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06-2744 (RC), P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002744 Property Address: 79440 HIGHWAY 111 STE 103 APN: 649-820-004- - - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 60000 Tity/ 4 4 Q" Applicant: Architect or Engineer: I)I� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Icommencing with Section 7000) of Division 3 of the B ' ess and Professionals Code, and my License is in full force and effect. License Class: 13 License No.: 859158 Date: ontractor. OWNER -BUILDER DECLARATION hereby aff' m under penalty of perjury that I am exempt from the Contractor's 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 licensedpursuant to the provisions of the Contractor's 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 155001.: (_ 1 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 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.). (_) 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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 LQPER\fIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/29/06 Owner: DR. JEFF HOCKINGS 79-440 HWY 111 STE 103 PALM DESERT LA QUINTA, CA 92253 D Contractor: PREMIER CONSTRUCTION R MODAIS 1 yoo6 2189 E. MCMANUS DRIVE 17 31 L PALM SPRINGS, CA 9226 CITYOF (760)275-2891FINANCE DE NTA Lic. No.: 859158 ----------------------------------------------- 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 ssued. J! Thave 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 and policy number are: Carrier CNCL'D 8/16/06 Policy Number 1803816-2006 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, -Y I should become subject to the workers' compensation provisions of Section / S 3700 of th bor Cod frf0 t ith comply with those provisions. Qafe: 7 e Applicant: /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. 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 my to enter eenntter upon th bove-mentioned prop e o insp ction purpos s. r Da . — �G /i ture (Applicant or Agent): ' Application Number . . . 06-00002744 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 459.50 Plan Check Fee 298.68 Issue Date . . . . Valuation . . . . 60000 Expiration Date . . 2/25/07 Qty Unit Charge. Per Extension BASE FEE 414.50 10.00 4.5000 THOU BLDG 50,001-100,000 -------------------7-------------------------------------------------------- 45.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 51.00 Plan Check Fee.. 12.75 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 80.00 .4500 EA ELEC DEVICE/FIXTURE >20 ---------------------------------------------------------------------------- 36.00 Permit . . . ..MECHANICAL Additional desc r Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/25/07 \ Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ------------------------------------.---------------------------------------- Special Notes and Comments TENANT IMPROVEMENT STE 103 PHENOMENAL HEALTH.August 29, 2006 9:29:12 AM jjohnson -------------------------------------.--------------------------------------- ` Other Fees . . . . . . . . STRONG MOTION (SMI) - COM 12.60' Fee summary Charged Paid Credited '�.----------------------------------------------- '------=--- Due Permit Fee Total 534.50 .00 .00 534.50 Plan Check Total 317.43 .00 .00 317.43 Other Fee.Total 12.60 .00 .00 12.60 Grand Total 864.53 .00 .00 864.53 LQPERMIT r� RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue . Perris, Cafiforrda WMO . Fax Tom O'Keefe July 21, 2006 Fire Chief Proudly serving the UninAreas of� Riverside Rob Pitchford Design County and the 41625 Eclectic, Ste A-2 Cities of Palm Desert, CA 92260 Banning 1C• Beaumont RE: TENANT IMPROVEMENT PLAN CHECK a• LAQ-06-TI-055 / Phemonenal Health — Dr. Jeff Hockings at 79440 Hwy 111, Calimesa Suite 103, La Quinta, CA o� Canyon Lake 1% You have been issued a release for a tenant improvement on an existing building. THIS IS Coachella NOT AN OCCUPANCY PERMIT. Desert Hot springs It is prohibited to use/process or store any materials in this occupancy that would classify it e• Indian Wells as an "H" occupancy per Sec. 307 of the 2000 UBC. p Indio THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: e• Lake Elsinore Install door hardware and exit signs as per Chapter 10 of the 2000 UBC. La Quinta .• Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard Moreno valley of the Knox Company. Plans must be submitted to the Fire Department for approval of mounting location/position and operating standards. Special forms are available from this Pte` Desert y office for the ordering of the Ke Lock Boxes. This form must be authorized and signed b 9 Y 9 Y Perris this office for the correctly coded system to be purchased. If the building/facility is protected 4• with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" Rancho Mirage monitoring. v 4Jacinto . A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a . Temecula visible location within 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 Boars of supervisors attached. A licensed fire extinguisher company must service extinguisher yearly. Bob Buster, District I ELECTRICAL PANEL BOX: John Tavaglione, All breakers must be labeled and a clearance of 36 inches must be maintained around the District 2 panel at all times. Jim Venable, District 3 OTHER REQUIREMENTS: Roy wis°n, Districts 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. Marion Ashley, District s A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting background. EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd R., Indio, CA 92201 • (760) 863-8886 . Fax (760) 863-7072 Applicantrnstaller shall be responsible to contact the Fire Department to schedule inspections. A re-inspection fee will be required if more than one (1) inspection is necessary. 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, Tracy Hobday Chief Fire Department Planner By: Sonia Cool Fire Safety Specialist Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. Banning d• Beaumont Calimesa 4. Canyon Lake 4. Coachella �i• Desert Hot Springs o• Indian Wells r. Indio Lake Elsinore La Quinta Moreno Valley e Palm Desert Perris 4. Rancho Mirage 4P. - 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 82-615 HighwayIndio, Fax863-70 12 January 18, 2006 Lench Design Studio, Inc. P.O. Box 450 La Quinta, CA 92253 Re: Non -Structural Building Plan Review LAQ-06-BP-004-/ 7940 Hwy 111 Ste. 101, 102, 10��,1-04, 105, 106 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) Fire Department approval is based upon the 2001 CBC requirements for Group B or M 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. 2) The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in the 2001 CFC. A fire flow of 1500 gpm for a 2 -hour duration at 20 psi residual operating pressure must be available before any combustible material is placed on the job site. 3) The required fire flow shall be available from a Super hydrant(s) (6"x 4"x 21/2" x 21/2") located not less than 25' or more than 165' from any portion of the building(s) as measured along approved vehicular travel ways. 4) Install a complete fire sprinkler system per NFPA 13. The post indicator valve -and fire department connection shall be located to the front within 25' to 50' of a hydrant, and a minimum of 25' from the building. System plans must be submitted to the Fire Department for review, along with a plantiinspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. (Fine sprinkler riser location should be placed widlin the building in relation to the approved location of the FDCRIV.) 5) Whenever sprinkler overhead mains of 4" size or larger are provided, the Riverside County Fire Department requires documentation from a structural engineer that the roof structural members will be capable of supporting the weight of the water filled mains and attached lines. Provide appropriate detailed documentation, with a wet stamp and signature, by the project structural engineer. 6) Install an alarm monitoring system for fire sprinkler system(s) with 100 or more heads (20 or more in Group I, Division 1.1 and 1.2 occupancies). Valve monitoring, water -flow alarm and trouble signals shall be automatically transmitted to an approved central station, remote station or proprietary monitoring station in accordance with 2001 CBC, Sec. 904.3.1. An approved audible sprinkler flow alarm shall be provided on the exterior in an approved location and also in the interior in a normally occupied location. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72, 1999 Edition, to the Fire Department for review and approval prior to installation. EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE 82.675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 7) 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. 8) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. 9) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. 10) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear ams 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. 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, Tracy Hobday Chief Fire Department Planner By Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept. • M9PEAvW oahUA QukU"aECM-&Aft PgIA04G NOW.aae