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BWFE2014-108478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: T�44Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BWFE2014-1084 47647 CALEO BAY SUITE 110 643200004 CMU BLOCK ENCLOSURE FOR LIQUID OXYGEN TANK $10,000.00 Applicant: J B SPECIALTY CONTRACTOR 22989 ROUNDUP WAY APPLE VALLEY, CA 92308 SEP 2 5 2014 CITY OF LA QUINTA TY DEVELOPMENT DEPARTMENT 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 7Date: , J / Contractor: OWNER -B IL ER DECLARATION I hereby affirm under penalty of perj at I am exempt from the Contractor's State License Law for the following reason ( ec. 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.). (_J 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/25/2014 Owner: ACCRETIVE LA QUINTA PARTNERS 19752 MACARTHUR BLV 240 IRVINE, CA 92253 Contractor: J B SPECIALTY CONTRACTOR 22989 ROUNDUP WAY APPLE VALLEY, CA 92308 (760)953-3846 Llc. No.: 565731 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: _ Policy Number: 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 complywiththose provisions. Date ! k Applicant`". 0;-- 11 r WARNING: FAILURE TO SECURE WOK 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. 1 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. 1n7 Date: C " Signature (Applicant or Agent r�§i qL -0 DESCRIP.T.10F A CC,0 M 2-m34n' A MOUNT..;..v 9" 1� VAID-04TE' 0 M HOURLY PLAN CHECK - YES 101-0000-42600- $70.00 $76.00�,_ 9/25/14, 1',04N R,Mg"M""PI RAIMBY�MMETHOD p RECEIPT ,Mm of J B SPECIALTY CONTRACTOR CHECK R1484 6S69' MFA Total Paid for BLDG CITY STAFF - PER HOUR: $70.00 .$70.00 -DESCRIPT. K 4, wm7rM1,N_zf1 [j4,,ACCOUNT.4 Mwk �,P IR ��PA D D V., .. , ', : -UN "p t5 W" ,,ACCOUNT` 'n;, P BSAS SB1473 FEE 101,-0000r20306 0 $1.00' $1.00 9/25/14 'METHOD; N, 054 ,J B SPECIALTY CONTRACTOR- CHECK R1484 6569 MFA Total Paid forBUILDING STAN DARDSADM IN ISTRATION, BSA '$1.00 '$1.00.. I 11'� Mi ESCRIPT I mg -MRAC -OUN7 W�u MM 0_212 T 4OUNT: g A NMM 0"M W", -K+4 i M T WALL/FENCE - FIRST 1.00 LF 101-0000-42404 0 $47.86' $47.86 9/25/14 WY., xl Sp g 1,',44 CHECK :0 �ICLTD�BY J B SPECIALTY CONTRACTOR CHECK. 111484 6569 MFA y.. r ggq..� g- -g-, MVI��Iwi :�,PAIQ. MAtt" 54 A., Rlsi:,A� 1 M ,^�,77 A, R119 #iD• _�PAII)g 4, !XiN�7; WALL/FENCE - FIRST 100 LF PC - 10,1-0000-42600 0 $60.91 $60.91.,9/25/14 PAID BY,,.. mv 1; MIM 61 we mm t TOM! PtNtCK,�'Xq CLTD BY -,METHOD Ink u, V_ "'I 2r; J B SPECIALTY CONTRACTOR CHECK. R1484 6569 MFA Total Paid for FENCE OR FREESTANDING WALL '$i08.77. -$108.77, W! 'T 0 .. ....... Description: CMU BLOCK ENCLOSURE FOR LIQUID OXYGEN TANK Type: WALL/FENCE Subtype: Status: APPROVED Applied: 9/4/2014 BHA Approved: 9/25/2014 BHA Parcel No: 643200004 Site Address: 47647 CALEO BAY SUITE 110 LA QUINTA,CA 92253 Subdivision: PM 27892 Block: Lot: 4 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $10,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ACTION DATE Details: CMU BLOCK ENCLOSURE (6'-8" HGT) IS A DEFERRED ITEM FROM PERMIT RC -14-699. TANK &ENCLOSURE IS LOCATED IN PARKING LO1 WEST OF BUILDING. MBA -2014-1002 APPROVED BY PLANNING ON 8/05/2014.2013 CODES __j Applied to Approved Printed: Thursday, September 25, 2014 3:41:06 PM 1 of 3 ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES JACK OF JB SPECIALTY CONSTRUCTION DELIVERED FIRE PUBLIC COUNTER VISIT BURT HANADA 9/25/2014 9/25/2014 APPROVED PLANS FOR CMU BLOCK ENCLOSURE OF PROPOSED LIQUID OXYGEN TANK., PER L. NOTTINGHAM OF RIV.CO. FIRE, TELEPHONE CALL BURT HANADA 9/18/2014 9/18/2014 APPLICANT IS TO REVISPLANS, PROVIDE ADDITIONAL INFORMATION PRIOR TO PLAN APPROVAL. CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT J B SPECIALTY CONTRACTOR 22989 ROUNDUP WAY APPLE VALLEY CA 92308 ARCHITECT PONTIUS ARCHITECTURE 18643 HWY 18 STE 15 APPLE VALLEY CA 92307 CONTRACTOR J B SPECIALTY CONTRACTOR 22989 ROUNDUP WAY APPLE VALLEY CA 92308 Printed: Thursday, September 25, 2014 3:41:06 PM 1 of 3 Permit Details PERMIT NUMBER City of La Quinta BM62,10214 108 Printed: Thursday, September 25, 2014 3:41:06 PM 2 of 3.._- FINANCIAL INFORMATION INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY FOOTINGS BY HOURLY PLAN CHECK - 101-0000-42600 1 $70.00 $70.00 9/25/14 R1484 6569 CHECK J B SPECIALTY MFA YES CONTRACTOR Total Paid for BLDG CITY STAFF - PER HOUR: $70.00 $70.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/25/14 R1484 6569 CHECK J B SPECIALTY MFA CONTRACTOR Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WALL/FENCE - FIRST J B SPECIALTY 101-0000-42404 0 $47.86 $47.86 9/25/14 R1484 6569 CHECK MFA 100 LF CONTRACTOR WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 9/25/14 R1484 6569 CHECK J B SPECIALTY MFA 100 LF PC CONTRACTOR Total Paid for FENCE OR FREESTANDING WALL $108.77 $108.77 TOTALS: $179.77 $179.77 Printed: Thursday, September 25, 2014 3:41:06 PM 2 of 3.._- INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM FINAL" FOOTINGS Printed: Thursday, September 25, 2014 3:41:06 PM 2 of 3.._- REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE LISA FIRE NOTTINGHA 9/9/2014 9/18/2014 REVISIONS REQUIRED LIQUID OXYGEN TANK ' ENCL. M NON-STRUCTURAL BURT 9/9/2014 9/23/2014 9/11/2014 APPROVED LIQUID OXYGEN TANK FIRE APPROVAL REQUIRED PRIOR TO PERMIT HANADA W/CONDITIONS ENCL. ISSUANCE. PLANNING JAY WUU 9/9/2014 10/23/2014 9/10/2014 APPROVED PER MBA 2014-1002 W/CONDITIONS STRUCTURAL BUILDING 9/9/2014 9/23/2014 APPROVED BUCKET LISA FIRE NOTTINGHA 9/25/2014 9/25/2014 9/25/2014 APPROVED BLOCK ENCLOSURE ONLY M Printed: Thursday, September 25, 2014 3:41:06 PM 3 of 3 elm"_ f -".__ Bin # Req'd City Of La QuTbKo LP'Building PERMIT FEES Sz Safety Division. Permit # P.O. Box 1504, 78-495 Ca Tampico . . Item La Quints' CA 92253 - (76 ✓�D! --` Building Permit Application a 1 Project Address: Plan Check Deposit Owner's Name: AID A. P. Number: Address: Legal Description: Plan Check Balance. City, ST, Zip: Contractor: V e> GP"s?.4z Plans picked up Telephone: Address: . Project Descriptio At Plans resubmitted Mechanical Telephone: State Lie. # Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: City Lie. #: s emlf. OR, Construction T e: Occupancy: yP p cy: - - ProJect type (circleone): New Add'n Alter Repairai r Demo .............:.................................. Sq. Ft.: # Stories: # Units: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKDVG PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrcctio Issue " Electrical Subcontactor List Callcd Contact Pcrson Plumbing Grant Decd Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact c Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue 1R School Fees lien Total Permit Fees I!� �t✓aA o�? ✓:i;�. '_' Revrsio , :/VV I �,\ )0' 61 60.. ............................. ............................................................................................................................................................................/................................................../. XY EN TANK ENCLOSURE N ®TEs FOR INFORMATION NOT SHOWN SEE MFRS. DRAWINGS & SPECS. J L 1. rL D2 oi?�2ii f .QSURE NOTES: ARTH INING REBAR A TOP OF FOOTING 'ATIVE BLOCK, MASONRY, OR SIMILAR WITH THE ARCHITECTURE, COLOR, AND 'HE PRIMARY BUILDING sAETAL CONSTRUCTION .RS SHALL BE LOCATED OUTSIDE )F THE ENCLOSURE ATTACHED TO CONCRETE FILLED kT END OF WALLS. >N A LEVEL PAD AT GROUND LEVEL. 'AD AND: THE PICK UP AREA SHALL BE :OR THE WIDTH OF THE ENCLOSURE A GRADE OF 2% 6'$" HIGH WALL 44 TOP BOND BEAM — 7,14 VERT, STaE! �`b 24" f.).C. ALT. EACH VVAY. . #4 MID* BOND BEAM - 6" CMU BLOCK FINISH GRADE --� 2 - #f4 HORIZONTAL ... 1,_UH DETAIL. LLALL NO SCALE APPROVAL RIVERSIDE COUNTY FIRE DEPARTMENT BY: LISA NOTITINGHAM, F DATE: `% "DSD THE -FIRE DEPT APPROVAL FOR PLANS VALID FOR ONE YEAR -SUBJECT TO COMPLIANCE WITH APPLICABLE CODES ovGY� Burt Hanada From: Nottingham, Lisa@CALFIRE .<lisa.nottingham@fire.ca.gov> Sent: Thursday, September 25, 2014 1:24 PM To: AJ Ortega; Burt Hanada Subject: Re: La Quinta Medical Re: Modification by Applicant 2014-1002 La Quinta Medical Burt, A.J., Jay, The Fire Dept. has reviewed the plans for only the slab and 4 hour fire wall to the oxygen tank. We are not approving the oxygen tank and hyperbaric chambers until we get the corrections that.were sent out September 18`",2014. Thank you for your help, Ursa catrrnylham Fire Safety Specialist Riverside County Fire Department Fire Protection Planning 77933 Las Montanas Rd. Ste. 201 Palm Desert, CA 92211 (760) 863-8886 (760) 863-7072 fax