13-0331 (RC) Ste. 100P.O. BOX 1504 "-
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
i
Application Number: 13-00000331
Property Address: 78138 CALLE TAMPICO
APN: 770-020-012- -
Application description: REMODEL - COMMERCIAL
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 173000
Applicant:
STE '100
Architect or Engine
ata
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT .
BUILDING PERMIT
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 Class: B `, License No.: 813480
Date F•' ' 13 Contractor.:. r %� 627D\D
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 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.).
1 _ 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: C
Lender's Address:
LOPERMIT
K-7IJ
/J VOICE(760)777-7012
�r�►.�/ FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/07/13
Owner:
HIGHLAND LA QUINTA II LLC
80 S LAKE AVE STE 660
PASADENA,. CA 91101
Contractor:
DAVIS/REED CONSTRUCTION INC
12250 EL CAMINO REAL, STE 4325
SAN DIEGO, CA 92130
(858)523-9760
Lic. No.: 813480
--------------------------- --------------------
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 TRAVELERS PROP Policy Number VTC2JUB5450B84
I certify that, in the performance of the work for which this permit is issued, 1 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
/' �f 3700 of the Labor Co I shall forthwith wi provisions.
Datz I � �-3 Ap Acant.
C
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 1 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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purpose
Date Signature (Applicant or Agent):~�
.r
LQPERAUT
.:Application Number. .
. . . . 13-00000331
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. . . BUSINESS <50
.Other struct info
CODE EDITION
2010
FIRE SPRINKLERS
yes
.00CUPANT LOAD
43.00
---------------------------------------
1ST FLOOR SQUARE FOOTAGE
-------------------------------------
3156.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
895.00 Plan Check Fee
581.75
Issue Date . . . .
Valuation
. . 17300.0
Expiration Date
12/04/13
Qty Unit Charge
Per
Extension
BASE FEE
639.50
73.00 3.5000
----------------------------------------------------------------------------
THOU BLDG"100,001-500,000
255.50
Permit . . . . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
88.50 'Plan Check Fee
22.13
Issue Date
Valuation
0
Expiration Date
12/04/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
130.00 .4500
---------------------- _--------------------------------------------
EA ELEC DEVICE/FIXTURE >20
58.50
.----------
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
70.50 Plan Check Fee
_. 17.63
Issue Date . . .
Valuation
0
Expiration Date
12/04/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00-
5.008.0.0
8.0,04.5000
EA MECH VENT INST/.DUCT ALT
36.00
3.00 6.5000
-----------------------------------------------------------------------------
EA MECH'VENT FAN
19.50
•Permit . . .
PLUMBING
Additional desc
Permit•Fee
118.50 Plan Check Fee
29.63
Application Number 13-00000331 -.
Permit . . PLUMBING
,. Issue Date Valuation . . .
. 0
Expiration.Date.. 12/04/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
;13.006.0000 EA PLB FIXTURE
78.00
" 1'.00.: 15.0000 EA PLB BUILDING SEWER
15:00
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
INTERIOR T.I. FOR DENTAL'OFFICE (DR.
ARMEN KARIMYAN" SUITE 100. TYPE V -B
CONSTR. "B" OCCUPANCY. 43 TOTAL'OCCUPANT
LOAD.2010 CODES.
Other Fees . . . . . . . PLAN REVIEW, ACCESSIBILTY
58.17
ART IN PUBLIC PLACES -COM
865.00
BLDG STDS ADMIN (SB1473)
7.00
ENERGY REVIEW FEE
58.17
Fee summary Charged Paid ..Credited
Due
Permit Fee Total- 1172.50 .00 .00
1172.50
Plan Check Total 651.14 .00 .00
651.14'
- Other Fee Total 988.34 .00 .00
988.34
Grand Total - 2811.98 .00 .00
2811.98
Bin. #�.
Cl�/ Of U- QUin
BulkUng 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
\41.
Project Address:
Owner's Name:.-ftC(n rl'i q'
A. P. Number. Address: l y
Legal Description: City, ST. Zap (%
niractor Telephone: q1L'�
Address: 1 25 Project Description: C
City, ST, Zip..-,','C.4� . 1 (�
Telephone:
State Lia #: City Lia #;
Arch.. FAW., Designer.
Address. Z.
City, ST. Zip: Q u
Telephone � V2' Construction Type:. Oct upancy:
!qM
State Lic. #: Project type (circle one)- New Add'n Alter Repair Demo
Name of Contact Person:n m . Sq. Fl.: #Stories: #Unit;
Telephone # of Contact Person:71 Un�'
Q 1 Estimabod Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Recd
TRAqMG PERMITFEES-
Pins Sets
Plan Check submitted 3
'jp Item Amount
Structural Calm
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Plan Cheek Balance
Title N Cales.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Gilding plan
V Review, ready for correctionsliissue Electrical
Subcoutector List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE;-
''•Review; ready for eorrectio e ( Devdoper Impact Fee
Planning Approval
/
✓
yT
Called Contact Person AXP.P. %
Pub. Wits. Appr
Date of permit issue �.
School Fees
Total Permit Fee
3 f 20 161
COM -MUNI -Y DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) '77-7125 FAX (760) 777-7,011
To: Greg Butler, Building Official To PD: March 20, 2013
From: Les,Johnson, CDD Director Due Date: April 3, 2013
Permit #: 13-0331 Status: 1 st
- `
Building, Plans Approval
.(This is an approval to issue a Building Permit)
Planning has reviewed the Building Plans for the'following project:
Description: Dentai Office Tenant Improvement
Address or General Location: 7&138 Calle Tampico, Ste 100
I Applicant Contact: Amen Karimyan — (760) 777-0114
Planning finds that:
❑ ....these Building Plans do not require Planning approval.
t .these Building Plans are approved by Planning.
❑ ...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 Planning fo� review:
at.
Les Johnson Community Development Department Director
Date
0
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALI M ESA
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
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
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 92211-4131. • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfire.org
May 16, 2013
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ-I3-TI-017 Dr. Armen Karimyan Dental
78-138 Calle Tampico #100 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 2010 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the CBC.
A.minimum 2AIOBC 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.
An approved audible interior notification alarm device shall be provided in approved
location. A C-10 licensed contractor must'submit plans, designed in accordance with
NFPA 72 to the Fire Department for review and approval prior to installation
Approved suite addresses shall be placed in such a position to be plainly visible and legible
from the street. Said numbers shall contrast with their background.
Provide key(s) to the tenant space for inclusion in the main building Knox Box.' Keys)
shall have durable and legible tags affixed for identification. Key(s) shall be provided at
time of final inspection.
0
(As it may be necessary to maintain proper fire sprinkler protection -due to constructions
changes, fire sprinkler'system plans for the tenant improvement area may be required to be
f submitted to the Fire Department for review. �k.
Applicant/installer shall be responsible to contact the Fire Department to schedule
t inspections. A.re-inspection. fee`will be required if more than one (1) inspection is
necessary. Requests for inspectionsare to be made at least 72 -hours in advance ,and maybe
arranged by calling (760) 863 8886.-
All
886rAll questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering Staff ai,(760) 863 8886:
Sincerely,,
By:
Jason Stubble
Fire Safety Specialist'
♦ r e
e
JAN -24-2014 FRI 05:17 PM RIVERSIDE COUNTY FIRE FAX N0, 17608637072
Riverside County Fire Department Fire Protection Planning Section
plvefalda OI6Ce: 2300 Market 51., Bic, 109, Riverside, CA 92601 Ph, (951) 065.4777 Pax (961) 966�B8B
Palm Minn Won: 77.993 Las Moncaras Rd„ v 201 Palm Oeser[, CA 92211-4131 Ph, (760) 963-8866 Fax (760) 663.7072
Fire Department Clearance/Release
Date: _1/24/2014.
To: LA OUINTA B&S
Fax:-
Tract/Parcel Map #: DR. KARIMYAN
Permit/Lot #: LAQ-I 3 -TI -017
Job Site Address: 78138 CALLF TAMPICO #100
City, State, Zip
UINTA
Final For Recordation
Final for Alarm System
Final for Fire Suppression System
Shell Final Only (No Tenant)
Release For Residential Sprinkler Installation
P. 01/01
Building Plan Check Fees Paid, Water Requirement Met- if water applicable
Building Plan Check Fees Not Paid
Residential Sprinkler Plan Check Fees Paid
Residential Sprinkler Plan Check Fees Not Paid
Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
KOHI, ETRICIC
Print Narne of Plan Ravlower/inspector Approved Release
Sent By: Print Name
Farm C — Revised 3/0112012
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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: 78-138 CALLE TAMPICO, STE 100
Use classification: BUSINESS – DENTAL OFFICE Building Permit No.: 14-0331
Occupancy Group: B Type of Construction: VB Land Use Zone: VC
Code Edition: 2010 Sprinkler Installed: YES Occupant Load: 43
Owner of Building: LA QUINTA REALTY PROP LLC
Address: 50415 VIA PUENTE
City, ST, ZIP: LA QUINTA, CA 92253
____________ GREG BUTLER_________________ By: AJ ORTEGA
Building Official Date: JANUARY 28, 2014