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04-3582 (RC)BUILDING& SAFETY DEPARTMENT O - P. BOX 1504 (760).777-7012 OF 9 5 CALLE TAMPICO FAX (760) 777-7011 D ' L IN•TAv.QALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT icaton"NumberQ4-00003582 Date 5/18/04 Property Address . . . 79440 CORPORA E CENTER DR APN: .649-020-067- -000000- Application description 'REMODEL - COMMERCIAL Property Zoning . . . . . . . COMMERCIAL PARK Application valuation . . . . 15000 Owner Contractor- ------------------------ ontractor------------------------ -------------------------- PAUL JAMES R GALAXY MEDICAL BUILDERS INC 79440 CORPORATE CTR 102 984 MONUMENT STREET LA QUINTA CA 92253 PACIFIC PALISADES CA 90272 (310) 230-7953 WCC: STATE FUND WC:-' 208422003 10/01/04 CSLB: 779295 05/31/06 CCC: B -=------------------------ Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED .Other struct info . . . . . CODE EDITION FIRE SPRINKLERS YES ---------------------------------------------------------------------------- Permit. . . BUILDING PERMIT Additional desc Permit.Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation 15000 A. Qty Unit Charge Per Extension BASE FEE 45.00 13.00 9.0000 THOU BLDG 2,001-25,000 117.00 ---------------------------------------------------------------------------- Speciai Notes and Comments COMMERCIAL SHELL REMODEL, MRI FOUNDATION ONLY. -----------"----------------------------------------------------------------- Other Fees . . . . . . STRONG MOTION (SMI) - COM 3.15 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 162.00 .00 .00 162.00 Plan Check Total 105.30 .00 .00 105.30 Other Fee Total 3.15 .00 .00 3.15 Grand Total 270.45 .00 .00 270.45 P.O. Box 1504�� VOICE (760) 777-7012 Tdf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. L941- 3584g IDate:-�S-d41 Applicant: Applicant's Mailing Address: 0 dA - Architect or Engineer: 7e'E 4 !/A& AA/ (, "YA? Architect or Engineer's Address: 2930 �b✓Fs7 wood Slno . S�•"re- /mob Lic. No.: 11-13419/ BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am f an ed 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. _-----C'cense Class License No. Date Contra ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 1, 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.). U I am exempt under Sec. . BA P.C. for this reason Owner WORKERS' COMPENSATION DECLARATION 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. 1 have and will maintain workers' compensabo insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is c�iss ed wqr S= compensation in Cartier and Pylic umber are: Cartier :Jiq �r✓ olicy u ber ZO V ZZ no 3 I certify that, in the performance of the wo fo 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 re that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provision . Date�� 31 b olicant 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. 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 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, indemnity and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omissionted to worts being performed under or following issuance of this permit 2. Any permit issued as a result of this application becom s n II and the 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 ca cel tion. I certify that I have read this application and state that the above i fo tion Is correct I agree to comply with all city and county ordinances and state laws relating to building constructiomi, a d tme by authorize representatives of this o ter upon �anloned.property for inspection purposes. /ate V Signature (Applicant or Agent): �.. j� Permit o5F City of La Quinta Building ex Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking S eet JC Project Address: q AZI Q OwTcr's Name: A. P. Numbs Address: LtC{O C C Z U Legal Description: City. ST. Zip: x Contractor. (� �At. V t �, F Tclephonc: 2( Address: Ot d Lk I Project Description: JC City, ST, Zip: Ft— Telephone: _r V•' V V� • I� „moi -.i:.: ,f.'. - :. ( -Qj v C St v State Lic. # : City Lic. C Arch., Engr., Designer &,AJj3 Address: Otso City, sr, zip: L, I& rA aoaG&l s kU- y dQt4A.l X Telephone: / ,�.:;-' State Lic. #-.\6L Q Name of Contact Person: G Frr - _ 1MAVJ —*--0 Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # St # Units: X Telephone #.of Contact Pelson: 1 ? - U. W4 stimated Value of Proj l : 1— $ APPLICANT: DO NOT WRITE BELOW THIS UNE Z• 006 # Submittal Rtq'd Ra'd TRACKING PERMIT FEES Plan Stu Plan Check submitted Item Amount trnctural Calts. Reviewed, ready for corrections is Man Chick Deposit Truss Calcs. Called Contact Person /S Man Check Balance • l Energy Calcs. Plans picked up Construction • - Flood plain plan Pians resubmitted Mechanical Grading plan Y' Review, ready for correct - s issue - '¢ /9 Electrical Subcontactor List Called Contact Person. CU,;-A� #//g Plumbing Grant Deed Plans picked up SAI.l. e • H.O.A. Approval Plans resubmitted Grading IN HOUSE:-. '"' Review, ready for eorrectionsltssut Developer Impact Fee Planning Approval Cal" Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees -"' Total Permit F Ln %Uo%f: 13cCAV91C -F 11/law0ov-dy. "i /-OoC(. S/'-�itov£/f+wi-�� 5' To lC0 NP( Com- '1-6c,4j� Z Xl- eAjl'e P/G _f�vl S7�'►•vcT ��i�ti+ifs� .an- Sl�F/ l.-�' 7'0/� /9r� 4✓e `YOUNG. ENGINEERING SER VICES • Engineering • Architecture•Surveying• Building & Safety Services Letter of Transmittal To:GiDate: Project: Attn: Tel No.: We are forwarding: No. of Copies Tract No.: By Messenger By Mail Your Pickup Description: THANK YOU This Material Sent -for: Your Files Per Your Request Your Review Approval Checking At the request of: Other By: M- VN-( Phone # (760) 360-5770 77.804 Wildcat Drive, Suite C Plain Desert, C4 9 211 (760) 360-5770 Bron_ Young Of. Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning .C• Beaumont Calimesa 4• Canyon Lake ti• Coachella Desert Hot Springs Indian Wells C• Indio g. Lake Elsinore La Quinta Moreno Valley o� Palm Desert Perris g. Rancho Mirage San Jacinto 4 - Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Foresoy and Fire Protection 82-675 Highway 111, 2^d Fl., Indio, CA 92201 . (760) 863.8886 e Fax (760) 863-7072 May 28, 2004 The Neiman Group' 2930 Westwood Boulevard, Ste. 100 Los Angeles--tA 90064 Re: Non -Structural Building TA Plan Review LAQ-04- 78 /Imaging Center & Cli 940 Corporate Center Dr., Ste. 117 & 118 Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 2) Provide either a separate Knox Key Lock box, Model 3200, mounted per recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system, the lock boxes will require "tamper" monitoring. Special forms are available from this office for the ordering of the Knox Box. 3) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement of equipment. 4) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background. 5) Electrical room door shall be posted `ELECTRICAL ROOM" on the outside of door. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Cc:� -City-of LQuints = Buldng Dept FtV EZM Dan i.• Q*rtA%PROJSUTS%%maauAoa471o78.-a« Sincerely, FRANK KAWASAKI Chief Fire Department Planner By && � Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82.875 Highway 111, 2"a FI., Indio, CA 92201 '• (760) 863-8888 • Fax (760) 863-7072 OCT -15-04 FRI 2:44 PM RIV, CO, FIRE P&E INDIO Craig Anthony Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Bamting p4 Beaumont Y Calimesa Canyon Take ee Coachella Desert Ilut Springs a. Ltdian Wells Indio Lake Elsinore i La Quinta Moreno Valley 4 Palm Desca �J Penis Rancho Mirage San Jacinto . •y 7eitimula Ilosrd ol•Supervisurs Bob Buser, nistricl Z John Tavaglione, Dislrid 2 - Jiro Venable. • Distriq 3 Roy W ikon, Disttim 4 ?Barton Asble), District S FAX r:0, 1 760 863 7072 P. 1 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation H ilh the California Department of Forestry and Fire Protection 10 West San Jacinto Kvenue • err , a I omla • ( Fax 9) 940-6910 October 15, 2004 City Of La Quinta Building Department Re: Imaging Center & Clinic The Riverside County Fire Department is granting a fire and life safety clearance with the following addressj 97440-. rporate Drivi;, La`�Quinta.. Please call if you should have any questions. TD/jl FRANK KAWASAKI Chief Fire Department Planner By Terry D� eS�Sucy �} Fire Systems Inspector V EMERGENCY SERVICES DIVISION • PLANPIING SECTION • INDIO OFFICE 82-675 Highway iii, 2"0 R., Indio, CA 92201 • (760) 863-8886 • Fax (760) 853-7072