12-0037 (SPIN)P.O. BOX 1504
78-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12=00000037--!
Property Address: 8 0-0—SHACKLETON WY
APN: 767-200-998-44 -330762-
Application description: SPECIAL INSPECTION
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 15000
Tuvl . -44.Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
EAST OF MADISON LLC
PO BOX 1482
LA QUINTA, CA 92247
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/19/12
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 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 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: ok
Lender's Address:
LQPFPMIT
Date: 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 R 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. -
1 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 buildi construction, and hereby authorize representatives
offs county to enter upon the above-mentioned pro erty inspection purposes.
/ v
Date: \Sigure (Applicant or Agent):
Contractor:
Applicant: Architect or Engineer:
CLASSIC PARTY RENTALS.. 1
n
(CSLB LIC NOT REQ'D - GB)
(Y1
/i_.
75060 MAYFAIR DR
PALM DESERT, CA 92211
--- - - - - - - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - --
' LICENSED CONTRACTOR'S DECLARATION
- - - - - - - 7 - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - --- -
WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
'I hereby affirm under penalty of perjury one of the following declarations: "
Section 7000) of Division 3 of the Business and Professionals Code—and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.:
'for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. -
Date: Contractor:
_ 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 workerscompensation
' OWNER -BUILDER DECLARATION
insurance carrier and policy number are: .
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier 3992Policy Number
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwith comply with those provisions. '
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 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 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: ok
Lender's Address:
LQPFPMIT
Date: 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 R 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. -
1 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 buildi construction, and hereby authorize representatives
offs county to enter upon the above-mentioned pro erty inspection purposes.
/ v
Date: \Sigure (Applicant or Agent):
Application.Number 12-00000037
Permit . . . SPECIAL INSPECTION
Additional desc .
_ Permit Fee 100.00
Plan Check
Fee .
.00
Issue'Date . . . .
Valuation
. . .
. 15000
Expiration Date 7/11/12
Qty Unit Charge Per
Extension
BASE
FEE
100.00
Special Notes and Comments
SPECIAL INSPECTION FOR 60' X 120'
MIDBEAM TENT STRUCTURE, PER-TUP
#2012-1090. CHARITY EVENT TO TAKE
PLACE
ON 1/29/12. 2010 CODES.
Fee summary Charged
Paid Credited
Due
Permit Fee Total 100.00
.00
.00
100.00
Plan Check Total .00
.00
.00
.00
Grand Total 100.00
.00
.00
100.00
!2
DEPARTMENT
cEWED : C LAS S I C:
tAPOVALRIVEFIRE
' .JAN ® PARTY
9 zO�Z
I JASON STUBBLE, FSS'
- .
N TA S
DATE:_CASE#*IRIE
RNERSIDE COUNTY FUM EVENT S P [L I A Ll STS
TME FIRE EPT. APPROVAL FOR PLANS Is
VALID FOR ONE YEAR-SUBJECT TO
PALM ESD ERo (760�j g j 886
COMPLIANCE � APPLICABLE CODES
TO: FIRE MARSHALL'
DATE: ( W 1
FROM: `} (41 CF �� az Z
SUBJECT: PERMIT REQUEST FOR SPECIAL- EVENT CANOPY OR TENT
CLASSIC PARTY RENTALS, ON BEHALF OF OUR CUSTOMER--n-AE
fY Aoiso,.i CLO: fi� ;
SUBMITS THE FOLLOWING INFORMATION TO OBTAIN PERMISSION TO ERECT THE
CANOPIES OR TENTS ON THE ATTACHED PLANS-.-
LANS.1.
1.DATE OF EVENT: I )I a
2. NAME OF EVENT: Q.lWl T y 'C IJNb eAi sa12
3. LOCATION: `C3 �1oQCi SNA���ETS3iJ LSA-jam 1
i i:sw; �1 CA9 53
4. NUMBER OF PEOPLE:
5. SIZE AND DESCRIPTION OF STRUCTURE: ,
iC O oZd • fYlio&-AfA S f•UC o,a
6. SPECIAL EFFECTS-USED: .
' ' • ` '. '' � CLASSIC PARTY RENTAL'S o 72-009 METROPI:EXDR, THOUSAND PALIvIS,`CA:92276
x'(760)•343=5110 � FAX (760) 343-5111 v ' ' '
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE '
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RuBIDOUx'CSD
SAN JACINTO
TEMECULA
WILOOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOrr
DISTRICT 4
MARION ASHLEY
DISTRICT 5
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
'John R. Hawkins :- Fire. Chief
210 West San Jacinto Avenue,-- Perris, CA 92570
(951) 940-6900 -. www.rvcfire.org
January 1.2, 2012.
Classic Party Rentals
72-009 Metroplex Dr.
Thousand Palms, CA 92276
RE: Tent Permit
LAQ-I2-EVE4T-002 Charity Fund Raiser 81-600 Shackleton Way La Quints; CA 92253
With respect to the condition of approval regarding the above'referenced event, the Fire
Department requires the following fire protection measures be provided in accordance with the
La Quinta Municipal Code, Title 24, and/or Riverside County Fire Department protection.
standards:
A) GENERAL
1) All tent and canopy setups must meet the requirements of the 2010 California Fire
Code.
B) LOCATION OF TENTS AND CONOPIES
1) Tents must be separated from any property line, building, other tent, canopy, or
temporary membrane structure by a minimum distance of 20 feet.
2) Fire access roadways must be provided..
3) The minimum clearance of 20 feet must be maintained from the parking of
automobiles or other combustion engines.
4) For the purpose of required distances, support ropes and guywires are to be
considered part of the tent.
C) STRUCTURAL STABLILTY
1) Tents and canopies shall be adequately roped, braced and anchored to withstand the
elements of weather against collapsing.
D) FLAMEPROOFING
1) The sidewalls, drops and tops of all tents and canopies shall be of Rame-retardant
material. All decorations used must be flame retardant to the satisfaction of this
department. This includes all paper, cardboard, cloth, plastic, or other materials
more than V" thick, used for the purpose of decoration or display. This does not
apply to sample merchandise on display or being offered for sale if amounts
exhibited are within reasonable limits and are satisfactory to this department.
2) Tents and canopies shall have a permanently affixed label with the following
information:
a). Identification of temporary membrane structure, tent or canopy, size and
fabric or material type.
b) For flame -resistant materials, the necessary information to determine
compliance with the Fire Code.
c) For flame -retardant -treated materials, the date that the temporary membrane
structure, tent or canopy and other combustible materials were last treated
with an approved flame retardant.
d) The trade name and type of flame retardant utilized in the flame retardant.
e) The name of the person and firm that applied the flame retardant.
3) Hay bales; straw and other flammable materials shall not be within 30 feet of any
tent or canopy. Hay bales, etc. if placed inside or on top of a tent, must be flame
retardant.
a) Balloons or other similar devices that are filled with toxic or flammable
gases are not permitted.
b) Automobiles used for display must have the'batteries disconnected and less
than one gallon of fuel in the tank.
c) All flame-retardant certifications shall be retained on the premises. All
flame -proofing is subject to testing and approval from this department.
E) SMOKING AND.OPEN FLAME
1) Smoking shall not be permitted. in any tent or canopy or in areas where hay, straw,
sawdust or any other combustible materials are stored or used unless approved by
the fire inspector. NO SMOKING signs shall be posted when required.
2) No fireworks, open flame, or any device emitting flame or fire or creating a glow
capable of igniting combustible materials shall be used in or adjacent to any tent.
F) PORTABLE FIRE EXTINGUISHERS
1) The minimum fire extinguisher coverage shall be provided in every tent and canopy
as per the following:
a) 200 to 500 square feet of floor area: One 2A-10BC
b) 501 to 1000 square feet of floor area: Two 2A-10BC
c) Each additional 2000 square feet of floor area: One 2A-1 OBC
d) At least one 40BC type extinguisher shall be provided for each kitchen, mess
hall, power generator or transformer and at locations where flammable or
combustible liquids are stored or dispensed.
2) All fire extinguishers shall be provided and maintained at a height. of 3 to 5 feet
from the floor'in a visible and accessible location and may be required to be posted
with designated signs.
G) • EXITS
1) Exits shall be spaced at approximately equal interval around the perimeter of the tent
and shall be so located that no point is more than 100 feet from any exit.
2) The number of exits and minimum width of openings shall be provided in
accordance with CFC.
3) Exit openings from any tent shall remain open or may be covered by a flame=
retardant -curtain. The curtains shall be free sliding on a metal support at a minimum
of 8 feet from the floor level at the exit. The curtains shall be so arranged that when
open, no part of the curtains shall obstruct the exit. Said curtains shall be of
contrasting color with the color of the tent.
4) Aisles having minimum width of not less than 44 inches shall be provided from all
seating areas, and their width shall be progressively increased in width to provide at
all points not less than 1 foot of.aisle width.for each 50 persons served by such aisle
at that point. The arrangement of aisles shall be approved be the fire inspector.
5) The spacing of rows of seats shall provide a space of not less than 12 inches.from
the back of one sear to the front of the other. Aisles shall be so located that there
will be more than six intervening seats between any seat and the nearest aisle.
H) MAINTENANCE OF EXIT WAYS
.1) The required minimum clear width of exits, aisles and passageways shall be
maintained at all times to a public way.
2) No guywire, guyrope or other support members shall cross any means of egress at a
height of less than 8 feet.
3) The surface of exit ways shall be maintained in a manner approved by the fire
inspector.
n EXIT ILLUMINATION
1) Exits shall be illuminated at any time the structure is occupied with light having an
intensity of not less than orie footcandle at floor level.
2) Exit signs shall be installed at required exit doorways and where otherwise needed
to clearly indicate the direction of travel when the exit serves 50 or more people.
3) Exit signs in tents with an occupancy load over 100 people shall be of an approved
self luminous type or shall be internally or externally illuminated by fixtures
supplied in the -manner .specified below.
: 4) Two separate circuits, one of which shall be separate from all other circuits, for
occupant loads of 300 or less; or'
Two separate sources of power, one of which shall be an approved. emergency
system, shall be provided when the occupant load exceeds 300. Emergency systems
shall be supplied from supplied from storage batteries or on site generator set and the
system shall be installed in accordance with the requirements of the National
Electrical Code.
J) HEATING AND COOKING EQUIPMENT
1) All heating and cooking equipment shall be in compliance with the Mechanical.
Code or shall be approved by the fire inspector:
2) . Gas, solid, or liquid -fuel -burning equipment shall be vented to the outside air by
means of approved vent or.flue in such a manner. that no portion.of the tent or
canopy is within. 12 inches of the flue'or vent. Vents for solid fuel burning
equipment shall be provided.with spark arrestors having openings no. larger than'
inch wire mesh. .
3). Heating, and cooking equipment shall not be located within 10 feet of exits, aisles,
passageways or combustibles.
4) Cooking equipment outside the tent shall be at least 30 feet away from any structure
and have an approved type K extinguisher. or 40BC extinguisher.
K) FLAMMABLE OR COBUSTIBLE LIQUIDS AND LIQUID PETROLEUM
GAS
1) No flammable or combustible liquids shall not be stored inside or within 50 feet
of any tent.
2) Liquid Petroleum Gas(LPG) shall not be used or stored in connection with any
tent or canopy unless the. following requirements are strictly adhered to:
a) All storage containers, equipment, fittings and appliances shall be
approved for use of LPG.
b) . All tanks, hoses,. fittings and appliances shall be protected from
physical damage of any type.
c) All tanks must be stored 50 feet from the tent and shall be protected .
from damage. The storage area must be free of flammable or
combustible materials.
d) The total amount of (LPG) on site shall be limited to 60: U.S. gallons.
e) No Smoking signs must be posted in storage areas.
L HOUSEKEEPING
1) All weeds and flammable vegetation shall be removed from the area occupied by
any tent and areas within 30 feet of any such structure.
2) The floor surface inside and the grounds adjacent to or within 30 feet outside of
tents or canopies shall be kept free and clear of combustible waste. Such waste shall
be stored in approved containers until removed from the premises.-
M)W ELECTRICAL
1) All extension cords shall be over'current protected and or ground fault interrupter
protected. No additional taps are to be in any device. -(NO octopus, 2 way, 3 way
taps, cube adapter or multi -plug extension cords). Quad boxes are approved if wired
with 12/3 gauge wire or greater. All extension cords shall be of 12/3 gauge wire or
greater with approved connectors.
Bin #
..
City of La Quints
Building & Safety Division .;
P.O. Box:1304,:78-495 Calle Tampico '
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S 1-1000 �c k ;DHy LA 000 4-,q
Owner's Name: 015.'3 �O6
A. P. Number:
Address: 3p
- 35 m,--aiwEyn wM
Legal Description:
n^
City; ST, Zip: L.✓1 Ut�rN %3
Cotttractor.1'RR1iv 1�[}L- S
Telephone: bG 391 Lj0_I
Address: a- 009 YA Q.(0t6Ut Lr-
Project Description:
City, ST, Zip:�HOo
.16 T lJ 1 :3T"C1T02X-S—
TelephoneD
h'(}F}\.R :•,til+�.Y ;i} ,v i}:
U`V
State Lic. # :
City Lic. #:
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: `k' cc° ''a; , a_r
State Lic. #:c .s- `<" ."..'.:`?
,~t?'::>t ao
Name of Contact Person: ZA'MI eLvie -L
Construction T `
YPej Occupancy: 350
Project circle one . New Add'n Alter Repair Demo
Sq. FL: a0 O
# Stories: `
# Units: '
i
Telephone # of Contact Person: (166 a-ia- �y� S Estimated Value of Project: J'S -,00o.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
1/ Z ` Item. Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcontector List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S LL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''J Review, ready for correctionsrissue .
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees