07-0083 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
~ Application Number: 07-00000083.
Property Address: 79640 HIGHWAY 111
APN: 649-020-014-4 =31143 -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 100000
Applicant:
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 (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.: 801773
\Date: �� Contractor:
OWNER -BUILDER ION
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.). -
(_) I, as owner of the property, am exclusively contracting withlicensed 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
Owner:
DUNES BUSINESS PARK LLC, THE
3550 W 6TH ST STE 400
LOS ANGELES, CA 90020
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/12/07
Contractor. \\
BISHOP BUILDERS INC
P.O.'BOX 1746
KETCHUM, ID 83340 ''YY
(760)218-5801 �:�' 9 ��
Al",
Lic. No.: 801773
-----=-------------------------- ---- ---- �--=------
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.
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 1641941-2006
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, if I should become subject to the workers' compensation provisions of Section
3700 of the Leber -fed all comply with those provisions.
pate. Q ' . plicant:
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 ISO 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 rdinances and state laws relating to building constructi8�and hereby authorize representatives
of this co�rm'y t/ignteed r
r upon the above -menti o spection p r�
Date1Ds -
%
Application Number .
. . . . 07-00000083
------ Structure Information
10,000 SF T.I. "GOODWILL"
-----
Other struct info . .
. . . CODE EDITION
O1BMP04E05EN
FIRE SPRINKLERS.
YES
MIXED-USE OCCUPANCY
M/S-1
OCCUPANT LOAD
273.00
----------------------------------------------------------------------------
-1ST FLOOR SQUARE FOOTAGE
10000.00
Permit . . ..
BUILDING PERMIT
Additional desc
10000 SF GOODWILL RETAIL T.I.
Permit Fee . . . .
639.50 Plan Check Fee
415.68
Issue Date . . . .
Valuation . .
. . 100000
Expiration Date
9/08/07
Qty Unit Charge
Per
Extension
BASE FEE
414.50
50.00 4.5000
--------------------------
THOU BLDG 50,001-100,000
----------------------------------
225.00
----------------
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
82.20 Plan Check Fee
20.55
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
9/08/07
Qty Unit Charge
Per
Extension
BASE•FEE
15.00
20.00 .7500
PER' ELEC DEVICE/FIXTURE 1ST 20
15.00
116.00 .4500
---------------------------------------------------------------------------=
EA ELEC DEVICE/FIXTURE >20
52.20
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
41.50 Plan Check Fee
10.38
Issue Date . . . .
Valuation
0
Expiration Date
9/08/07 ,
_ Qty Unit Charge_
Per
Extension
BASE FEE
15.00
•3.00 - 4.5000
EA MECH VENT INST/ DUCT ALT
13.50
2.00 6.5000
EA MECH VENT FAN
13.00
Permit . . .
PLUMBING
Additional desc
Permit Fee
78.00 Plan Check Fee
19.50
Issue Date . . .' .
Valuation . .'
. . 0
LQPERIMIT
Application Number. . . . . . 07-00000083
Permit . . . . . PLUMBING
Expiration Date 9/08/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 6.0000 EA PLB FIXTURE
30.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15:00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3..00
--------------------------------------------------------_-------------------
Special Notes and Comments
RETAIL T.I.(GOODWILL INDUSTRIES) 10,000
SF "M" OCCUPANCY, TYPE V -N CONSTRUCTION
273 TOTAL OCCUPANT LOAD. 2001 CBC,
CMC,CPC, 2004 CEC, 2005 ENERGY CODES.
**PERMIT DOES NOT INCLUDE STORAGE RACKS
AND FIXTURES GREATER THAN HGT OF 6FT.**
Other Fees . . . . . ACCESSIBILITY PLAN REVIEW
41.57
ENERGY REVIEW FEE
41.57
STRONG MOTION (SMI) - COM
21.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 841.20 .00 .00
841.20
Plan Check Total 466.11 .00 .00
466.11
Other Fee Total 104.14 .00 .00
104:14
Grand Total 1411.45 .00 .00
T
1411.45
1.
'in
City of LaQuinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
PerrniV
07
`
Project
Address:' To -ow L1, k t
Owner's Name: b U �-s 7US
A. P. Number: 6,LA o. -_0 1.4 - L4
Address: (V-nA SM.
Legal Description- 4-3
Contractor: L-0 F
City, ST, Zip: Los f\m &eLx i
Telephone
Address: kTLT
Project Description:
City, ST, Zip: k&A t
Telephone; �7(5o siv.-S'aci
13 LA_ Cz. —i, Y2- t4;'
State Lic. #:
City Lic. #:
-1;-- L -1c:104 I dV_F:_F C_?_
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle on Add'n Alter Repair Demo
Name. of Contact Person:*. P ArI4, L_
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: C(�5 "c .a-7 59
--
Estimated Value of Project: 040
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
—Reed
N
TRACKING
PERMrr FEES
Plan Sets
Plan Check submitted
It,.
Amount
Structural Cales.
Reviewed, ready for*1#11'ections; 7
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy CaIcs.
Plans picked up LJ
21
Construction
Flood plain plan
4M
V V --
Plans resubmitted
Mechanical
Grading, plan'
2a Review, ready for corrections/issue 212,Z,97
Electrical
Subcol'itactor List'
Called Contact Person,
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted ZGrading
IN HOUSE: -
Review, ready for. correctionsfissue
Developer Impact Fee.
Planning Approval
Called Contact PersonA.I.P.P.
Pub. Wks. Appr
Date of permit issue '-7
School Fees
NP11,
1
V
Total Permit Fees
U&I t2 L. -I tcv ( Irl 4211107
__� coo �W_IF161046
l 2610 OPP 4FP9005P
0 0 Certificate of Occupancy
OFT19�S 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: 79-640 HIGHWAY 111
Use classification: RETAIL (GOODWILL INDUSTRIES) Building -Permit -No 07-083
Occupancy Group: M Type of Construction: VN Land Use Zone: CR
Owner of Building: DUNES BUSINESS PARK LLC Address: 3550 W 6th STREET #400
City, ST, ZIP: LOS ANGELES, CA 90020
By: STEVE TRAXEL
Date: October, 30 2007
Building Official
POST IN A CONSPICUOUS PLACE
30-DAY TEMPORARY
Certificate of Occupancy
...n. ..... v v v A. ■ ..r, � v v.
T-Vf 4 #a"
Building & Safety Department
This Temporary Certificate, issued pursuant to the requirements of Section 109 of the California
Building Code, and with the concurrence of the Public Works Department and Community
Development Department, certifies that the GOODWILL INDUSTRIES, at the time of issuance,
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: 79-640 HIGHWAY 111
Use classification: COMMERCIAL RETAIL (GOODWILL INDUSTRIES)
Building Permit No.: 07-083
Occupancy Group: M Type of Construction: TYPE VN Land Use Zone: CR
Owner of Building: DUNES BUSINESS PARK LLC Address: 3550 W 6th STREET #400
City, ST, ZIP: LOS ANGELES, CA 90020
By: STEVE TRAXEL
Date: JUNE 19, 2007
Building Official
. ,'
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
•.
Canyon Lake
•:
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
4 -
Palm Desert
Perris
4 -
Rancho Mirage
•.
San Jacinto
4 -
Temecula
Board of Supervisors
Bob Buster,
District I
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
February 20, 2007
Paul Ramsey.
P.O. Box 1016
Murrieta, CA 92564
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
DATE BY
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-07-TI-008 / Goodwill Industries at 79640 Highway 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 UBC.
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, 3200 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 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.
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:
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2n4 FI., Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072
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.
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
By.
Sonia Coole
Fire Safety Specialis
4
EMERGENCY SERVICES DIVISION • PLANNING SECTION . INDIO OFFICE
82-675 Highway 111, 2nd A., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Page 1 of 1
BurtHarada
From: , Cooley, Sonia [Sonia.Cooley@fire.ca.gov]
Sent: Wednesday, September 05, 2007 8:43 AM
To: Burt Hanada; Greg Butler
Subject: Duct Detectors
Burt,
I have received several messages from Dexter Barr regarding removing duct detectors due to exiting doors to the exterior. This
is.an acceptable exception to the code: I will contact Mr. Dexter to provide the written document for the change in plans.
Have a nice day..
Sonia Cooley, Assistant Fire Marshal.
Riverside County Fire Protection Planning
77933 Las Montanas Road, Ste 201
Palm Desert,'CA 92211-4131
(760) 863-8886 Office
(760) 863-7072 Fax
9/12/2007