The URL can be used to link to this page

06-3953 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Ti&t 4 4 4" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 130 LA QUINTA MEDICAL PARTNERSHIP - 5500 TRABUCO RD 4100 IRVINE, CA 92620 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/23/07 Contractor: D Architect or Engineer: ULTRA CONSTRUCTION 3065 E. VERONA ROAD �q� 2 4 2001 PALM SPRINGS, CA 92264 (760) 320-2113 Lic. No.: 464856 C�TYOFLAQUINTA ------------------------------------------------------------------------------------------------- ' LICENSED CONTRACTOR'S DECLARATION r ---- Application Number: -06-00003953 Property Address: 47647 CALEO BAY STE APN: 643-200-004- -. Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 65000 Ti&t 4 4 4" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 130 LA QUINTA MEDICAL PARTNERSHIP - 5500 TRABUCO RD 4100 IRVINE, CA 92620 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/23/07 Contractor: D Architect or Engineer: ULTRA CONSTRUCTION 3065 E. VERONA ROAD �q� 2 4 2001 PALM SPRINGS, CA 92264 (760) 320-2113 Lic. No.: 464856 C�TYOFLAQUINTA ------------------------------------------------------------------------------------------------- ' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License ss: License No.: 464856 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ^ !J ate: f�-q0vantractor: le 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1615446-2006 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires'a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, IIss��hall forthwith comply with those provisions. 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 plicam. te: / Z�� (_ 1 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 WARNING: FAI URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his'or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, I—) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERAIIT 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 oft 's county to enter upon the above-mentioned property for ' ssppection purposes. Date: Z VL157' nature (Applicant or Agent): � J Application Number . . . . . 06-00003953 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 482.00 Plan Check Fee 313.30 Issue Date . . . . Valuation . . . . 65000 Expiration Date 7/22/07 Qty Unit Charge 'Per Extension BASE FEE 414.50 15.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 67.50 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . 51.90 Plan Check Fee 12.98 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/22/07 Qty Unit Charge Per Extension BASE FEE 15.00 1845.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 36.90 Permit MECHANICAL Additional desc . Permit Fee . . . . 48.50 Plan Check Fee 12.13 Issue Date . . . . Valuation 0 Expiration Date 7/22/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 ----------------------------------------=------------------------------------ EA MECH VENT FAN 6.50 Permit PLUMBING Additional desc . . Permit Fee . . . . 73.50 Plan Check Fee 18.3.8 Issue Date Valuation . . . . .0 Expiration Date 7/22/07 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 LQPE&'%IIT LQPERDIIT " Application Number . . . . . 06-00003953 ---------------------------------------------------------------------------- Special Notes and Comments MEDICAL OFFICE TENANT IMPROVEMENT.PHYSICAL THERAPY --"----------------------------------------------------------------------"---- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 13.65 Fee summary Charged ---------- Paid. -------------------- Credited ---------- Due ----------------- Permit Fee Total. 655.90 .00 .00 655.90 Plan Check Total 356.79 .00 .00 356.79 Other Fee Total 13.65 .00 .00 13.65 Grand Total 1026.34 .00 00 1026.34 ��13 �Q{.lClk►,ir �tF� IHS f'ItJ'DI►3G SNcI.� F.a�� i�KS W►t�. N£t. ��v►£I,il I j 13 �►.�'�-nay �- C2 4�0(o C OD RSG ,II I2 21 0(o--�ON BgARD �IN l-rjoWEJ � my Doan Q 12 27 0(0 --TCDD (W/FLAIJS � 6R /�J+eE7/ N5 i� (c7�nu- C�UIa� "� 1 8 o� c 0 P A? Pi' V �v 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 # (� al I Project Address:..6 G - CQl e O &H Sv Je 13 Owner's Name: do ".5 ion b eve lob Z .. A1C • A. P. Number: �j ({ .3 — �Q o _ 0� (� -� Address: $ SO O T/'Al vW C O eoq d J# I o o Legal Description: Contractor: ^ City, ST, zip: r vi l►e, CA 9 2 6 QM Telephone: U -4 66 3 [1.11 Addres Project Description: ' L° City, ST, Zip: KagA -i-- wpfo vem 61+ {ii:??•iY lrn;.};;:{.tiv5:i:��v.L:ii �h ii:C:i:i«:i f vn;in> 3ii$}}:::iv'�i: i �:�i'::v?:•ti .. i' "itis i Telephone: <u%.1,,:;•::::�><:> ::;:>i<:r:>:::::<.<>.;:� ::?� �, -go State Lic. # : S T7 City'Lic. #; —01 Arch., Engr., Designer .M; C i= SWOT /) , wood , r Address: 050 O -&Q�Q 1CQ {JG,',w-� az.3 • . City., ST, Zip: 1r vi /le c1� .92.6x7 Telephone: 9 0 5 52- -.2-061 �:usi`:.>: '<><:»><:<.: State Lic. #: Q r` < > << <: <:':. < > Construction Type: v � N Occupancy: e) P P Y� Project type circle one): New - Add'n Alter Repair Demo Name of Contact Person: t �'t �%P�C�J`M 4 Cr Sq. FL: ItOy 5 # Stories: -1#Units: Telephone # of Contact Person: 949 S52 -2(J6I k �S q� Estimated Value of Project;J65 , 0 010 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets 2 Plan Check submitted �' (1 3 Item Amount Structural Calcs. Reviewed, ready for corrections tb Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Calcs.LT� Plans picked up Construction Flood plain plan Plans resubmitted I Mechanical Grading plan 2°" Review, ready fo orrect' ue t Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted 01/07 Grading IN HOUSE-- 'rd Review, ready for correctio !issue Developer Impact Fee Planning Approval Called Contact PersonA.I.P.P. Pub. Wks. Appr Date of permit issue School Fees i Total Permit Fees �Q{.lClk►,ir �tF� IHS f'ItJ'DI►3G SNcI.� F.a�� i�KS W►t�. N£t. ��v►£I,il I j 13 �►.�'�-nay �- C2 4�0(o C OD RSG ,II I2 21 0(o--�ON BgARD �IN l-rjoWEJ � my Doan Q 12 27 0(0 --TCDD (W/FLAIJS � 6R /�J+eE7/ N5 i� (c7�nu- C�UIa� "� 1 8 o� c 0 P A? Pi' V �v John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County aid the Cities of Banning Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs Indian Wells Indio Labe Elsinore La Quinta Moreno Vallee Palm Desert Ferris Rancho Mirage 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 RIVERS IDE COUNTY FIRE DEPARTMENT 1 In cooperation «lith the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue . Perris, California 92570 • (951) 940-6900 . Fax (951) 940-6910 Date -�120/6-7 Building Department RE P615i(Ai T�n�d�y I- �' 06—TI- I ( ) The Riverside County Fire Department is granting the Fire clearance for the following location 416 ' 1 (4 6 &v A' /Ao Please call if you should have questions 760-863-8886 ResVian ectfully, bble Fire Systems Inspector �a��U,lnra`Q,,c Certificate of Occupancy II,,II `.(L.i[osroa7ID G4� ✓C). isms y1' G� OFTBuilding & 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: 47647 CALEO BAY SUITE 130 Use classification: COMMERCIAL ELITE PHYSICAL THERAPY Building Permit No.: 06-3953 Occupancy Group: B Type of Construction: V-N Land Use Zone: CC Owner of Building: LA QUINTA MEDICAL PARTNERSHIP Address: 5500 TRABUCO CANYON City, ST, ZIP: IRVINE CA 92620 By: STEVE TRAXEO Date: MARCH 27, 2007 Building OffiXal POST IN A CONSPICUOUS PLACE