09-0647 (RC)P.O. BOX 1504. 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000647 Owner:
Property Address: 79180 CORPORATE CENTRE DR STE 101 _ PAUL JAMES R
APN: 649-820-014- - -
Property Zoning: COMMERCIAL PARK
Application valuation: 30000
Contractor:
Applicant: Architect or Engineer: Owner
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: License No.:
Date: Contractor:
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 hove the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ I 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.).
( ) I am exempt under Sec. , B.&P.C. for this reason
Date: T'(S-o f Avner:
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:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-701'1
INSPECTIONS (760) 777-7153
Date: 7/10/09
DfF.J L 5 2009
CITY OF LA QUINTA
F'8 AU1`E r3EPT_
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 Policy Number
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
3700 of the Labor Code, I shall forthwith comply with those provisions.
bate: '(,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 consuuetion-aye hereby authorize representatives
of this county to center upon the above-mentioned property for 'ns/pha tiiooyn purpose
Date:? / ! C 0�g nature (Applicant or Agentl: ��lf-7 .',
Application Number . . . . . 09-00000647
------ Structure Information SUITES
101 & 102
-----
Other struct info
. . . . . CODE
EDITION
2007
FIRE
SPRINKLERS
yes
MIXED-USE
OCCUPANCY
B
OCCUPANT
LOAD
28.00
1ST
FLOOR SQUARE FOOTAGE
2754.00
----------------------------------------------------------------------------
- 2ND
FLOOR SQUARE FOOTAGE
.00
Permit .
. . BUILDING PERMIT
Additional desc
. . OFFICE AREA
ADDITION TI
Permit Fee . .
. . 284.50
Plan Check Fee
184.93
Issue Date . .
. .
Valuation . .
. . 30000
Expiration Date
. . 1/06/10
Qty Unit
Charge Per
Extension
BASE
FEE
252.00
5.00
----------------------------------------------------------------------------
6.5000 THOU BLDG
25,001-50,000
32.50
Permit .
. . ELECT - ADD/ALT/REM
Additional desc
. .
Permit Fee . .
. . 30.00
Plan Check Fee
7.50
Issue Date . .
. .
Valuation . .
. . 0
Expiration Date
. . . 1/06/10
Qty Unit
Charge Per
Extension
BASE
FEE
15.00
20.00
----------------------------------------------------------------------------
.7500 PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
Permit .
. . MECHANICAL
Additional desc
. .
Permit Fee . .
. . 30.50
Plan Check Fee
7.63
Issue Date . .
. .
Valuation . .
. . 0
Expiration Date
. . 1/06/10
Qty Unit
Charge Per
Extension
BASE
FEE
15.00
2.00
4.5000 EA MECH
VENT INST/ DUCT ALT
9.00
1.00
----------------------------------------------------------------------------
6.5000 EA MECH
VENT FAN
6.50
Permit .
. . PLUMBING
Additional desc
. .
Permit Fee . .
. . 27.00
Plan Check Fee
6.75
Issue Date . .
. .
Valuation . .
. . 0
LQPE&AilT
Application Number . . . . . 09-00000647
Permit . . . PLUMBING
Expiration Date 1/06/10
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 6.0000 EA PLB FIXTURE 12.00
----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR T.I. 1154 (SUITE 102) SF OFFICE
ADDITION TO EXISTING "ADVANCED WOMEN'S
HEALTHCARE" OFFICE SUITE 101. "B" OCC.
TYPE VB CONSTR. OCC. LOAD = 12. TOTAL
OCC. LOAD FOR ENTIRE OFFICE = 28. 2007
CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 18.50
BLDG STDS ADMIN (SB1473) 2.00
ENERGY REVIEW FEE 18.50
Fee summary Charged Paid Credited Due
Permit Fee Total 372.00 .00 .00 372.00
Plan Check Total 206.81 .00 .00 206.81
Other Fee Total 39.00 .00 .00 39.00
Grand Total 617.81 .00 .00 617.81
LQPERART
Iro
j 1 ,
r '
P.Q. Box• 1504
LA "INTA' CAUFORN1A: 92247-1504
73-495 CALLS TAe[Pfco
LA Quvm4, CAuFoa mrw 92257
BV[LotN6 SAYEVY DEPARTUV"T
PROPERTY GWMR'S PACKAGE
(766)777-7012
FAX (760) 777-7411
Disclosures & Forms for 4wner4DWIdm Applying for Comftwtiou Pen"its
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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning.
Permit #:
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
To CDD: &'C24'
"� 9
Due Date:—'7 - a ' 0 �}
Status:
Building Plans Approv/aI
(This is an approval- to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: 62461�
Address or General Location: 7�' �eo
Applicant Contact: 4Q8,-
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.
Les Johns;pN, DVbcY r -Planning
Date
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of-
Banning
f
Banning
Beaumont
Calimesa
Canyon Lake
g.
Coachella
Desert Hot Springs
4.
Indian Wells
4.
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
Rubidoux CSD
San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
77-933 Las Montanas Rd STE 201 . Palm Desert, CA 92211'* (760) 863-8886 • Fax (760) 863-7072
July 2, 2009
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-09-TI-020 Palm Desert Tax Inc. 79-220 Corporate Center Dr. #301 La Quinta,CA
You have been issued a release for a tenant improvement on.an existing building. THIS IS NOT AN
OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H"
occupancy per Sec. 307 of the 20007 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per. Chapter 10 of the 2007 UBC.
A minimum 2Al0BC 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 extinguishers can
be installed by a licensed extinguisher company with a State Fire Marshal service tag. attached to the
extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher
company must service extinguisher yearly.
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all
times.
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 on a contrasting
background.
Provide key(s) 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. Key(s) shall be
provided at time of final inspection.
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
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 im'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.
VJasoStubble
By:
Fire Safety Specialist
Bin #
City of LA Quinta
D�
Ipl Building 81' Safety Division
Q y P.O. Box 1504,78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-7012
Bul Permit Application and Tracking Sheet
Permit #�
J
Project Address:
CQM,'kA WIV
Owner's Name:. f6UA
A. P. Number:
Address:
Legal Description:
"••
City, ST, Zip:[
Contractor:
•
Telephonet �%�
/.y.;;;;::.;:.;x.,.;:•,:;:>„<.;w:::.::.:<;:;•.
-,:>:�;..'•:sr::;>f;.;<>:<•:�s::
Address:
Project Description:
City, ST, Zip:
Telephone:
'<>,t' s' `:<> <%<•:'<>;'•A'.>:>`->
State Lic. # :
City Lie. #•-
Arch.;�r:
1 Cl, 14A Q
Address: Gj p d &VM
W
City., ST, Zip: 11M
Telephon :, p �'
State Lic. #: p, p
(� l�
;<<>.+ :•><:;s< .::::>'>.:::::<: : ,'>.:>;f;:
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3:zK.;<s.:s;..:.<:s>
s;<»,>.<. s;<: ;::::>.:::: - ;F' ': >.><; :;
Construction Type: Occupancy:
,
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:1 `� 1��( /
Sq. Ft.: # Stories: 0YU& # Units:
0VX-0-1
Telephone # of Contact Person 6a k0b'Zob
I Estimated Value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
r�
Plan Check submitted
toS Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Pian Check Deposit
Truss Calcs.
. Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan2"d
Review, ready for correctio issue
! g Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
--- --
-- -'
School Fees
Total Permit Fees
ELu.� 7 -Z