13-1671 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001671
Property Address: 79485 HIGHWAY 111 STE 8
APN: 600-020-027- -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 67000
T4t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STAMKO DEV CO
10345 W OLYMPIC BLV 2 FL
LOS ANGELES, CA 90064
Contractor:
Applicant: Architect or'Engineer: CC & M INCORPORATED
23905 CLINTON KEITH
WILDOMAR, 92595
(909)
Lic. Noo..:: 727 7233
432
LICENSED CONTRACTOR'S DECLARATION
1 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.: 723432
f
Dater /4 Contrac
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 _ 11, 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 1, 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 _ 1 1 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:
LQPERM IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/28%14
RD 11
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 9023312
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 tha if I should become subject to the workers' compensation provisions of Section
3700 of th abor Code, I shall forthwith comply with those provisions.
Date: l- 7 �-zy i_
WARNING: FAILURE TO SioMPENSETIONE WORKEVERAGLAWFUL, 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 thi unty to enter upon thg ove-mentioned property for inspection purposes.
Date: - C1 Signature (Applicant or Agent):
Application Number . . . . . 13-00001671
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 7/27/14
Qty Unit Charge Per
Extension
1.00 23.8300 LS ELEC FIXTURES, FIRST 20
-----------------------------------------------------------------------------
23.83
Permit . . . MECHANICAL 2013
Additional desc .
Permit .Fee . . . . :11..92 Plan Check ,Fee ..
.90
Issue Date . . . . Valuation
0
Expiration Date . . 7/27/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA MECH APPL REP/ALT
----------------------------------------------------------------------------
11.92
Permit . . . REMODEL 2013
Additional desc . .
Permit Fee . . . . 91.52 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 7/27/14
Qty Unit Charge Per
Extension
1.00 48.6200 LS MISC REMODEL, 1ST 100 SF
48.62
2.00 21.4500 EA MISC REMODEL, ADDL 500 SF
42.90
----------------------------------------------------------------------------
Special Notes and Comments
TENNANT IMPROVEMENT CHIROPRACTIC OFFICE
CHANGE LIFHTING, NON BEARING INT.
WALLS,
January 16, 2014 9:09:46 AM' jjohnson.
---- -
-----------------_------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, ELECTRICAL
23.83
PLAN CHECK, REMODEL
167.31
PLAN CHECK,.MECHANICAL
4.77
STRONG MOTION (SMI) - COM
-14.07
Fee summary Charged Paid Credited
Due
Permit Fee Total 127.27 .00 .00
127.27
"Plan Check Total .00 .00 .00
.00
Other Fee Total 210.98 .00 .00
210.98
LQPERMIT
Application Number . . . . . 13-00001671
Grand Total 338.25 .00 .00 338.25
I
i
r
Din -# qA.
City of La Quinta
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
Permit #
I�
IPtoje=c't?Ad` cess: — gs' �� + use
Owner's Name:
A. P. Number:D _ d QZZ�S3
MAddress: �-7 ao r
Legal Description:
City, ST, Zip: L05 � G�
Contractor:
LTelepone:
Address: ' 0 S G ,��
Rroject Descriptio
City, ST, Zip: �o GIS r12�cI S
d c
:C}{:h1v::�i:i:i:: }i:vr {.;vY.<yy,• :•:in�ni:
Telephone: -3,09 S ;:>.«:<;::;:;<<;;:<;:>;::
1z� : _;:
4state.Llc. #. /*(� Ll YL City Lic. M.
Arch., Engr., Designer:
Address:
t_iC C`. X
City,, ST, Zip:
OF
Telephone:
;<;v„< : >"'"`" >
«•:>:>z:<<z:;<>:>:>:>:::»;;><::>:<:::;-::;:ss>:= <
..:.::::.:....:..::.......::.:::::.:
VjVj•}:i'ir•L'.;:::n;:v��ti:4iiiii-
Construction Type: Occu an TY p TA
yP P EV
State Lic. # .::::......:..
Project type (circle one): New Add,n Alter Repair Demo
Nwne-of Contact ► /'G �- Q N
Sq. Ft.:
#Stories:
#Units:
LTelephone-#;ofC-on'� ta" aarP�eer on: q0q _ L2 - 0
4EstimatediVa ue ofProject
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
2
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°” Review, ready for correctio /issue C�
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans pickedup l�tex'T�
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading '
IN HOUSE:-
'"' Review, ready for correctionsftsue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
,' 'P��JtiYb {�(s �'. rO 155 ,. � - 6,,Pr- �R�� `
111
X. .
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUX CSD
SAN JACINTO
TEMECULA
WILDOMAR
i
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE '
DISTRICT 3
JOHN BENOIT
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., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfire.org
January 24; 2014
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LA.Q-I4-TI-001 The Joint 79-485 #8 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 2013 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the CBC.
A minimum 2A1 OBC 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.
All breakers must be labeled and a clearance of 36 inches must be maintained around the
panel at all times.
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. ,
An approved audible interior notification alarm device shall'be provided in approved
location. A. C-10 licensed contractor must submit plans, designed in accordance with
NFPA 7.2 to the Fire Department for review and approval prior to installation
Approved suite addresses shall be placed in such a position to be plainly visible and legible
from the street. Said numbers shall contrast with their background.
Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s)
shall have durable and legible tags affixed for identification. Key(s) shall be provided at
time of final inspection,
As it 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.
Applicantlinstaller. 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.
A1.1 questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering Staff at (760) 863 8886.'
Sincerely,
By:
Ja Stubble
Fire afety Specialist
I
1
1
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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, SUITE 8
Use classification: BUSINESS – THE JOINT LA QUINTA Building Permit No.: 13-1671
Occupancy Group: B Type of Construction: VB Land Use Zone: CR
Code Edition: 2010 Sprinkler Installed: YES Occupant Load: 11
Owner of Building: POLSTAR LLC
Address: 12415 W JEFFERSON BLVD
City, ST, ZIP: LOS ANGELES, CA 90066
____________ GREG BUTLER_________________ By: KIRK KIRKLAND
Building Official Date: MARCH 13, 2014
;. CITY OF LA QUINTA
° COMMUNITY DEVELOPMENT DEPARTMENT
s (760) 777-7125
INSPECTION REQUEST LINE
Owner—POLSTAR, llc.
Contractor CC&M INCORPORATED
Permit Number
POST ON JOB IN CONSP
INSPECTOR MUST SIGN ALL A4PUMAC
CUOfP
E�
S
8
JOB ADDRESS79485 HIGHWA,
TENNANT IMPROVEMENT CHIROPRA
LIFHTING, NON BEARING INT.
WALLS,
SIE.
�
C) aFri
'n
In
��.
F'IC'CH
r '
v
TYPE OF INSPECTION
E Y
I SP.
TEMPORARY POWER -
SETBACKS
UIG PLUMBING / WASTE
U)G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL ) PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICALZZ
INSULATION
COVER NO WORK UNTI1-j4BOYE SIGNED
INTERIOR GYP. BD. (DRYWALL)�-
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA 1 WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
UIG ELECTRICAL
PRE -PLASTER ALARMS 1 BARRIERS
PERIMETER SURFACE BONDING
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL.
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
PLANNING DIVISION
FINAL / JOB COMPLETED
RIVERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
CALIFORNIA DEPARTMENT OF FORESTRY
AND FIRE PROTECTION
RIVERSIDE OFFICE
4080 LEMON STREET, 2ND FLOOR Riverside County Fire Del
P.O. BOX 1549 77933 Las Montanas Rd. Ste 201
RIVERSIDE, CA 92602-1549 Palm Desert, CA 92211
(909) 9554777 760-863-8886 Fax: 760-863-70
FAX (909) 955-4886
JOB CARD
r
THIS INSPECTION RECORD MUST BE AT JOB SITE
WITH THE APPROVED SET OF PLANS
Owner IEJ I h Date o f
Location �7IN�1
Case No. 1 '{ -#- Cad 1
Sprinkler Company
Undi?r� nd VEsuai Date
(Joints and Thrust Must Be Exposed)
Underground Static Date
(200 PSI For 2 Hrs. to Inspection Time)
N
r❑
Inspector
Date Inspector
Ll � � J
Date Inspector
J _
Plafe Inspector
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Riverside County Fire Department 3 Fire Protection Planning Section
Riverside Office: 2300 Market St., Ste. 160, Riverside, CA 92601 Ph. (951) 955-4777 Fax (951) 956-48H
wrdete Office: 39493 Los Alamos Rd., Ste A, Murrieta, CA 92563 Ph. (051) 600-6160 Fax (961) 600-6164
Palm Desert Office: 77-933 Las Montahas Rd., N 201 Palm Desert, CA 92211.4131 Ph (760) 863-8886 (760) 863-7072
Fire Department Clearance/Release
Date: 3 �-� 14 ff
To: L, 9,rJA,
Fax:
Tract/Parcel Map #:
Permit/Lot #: ((— 1 `i ,7 1 'Qb I
Job Site Address: Thy lin-�
17 - 9VjY� #
Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
Final For Occupancy
Building Plan Check Fees Paid
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection
Planning office for further assistance.
Auth V
ing Signature For Releases
j4f
le—
Print Name
Form C — Revised 3/4/2014
Philip Juarez
From: AJ Ortega
Sent: Monday, April 07, 2014 3:21 PM
To: Angelica Zarco; Cheryl Matthews; Philip Juarez; Stephanie Khatami
Subject: FW: Certficate of Occupancy
From: AJ Ortega
Sent: Monday, April 07, 2014 3:13 PM
To: '
Subject: RE: Certficate of Occupancy
You may pick up your Certificate of Occupancy at the Community Development Department.
Please bring proof of the following:
Fire Departmeni Release
City Business License
Thank you.
AJ
From: Jim Burbach[maiito:
Sent: Thursday, April 03, 2014 6:27 PM
To: AJ Ortega
Subject: Certficate of Occupancy
Mr. Ortega,
I was informed your the person I need to contact regarding receiving a Certificate of Occupancy.
My TI has been approved by the Building Dept. and the Riverside Fire Dept.
Today I turned in my Business License Application Form along with payment.
Please let me know if there is anything I need to provide you to complete the process.
Best Regards,
Jim Burbach
The Joint La Quinta
79-485 Highway 111 Suite 8
La Quinta CA. 92253