Loading...
14-0699 (RC)78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: PONTIUS ARCHITECTURE 18643 HWY 18 STE 15 APPLE VALLEY, CA 92307 `ter °F 4Qum& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT RC -14-699 47647 CALEO BAY SUITE 110 643200004 TENET HEALTH SYST MEDICAL OFFICE T.I. 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 Professions Code, and my License is in full force and effect. License Class: B License No.: 565731 � Date:1 �% -ja Contractor OWNER -B IL ER DECLARATION I hereby affirm under penalty of perjJVhat 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 net 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 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/22/2014 Owner: ACCRETIVE LA QUINTA PARTNERS 19752 MACARTHUR BLV 240 IRVINE, CA 92253 Contractor: J B SPECIALTY 22989 ROUND APPLE VALLEY (760)953-384( Llc. No.: 5657; 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. 6L 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: —Policy Number: _ -J&ff 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. Otte Applica� t: WARNING: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE T 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 Building Official 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 city to enter upon the above- mentioned property for inspection purposes. �f Dat��'�- Signature (Applicant or Agen h • '��—� k� y FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $25.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $25.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $5.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $5.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURES, FIRST 20 101-0000-42403 1 $23.83 $0.00 PAID BY METHOD RECEIPT'# CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURES, FIRST 20 PC 101-0000-42600 1 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $95.32 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.77 $0.00 .PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $16.69 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $47.68 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $47.68 $0.00 PAID BY METHOD RECEIPT # - CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $28.60 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $147.80 $0.00 TOTALS:0- Bin #City of La Quinta Building tai Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # j !•� Project Address: Owner's Name: Addressliso l A. P. Number: - Legal Description: City, ST, Zip: Contractor: �, Telephone: Address: Ozqto Project Description: City, ST, Zip: � ,� 1250-1 W2t4 -. %j Telephone: �� x::...;..,.,;,;:;::..;..:::..;. State Lic. City Lie. C. Arc Engr., Designer: Address: 14L720 BW 2245 City, ST, Zip: 30-1 Telephone::<:;;>.: State Lic. #• i 3 O...................:................. .. ............ N Construction Type: Occupancy: — ProJject e circle one): New Add'n Alter Repairair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:Q �[� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitte Item Amount Structural Cates. Reviewed, ready f corrections Plan Check Deposit Truss Calcs. Called Contact Person 10 Plan Check Balance Title 24 CAlcs. Jr Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionissue 71y5 Electrical Subcontactor List Called Contact Person j Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '"' Reyiew, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue 411 1 �Y School Fees . 4•� / Total Permit Fees cipp8 ?13 ,fie. ASAP 7/3 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 BOARD OF SUPERVISORS: KEVIN JEFFRIES DISTRICT I 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 June 12TH,2014 Mike Pontious, AIA 14343 Hwy 18,Suite 5 Apple Valley, CA 92307 Re: LAQ- I 4 -TI -020 47-647 Caleo Bay,Ste.I l0,La Quinta, CA Medical Oxygen System The plans you submitted for the above referenced project have been reviewed by the Riverside County Fire Department and are approved with the following conditions: The Fire Department Planning Division staff shall witness the following inspections/tests: Acceptance Test 1) 24 hour pressure test, at 150 PSI using dry (NF) nitrogen. 2) Cross check system operation and purge all outlets. 3) Final test: standing pressure test 4) Third party certification report/verification for proper installation. The installer shall provide all needed testing equipment to complete the final alarm inspection. The Fire Department Job Card, approved plans and conditions letter must be at the job site or no inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. Requests for inspections are to be made at least 24 hours in advance and may be arranged by calling (760) 863 -0886. Should there be need for further information and/or clarification, please contact the undersigned. Thank you for your continuing cooperation in advance. Lisa Nottingham, Fire Safety Specialist 11•G41 CRIPtAq 601% AVOW699 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED Permit Number: RC -14-699 Applied: 5/28/2014 Issued: 7/22/2014 Status: ISSUED Parent Permit: Parent Project: Approved: 7/11/2014 Finaled: Description: TENET HEALTH SYST MEDICAL OFFICE T.I. Site Address: 47647 CALEO BAY SUITE 110 City, State Zip Code: LA QUINTA, CA 92253 Applicant: PONTIUS ARCHITECTURE Owner: ACCRETIVE LA QUINTA PARTNERS Contractor: J B SPECIALTY CONTRACTOR Details: MEDICAL OFFICE T.I. SUITE 110 MEDICAL OFFICE T.I. SUITE 110 - 2998 SF. 30= OCCUPANT LOAD. DEFERRED SUBMITTAL ITEMS: MBA, LIQUID OXYGEN TANK & ENCLOSURE; HYPERBARIC CHAMBER & PIPING EQUIPMENT. 2013, 2010 ENERGY CODES. 08/11/2014 REVISION #1 WHILE UNDER CONSTRUCTION SUBMITTED FOR GAS PIPING. PROCESSED ON 08/29.1 WEEK LIST PER BH LIST OF REVIEWS RETURNED SENT DATE DUE DATE TYPE' CONTACT STATUS REMARKS . DATE . Review Group: BLDG IST (1WK) 8/29/2014 9/3/2014 9/4/2014 NON-STRUCTURAL BURT HANADA APPROVED NEED FIRE DEPT W/CONDITIONS CLEARANCE. Notes: — -- - -- - - REVISION #1 MEDICALGAS PIPING (UNDERGROUND) FROM LIQUIDOXYGEN,TANK LOCATION TO SUITE 110. 2013 CODES. PROTECT EXISTING ASPHALT PAVING AND,SIDEWALK. Review Group: BLDG 2ND REVIEW 7/3/2014 7/8/2014 7/9/2014 PLANNING JAY WUU REVISIONS NEED MBA REQUIRED Notes: 7/3/2014 7/10%2014 FIRE FIRE BUCKET REVISIONS NO COMMENT REQUIRED Notes: - - - -- -- — Building Tenant Improvement-Denied(Need to resubmit Med Gas-Denied(Need to resubmit) 7/16/20147/16/2014 7/23/2014 NON-STRUCTURAL BURT HANADA APPROVED W/CONDITIONS Notes: - - - - - - - - — --- MBA, OXYGEN TANK WITH ENCLOSURE AND BARYATRIC CHAMBER ARE DEFERRED SUBMITTAL ITEMS Printed: Wednesday, 03 September, 2014 1 of 1 3.f 47 Lf 9..! SY57[MS Certificate of Occupancy Twf oF 4 Q" 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. BUILDINGADDRESS: 47-647 CALEO BAY,, STE 110 Use classification: BUSINESS —MEDICAL OFFICE Building Permit No.: 14-0699 Occupancy Group: B Type of Construction: VB Land Use Zone: CC Code Edition: 2013 Sprinkler Installed: YES Occupant Load: 30 By: KIRK KIRKLAND Date: OCTOBER 15, 2014 Building Official: TOM HARTUNG (INTERIM) POST IN A CON Owner of Building: ACCRETIVE LQ PARTNERS Address: 19752 MACARTHUR BLVD, #240 City, ST, ZIP: IRVINE, CA 92612