06-3565 (RC)r,-_�
._ -lop►
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00003565
79450 HIGHWAY 111
649 -820 -003 -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
75000
Architect or Engineer:
d lA
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 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 681660
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm 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 licensed pursuant 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 ($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 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.).
(� 1 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 I am exempt under Sec. , B.&P.C. for this reason
ate: JfiV ner.
ONSTRUCTION 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:
LQPERMIT
Owner:
GRAIG GERACI
79-450 HWY 11
LA QUINTA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/30/07
Contractor:
WASSERMAN CONSTRUCTION INC
P.O. BOX 5909 JAN 3 0 ?Qpl
LA QUINTA, CA 92247 I
(760)771-8191 Cl
Lic. No.: 681660 FINdAt— Q IAI,.
_
--------------7--------------------------------
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 and policy number are:
Carrier STATE FUND Policy Number 756-0000002
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,
I should become subje t o t e workers' compensation provisions of Section
bor Co 1 shall forthwi h o ly with those provision�3�if
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 1$100,0001. 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 informati is correct. I agree to comply with all
city and co my ordinances and state laws relating to buildi constructio , a d hereby authorize representatives
Of this u ty�t'oi a ter."Jyypilon the above-mentioned prope f r ins ectio p es.
e: V OSI re (Applicant or Agent):
LQPERMIT
Application Number .
. . . . 06-00003565
Permit. . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . .
527.00 Plan Check Fee
342.55
Issue Date . . . .
Valuation . . . .
75000
Expiration Date
7/29/07
Qty Unit Charge
Per
Extension
BASE FEE
414.50
25.0.0 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
112.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
30.50 Plan Check Fee
7.63
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/29/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
23.20 Plan Check Fee
3.75
Issue Date . .0. .
Valuation . . . .
0
Expiration Date
7/29/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
410.00 .0200
- ----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
8.20
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
85.50 Plan Check Fee ".
21.38
Issue Date ' . . .
I Valuation . . . .
0
Expiration Date
7/29/07 `
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 6.0000
EA PLB FIXTURE
24.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 12.0000
EA PLB INTERCEPTOR
12.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
3.0.0 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
9.00•
LQPERMIT
LQKRMIT
Application Number . . .'.
06-00003565
_
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 15.0000 EA PLB
GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
ADD KITCHEN TO AN EXISTING GOLF
BUSINESS W/A EXISTING BAR.
•----------------------------------------------------------------------------
Other Fees . . . . . . . . .
STRONG MOTION
(SMI) - COM
15.75
Fee summary Charged
Paid
--------------------
Credited
----------
Due
---------------------------
Permit Fee Total 666.20
.00
.00
.666.20
Plan Check Total 375.31
.00
.00
375.31
Other Fee Total 15.75
.00
.00
15.75
Grand Total 1057.26
.00
.00
1057.26
LQKRMIT
►\/I %VIVVJ - ` .....w -..-v` Irl r /
101(0 (0(0 7 CDD (u -?/P I o-r)b Grer9hee4)
1011 O O(t� CD D A PPRWED
1119 107 —=P, oIsj aogv-v Cin bot _)
Fain t•
O
LS
Cit • y of L a Quinta
Building u Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
6,z�6�
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 4c -7c Owner's Name: l=c
A. P. Number: Address: �D t
Legal Description: City, ST, Zip: L*cA �4 3
•
Contractor: Telephone:
` KRA.
Address: Project Description: n
City, ST, Zip:
Telephone: �•� 5'
� O l�J 1 1'l.0 �
State Lic. # : City Lic. #:
2.
Arch., Engr., esi n .
Address: <FAajb R
City, ST, Zip:✓,�
Telephone:
5Construction Type: Occupancy:
r"
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: e v A U Sq. Ft.: -
# Stories:
# Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd.
Recd
TRACKING.. PERMIT FEES
Plan Sets
Plan Check submitted G Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy .Calcs.
Plans picked up kXA/0LJ Construction
Flood plain plan
Plans resubmitted! G Mechanical
Grading.plan
2°d Review, ready f corrections/ sue �r Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted . Grading
INHOUSE:-
''" Review, ready for correctio s/issue Developer Impact Fee ;
Planning Approval
Called Contact Person
A.LP.P
Pub. Wks. Appr
Date oCpermit issue
School FeesRel
Fo_ & r ri
; .. •
Total Permit Fees12
t 7r.
w.
rJ),_._
►\/I %VIVVJ - ` .....w -..-v` Irl r /
101(0 (0(0 7 CDD (u -?/P I o-r)b Grer9hee4)
1011 O O(t� CD D A PPRWED
1119 107 —=P, oIsj aogv-v Cin bot _)
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
.;
.Beaumont
Calimesa
Canyon Lake
4.
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
4.
La Quinta
Moreno Valley
Palm Desert
4.
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
210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910
October 11, 2006
Gabriel Lujan
45175 Panorama Drive, Ste A
Palm Desert, CA 92260
RE: TENANT IMPROVEMENT PLAN CHECK
. LAQ-06-TI-085 / Club Achilles at 79450 Hwy 111, La Quinta, CA
You have been issued a release for a tenant improvement on an existing building. THIS -IS
NOT AN OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it
as an "H" occupancy per Sec. 307 of the 2000 UB'C.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Install Knox Lock Boxes; Models 4400, 32Q0 or 1300, mounted per recommended standard
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
office for the ordering of the Key Lock Boxes. This form must be authorized and signed by
this office for the correctly coded system to be purchased. If the building/facility is protected
with a fire alarm system or burglar alarm.system, the lock boxes. will require "tamper"
monitoring.
A minimum 2A10BC Fire Extinguisher, (State f ire Marshal Approved) must be mounted in a
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
attached. A licensed fire extinguisher company must service extinguisher yearly.
ELECTRICAL PANEL BOX:
All breakers must be labeled and a clearance of 36 inches must be maintained around the
panel at all times.
OTHER REQUIREMENTS:
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 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.
The hood and duct system will require a separate permit fee.and review.
EMERGENCY SERVICES DIVISION . PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
j
Applicant/installer 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
ma�yy,,
By�./�
Sonia Coole
Fire Safety Specialist