07-0621 (RC)P.O. BOX 1504
7$-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
4 Application valuation:
Applicant:
07-00000621
79180 CORPORATE CENTRE DR
649-820-014- - -
REMODEL - COMMERCIAL
COMMERCIAL PARK
132000
Tiht 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 lass: 13 p License No.: 693077
Date: 7 Contractor: OR—A SO/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 _ 1 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.).'
(_ 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:
LQPERMIT
Owner:
PAUL JAMES R
Contractor: D
ORR BUILDERS
39301 BADGER, SUITE #300
PALM DESERT, CA 92211
(760)360-6632
Lic. No.: 693077
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS'(760) 777-7153
Date: 3/28/07
APR .l02001 ID
CITY OF W
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 . 1242824-2006
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
��-yam/-//-'-,3700 of the Labor Code, I sb II forth ith comply with those provisions.
Date Applicant:
WARNING: FAILURE TO SECURE WORKER ' COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV L 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 constr ction, and hereby authorize representatives
of thiss cc ty to enter upon the above-mentioned property; /in tion purposes.
Date:"� Signature (Applicant or Agent)' ' Vv
i
b1
}
A
LQPERMIT
Application Number
07-00000621
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
751.50 Plan Check
Fee
488.48
Issue Date.
Valuation
. . . .
132000
Expiration Date
9/24/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
32.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
112.00.
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .�
146.78 Plan Check
Fee
36.70
Issue Date
Valuation
. . .
0
Expiration Date
9/24/07
Qty Unit'Charge
Per
Extension
BASE FEE
15.00
6589.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
131.78
Permit . . . MECHANICAL
Additional desc .
Permit Fee
30.50 Plan Check
Fee
7.63
Issue Date . . . .
Valuation
. . .
0
Expiration Date .
9/24/07
Qty. Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9.00
1.00 6.5000
---------------------------------------------=------------------------------
EA MECH VENT FAN
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee '. . . .
37.50 Plan Check
Fee
9.38
Issue Date . . . .
Valuation
0
Expiration Date
9/24/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
.2.00 6.0000
EA PLB FIXTURE
12.00
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
shell improvement only suites
Application Number. , . . . . 07-00000621
----------------------------------------------------------------------------
Special Notes.and Comments
1,2,3,4.tenant improvement permit is
required before tenant can occupy
space.March 28, 2007 9:01:29 AM
jjohnson
----------------------------------------------------------------------------
Other-Fees . . . . . . . . STRONG
MOTION
(SMI) - COM
27.72
Fee summary Charged Paid
----------
----------
Credited
----------
Due
----------------------------
Permit Fee Total 966.28
.00
.00
966..28
Plan Check Total 542.19
.00
.00
542.19
Other Fee Total 27.72
.00
.00
27.72
Grand Total 1536.19
.00
.00
1536.19
LQPERAUT
Bin #G� City of La Quinta
9p7 Building U Safety Division
Permit # ,
07-706 07 P.O. Box 1504, 78-495 Calle Tampico
Zj l.a Quinta, CA 92253 - (760) 777-7012
Build' Permit Application and Tracking Sheet
P7P.
ddress:' 'Z ao JAddress: wner's Name: u
mber:
Legal Description: - ity, ST, Zip:
Contractor: elephone:
Address: roject Description:
F.7Address:
T, Zip:
one:
ic. # City Lic. #
Engr., Designer: % /. 3Z t o o
y— 2U� U. Q 5
tr* 1w
T, Zip: % ` 7W. ,Z
Telephone: Construction Type: Occupancy:
State Lic. #: Pmject type (circle one): New Add'n Alter Repair Demo
Name of Contact Pelson:—D/ _
Sq. Ft :
#Stories:
#'Units:
Telephone # of Contact Person: -- 2.2,3
Estimated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Recd
TRACMG • PERMIT FEES
Plan Check submitt 23 Item Amount
Structural Calcs.
4r corrections Plan Check Deposit
Reviewed, rmidyll
Truss Cates.
Called Contact Person Plaa Check Batance
Plans Oiektd.up / Construction
Energy Cates.
Flood plain plan
Pians resubmitted Mechanical
Grading. pliin•
Electrical
Z'' Review, ready for corrtetio sue106
SubcootactorUst .
Called Contact Person y Plumbing
Grant Deed
Plans picked up SALL
kO.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Review Cady for c tiouslissue Developer Imp t Fee
Planning Approval
Ca11e Contact P61A.LP.P.
Pub. Wks. Appr
Da e. of permit issue.� fj� U, AA A
School Fees
o a
• r V D 0.6,(_21-
�^ t tS �otal Permi Fe
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
Nest San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910
IMPROVEMENT PLAN CHECK
- TI — 016, 017, 018 Corporate Center Dr., CA
:d a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT.
/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307
CONDITIONS MUST BE MET PRIOR TO INSPECTION:
and exit signs as per Chapter 10 of the 2000 UBC.
xes, Models 4400, 3200 or 1300, mounted per recommended standard of the Knox Company. Plans must
:ire Department for approval of mounting location/position and operating standards. Special forms are
five for the ordering of the Key Lock Boxes. This form must be authorized and signed by this office for the
;m to be purchased. If the building/facility is protected with a fire alarm system or burglar alarm system, the
ee "tamper" monitoring.
Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location within 75' walking
lint in your building or suite. Fire extinguishers can be installed by a licensed extinguisher company with a
arvice tag attached to the extinguisher, or purchased from a retail store with a sales receipt attached. A
sher company must service extinguisher yearly.
L BOX:
labeled and a clearance of 36 inches must be maintained around the panel at all times
ENTS:
idress shall be placed in such a position a to be plainly visible and legible from the street. Said numbers
eir background.
g "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit
be in letters not less than one inch high on a contrasting background.
all be responsible to contact the Fire Department to schedule inspections. A re -inspection fee will be
one (1) inspection is necessary. Requests for inspections are to be made at least 72 hours in advance
J by calling (760) 863-8886.
ng the meaning of these conditions should be referred to the Fire Department Planning & Engineering Staff
day
tment Planner
for
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-6675 Highway 111, 2n0 FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Doug Evans, Director -CDD
Permit #: 07-621
BUILDING & SAFETY DEPARTMENT
1 (760) 777-7012
FAX (760) 777-7011
To CDD: February 23, 2007
Due Date: March 09, 2007
Status: 1st Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for
the following project:
Description:. T.I. Medical Office Space
Address or General Location: 79-180-200-220 Corporate Center Dr.
Applicant Contact: Dodd (760)346-2223
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development
\ ' Department approval.
® ...these Building Plans are approved by the Community Development
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.
E_
Doug Evans, Director -CDD
Date
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of.
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
210 West San Jacinto Avenue . Perris, California 92570 . (951) 940-6900 • Fax (951) 940-6910
Date 11—q "
City .of La Quinta
Building Department
RE
S- 2Q- i�.
The Riverside Coy ty Fire Department is granting the Fire Aearance f r the following
location �o2c� ��,
7 �l4c�. 7 �� , 7
P ase call if you should have questions 863-8886
Respectfully
-S
Terry
Terry DeSoucy
Fire Systems Inspector