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05-0275 (RC)BUILDING & SAFETY DEPARTMENT c MO. Box 1504 (760).777-7012 D 0F9 78i-495 CALLE TAMPICo FAX (760) 777-7011 JAN 2 8 2GG5� QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 dry OF LA QUINTA BUILDING PERMIT FINANCE (DEPT. , Applic'at-ron Number 05,=,00000245 Date 1/28/05 Property Address . . . . �7940O.HIGHWAY 111 #104 APN: 649-820-002- - - Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation . . . . 2500 Owner Contractor ------------------------ r ------------------------ KLEINE NEIL WAYNE EDWARDS CONSTRUCTION, BOB 41910 BOARDWALK A-10 51455 DESERT CLUB DRIVE PALM DESERT LA QUINTA CA 92253 PALM DESERT CA 92211 WCC: VIRGINIA SURETY WC: 00500027012 01/01/06 CSLB: 684857 03/31/06 CCC: B ----- Structure Information COMMERCIAL REMODEL "NASCAR" TI --_-- Construction Type TYPE V - NON RATED Occupancy Type . . . . . . MERCANTILE Other. struct info . . . . . CODE EDITION .2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY M OCCUPANT LOAD. 44.00 1ST FLOOR SQUARE FOOTAGE 1481.00 Permit . . . . . . .BUILDING PERMIT " Additional desc . Permit Fee 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . 2500 Qty. -Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 - =-------------------------------------------------------------------------- Permit . . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee 44.62 Plan Check Fee 11.16 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1481.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 29.62 Permit W. MECHANICAL Additional desc Permit Fee 19:50 Plan Check Fee 4.88 r ,** P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: fl S �Z I Date:.—�- Applicant. Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. t3UILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm ungr 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 Li se is in full force and effect. s . , ,I .in 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 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 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 stnicture 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 of the work for which this permit is issued. I have and will maint ' wo vers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is MY wo �g nsationInsora'n'Ce Carrierap�pQli u b� Carver � &w tc( Policy -Number_ o �Cl C2- - ( d I I certify that, in the perfornan a 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 Califo 'a, an agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall f rthwith comply with those r vis' Date sL APpI ca t 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. 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 Lenders Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safely 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 ca cellation. 1 certify that 1 have read this application and state that the a ve i __at is correct I agree to comply with all city and county ordinances and state laws relating to building constru'cti n, an %hereby authorize representatives of this c unty o er o o - entioned property for inspection purposes. .Dai e l "i t ignature (Applicant or Agent): 4 Page 2 Application Number . . . 05-00000275 Date 1/28/05 Issue Date Valuation 0 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 Remodel "NASCAR" TI, 1,481 sgft., "M" Occupancy, Type VN Sprinkled, Occupant Load 44. ----------------------------------- ---------------------------------------- Other Fees . . . . . . . STRONG MOTION (SMI) - COM .52 Fee summary Charged Paid Credited Due ----------------- ---------------------------------------- - Permit Fee Total. 118.12 .00 .00 118.12 Plan Check Total 51.14 .00 .00 51.14 y Other Fee Total .52 .00 .00 .52 Grand Total 169.78 .00 .00 169.78 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning .;. Beaumont 4. Calimesa 4. Canyon Lake 4. Coachella ti• Desert Hot Springs 4. Indian Wells 4. Indio 4. Lake Elsinore . La Quinta Moreno Valley Palm Desert 4. Penis Rancho Mirage 4. San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT Highway82-675 111, 2nd FL, Indio, FaX V60) 863-707Z January 24, 2005 Robert Pitchford Architect 74-835 Fox Hils Ct. Palm Desert, CA 92260 Re:' Non -Structural Building T Plan Review LAQ-05-TI-001 / Pitstop k79-400 Hwy 111, Ste 104 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 keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. 3) Install portable fire extinguishers per T'dle 19, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement of equipment. 4) 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 6" 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 Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept RAPEMP WWI- O bo%PROIECTS%TVUAO-OSTI-Mi.doc EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning r Beaumont .; Calimesa Canyon Lake Coachella 4. Desert Hot Springs 44. Indian Wells 4. Indio A. - Lake Elsinore La Quinta 4. Moreno Valley 4 - Palm Palm Desert ti Perris 4. Rancho Mirage 4. San Jacinto r. 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, 2- FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 November 16, 2004 Robert Pitchford 74-835 Fox Hills Ct. Palm Desert, CA 92260 Re: Non -Structural Building TA Plan Review LAQ-04-TI-132 / 79-400 Hwy 111 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 maybe 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 separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. 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 Knox Box, this form must be authorized and signed by this office for the correctly coded system to be purchased. 3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC 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 6" 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. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Cc: City of La Quinta — Building Dept. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist a.IPEMP oaU%La OA&PaOJECTS uaoanW32.doc EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 �....• ..:CITY 4 ' w __...... OF t; iq; QUINTA OF BUILDING& SAFELY DEPARTMENT M6: e : 77-7612 'INSPECTION REQUEST LINE Owner KGEWE_NEIL WA. 777=7153 YNE Contractor EDWARDS CONSTRUCTION, BOB Permit Number 05-0275 POST ON JOB IN CONSPICUOUS PACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 94001 — - - 211 SUITE#104 Commercial Remodel "NASCAR" TI; 1,481 sgft., I'M,, Occupancy, Type VN Sprinkled, Occupant Load 44. TYPE OF INSPECTION IARY POwFa GATE INSP. U/G PLUMBING / WASTE ROOF WILL NG ROUGH ROUGH WORK MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE DOc n. .....-_ _ GAS Fo La�-�o� Certificate of Occupancy Tj�hf ot GF�oF�9�S 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 tBuilding Code and the various ordinances of the City regulating building construction and/or use. 3 E BUILDING ADDRESS: 79-400 Highway 111 Suite 104 Use classification: Commercial Retail "NASCAR" TI Building Permit No.: 05-0275 Occupancy Group: M Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Neil Kleine Address: 41-910 Boardwalk A-10 City, ST, ZIP: Palm Desert, CA 92211 By: Daniel P. Crawford Jr. Date: April 8, 2005 Building Officia POST IN A CONSPICUOUS PLACE