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04-7581 (RC)4 _,_ BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . X04=0000.7581 Date 3/11/05 Property Address . . . . . . 79440 CORPORATE CENTRE DR 116 APN: 649-020-067- -000000- Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . . COMMERCIAL PARK Application valuation . . . . 22000 Owner Contractor ------------------------ PAUL JAMES R ------------------------ VISION BUILDERS 79440 CORPORATE CTR 102 42280 BEACON HILL LA QUINTA CA 92253 PALM DESERT CA 92260 (760) 776-0065 WCC: STATE FUND WC: 22904 10/01/05 CSLB: 718994 08/31/05 CCC: B ------ Structure Information COMMERCIAL CHURCH TI ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . ASSY BLDG <300 NO STAGE Other struct info . . . . . CODE EDITION 2001 ` FIRE SPRINKLERS YES MIXED-USE OCCUPANCY A3 OCCUPANT LOAD 219.00 1ST FLOOR SQUARE FOOTAGE 2084.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date Valuation . . . . 22000 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 THOU BLDG 2,001-25,000 180.00 ----------------------------------------------7----------------------------- Permit . . . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 56.68 Plan Check Fee 14.17 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2084.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 41.68 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . . 0 P.O. BOX 1504�� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number:V %S -S/ Date: .3-11-05 Applicant: I Architect or Engineer: Applicant's Mailing Address: 60 /VT2A - G 7-0 /C Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Cp&e, and my Lice& is in full force and effect. /�j O p( (� t cense Class c!J License w L.� l 2 .0 sf/ /LrB 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. , B.& P.C. for this reason WORKERS' 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. 1 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.workers' mpensation insurance cgar nd p_ y nuler are: arde Policy Numlitsr C �f _ I certify tha , in the performance of the work for which this permit is iss ed, 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 comply with those provisions. 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 Lenders 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, indemnify and hold harmless the City of La Ouinta, 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 informati 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 co to ent pon the above-mentioned roparty for inspection purposes. UL51—A t\ Signature (Applicant or Ag Application Number . . . . . 04-00007581 Page 2 Date 3/11/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH.VENT INST/ DUCT ALT 4.50 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 61.50 Plan Check Fee 15.38 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 6..0000 EA PLB FIXTURE 36.00 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 Commercial Remodel "Desert Oasis Fellowship" Church TI, "A-3" Occupancy, Occupant Load 219 Type --------------------------------------------------- VN Sprinkled. Other Fees STRONG -------------------------- MOTION (SMI) - COM 4.62 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ---------- 362.68 ---------- .00 ---------- .00 362:'68 Plan Check Total 180.68 .00 .00 180.68 Other Fee Total 4.62 .00 .00 4.62 Grand Total 547.98 .00 .00 547.98 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs 4. Indian Wells Indio .; Lake Elsinore La Quinta ee Moreno Valley Palm Desert 4. Perris :• Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaghone, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT HIghWayIndio, CA 92201 . . Fax V60) 863-7072 February 17, 2005 Robert Ricciardi, Architect 75-090 St. Charles Place, Ste. A Palm Desert, CA 92211 Re: Non -Structural Building T/I Plan Review LAQ-05-TI-017 / Desert Oasis Fellowship Church 79=440 Corporafe.-Center Df., -Ste. 1.16' 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 keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC 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) Room capacity shall be posted in a conspicuous place on an approved sign near the main exit from the room. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 72 hours in advance and may be arranged by 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. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept n:we2%GENEM%F0Rrs%BL"p vw cuedk.dw EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 QUMAJ ■ P.O. Box 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: 2- /0 oS From: Oscar Orci, Planning Manager Due date: . z ' N� Status: Z Review �J� Building Plans Approval- �v (This is an approval to issue a building. permit) The Community Development Department has reviewed the Building Plans for the following project: Description: C, 7U_Me,7ftA–(, %'t (&V(D `rD IMS0—CUti&& Address or general location: if – 440 � – �� • � � Applicant. Contact; The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ...these Buildin Plans area roved b the Community Development g pp Y Y p 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 Community Development Department for review. –Aacar-Orci�, l_ i er Date Certificate of Occupancy Building Y p & 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: 79440 Corporate Center Suite 116 Use classification: Assembly "Desert Oasis Fellowship" Church TI Building Permit No.: 04-7581 Occupancy Group: A3 Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: James Paul Address: 79-440 Corporate Center Ste 102 City, ST, ZIP: La Quinta, CA 92253 .�� By: Daniel P. Crawford Jr. Date: 6/28/05 Building Official POST IN A CONSPICUOUS PLACE