09-0708 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000708
Property Address: 47647 CALEO BAY STE 280
APN: 643-200-004- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: COMMUNITY COMMERCIAL
Application valuation: 103000
c&ht 4 4v Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant Architect or Engineer:
14—
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 Professionals Code, and my License is in full force and effect.
License Class: B License No.: 588920
Date: I1Contracto
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 _ 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, hnwpvp.r, 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 _ 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
1 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:
LQPERMIT
Owner:
LA QUINTA MEDICAL PARTNERSHIP
5500 TRABUCO RD #100
IRVINE, CA 92620
Contractor:
ASARO BUILDERS,
42220 GREEN WAY,
PALM DESERT, CA
(760)776-0043
Lic. No.: 588920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/13/09
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 STATE FUND Policy Number 30001642009
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
1I �j�L 337100 of the Labor Co e, I shall forMrotj h comply with those provisions.
Date:tom'_ 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspecti purposes.
Date: al Signature (Applicant or Agent):
Application Number . . . . 09-00000708
------ Structure Information 2,063SF TI/VB/B-OCC/21-OL/SPRINKLED -----
Other struct info . . . . . CODE EDITION 2007CBC
FIRE SPRINKLERS FULLY
MIXED-USE OCCUPANCY B
OCCUPANT LOAD 21.00
1ST FLOOR SQUARE FOOTAGE .00
2ND FLOOR SQUARE FOOTAGE 2063.00
----------------------------------------------------------------------------
Permit . .
Additional desc .
Permit Fee . . .
Issue Date .
Expiration Date .
BUILDING PERMIT
650.00 Plan Check Fee 422.50
Valuation . . . . 103000
5/09/10
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
3.00
---------------------------------=-------------------------------------
3.5000
THOU BLDG
100,001-500,000
10.50
----
Permit
. . .
ELECT - ADD/ALT/REM
Additional
desc .
Permit Fee
. . . .
97.50
Plan Check Fee
24.38
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
5/09/10
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
20.00
.7500
PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
150.00
----------------------------------------------------------------------------
.4500
EA ELEC
DEVICE/FIXTURE >20
67.50
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
49.00
Plan Check Fee
12.25
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
5/09/10
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
4.5000
EA MECH
VENT INST/ DUCT ALT
4.50
1.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
1.00
6.5000
EA MECH
AH <=10K CFM
6.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN
6.50
Permit . . . . . . PLUMBING
LQPERMIT
Application Number . . . 09-00000708
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 73.50 Plan Check Fee
18.38
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 5/09/10
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
----------------------------------------------------------------------------
Special Notes and Comments
2,063SF TI/VB/B-OCC/21-OL/SPRINKLED [LA
QUINTA EAR, NOSE AND THROAT] THIS PERMIT
DOES NOT INCLUDE BUILDING SIGNAGE. 2007
-CALIFORNIA BUILDING CODES.
November 9, 2009 4:12:43 PM AORTEGA
7 ----------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
42.25
BLDG STDS ADMIN (SB1473)
5.00
ENERGY REVIEW FEE
42.25
STRONG MOTION (SMI) - COM
21.63
Fee summary. Charged Paid Credited
-------------------------------------
Due
--------------------
Permit Fee Total 870.00 .00 .00
870.00
Plan Check Total 477.51 .00 .00
477.51
Other Fee Total 111.13 .00 .00
111.13
Grand Total 1458.64 .00 .00
1458.64
LQPERMIT
Bin #
:• City of I: •uinta
Building & Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
- La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: ( 6 o
Owner's Name:
A. F. Number:
Address: `t 4 mac- -ems Svc -1-' Zb
Legal Description:
City, ST, Zip: '
Contractor:I:"
�
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
:fir Ff•: l.. :- : sr; _:
;• >A:t,.
1 C
State Lie. # :
City Lie. #;
Arch., Engr., Designer: C � i l £S t c, v io
Address:, '11�C 1 wa4 S l
City,, ST, Zip:ALMt�"�
Telephone: o 3.0 k r,Construction Type: Occupancy:
cy:
: r
State Lie. Project type (circle one): New Add'n Alter Repair Demo
.
-77tib---�-?C -.
Name of Contact Person: "' '-' `�- � `_+
�tv ► v��lty-��; y Sq. Ft.: kol-2(0 orio es: 2 # Units:
Telephone
# of Contact Person: o $$d ox Estimated Valu of Project: we
3t>� APPLICANT:
DO. NOT WRITE. BELOW THIS
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
.Plan Sets
Plan Check submitted Item Amount
Structural Cafes.
Reviewed, ready for corrections Plan Check Deposit �--
TrussCalcs.
Called Contact Person '1 Pian Check Balance. •_.
Title 24 Calcs.
Plans picked up 7 Construction WO U?D
Flood plain plan
Plans resubmitted IO
Mechanical,
Grading plan
tad Review, ready for o i s/issue I
Electrical ;�
Subcontactor List
Called Contact Person ��
Z Plumbing
Grant Deed
Plans picked up. S.M.I.
H.O.A. Approval
Plans resubmitted u .T Grading •--
IN HOUSE:-'
'nd Repiew,.ready for correction sue �� Developer Impact Fee �-
Planning Approval
Called Contact Person IL A.I.P.P.. �-
Pub. Wks. Appr
Date of permit issue Q�
School, Fees
Total Permit Fees
Ns Pe,
6&4lf
��j L� � �►'12-� PIIS
"�ti �i-� CovblL a�cc�•�i� � l� ;vaE
Tihf 44a"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #: 09-708
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: July 7, 2009
Due Date: July 14, 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:
Address or -General Location
T.I. Ear Nose & Throat Doctor
47-647 Caleo Bay Ste.240
Applicant Contact: Candice Noto (760)880-3016
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
..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.
.4
Les ohnson irector-Planning Date
71-780 San.Jacinto Dr. Ste. E2, Rancho Mirage..Ca: 92270 ph. (760) 834-8860 fax (760) 834-8861
Letter of Transmittal
To:
City of La Quinta Today's Date:
11-4-09
78-495 Calle Tampico City Due Date
11-5-09
La Quinta, CA 92253 Project Address:
47-647 Caleo Bay, Ste. 280
Attn:
Michele / Philip Plan Check #:
09-7080
Submittal: ❑ 1St
❑
4th
® 2nd
❑
5th
❑ 3`d
❑
Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes:
# Of
Descriptions:
Copies:
Copies:
®
1 Structural Plans
❑
Revised Structural Plans
®
1 Struct. Calcs
❑
Revised Struct. Calcs
❑
Truss Calculations
❑
Revised Truss Calcs
❑
Soils Report
❑
Revised Soils Report
❑
Structural Comment List
❑
Approved Structural Plans
❑
Redlined Structural Plans
❑
Approved Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments:
Structural content for the roof anchorage and
support
of the 599# roof mounted
mechanical unit is acceptable.
This Material Sent for:
❑ Your Files ® Per Your Request
❑ Your Review ❑ Approval
❑ Checking ❑ At the request of:
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® # (760) 834-8860
Other: ❑
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
Las Montanas Rd STE 201 • Palm Desert, CA 92211 • (760) 863-8886 • Fax (760) 863-7072
IMPROVEMENT PLAN CHECK
TI -037 La Quinta Ear Nose and Throat 47-647 Caleo Bay Ste. 280 La Quinta, CA
ued a release for a tenant improvement on an existing building. THIS IS NOT AN
MMIT.
use/process or store any materials in this occupancy that would classify it as an "H"
307 of the 20007 UBC.
IG CONDITIONS MUST BE MET PRIOR TO INSPECTION:
'are and exit signs as per Chapter 10 of the 2007 UBC.
IBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible
' walking distance from any point in your building or suite. Fire extinguishers can
censed extinguisher company with a State Fire Marshal service tag attached to the
xrchased from a retail store with a sales receipt attached. A licensed fire extinguisher
vice extinguisher yearly.
be labeled and a clearance of 36 inches must be maintained around the panel at all
ting "This door to remain unlocked during business hours" shall be placed on or
nt exit door. The sign shall be in letters not less than one inch high on a contrasting
the tenantspace for inclusion in the main building Knox Box. Key(s) shall have
e tags affixed for identification of the correlating tenant space. Key(s) shall be
f final inspection.
ble interior notification alarm device shall be provided in approved locations. A
tractor must submit plans, designed in accordance with NFPA 72, 2002 Edition, to
;nt for review and approval prior to installation.
ary to maintain proper fire sprinkler protection due to constructions changes, fire
Mans for the tenant improvement area may be required to be submitted to the Fire
view, along with a plan/inspection fee. The sprinkler system will have to be
gned in accordance with NFPA 13, 2002 Edition. A licensed C-16 contractor shall
)rk and certification. The approved plans,. with Fire Department Job -card must be at
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 arrangedby 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.
'ncerely,
By: JA
Jas Stubble
Fire Safety Specialist
n
a
CA
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LA QUINTA E.N.T. 1. ........a ..... ......... ..
Certificate of Occupancy
T4af 4 4 auum
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 CALM BAY STE 280
Use classification: COMM: ( LA QUINTA EAR, NOSE & THROAT) Building Permit No.: 09-708
Occupancy Group: B Type of Construction: VB Land Use Zone: CC
Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 21
Building Official
Owner of Building: ACCRETIVE LA QUINTA PARTNERS
Address: 1 PARK PLZ #340
City, ST, ZIP: IRVINE, CA 92620
By: STEVE TRAXEL
Date: APRIL 23, 2010
PLACE