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09-1142 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001142 Property Address: 47647 CALEO BAY STE 100 APN: 643-200-004- - - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 877350 Applicant: Architect or Engineer: 4��_ " <� Rlus ----------------- LICENSED CONTRACTOR'S DECLARATION • 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Profes ionals Code, and my License is in full force and effect. License Class: B C8 License N .. 928543 MI ✓ate:I�z� Contractor: OAL' 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 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 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 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: LQPERn1IT Owner: ACCRETIVE LA QUI 1 PARK PLAZA 434 C/O DOUGLAS VANG IRVINE, CA 92614 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/05/10 JAN 26 10 JPJ Contractor: CiTy Q'�ter--.� PENTA BUILDING P LPI Eyd' ��pTTA 44250 MONTEREY AVENUE PALM DESERT, CA 92260 (760)776-6111 Lic. No.: 928543 ------------------ 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 OLD REPUBLIC Policy Number AICW95160900 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 ode, I shall forthwith Amply with those provisions. ate: - V'D%Applicant: 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 cons coon, and hereby authorize representatives of this�;�ature on the above-mentioned propert for insp tion purp es. Date: (Applicant or Agent): Application Number . . . . . 09-00001142 ------ Structure Information INT TI SUITE 100 - 101 --- Other struct info . . . . . CODE EDITION 2007 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 107.00 1ST FLOOR SQUARE FOOTAGE 5849.00 2ND FLOOR SQUARE FOOTAGE .00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . SUITE 100 & 101 T.I. Permit Fee . . . . 3173.50 Plan Check Fee 2062.78 Issue Date . . . . Valuation . . . . 877350 Expiration Date . . 7/04/10 Qty Unit Charge Per Extension BASE FEE 2039.50 378.00 3.0000 THOU BLDG 500,001-1,000,000 1134.00 -------------------------------------------------------- ------------------- Permit . . Additional desc . Permit Fee Issue Date Expiration Date . ELECT - ADD/ALT/REM 290.95 7/04/10 Plan Check Fee . . 72.74 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 5.00 18.5000 EA ELEC SVC <=600V/<=200A 92.50 1.00 37.5000 EA ELEC SVC <=600V/>200A/<=1000A' 37.50 291.00 ---------------------------- ..4500 EA ------------------------------------------- ELEC DEVICE/FIXTURE >20 130.95 - ---- Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 172.50 Issue Date . . . . Expiration Date . . 7/04/10 Plan Check Fee 43.13 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 4.00 4.5000 EA MECH VENT INST/ DUCT ALT 18.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00. 5.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 82.50 4.00 6.5000 EA MECH.VENT FAN 26.00 LQPERMIT Application Number . . . . . 09-00001142 Permit . . . . . . MECHANICAL Qty Unit Charge Per Extension 2.00 6.5000 EA MECH OTHER MECH EQUIPMENT ---------------------------------------------------------------------------- .13.00 Permit . . . PLUMBING Additional desc . Permit Fee' 148.50 Plan Check Fee 37.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/04/10 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 3.00 7.5000 EA PLB WATER HEATER/VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP L 3.00 --------------------------------------------------------------------------- Special Notes and Comments T.I. FOR.OUTPATIENT IMAGING (SUITE 100) AND PHYSICIAN'S OFFICE (SUITE 101). "B" OCCUPANCY. TYPE V -B CONSTRUCTION. OCCUPANT LOAD = 107 TOTAL. (92 = SUITE 100;15 = SUITE 101); 5,849 SF (SUITE 100 = 4,242 SF;SUITE 101 = 1607 SF); PHYSICIAN & OUTPATIENT CLINIC IS LICENSED THROUGH DESERT REGIONAL MEDICAL CENTER HOSPITAL LICENSE = OSHPD 3)2007 CODES. (DESERT REGIONAL MEDICAL CENTER, 1155 N. INDIAN CANYON ROAD, PALM SPRINGS 92262. TEL: 760-428-6769 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 206.28 BLDG STDS ADMIN (SB1473) 36.00 ENERGY REVIEW FEE 206.28 STRONG MOTION (SMI) - COM 184.24 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 3785.45 .00 .00 3785.45 Plan Check Total 2215.78 .00 .00 2215.78 Other Fee Total 632.80 .00 .00 632.80 Grand Total 6634.03 .00 .00 6634.03 LQPE%NIIT Bin# City of La Quin4Q J `J Building 8t' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: elolg�pl 64veo -#14V Owner's Name: L9 ,7t ���� (Xk( A. P. Number: Address: •� Gfi� Legal Description: City, ST, Zip: 64%2ZC Contractor: ice' la v L � /1 Telephone: � "- � �'� �.• �'`�:::>a��.. �;. �v.:: y:,,z;:,k};:; 11 Address: `I —)LTD �_aj y E Project Description: m r�u cat City, ST, Zip: L 64 g �12 G 0 a o 0 eA (t aj&4t� Wql-\ Telephone: —�p(%.r:,.".}:.:.,f..:z.:»y<>; .,.;•.;ti......:.:�>:.}:.>•... •�••}F• •mss;:} Q� �� /yl T �. State Lie. # : ^% City Lia #: , Arch., Engr., Designer: U),1110 Address: 4110 -rA"t4C1,j,4-1 opine,, 9GUjY 3 p City, ST, Zip: C ,4tvH 5ee-iei c1(4a � Telephone:" 4-6 2(J <;s:.�rgf;;ti.;:'.<:.::>. ;A:>::.::;..:f sy: S }::�'.i}::f#•}}; tii:V<ii:{::v:`' 4A::�`~i}ti :�'.; a}. State Lie. #: �j (rj Name of Contact Person: (/' 7 j Gam' (�' Construction Type: Occupancy: Project type (circle one): a Add'n Alter Repair Demo Sq. Ft.: 15 gep # Stories: # Units: 1 Telephone # of Contact Person: j,6C1)7 Z&-- 1­101 Estimated Value of Project: 6,e> APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets 3 Plan Check submitted 10 Item Amount Structural Calcs. 2—, Reviewed, ready for corrections 11/17 Plan Check Deposit Truss Calcs. Called Contact Person Pian Check Balance, Title 24 Calcs. Plans picked up 1 i Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready fo corrections/ sue 2 /S Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up PiIK�j� �f S.M.I. H.O.A. Approval Plans resubmitted /IK411 I 10AGrading IN HOUSE:- '"' Review, ready for correction /issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ' taI Per 't Fees ;41d Bi" # City of La Quinta Building U Safety Division P.O:. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: — "0 '91A—mc) Owner's Name: © s' 1Td1tJ A. P. Number: Address: t1-0 Legal Description: City, ST; Zip: J ZJ 3 Contractor: ( Address: ^ . "' Telephone: 3 <IBM Project Description: f�isid City, ST, Zip: Telephone: d 0 . State Lic. X: 6.9 City Lic: #: Arch., Engr_, Designer: TD& Address: _ 69l3 City, ST, Zip:V4360(-Jr, c Telephone:8t8 to _ 76 13 State Lic. #: Name of Contact Person: d WI`s Construction Type: /� Q Occupancy: — Project type (circle one): New-. Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 61/g iD Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue 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 e, Total Permit Fees CERTtFtCATiON FORM FOR CLINICS AND SERVICES OF D A co DEC 1 1 2009 FREI ST IC HOSPITAL 1 certify that the following facility conforms to current applicable edition of the California Building Standards Code" and as such meets the applicable clinic standards (OSHPb 3) propounded by the Me of Statewide Health Planning.and Development. Fa cility city gd Type of Fadlity O Chronic Dialysis Clinic ��"0�e'I O Surgical Clinic (see note b O Rehabilitation Clinic O Primary Can: Clinic. O Birthing Clinic O Psychology Clinic Out Patient Clinic Service of a i Service: - &V rPA-r1Ar1/7 Name lsu-G-ErL. Title_ �u,,.�,�1�� sA� 4� N�aaa��a. CITi. LA QU141A Street Address ,113 9S CAW;-. l A►A►etc0 _ city n pgr # Q_1�42 Signature Date - 51 a'j l 7-010 •2006 IBC and 2007 California Amendments (07 California Butlding Code — Part 2, Title 24, CCR) 2005 NEC and 2007 California Amendments (07 California Electrical Code — Part 3; Title 24, CCR) 2006 UMC and. 2007 Ceftmia Amendments (07 California Mechanical Code — Pari 4, Title 24, CCR) 2006 UPC and 2007 California Amendments (07 Catliomie Plumbing Code — Part 5, Title 24, CCR) 2006 IFC and 2007 Califomia Amendments (07 California Fire Code _ Part 9, Title 24, CCR) Also see attached amended CAN 1. Note 1: Per Health and Safety Code § 129865 c e0calion of chronic dialysis and surgical services are required to be provided by chy or cmmty building department with jurisdiction over the project. if the building jurisdiction will nat be pmvxb ig this c:erti itlation, pians shall be submitted to OSHPD for certification review. State of California Office of Statewide Health Planning and Development FILE NO. CAN 1 . CODE APPLICATION NOTICE DATF! Annfamhar AMMUN Many WIr CM M U DUUM"gs — Varuauon r nreSM0 Wr unreasonaole narasnip 1'or The valuation threshold amount unreasonable hardship referred to In the 2001 California Building Code (CBC) Section 11348.2:1, Exception 1 Is updated on an annual basis. As of January 1, 2007, this threshold Is $118,837:88. , Enforceable Codes The following are the enforceable codes for facilitles under the authority of the Alfred .E. Alquist Hospftal Facilities Seismic Safety Act of 1983: Application means the submission of a Preliminary or Final Appileatlon for Plan Review. APPLICATION CODE All applications submitted 2007 California Buiid,Ing Standards Administrative Code on or atter January.1, 2008 Part 1,.Title 24, California Code of Regulations (CCR) 2007 Califomla Building Code Part Z Tate 24, CCR (2bW LSC and 2007 California Amendments) 2007 California Mscbfeal Code Part 3, Title 24, OCR) 2007 Amendments) (2008.UMC and.24177 California Amendments) 2007 California Plumbing Code Pail 6, Tftle 24, CCR (2006 UFC and 2007 California Amendments) 2007 California Fire Code Pert 9, Title 24, CCR) (2008 IFC and 2007 California Amendments) All applications submflt ed betwrean 2007 Califomla Building standards Administrat.10 Code March 17, 2007 and December 81, Part 1, Title 24, CCR 2007. 2001 California Building Code Part 2, Title 24, OCR) (1997 UBC and 2001 Cal'dornla Amendments) 2004 California Electrical Code Part 3, Title 24, CCR (2002 NEC and 2004 California Amendments) 2001 California Machankal Code Part 4, Title 24, CCR (2000 UMC and 2001 California Amendments) 2001 California Plumbing Code Part_56 Title 24, CCR) (2000 UPC and 2001 California Amendments) 2001 California Fire Code Part 9, -rwe 24, CCR) (2000 UFC and 2001 California Amendments) REVISION: August 2O, 2007 1 .r`•' ey I 4= State of California Office of Statewide H.ealfh Planningand Development AB applications submitted between 2001 California Bulidiog'Siondardc Administrative Code August 1, 2005 and ftrcb 1Ar ZOOM Pin 1, Title 24, CCR 2001 California Building,Code Punt 2,' Tufa 24, CCR (1997 U9Cend 2001 California Amendments) 2004 California Electrical Code Part % Tide 24, CCR (2002 NEC and 2004 Callfomia Amendments) 2001 California Maehaeical Code Part 4, Title 24, CCR) (2000 UMC and 2001 Calilomia Amendments) 2001 California Plumbing Code Pelt 5, Title 24, CCR) (2000 UPC end.2001 Celifomia Amendments) 2001 Callfomla Fire Code Part 8, Title 24, CCR (2000 UFC -and 2001 Callfomia Amer>dmerce) All appticatioris submitted between 2001 Califorrrla 8uilding Standards Administrative Code November 1, 2002 and July 91, 2008 Part 1, Tide 24, CCR . 2001 California Building Code Part Z. Title 24, CCR (199TUBC and 2001 Celifomia Amendments) 2001 California 6aetricidCoft Part 3 TiOe 24, CCR (1999 NEC acid 2001 Califomia Amendments) 2001 Collfomia Mechanical Code Part 4, Ttle24, CCR (2D00 UMC and 2001 Calf<ornia Amendments) 2001 Caftmla Plumbing Code Pail 6, Title 24, CCR (2000:UPC and 2001 Callfomts Amendments) 2001 CalBomia Fire Code Part 9, Tito 24, CCR (2COO UFC and 2001 California Amendments) All applications submitted loge California Bullding.Stardords Administrative Code between July 1, 1999 and Part 1, Tide 24, CCR October 81, 2002 1988 Cadfomia Building Code Part 2 Title 24, CCR (1997 UBC and 1D98CaidomtaAmendments) 1998 California Modrical Code Pert 3 Title 24, CCR (1998 NEC and 1998 CalUomia Amendments) 1909 Caiifomia Mechanical Code Part 4, TBIe,24, OCR (1997 UMC and 1998 Canfomia Arnendments) 1998 Calffomla PlUmbing Code Part 5. Title 24, CCR (1997 UPC and 1998 Callfomta Amendments) 1898 Cal6nda Fire Code Part 9, Tide 24, CCR (1997 UFC wW1998 Califomte Amendments) REVISION: August 20, 2007 2 DESERTREGIONAL Medical Center DATE: November 30, 2009 TO: City of La Quinta Building Department FROM: Sandra Martin Director Clinical Quality Improvement SUBJECT: Licensure and Certification Application for: Diagnostic Imaging and Neurosciences 47-647 Ca1eo Bay, Suite 104, La Quinta I have prepared and or will be requiring the following, documents for California Department of Public Health .(CDPH) in preparation of Diagnostic Imaging and Neuroscience Outpatient Clinic. HS 000 Application for Facility License HS 246 Application for Outpatient Service HS 268 Application for. Supplemental Services Approval HS 609 Beds of Service Request Certification Form for Title 24 and OS1PD-3 Sign Off Copy of Lease Agreement if.different address from hospital. Once documents are completed, they will be submitted to CDPII who will then notify the local Fire Department and State Fire Marshal for fire clearance and an on-site inspection will be coordinated with CDPH for this clinic to be approved under our current hospital license. If you have.any questions regarding this process, do not hesitate to contact me. Sandy Martin Director, Clinical Quality Improvement Phone: 760-323-6799 DEC i 1 2009 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 Quints Moreno Valley Palm Desert Perris Rancho Mirage 0 San Jacinto 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 Date< City of LaQuinta Building Department i The Rive is gating tlie_Fire clearance for the following Please call if you should have any questions By Respectfully Terry DeSouic Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2"d Fl., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 Tity 4 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: April 4, 2008 Due Date: April 11, 2008 Permit #: 07-1427 Status: 1St Review Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: Address or General Location Applicant Contact: Revisions X -Ray Equipment 47-647 Caleo Bay Ste. 100 David (818)996-7600 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ,P*- ,00 ...these Building Plans are approved by the Planning 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 the Planning Department for review. to,,w, , xv-.-Z� Les Johnson, Director -Planning S Date AA w 40. 0. CAO.., 1-3 0+ !jam A*Aj �4*1-r 4 Q� Aft" . Vs"Ap" At VAIM41 dic ow #O"A4 Ovs 4~ r�fr G1. rizallb It EsGil Corporation In Partnership with Government forBuiffing Safety DATE: 4/17/08 JURISDICTION: City of La Quinta PLAN CHECK NO.: 07-1427 SET: struct III ❑ AERLISCANT JURIS ❑ PLAN REVIEWER ❑ FILE PROJECT ADDRESS: 47-647 Caleo Bay Suite 100 PROJECT NAME: Oasis Radiology Center Revision ® The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ❑ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have sign ificantdeficiencies identified on the enclosed check list and should be corrected and resubmitted -for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: ® Esgil Corporation staff did not advise the applicant that the plan check has been completed. ❑ Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: (by: ) Mail Telephone Fax In Person ❑ REMARKS: By: David Yao Esgil Corporation ❑GA ❑MB ❑EJ ❑PC Telephone #: Fax #: Enclosures: original approved plan 4/9 9320 Chesapeake Drive, Suite 208 ♦ San. Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of.- Banning f: Banning Beaumont .. Calimesa 4. Canyon Lake 4. Coachella 4. Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris 4• Rancho Mirage Rubidoux CSD 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 STE 201 • Palm Desert, CA 92211 . (760) 863-8886 • Fax (760) 863-7072 November 9, 2009 RE: TENANT IMPROVEMENT PLAN CHECK LAQ-09-TI-036 DRMC Outpatient Imaging 47-647 Caleo Bay Ste. 100 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 20007 UBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per Chapter 10 of the 2007 UBC. 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. 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 of the correlating tenant space. Key(s) shall be provided at time of final inspection. An approved audible interior notification alarm device shall be provided in approved locations. A C-1 O licensed contractor must submit plans, designed in accordance with NFPA 72, 2002 Edition, to the Fire Department for review and approval prior to installation. As 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, along with a plan/inspection fee. The sprinkler system will have to be modified and designed in accordance with NFPA 13, 2002 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. Approved suite address shall be placed in such a position to be plainly visible and legible from the street. Said numbers shall contrast with their 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. Sin erely, By: Jason S bble Fire Safety Specialist Certificate of Occupancy Taf 4 XP Qgwcv Building & Safety Department This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the 2007 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: 47-647 CALEO BAY #100 & #101 Use classification: COMM: (OUTPATIENT IMAGING) Building Permit No.: 09-1142 Occupancy Group: B Type of Construction: V_B Land Use Zone: CC Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 107 Building Official Owner of Building: ACCRETIVE LA QUINTA PARTNERS Address:1 PARK PLAZA #340 City, ST, ZIP: IRVINR, CA 92614 By: STEVE TRAXEL Date: APRIL 29, 2010