05-1322 (RC)BUILDING &t SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . . 05700001322 Date 4/26/.05
Property Address . . . . . . 78045 CALLE CADIZ STE 4
APN: 770-153-004- - -
Application description REMODEL - COMMERCIAL
Property Zoning . . . . . VILLAGE COMMERCIAL
Application valuation . . . . 40000
Owner
---------------------------------
LA QUINTA GRILL
41865 BOARDWALK NO 214
PALM DESERT, CA 92211
Contractor
C & G CONSTRUCTION COMPANY
965 N. 2ND STREET
UPLAND, CA 91786
WCC: STATE FUND
WC: 1799267 10/01/05
CSLB: 692234 07/31/06
CCC: B
p /A\ u
APR 2 7 2005j],
CITY OF LA QUINTA
P.O. BOX 1504�� VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:05'_ /3.7-Z. Date: 1t • aZ ol • O
Applicant:
Applicant's Mailing Address:
I hereby affirm under
de, and my Lice
license Class_k
CO P4 rk/AC,7—o9
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
ally of perjury that I am licensed under provisions of C apter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
in full force and effect. // Ch ") ') 2 LJ
Dath—Zi-a5
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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' Stale License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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.
it 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
i s edorkers' mpensation insurance carrl%efand policy12Uer are,
GYarrier ��'�a fiL�11) Policy Numbef / 4 4 7- L11
_ 1 certify that, in the performance of the work for which this p rm is iss ed, 1 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 provisi s.
-)�("ew
affil to �w�APPlican d
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.
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 AV
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 Ouinta, 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 enter upon the ab e* mentioned property for inspection purposes.
Da/ 27' 1 J Signature (Applicant or Agent
----------------------------------------------------------------------------
Application Number 05-00001322
----------------------------------------------------------------------------
Structure Information
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . BUSINESS <50
Other struct info . . . . . CODE EDITION 2001
FIRE SPRINKLERS NO
OCCUPANT LOAD 10.00
1ST FLOOR SQUARE FOOTAGE 928.00
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - ADA INV FEE
Additional desc . .
Permit Fee . . . . 699.00 Plan Check Fee 227.18
Issue Date . . . . Valuation . . . . 40000
Expiration Date . . 10/23/05
Qty Unit Charge Per Extension
BASE FEE 504.00
15.00 13.0000 THOU BLDG 25,001-50,000 195.00
----------------------------------------------------------------------------
Permit . . . . . . ELECT - ADD/ALT/REM
Additional desc
Permit Fee . . . . 33.40 Plan Check Fee 8.35
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/23/05
Qty Unit Charge Per Extension
BASE FEE 15.00
920.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.40
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 19.50 Plan Check Fee 4.88
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/23/05
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00• .4.5000 EA MECH VENT INST/ DUCT ALT 4.50
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING
Additional. desc
Permit Fee . . . . 36.00 Plan Check Fee 9.00
Issue Date Valuation . . . . 0
Expiration Date 10/23/05
Qty Unit Charge Per Extension
BASE FEE 15.00
3.00 6.0000 EA PLB FIXTURE 18.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
----------------------------------------------------------------------------
Special Notes and Comments
Commercial Remodel "Salon" TI. "B"
.Occupancy,.Type VN. Occupant Load 27.
Investigation Fee in addition to the
permit fee's imposed for work commenced
without first obtaining permits.
-------------------------------------------------------7--------------------
Application Number.
-----------------------------
. . . . .
-------------------------------------=
05-00001322
---------
----------------------------------------------------------------------------
Other Fees .... .
. . . . . .
STRONG MOTION (SMI) - COM
8.40
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total.
787.90
.00
..00
787.90
Plan Check Total
249.41
.00
.00
249.41
Other Fee Total
8.40
..00
.00
8.40
Grand Total
1045.7.1
.00
.00
1045.71
.t,
12
CO -t>' &456 —/%/0-r"Fr ANY CIAIV-5e-s
Bin
COIN
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 #
LO s
Project Address: 'jj>oACj& Cp,-kjj� <Z:A>V-Z,
Owner's Name: Lp� (w%0TP,, c�F\L-a-
A. P. Number:
Address: -76o3o GA-,, Vv-:
Legal Description:
City, ST, Zip: LA Q d q4T-tP-
Contractor: C,-
Telephone:
.. ... ....
Address: e -'J[ S; 17
Project Description:
City, ST, Zip: Vf LA4 94�-
Telephone: .............. ...... . . ....
TIC-,
State Lic. # Z3 + city
Arch., Engr(fes'92D —M I CAA15L 4::;Ny-�
A 4 d
Address:
City, ST, Zip:
... ... . . ....
Telephone: 110001i cis;-Iz . . ...... .... . .. :.:.:. .
X.: x.
State Lic. #: -:x
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:.46 q-0, s� .0 C,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd Rec'd
TRACKING
PERMIT FEES
Plan Sets
21 rtxv,� Z,41
Plan Check submitted11 7 Vai-
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs. Or/
?60/
Plans picked up 411461
Construction
Flood plain plan
Z
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for correctio s iss V'
Electrical
Subcontactor List
Called Contact Person
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.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
J/
Total Permit Fees
1-1,71os, 4ppl-icAivT t)r->v i -scud -1 0 s -03 " T-0 FID
+- (ez,' A16) A, 9 Y?, K I C44cC
IVIZ
.C-
T-Vf 4 4 4"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Doug Evans, Director -CDD
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: 4-26-2005
Building Plans Approval.
(This is an approval to issue a Building Permit)
Due date: ASAP
Status: 1" Review
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Tenant Improvement(Salon)
Address or general location: 78-045 Calle Cadiz
Applicant Contact: Mike Carpenter 909-724-9572
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development Department
approval.
❑ ...these Building Plans are approved by the Community Development
Department.
these Building Plans require corrections. Please forward a copy of the attached
corrections to the applicant. When the corrections are made please return them to
t4 Counity evelopment Department r rev'
Doug Evans, Director -CDD
ate ,
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Cahmesa
.;.
Canyon Lake
...
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
4.
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
210 West San Jacinto Avenue • Perris, California 92570 o (951) 940-6900 • Fax (951) 940-6910
May 19, 2005
City Of La Quinta
Building Department
Re: 78-045 Calle Cadiz, ste 4
La Quinta
The Riverside County Fire Department is granting a fire and life safety clearance for
the following address 78-045 Calle Cadiz, Ste 4 La Quinta. Please call if you should have
any questions.
TD/j1
FRANK KAWASAKI
Battalion Chief / Fire Marshal
By Te eSoucy
Fire ystems Inspectors
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
c
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
o•
Moreno Valley
Palm Desert
Perris
v
Rancho Mirage
e
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 S
RIVERSIDE COUNTY
FIRE DEPARTMENT
HighwayIndio, Fax V60) 863-7072
April 21, 2005
Michael Carpenter Design — Drafting
8923 Ironwood St.
Rancho Cucamonga, CA 91730
Re: Non -Structural Building TA Plan Review
LAQ-05-TI-034 / 78-045 Calle Candiz
Le Mirage Salon
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) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified
extinguisher company for proper placement of equipment.
2) Approved building address shall be placed in such a position as to be plainly visible and legible from
the street and rear access if applicable. In mutt -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.
Applicantrnstaller shall be responsible to contact the Fire Department to schedule inspections.
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,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Building Dept
K%OEZM Dahlia WARN lECMTNA0-OSTWXftc
EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE
82.675 Highway 111, 2"a FI., Irdo, CA 92201 • (760) 8638886 • Fax (760) 863-7072
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Bannino
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Penis
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 e (909) 940-6900 • Fax (909) 940-6910 .
May 27, 2005
To: La Quinta Building Department
Re: Final fire Clearance
The Riverside County Fire Department is granting a fire life safety clearance for
La Mirage Day Spa 7,&045,:&te_#4,,Calle Cadiz: t-LAQ-05TI034
If you have any questions contact me at 760-345-6954
Respectfully,
Neal Stephenson
Fire Systems Inspector
Cf0j, Certificate of Occupancyo
ui�tcv
C OF'fBuildin & Safet Department
9► Y p
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: 78-045 Calle Cadiz Suite #4
Use classification: Commercial Remodel "Salon" TI Building Permit No.: 05-1322
Occupancy Group: B Type of Construction: VN Land Use Zone: VC
Owner of Building: La Quinta Grill Address: 78-045 Calle Cadiz
City, ST, ZIP: La Quinta, CA 92253
By: Daniel P. Crawford Jr.
_r �,
Date: 5/18/05
Building Official
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