07-2435 (RC)Y
P.O. BOX 1504
78-495 CALLE TAMPICO
` LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002435
Property Address: 79485 HIGHWAY 111 TE 1
APN: 600-020-027- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 98500
Applicant: l4s--_ Architect or Engineer:
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 fcommencing 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.: 6918438
Dater 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).:
( ) 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 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.).
(_) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/02/07
Owner:
STAMKO DEV CO
10345 W OLYMPIC BLV 2 FL
LOS ANGELES, CA 90064
Contractor:
TEXAS WESTWOOD CONTRACTORS C
951 W. 7TH STREET G
FT WORTH, TX 76102/�
(817)877-3800 0!1
Lic. No.: 6918438 C/�, 0
-----------------------------------=�---
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' compensalio 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 TRAVELERS INS Policy Number UB4657L940
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.
4G ant
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 county to enter upon the above-mentioned property for igsfgction purposes.
{
Application Number . . . . . 07-00002435
------ Structure.Information 3,113SF TI [T-MOBILE]/V-NR/M-OCC/88-OL .-----
Other struct info . . . . . CODE EDITION 2001/2205
FIRE SPRINKLERS FULLY
MIXED-USE OCCUPANCY M
` OCCUPANT LOAD 88.00
1ST FLOOR SQUARE FOOTAGE 3113.00
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 635.00 Plan Check Fee 412.75
Issue Date . . . . Valuation . . . . 98500
Expiration Date 4/07/08
Qty Unit Charge Per Extension
BASE FEE 414.50 .
49.00 4.5000 THOU BLDG 50,001-100,000 220.50
----------------------------------------------------------------------------
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . . 77.26 Plan Check Fee 19.32
Issue Date . . . Valuation . . . . 0
Expiration Date 4/07/08
Qty Unit Charge Per Extension
BASE FEE 15.00
3113.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 62.26
--------------------------------.-----------.---------------------------------
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . 32.50 Plan Check Fee 8.13
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/07/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00' 4.5000 EA MECH VENT INST/ DUCT ALT 4.50
2.00 6.5000 EA MECH VENT FAN 13.00
----------------------------------------------------------------------------
Permit . : . . . PLUMBING
Additional desc
Permit.Fee 79.50 Plan Check Fee 19.88
Issue Date Valuation 0
Expiration Date 4/07/08
Y
LQPERMIT '
Application Number . . . . . 07-00002435
Permit . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 6.0000 EA PLB FIXTURE
54.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
Special Notes and Comments
------------
3,113SF TI [T-MOBILE]/V-NR/M-OCC/88-OL
THIS PERMIT DOES NOT INCLUDE STORAGE
RACKS OVER 6 FEET OR OUTDOOR SIGNAGE.
2001 CBC, CPC, CMC, 2004 CEC, 2005
ENERGY. October 10, 2007 4:34:01 PM
AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW
41.28
ENERGY REVIEW FEE
41.28
Fee summary Charged Paid Credited
---------------------------
Due
-----_-------------------------
Permit Fee Total 824.26' 00 .00
824.26
Plan Check Total 460.08 .00 .00
460.08
Other Fee Total 82.56 00 .00
82.56
Grand Total 1366.90 .00 .00
1366.90
' .LQPERMIT -
BinZ'ty
-
CIOf LaQL1i111�Q
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
#
PermTpb�
Project Address:
'
Owner's Name: OL
A. P. Number:
Address: , O ea��L eGio1L3'1k..) -s _
Legal Description:
Contractor:'1
Address:
City, ST, Zip: La (DJ j f' "I 2Z S3
telephone::«•::•;:.::.;:.:..:;,.;:.,,,:.;;:•:;::.:*<. ;
UP& Mill
Project Description:
City, ST, Zip:.
,
Telephone:
:•:J:L4�i:}>ii:::'iii'.!'��:�f'j
State Lic. # :
City Lie. #•:
Arch., Engr., Designer-
esignerAddress:
Address:
City., ST, Zip: Q
4
Telephone:
State Lic.#: e,-2
Name of Contact Person:
'`::""':°::": ' ::'•' "``•>% >"<x' ><
.:>.:•;;;<::?;>;;:;;>;;::::.;;;
a, ,
Construction type: YP �� Occupancy: G�iQ.):�
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person:
-f
14 -71J- ! U cy
Estimated Value of Project: Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submittedtt�
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up tNMAIL,. (r
Construction
Flood plain plan
Plans resubmitted t
Mechanical
Grading plan
2' Review, ready for correctioqE.,w to
Electrical
Subcontactor List
Called Contact Person ro
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person -
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Certificate of Occupancy
T'df 4 4QM&z
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: 79-485 HIGHWAY 111 STE# 1
Use classification: COMMERICAL ( T-MOBILE) Building Permit No.: 07-2435
Occupancy Group: M
Type of Construction: VN
Land Use Zone: RC
Owner of Building: STAMKO DEV CO Address: 10345 W OLYMPIC BLV 2 FL
City, ST, ZIP: LOS ANGELES, CA 90064
By: STEVE TRAXEL
Date: December 13, 2007
Building Official
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County acid the
Cities of.
Banning
Beaumont
Calimesa
Canyon Lake
4.
Coachella
.;.
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
s
Palm Desert
Perris
Rancho Mirage
San Jacinto
4.
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
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 • Fax (951) 940-6910
Date
Lj A41'v)b
Building Department
I
RE ofd I fZ
The Riverside County Fire Dgartment is granting the fire clearance for the'following
location 79— y 535 O wd SIE 1
Please call if you should have questions. 760-863-8886
Respectfully,
Jas Stubble
Fire Systems Inspector
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
.;.
Beaumont
4.
Calimesa
4. -
Canyon Lake
e. -
Coachella
Desert Hot Springs
;.
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
4.
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
In cooperation with the
California Department of Forestry and Fire Protection
77-933 Las Montanas Rd., Suite 201 • Palm Desert, California 92211 • (760) 863-8886 • Fax (760) 863-7072
September 14, 2007
Burnham Nationwide
111 W. Washington Street, Suite 450
Chicago, IL 60602
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-07-BP-084, T -Mobile, 79-485 Hwy. 111, Suite 1, La Quinta
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 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2001 CBC.
Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Department for review, along with a plan/inspection fee. A licensed C-16 contractor will
have to submit plans for review and approval and modify the fire sprinkler system in
accordance with NFPA 13, 1999 Edition. A licensed C-16 contractor shall do all sprinkler
Work and certification. The approved plans, with Fire Department Job card must be at the
job site for all inspections.
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.
Shelving, counters, etc., must be in place, however, no merchandise may be placed in the
building prior to inspection
A minimum 2A10BC Fire Extinguisher, (State Fire 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.
2300 Market Street, Suite 150 • Riverside, California • (951) 955-4777 • Fax (951) 955-4886
39493 Los Alamos Road, Suite A • Murrieta, California 92563 • (951) 600-6160 • Fax (951) 600-6164
tc
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 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.
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,
1
Tracy Hobday
Chief Fire Department Planner
By:
Norman Davidson
Fire Safety Specialist
2300 Market Street, Suite 150 • Riverside, California • (951) 955-4777 • Fax (951) 955-4886
39493 Los Alamos Road, Suite A • Murrieta, California 92563 9 (951) 600-6160 • Fax (951) 600-6164