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09-0328 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000328 Property Address: 47647 CALEO BAY STE APN: 643-200-004- - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 400000 Applicant: (06%44* 644c. Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 200 LA QUINTA MEDICAL PARTNERSHIP 5500 TRABUCO RD #100 IRVINE, CA 92620 Architect or Engineer: ^ 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 Busi ess and Professionals Code, and my License is in full force and effect. License Class: B License No.: 693077 Date: J Contracto -__2 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, 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 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: LQPERNIIT Contractor: ORR BUILDERS 39301 BADGER, SUITE PALM DESERT, CA 9221 (760)360-6632 Lic. No.: 693077 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/05/09 l� u V.0 4 5 2009 CITY OF LA QUINTA 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 DELOS INS Policy Number OIDKRM12003959 _ 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 ecome subject to the workers' compensation laws of California, and agree that, if I shou be a subject to the workers' compensation provisions of Section 3700 of the Labor Cad , I s I forthwith comply with those provisions. r Date: 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 ab information is correct. 1 agree to comply with all city and county ordinances and state laws relating to buildin onstruction, and hereby authorize representatives of this county to enter upon the above-mentioned prop rty r inspection purposes. Date.Signature (Applicant or Agent): Application Number. . . . . . 09-00000328 ------ Structure Information 2 STORY OFFICE BUILDING ----- Other struct info . . . . . CODE EDITION 2007 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 88.00 1ST FLOOR SQUARE FOOTAGE .00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 3200.00 Permit BUILDING PERMIT Additional desc 3200 SF TI EXPANSION Permit Fee 1689.50 Plan Check Fee 1098.18 Issue Date . . . . Valuation . . . . 40000.0_ Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 639.50 300.00 3.500.0 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1050.00 Permit ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 154.80 Plan Check Fee 38.70 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 15.0-0 20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00 1.00 3.0000 EA ELEC APPLIANCES 3.00 2.00 37.5000 EA ELEC SVC <=600V/>200A/<=1000A 75.00 104.00 .4500 ------------------------ --------------------------------------------------- EA ELEC DEVICE/FIXTURE >20 46.80 Permit MECHANICAL Additional desc . Permit Fee . . . . 85.50 Plan Check Fee 21.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C.>3-15HP/>100K-500KBTU 33.00 3.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 19.50 Permit . . . . . . PLUMBING LQPERDIIT Application Number 09-00000328 Permit . . . PLUMBING Additional desc . Permit Fee . . . 112.50 Plan Check Fee 28.13 Issue Date. . . . . Valuation 0 Expiration Date 11/01/09 Qty Unit'Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA. PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments 3,200 SF INTERIOR T.I."B" OCCUPANCY, TYPE VB CONSTR. OCCUPANT LOAD =88. NOTE: IT."I. INCORPORATES AREA OF SUITE 220 AND PART OF SUITE 230. SEE ORIGINAL T.I. PERMIT # 08-192 FOR ADDITIONAL INFORMATION) 2007 CODES. -------------------- ------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 109.82 BLDG STDS ADMIN (SB1473) .16.00 ENERGY REVIEW FEE 109.82 STRONG MOTION (SMI) - COM 84.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 2042.30 .00 .00 2042.30 Plan Check Total 1186.39• .00 .00 1186.39 Other Fee Total 319.64 .00 .00 319.64 Grand Total 3548.33 .00 .00 3548.33 LQPERMIT Bin #L)V�( off ' City of La Quinta , Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico cx La Quinta, CA 92253 - (760) 777-7012 l� Building Permit Application and Tracking Sheet Permit # �JZ Project Address: 4 a -Ra D i- e Owner's Name: Jo G 4,5,a liT A. P. Number: ZoekUG Address: O Legal Description: City, ST, Zip: Contractor: T el on e h e. P Address: 3 Project Description: Q ail rOV mt- City, ST, Zip: T �Xny A75 lO n +c) --,x 41 " one• Telephone: P 3 State Lic. # : Arch., Engr., Designer:I-le)4 City Lic. #: ArcAAecls Address: 70 ZZ 4 n City, ST, Zip: ` Q P C -2 Z 7 6 Lic. #: — Construction Type: Occupancy: AnState d Alter Repair Demo Project type circle one • New Name of Contact Person:Ti a Sq. Ft.� z oo # Stories:'' Z # Units: Estimated Value of Project• "Y 0 0 d0 0 Telephone # of Contact Person: -z ' JZ `� (� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets 3 Plan Check submitted Item Amount Structural Calcs. 3 Reviewed, ready for orrectio s ���// T 'J Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up U/7. Construction 3 Plans resubmitted .r Mechanical G �Sh 3 2nd Review, ready for correctionissue 4 Electrical 3 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 Total Permit Fees -4, may., �13. -��Iq)Inln %�'DIII,'1-W L �o o: W�/1'�rr� q (,� -7� -�'- on foto ov,n -0 Al CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED SECOND FLOOR 07-05-07 oArE o BY �S� UES 415107 _ f L.A►J �L `N T� SUITE 270 SUITE 260 1;42o USF 2,270 USF AVAILABLE E3 io AVAILABLE Gy 240 _E SUITE 280 2,063 USF AVAILABLE I. t% B j SUIT 30 E 2 � � UITE 220 J 1,502 USF I 3,993 USF l AVAILABLE AVAILABLE J. SUITE '200 2,936 USF VACANT SUITE 210 2,011 USF AVAILABLE lfr John R. Hawkins April 24, 2009 Fire Chief Proudly serving the /g7qaeAMe n+ RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection West san_,lacinto Avenue,. Penis, Caofomla 92570 ._(9.5.1 ).94tN900_•_Fax.(951).940 6910. unincorporated RE: TENANT IMPROVEMENT PLAN CHECK areas of Riverside LAQ-09 Ti -014 Orthopedic Center Expansion 47-647 Caleo Bay La Quinta, CA County and the Cities of. You have been issued a release for a tenant improvement on an existing building. THIS IS Banning NOT AN OCCUPANCY PERMIT. Beaumont. It is prohibited to use/process or store any materials in this occupancy that would classify it as Calimesa a "W occupancy. .y Canyon Lake 4 - THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Coachella Install door hardware and exit signs as per Chapter 10 of the 2007 UBC, including front and Desert Hot Springs rear doors.. Indian wells If this facility has existing.supervised automatic fire sprinklers and If more than 10 sprinklers are relocated / added plans are required and shall be submitted for approval. Ina o Lake Elsinore A minimum 2A10BC 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 La Quinta extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal 4. Moreno Valley service tag attached to the extinguisher, or purchased from a retail store with a sales receipt 4. attached. A licensed fire extinguisher company must service extinguisher yearly. Palm Desert A All breakers must be labeled and a clearance of 36 inches must be maintained around the Perris panel at all times. Rancho Mirage e OTHER REQUIREMENTS: Rubidoux CSD °- Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) shall San Jacinto have durable and legible tags affixed for identification of the correlating tenant space. Key(s) Temecula shall be provided at time of final inspection. Approved suite address shall be placed in such a position to be plainly visible and legible Boars ofsupmisors from the street. Said numbers shall contrast with their background. Bob Buster,. District 1 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 John Tavaglione, District on a contrasting background. Jeff Stone, District 3 A licant/installer shall be responsible to contact the Fire Department to schedule pp p p inspections. A re -inspection fee will be required if more than one (1) inspection is necessary. Roy Wilson, Requests for inspections are to be made at least 72 hours in advance and may be arranged District a by calling (760) 863-8886. Marion Ashley, District 5 All .questions regarding the meaning Of these conditions shbuld be r6fiefred to the Fite Depcirtrheht Planning & Erigiheerihg Staff at (760) 863-8886. BY, Sincerely, indhtubbI6 Fire Sale.ty Specialist Tity" 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Les Johnson, Director -Planning Permit #: 09-328 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 To CDD: April 13, 2009 Due Date: April 20, 2009 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: T.I. Expansion To Existing Medical Office Address or General Location: 47-647 Caleo Bay Dr. Ste. 200 Applicant Contact: Ruben Coronado (760)328-5280 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. I' ...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. Les Johnson, Director -Planning Date /2Wt-c- Ma/ %f VAZ- l/✓ -'-J73 S"l � B� �G2£�.� f �� v1_ w , 12� ®uol? s,2 law 0 K L- Q P-1 C Sir 9,100, OS -0