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04-6077 (CONR)J si. P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number Property Address_ APN: Tenant nbr, name Application description Property Zoning . . . . Application valuation BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 0400:0.0.6.077 Date 11/03/04 . 79410 HIGHWAY 111 649-020-999-6 -31172 - . . . BUILD. #6 SHELL _ . . . NEW COMML - OTHER NON-RESIDENTIAL REGIONAL COMMERCI�AI . . . 940569 Owner ------------------------ KLEINE NEIL WAYNE 41910 BOARDWALK A-10 PALM DESERT PALM DESERT CA 92211 L_!_1_1__Wn 2004Contractor--------------t11�1TA A Fint�u ;F -------------- 7 KLEINE BUILDING�AND-DEV=INC 41910.BOARDWALK, SUITE A-10 PALM DESERT CA 92211 (760) 776-4840 WCC: STATE FUND WC: 176911303 12/01/04 CSLB: 390365 03/31/05 CCC: B -C27 ------ Structure Information' 18286 SQ. FT.DARK SHELL BLD. ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . BUSINESS <50 Flood Zone . . . . . . . .. NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY SHELL PATIO SQ FTG 3185.00 FIRST FLOOR SQ FTG 18286.00 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT , Additional desc Permit Fee 3362.50 Plan Check Fee 2185.63 Issue Date . . . . Valuation . . . . 940569 Qty Unit Charge Per Extension BASE FEE 2039.50 441.00 3.0000 THOU BLDG 500,001-1,000,000 1323.00 ----------------------------------------------------- ----------------------- Permit . . . . . . ELEC-NEW COMMERCIAL Additional desc.. Permit Fee . . . . 380.72 Plan Check Fee 95.18 Issue Date . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE - 15.00 18286.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 365.72 -----------------------------------------------------------------=---------- Permit GRADING PERMIT 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: f/ `7 Applicant: (dVT1�OA Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING 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 License is in full force and effect. o LicenseCIass-�%j,e % LicensseNo: \�,�6•�bs Date- Contractor-_ �?�O!C LJ�i� :y[.C_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (__) 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 I am exempt under Sec. , BA P.C. for this reason Date 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 maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss Myers' compensation insurance carrier and policy number are: Carrier, rkN 0 --_Polic'y Number"' -7 /'? (n Cf //�0 .� _ 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, 1 shall forthwith comply with those provisions. /} Dae pplicariticantj 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 Lender'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 thebove information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction and/hereby authorize representatives of thiscounty to ent rtpon t the above-mentioned property for inspection purposes. ' .Signature (Applicant or pW'Zx..esi�x+•i/yd}f�y .fi"7, r•''s'� 4 Page 2 Application Number . . . . . 04-00006077 Date 11/03/04 Additional desc . . Permit Fee .15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension ' BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 375.00 Plan Check Fee 93.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension i. BASE FEE 15.00 20.00 9.0000 EA MECH FURNACE <=100K 180.00 20.00 9.0000 EA MECH B/C <=3HP/100K BTU 180.00 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc Permit Fee . . . . 402.00 Plan Check Fee 100.50 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 15.0000 EA PLB BUILDING SEWER 240.00 16.00 6.0000 EA PLB ROOF DRAIN 96.00 17.00 3.0000 EA PLB WATER INST/ALT/REP 51.00 -------------------'---------------------------------------------------------- Special Notes and Comments COMMERCIAL SHELL BUILDING 18286 SQ. FT.. TYPE VN (B.OR M OCC. PROPOSED) 2001 CBC CODES. 11/2/04 10:33:59 AM JJOHNSON ----------------------------------- Other Fees . . . . . ----------------------------------------- . . ART IN PUBLIC PLACES -COM 4178.15 DIF CIVIC CENTER - COMM 1737.17 ENERGY REVIEW FEE 218.56 DIF FIRE PROTECTION -COMM 585.15 STRONG MOTION (SMI) - COM 176.32 DIF STREET MAINT FAC -COMM 420.57 DIF TRANSPORTATION - COMM 31525.06 Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total ------------------------------ 4535.22 .00 .00 4535.22_ Plan Check Total 2475.06 1500.00 .00 975.06 Other Fee Total 38840.98 .00 .00 38840.98 Page 3 Application Number . . . . . 04-00006077 Date 11/03/04 Grand Total 45851.26 1500.00 .00 44351.26 Building Tittf�li�%!'IA b�� 0� Po. Box 1504 APPLICATION ONLY UINT CALLS CALIFORNIATAMPIO L.( C LA QUINTA, ORNIA 92253 ailAing ddresss ,4(3�0 t;O*JZt:�� C)' A.— fo [tt,F_� tWdor Zig 22 ITel._,,7, 4640 ( �JAdd j �� ZIp�2Z f f Te`n-6 al, State Lic. 2� City '�� & Classif. �j 7� S Lic. # Arch., r., De ' r Q AdGkq ss Lt's��L Cit f Zip State � �� .7 !,� Lic. #GI ?-3 /g LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). ❑ 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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 Workers' Compensation laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above-mentioned property for Inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT �I� BUILDING: TYPE CONST. UP OCC. GRP GRP. A.P. Number &�Eg - 0 Za - 0-5-0 — 8 Legal Description Project Description % Sq. Ft. Size New ❑ 6 No. No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ EAG KLEINf - b �j Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 15607,00 Plan Chk. Bal. Const. Mech. Electrical Plumbing - — n -------- t S.M.I. Grading L�1IN 111111 Driveway Enc. Inw. J1U11 Infrastructure INf�N9 �E DEPT. 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: Validated by: Validation: Date Permit YELLOW = APPLICANT PINK = FINANCE At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/Walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.36 X 18,286 S.F. or $6,582.96 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees.Paid By CC/Pacific Western Bank -Nancy Crisalli Check No. 242951 Name on the check Telephone Funding Commercial By Dr. Doris Wilson Superintendent Fee collected /exempted by Yolanda Garcia Payment Recd 1$0.001 $6,582.96 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the Districts) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy - Applicant/Receipt Copy -Accounting P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Doug Evans, Planning Manager BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: 3-16-2005 Due date: 3-23-2003 Status: l st 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: Shell Improvement — La Ouinta Valley Plaza r Address or general location: 79-� Highway 111 Applicant Contact: Neil Kleine 776-4840 The Community 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. 36" 10S Doug Evans, Planning Manager Date h �FtSIDE co RIVERSIDE COUNTY ' FIRE DEPARTMENT Highway lo, . Fax863-7072 DEPARTMENT Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside August 31 2005 g County and the Cities of: Banning City Of La Quinta +410 Beaumont Building Department Calimesa Canyon Lake Re: L.Q. Valley Plaza Shell Building only Coachella Desert Hot Springs The Riverside County Fire Department is granting a fire and life safety clearance for •s the following address 79-410 Hwy 111, La Quinta. Please call if you should have any Indian wells questions. ❖ Indio Lake Elsinore La Quinta Moreno Valley 4. Pain Desert FRANK KAWASAKI ., Battalion Chief / Fire Marshal Perris Rancho Mirage + San Jacinto ❖ Temecula By Terry D Soucy Fire Systems Inspectors Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy. Wilson, Districts TD/jl Marion Ashley, District 5 EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd 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 oe Beaumont 4. Calimesa Canyon bake Coachella Desert Hot Springs 4 - Indian Wells Indio Lake Elsinore 4. La Quinta ee Moreno Valley d� Palm Desert Perris 4 - Rancho Mirage ee 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 August 16, 2005 Robert Pitchford Architect 74-835 Fox Hils Ct. Palm Desert, CA 92260 RIVERSIDE COUNTY FIRE DEPARTMENT Re: Non -Structural Building TA Plan Review LAQ-MTI-033 / Express Cleaners 79-410 Hwy 111, Ste.105 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 permiL 1) Fire Department approval is based upon the 2001 CBC requirements for Group F1 occupancies. It is prohibited to use, process or store any materials in the occupancy that would classify it as a Group H occupancy per Sec. 307 of the 2001 CBC. (Class 111-A combustible liquids used at this facility not to exceed exempt amount of 330 gallons.) 2) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a planlinspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 3) 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. 4) Provide NFPA 704 placarding indicating the hazard classification of the dry cleaning chemical used. Signs shall be posted on adjacent to the front and rear doors of the tenant space. 5) Install portable fire extinguishers per Title 19, but not less than 2A11 OBC in rating. Contact certified extinguisher company for proper placement of equipment 6) 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 a minimum of 6" in height on back doors as well as the front. 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. C City of La Quinta — Building Dept yo KVEZW rM*)A= Sincerely, FRANK KAWASAKI Chief Fire Department Planner By �GL Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82875 Highway 111, 2- FI., Indio, CA 92201 • (760) 863-8886 • Fax (/60) 863-7072