New ❑
Add ❑
No. Dw.
Units
Alter Ix Repair ❑ Demolition ❑
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I
Grad
Drive nc.
Infra u tura
TIM
CITY OF QUINTA
TOTAL
REMARKS '
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
E
A
X
in #
G
r
Permit #
Project Address:
City of La Quinta
Building 8E Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address:
Legal Description:
City. ST. Zip:
Contractor:-
f Telephone:
,- -;�--t•,�;_
�}
Address:
0XProject Description:
Cit),. ST. Zip:
Telephone:
State Lic. # :
Arch., Ener., Designer:
Citv Lic. #:
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
p
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
/e
Plan Check Deposit
Truss C2105.
Called Contact Person
D
Plan Check Balance
Energy Calcs.
Plans picked up 6y /vv Si lft.---
/�/907
Construction
Flood plain plan
Plans resubmitted I/IA AI L�
to
/Z3 0
Mechanical
Grading plan
2" Review, ready for correctio'issue
�
Electrical
Subcontactor List
Called Contact Person 405 13
1I
Plumbing
Grant Deed
Plans picked up
S I 1
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, rcadv for correctionsrssue
Developer Impact Fee
A I P P
Planning Approval
Called Contact Person
Pub. Wks. Appr
'Date of permit issue
School Fees
�'�������'s,�✓-
i
;
Total Permit Fees
1(//0 CSU av0p kec''
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 11-01-2003
From: Oscar Orci, Planning Manager Due,date: 11-07-03
Status:3`d Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Marshal's TI
Address or general location: 79-395 Hwy 111
Applicant Contact: Russ Beckner 777-7686
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
Approval. '
B' 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.
Oscar Orci, Planning Manager Date
31
YOUNG ENGINEERING SERVICES
• Engineering • Architecture -Surveying- Building & Safety Services
Letter of Transmittal
To: City of La Quinta Date: 10-29-03
Project: Marshals (T.I.)
79-395 Highway 111
Attn: Ed Randall P/C#: 0309-217 (1st check)
Tel No.: Tract No.:
We are forwarding: X By Messenger By Mail Your Pickup
No. of Copies Description:
1 Plans
1 Structural Calculation (single sheet)
Comments: Structural content is approvable.
This Material Sent for: '
Your Files X Per Your Request
Your. Review Approval
Checking At the request of.
Other
By: John W. Thompson
Phone # 360-5770 ext. 102
77-804 Wildcat Drive, Ste. C • Palm Desert, CA 92211 • (760) 360-5770
•Bron Young •
MAY -19-04 WED 5:44 1% RIV, CO. FIRE PH INDIO FAX YO, 1 760 863 7072 P. I
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Departn7ent of Forestr,v and hire Protectio►7
210 est San Jacin o Avenue • Perris, California 9257C • (909) 940-6900. Fax (909)-NT99f 0
Tom Tisdale
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside.
County and Ole
C►tics of:
Banning .
IJeaUntOnl
Calimesa
Canyon Lake
4.
Coachella
.1
Desc,'t I kx Springs
Indian Wells
htdio
Lake Flsinorc
La Quinta
Momno Valley
� - I
Palm Dc_scrt
e.-
Rancho
3Rancho Mirage
rf
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John 'favaglione,
oislrict 2
Jim Venable_
District 3
Roy Wilson,
Districl 4
Marion Ashley.
District 5
May 18, 2004
City Of La Quinta
Building Department
Re: Fire and Life Safety Clearance
LAQ-03-B P-072
MARSHALL'S
The Riverside County Fire Department is granting a fire and life safety clearance for the
Following address located at 79395 hwy 111, La Cuinta. Please call if you should have
any questions.
TD/jl
FRANK KAWASAKI
Chief Fire Department Planner
By V
Terry D Soucy
Fire Safety Specialist
EMERGENCY 6ERVICM DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highwaj Al, 2n° FI., Indio, CA 92201 -- (760) 863-8886 • Fax (760) 863-7072
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of
Banning
Beaumont
Calimesa
•;•
Canyon Lake
❖
Coachella
g.
Desert Hot Springs
Indian Wells
Indio
❖
Lake Elsinore
.;.
La Quinta
4.
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
g.
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 4
California Department of Forestry and Fire Protection
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 . Fax (760) 863-7072
May 6, 2004
To: City of La Quinta
Building Department
Re: 'Release to Store Commodities
Marshall's Store
The Riverside County Fire Department hereby releases the above referenced project to allow the
storage of commodities within the building. This is not a fire and life safety clearance to allow the use of
the building by persons not directly associated with the general construction of the building.
Should there be need for further information and/or clarification, please contact the undersigned.
Respectfully,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
H:%PEZWJP DataU QUMWROJECTStB ft PCHA04IBP-072 Storage Refease.doc
I .
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of.
Banning
Beaumont
4.
Calimesa
4.
Canyon Lake
4.
Coachella
4. .
Desert Hot Springs
4.
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
4.
Palm Desert
4.
Penis
4.
Rancho Mirage
San Jacinto
4.
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
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
October 29, 2003
Perkowitz + Ruth Architects
110W. Ocean Blvd., 216t Floor
Long Beach, CA 90802
Jq-
CE['
if 2003
+ aunt
Re: Non -Structural Building T/I Plan Review �•.�l
LAQ-03-BP-072 / Marshall's — La Quinta
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) This building has not been reviewed or approved for high pile/rack storage. A separate permit for
specific fire protection requirements shall be reviewed and approved prior to storing materials in a
manner defined as high pile/rack storage.
2) . 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.
3) Install a monitoring system designed in accordance with NFPA 72, which must include a water flow
monitor, control valve tamper and continuous monitoring service. System plans must be submitted
to the Fire Department for review, along with a plan check/inspection fee.
4) Install Knox Key Lock box, Model 3200, mounted per recommended standard of the Knox
Company. If the building/facility is protected with a fire alarm system or burglar alarm system, the
lock boxes will require "tamper" monitoring. Special forms are available from this office for the
ordering of the Key Switch, this form must be authorized and signed by this office for the correctly
coded system to be purchased.
5) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. Doors have not
been approved for special egress -control functions as defined in CBC, Sec. 1003.3.1.10.
6) Combination fire/smoke dampers in the one-hour corridor shall be activated by either of the
following methods:
a) Area smoke detectors Listed for releasing service within the corridor.
b) Air -sampling tube type detectors — Dampers shall close upon smoke detector activation and
every time the air -handling unit shuts down by thermostat control.
7) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified
extinguisher company for proper placement of equipment.
8) 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 shall be a minimum of 12" for
building(s) up to 25' in height, and 24" in height for building(s) exceeding 25' in height. All
addressing must be legible and of a contrasting color with the background.
9) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
` 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
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.
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
B
Y
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Building Dept..
C-.TMWPDATAW IQUIWAXPROJECTSIBLDO_PC'UAQ-01BP-072(D).dce
Tom Tisdale
Fire Chief
A
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
4 -
Beaumont
4•
Calimesa
q.
Canyon Lake
Coachella
4.
Desert Hot Springs
Indian Wells .
4.
Indio
Lake Elsinore
La Quinta
Moreno Valley
41
Palm Desert
q.
Perris
Rancho Mirage
San Jacinto
4.
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
82-675 Highway 111, 2nd FL, Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072
October 6, 2003
Perkowitz + Ruth Architects
110 W. Ocean Blvd., 21St Floor
Long Beach, CA 90802
Re: Non -Structural Building TA Plan Review
LAQ-03-BP-072 / Marshall's - La Quinta
Fire Department personnel have completed a review of the plans you submitted for the above
referenced project. Please be advised the following conditions or corrections must be completed and
approved by the Riverside County Fire Department before a building permit can be issued.
1) Revise Building Summary notations as redlined on Sht. TS -1. -OME
2) Include the Electrical and Mechanical sheets on plan resubmittal. - '"Vl-
3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. Provide
clarification of door latching hardware for doors noted on Sht. A1.0. - pCVIE-
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering staff at (760) 863-8886.
QED
� 2003
�r,� o RujN
pERKO�I�Z +
H:1PE2PWP DataLLa Ouk ta\PROJECTStTIttAQ•0}BP-072(a).doe
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
Walter Brandes
Fire Safety Specialist
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 86341886 • Fax (760) 863-7072
Ju
S
2004 9:58AM Constru'dion Design Systems, IN(
.... ......
ITY OF LA QUINTA
MING &SAFETY DEPARTMENT.
777-7012
":J) NSPECTION REQUEST LINE
i�. 777-7153
Ownor 'S V LOPNIENT Co.
Contr coir TAMK DEVELOPMENT Co.
Per4l 66,1_03091217
POST ON JOB IN CONSPICUOUS_ PLACE_
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB _ADDRESS __F �1-395 �HWY 1LI
COMMERCIAL REMODEL (MARSHALLS 11) 30,261
S.F.,."
M OCCUPANCY, TYPE VN SPRINKLED, 828.
OCCUPANT LOAD
TYPE OF INSPECTION
DATE IN';R
TEMPORARY POWER
SETBACKS --
U/G PLUMBING / WASTE
U/G ELECTRICAL / d-RO-UNdING
FOOTINGS / STEEL _
L
CONCRETE SLAB
00 NOi-P-OUR CONCRETE UNTIL ABOVE SIGNEii—_
ROOF NAIL N�AIL/ PRE -ROOF
OKAY TO WRAp__
��COM�BINATIO�N�
ROUGH ELECTRIC
ROUGH PLUMBING
�HMEC�HAWIC_AL'
INSULATION —____
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC'/ GREASE INTERCEPTOR
MASONRY INSPEC fiONS
FOOTINGS / STEEL
SONDBEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE -G JNITE / SETBACKS
U/G'PLUMBING
U/G (;AS
�L
!�/G ELECTRICAL
�L MS/B
PRE -PLASTER ALARMS (BARRIERS)
FINAL INSPECTIONS
--
TEMP.
EMP.
U
SE
O
F
P
E
RM
A
NENTPOW
E
R
a—
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO
NOT INCLUDE RIGHT TO
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ANF & ASSOCIATES Tel: (626) 448-8182
Consulting Structural Engineers Fax: (626) 448-8092
9420 Telstar Ave., Suite 118, El Monte, CA 91731
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
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FOR CONSTRUCTION
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,- Certificate of Occupancy
OF T 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: 79-395 Highway 111
Use classification: Commercial (Marshalls TI) Building Permit No.: 0309-217
Occupancy Group: M/S-2 Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: Stamko Development Co. Address: 3856 Via Dolce
City, ST, ZIP: Marina Del Rev, CA 90292
By: Daniel P. Crawford Jr.
Date: 6/28/04
Building Official
POST IN A CONSPICUOUS PLACE
l�a
Certificate of Occupancy
T44f ot 4 a"
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: 79-395 Highway 111
Use classification: Commercial (Marshall's TO
Building Permit No.: 0309-217
Occupancy Group: M/S-2 Type of Construction: VN Sprinkled
Owner of Building: Stamko Development Co. Address: 3856 Via Dolce
30 Day Temporary Certificate of Occupancy, see attached
correction notice , —',.'
Building Official
Land Use Zone: CR
City, ST, ZIP: Marina Del Rev. CA 90292
By: Daniel P. Crawford Jr.
Date: Expires 6/19/04
POST IN A CONSPICUOUS PLACE