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06-2072 (AC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: J <;� • u�K,�dv BUILDING &SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 7774011 INSPECTIONS (760) 777-7153 Date: 1/22/07 06-00002072 Owner: 78495 CALLE TAMPICO CITY OF LA QUINTA 770-130-001- - - C/O AKLUFI & WYSOCKI ADDITION = COMMERCIAL 34'03 10TH ST STE 610 MAJOR COMMUNITY FACILITY RIVERSIDE, CA 92501 9000000. Contractor: Architect'or Engineer: GKKWORKS CONSTRUCTION SERVICES 2355 MAIN ST; STE 220 IRVINE., . CA' 92614 (949)2.50-1500 Lia. No.: 774456 -- - - - - - - - - - - - - - - - - - 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 Class: B Ucense No.: 774456 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, altei, 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 (8500).: (_ )' 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, arq exclusively contracting with licensed contractors to construct the project (Sec. . 7044, Business and Professions Code: The Contractors' State Ucense 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: Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:', _ I have end 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 17.50022-2006 _ 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 3700 of the tabor Code, I shall forthwith comply with those provisions. 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 fill 100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 Quints, 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 186 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 purposes. Date: Signature (Applicant or Agent): Application Number 06-00002072 ------ Structure Information ADDITION TO EXISTING BLDG. ----- Construction- Type . . . TYPE V -: NON' RATED Occupancy Type BUSINESS <50 Other struct info CODE EDITION 01BMP04EOSEN FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B/A-3 TOT ELIGIBLE NO Permit BUILDING PERMIT Additional desc -ADDITION TO EXISTING CITY HALL Permit Fee .00 Plan Check Fee .00 Issue -Date' 12/07/06 Valuation 0 Expiration Date 6/06/07 Permit . . . ELECT - ADD/ALT/REM Additional desc ADDITION TO EXISTING CITY HALL Permit. Fee 00 Plan Check Fee • . .00 Issue Date 12/07/06 Valuation 0 Expiration Date 6/06/07 Permit . . . GRADING PLAN CHECK Additional desc . Permit Fee 00 Plan Check Fee'. .00 Issue Date 12/07/06 Valuation 0 - Expiration Date 6/06/07 Permit. . . . MECHANICAL Additional desc ADDITION TO EXISTING CITY HALL Permit Fee 00 Plan Check Fee .00 Issue Date 12/07/06 Valuation 0 Expiration Date 6/06/07 -- - - -- - Permit - PLUMBING- Additional.desc ADDITION TO EXISTING CITY HALL Permit Fee . . . 00 Plan Check Fee .00 Issue. Date12/07%06 Valuation 0 Expiration Date 6/06/07 -----------------------------------------------.---------------. Special Notes and Comments EXPANSION OF LA QUINTA.CITY HALL BUILDING.B/A-3 OCCUPANCY, TYPE V -N CONSTRUCTION (60 FT YARDS & FIRE LQPERMIT UONSTRUCTION I ESTINGNGINEEPJNG9 INC. ESCONDIDO • TRACY a RIVERSIDE • OXNARD . LANCASTER • SACRAMENTO INSPECTION REPORT PROJECT NAME: ADDRESS: �Y—lGllee.. ARCHITECT: c'G/So.� ENGINEER:CONTRACTOR: INSPECTION INSPECTION DATE: Z —/ k PLAN FILE: " , A --S "fie e / BLDG. PERMIT: OTHER PAGE OF MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT {) FIREPROOFING () MASONRY BLOCK () REEAR STRUCTURAL STEEL () BOLTS IN PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION;'P.ROGRESS,.WORb( REJE.GTED, REMP►Rh:$ J__�v11._� � �,1'" �7e G�c�-_���. G,rc. c% _ G� —._�✓- _?D�_. ._��.L2 r Ce.rtifocatro.n of Compliance All. ofk,:unless.otherwise noted, complies withAhe approvedplans and specificatio' thea lvhiformn building code J NAME: (PRINT) SIGNATURE CERTIFICATION NO: GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 12155 MAGNOLIA AVENUE., SUITE 6-C, RIVERSIDE, CA 92503 (951) 352-6701 FAX (951) 352-6705 CTE JOB # REPORT # INSPECTION MATERIAL:IIDENTIIIICA-TION (.) CONCRETE CoNc iv mmsi. O MASONRY GROUT Mix#rnsI ( } RT. CONC. MORTAR TYPENSI . O FIELD WELD REBAR GRADE.. O SHOP WELDING: STR.STEEL. ( ) PILE DRIVING . ( ): BATCH -PLANT `,H.S.BOLT .. (•j EXP:.ANCHOR MAS. BLocx . ( ) OTHER ELECTRODE. MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT {) FIREPROOFING () MASONRY BLOCK () REEAR STRUCTURAL STEEL () BOLTS IN PERFORMED, JOB PROBLEM, MATERIAL IDENTIFICATION;'P.ROGRESS,.WORb( REJE.GTED, REMP►Rh:$ J__�v11._� � �,1'" �7e G�c�-_���. G,rc. c% _ G� —._�✓- _?D�_. ._��.L2 r Ce.rtifocatro.n of Compliance All. ofk,:unless.otherwise noted, complies withAhe approvedplans and specificatio' thea lvhiformn building code J NAME: (PRINT) SIGNATURE CERTIFICATION NO: GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 12155 MAGNOLIA AVENUE., SUITE 6-C, RIVERSIDE, CA 92503 (951) 352-6701 FAX (951) 352-6705 rp C ®NSTRUCTION I ESTIN G & E 1v1GINEERING9 INC ESCONDIDO e TRACY a RIVERSIDE a OXNARD e LANCASTER e SACRAMENT® INSPECTION REPORT PROJECT NAME: L ADDRESS: ARCHITECT:`- ENGINEER: CONTRACTOR: INSPECTION DATE: 'O PLAN FILE: 4111/16- S / t -( BLDG. PERMIT: OTHER: PAGE OF CTE JOB # REPORT # INSPECTION MATERIAL.EDEN TIFICATION ).CONCRETE corrc;M>xamsl ( ) MASONRY GROUT M. X#/PSI ( ) P.T. COW. MORTAR TYPE/P$1 .. FIELD WELD REBAR GRADE ( ) SHOP WELDING (.) PILE DRIVING . STR. STEEL, O BATCH PLANT .:H.S.BOLT. (.)EXP. ANCHOR -.-MAS. BLOCK . ( )OTHER .. ELECTRODE . MATERIAL SAMPLING ( ) CONCRETE ( ) MORTAR ( ) GROUT O FIREPROOFING ( ) MASONRY BLOCK O REBAR STRUCTURAL STEEL ( ) BOLTS INSPECTION. PERFORMED, JOB PROBLEM,.MATERIAL IDENTIFICATION, PROGRESS, WORK REJECTED, REMARKS (i�'�C ���iG n�i .� fCL�:�.L_�—�" ��LS__---L�C�G✓—�p� �,�_�� GAS �.��"��_��� Certification of Compliance All :work, unless otherwise noted, complies.with the approved: plans ''arid specifications and:. they if.6i la• il'dirig code. NAME: (PRINT) CERTIFICATION NO: GEOTECHNICAL & CONSTRUCTION ENGINEERING TESTING & INSPECTION 12155 MAGNOLIA AVENUE., SUITE 6-C, RIVERSIDE, CA 92503 (951) 352-6701 FAX (951) 352-6705 John R. Hawkins Fire Chief 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 ee Moreno Valley Palm Desert Perris Rancho Mirage San Jacinto 4. Temecula Board of Supervisors Bob Buster, District 1. John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley, District 5 i RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of'Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 1' November 15, 2006 j l . City of La Quinta f 78495 Calle Tampico ` La Quinta, CA 92253 1 i Re: Water System Plan Review LAQ-06-BP-102 l La Quinta Civic Center Expansi at�78495 Calle T pito, La Quinta, CA The above referenced watt r plans have been reviewed and are acceptable . p e by the Riverside County Fire Department. i The County Fire Department must witness the following. tests: 1. A hydrostatic test of 200 -psi pressure for two (2) hours or at 50 psi in excess of the maximum static pressure when it is in excess of 150 psi shall be witnessed by a fire inspector prior to covering piping joints. 2. System flush inspection. 3. A,flnal inspection is required. 1 ' All questions regarding thelmeaning of these conditions should be referred to the Fire Department Planning 4 Engineering staff at (760) 863-8886. i Sincerely, ,Tracy Hobday Chief Fire Department Planner By Sonia Cooley Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072 Routing Path N u City of La Quinta Public Works I Engineering Department PLAN APPROVAL / REVISION REVIEW/SIGNATURE REQUEST Project Name: t2p cL Pak D, I S PLAN CHECK 7 NUMBER: DATE RECEIVED ON: Plan Check Round 0 2 :3 4 5 6 7 8 9 10 Digital Archive Indexi ew Plan Set, ❑ Revised Original ❑ (Alpha Z Comp nent�PFo}ect%lt Numerical Component) 1 L PIaa�T pe(s) Information ,stitute Mylar(s) for PSN °I_j _ U_ Number .5k4 Zot, f7.o tification Num.be 401 Alpha De ription Ra.ige, Township, Section Num,/r(s) Development Permit, SP=Specific Plan, CUP =Conditional Use Permit, PUP.=Public it; VUP=Village Use Permit, PP=Plot Plan TM=Tract Map, PM=Parcel Map, LLA=Lot Line Adjustment, MTS=Monument Tie Sheets, ROS=Record of Survey Public Agency Sponsored Proiects Series CIP=Capital Improvement Project (LQ on,y), MIP=Minor Improvement Project (LQ only), AD=Assessment District (LQ only); OTHER AGENCIES: CIP-CVWD=CIP administered by CVWD, CIP-INDIO=CIP administered by Indio, CIP-RIV=CIP administered by Riverside County C-.XDoWnems any Setytps%ajoh=n%Loe Setfts\Temporary IMemet FeesWLK411F009REVISI0N.doc DIRE TOR Tim Jonasson, Public Works Director Needed By: [ p -proved [ ] Rejected_ Signed On: Z Z Comments: 517 N G I ING r Engineer -Needed By: pproved [ ] Rejected Signed On: j Z� Comments: Needed By: [ ] Approved [ ] Rejected Jr Signed On: Comments: Digital Archive Indexi ew Plan Set, ❑ Revised Original ❑ (Alpha Z Comp nent�PFo}ect%lt Numerical Component) 1 L PIaa�T pe(s) Information ,stitute Mylar(s) for PSN °I_j _ U_ Number .5k4 Zot, f7.o tification Num.be 401 Alpha De ription Ra.ige, Township, Section Num,/r(s) Development Permit, SP=Specific Plan, CUP =Conditional Use Permit, PUP.=Public it; VUP=Village Use Permit, PP=Plot Plan TM=Tract Map, PM=Parcel Map, LLA=Lot Line Adjustment, MTS=Monument Tie Sheets, ROS=Record of Survey Public Agency Sponsored Proiects Series CIP=Capital Improvement Project (LQ on,y), MIP=Minor Improvement Project (LQ only), AD=Assessment District (LQ only); OTHER AGENCIES: CIP-CVWD=CIP administered by CVWD, CIP-INDIO=CIP administered by Indio, CIP-RIV=CIP administered by Riverside County C-.XDoWnems any Setytps%ajoh=n%Loe Setfts\Temporary IMemet FeesWLK411F009REVISI0N.doc .Paul .Coble Subject: PCN 07233 LA QUINTA CITY HALL - CIVIC CENTER EXPANSION (REVISION - TITLE & GRADING SHEET ONLY) i Due Date: Friday, December 21, 2007 Status: Waiting on someone else Percent Complete: 0% Total Work: 0 hours Actual Work: 0 hours Owner: Paul Goble Requested By: Angelica Zarco FEES: Discussed fees for plan check item with Diane Aaker. She will verify with Tom Hartung whether or not fees will be applicable (AZ) 11/14/2007 - PAUL DISCUSSED AND RECEIVED PLAN CHECK ITEM FROM DAVID EVANS & ASSOCIATES. SENT TO TONY TO REDLINE (AZ) 11/19/07 - Tony started plan review and got the following: 1. Sheet C-1.1 or 201 of PSN 06220, Construction Note 68 (approved curb inlets) was replaced with AC and Base: Sheet C1.5 now has orphaned curb inlet Construction Note 68 - resolve same. Reassignment of existing used construction notes on delta revisions is generally problematic. Reference sheets attached. 2. Sheet C-1.1, provide new soils engineer signature and stamp given large change in pavement design. 3. Sheet C71.1, no changes are noticed for const item 20 and 25 which have been clouded. Remove the clouds or clarify the change.. City format requests that new delta sheet contain only changes from previous delta. 4. Sheet C-1.1 and 1.3, change planning depart stamp block info to Les Johnson,,see attached. 5. Sheet C-1.1, provide the 2nd Sub rnylar stamp block. See attached with detailed info. 6. Sheet C-1.3, provide 1st Sub Mylar stamp block. See attached to sheet 1.3. 11/19/07 - Tony finished and gave to Paul. 11/27/2007 - Paul reviewed and annotated 1st round redlines. EOR to resolve formating and construction note reassignment issues and submit substitute mylars for approval. Redlines to Angelica/Ed for return to EOR. 11/28/2007- SENT FAXED NOTICE TO DAVID EVANS AND ASSOCIATES FOR PLAN ITEM PICKUP. (TS) 12/10/2007 -RECEIVED REVISED PLAN CHECK ITEM (MYLAR) FROM DAVID EVANS AND ASSOCIATES. SENT TO TONY FOR CITY REVIEW (AZ) 12/12/2007 - RETRIEVED FROM TONY TO GIVE PLANS BACK TO MR. KELLY OVER THE COUNTER TO MAKE ONE MORE EDIT BEFORE SUMITTAL TO THE CITY. (TS) 12/17/2007 - Paul reviewed revised mylar (2nd round check) from David Evans. Minor correction required & performed for accurate substitute mylar stamp on Sheet C-1.1. Mylars to Angelica for signature routing to Building and Planning Department and Green Sheet form completion. Revision updates pavement replacement requirements per final geotechnical opinion. Building and Planning requested to sign both Sheets C-1'.1 and C-1.3. Angelica to update corresponding Sheet 201 and 203 of City Archive PSN 06220 once all signatures are obtained. Please recheck scan quality and shading given atypical and dark legending noted on mylars. No further review necessary from Paul - forward to Tim for final signature once Building and Planning signatures are obtained. 12/17/2007 - TRANSMITTED TO BUILDING DEPARTMENT FOR SIGNATURE (AZ) 12/18/2007 = RECEIVED SIGNED MYLARS FROM BUILDING DEPARTMENT. TRANSMITTED TO PLANNING FOR SIGNATURE (AZ) 12/19/2007 - RECEIVED SIGNED MYLARS FROM PLANNING (AZ) 12/20/2007 - SENT TO PAUL FOR FINAL REVIEW (WITH GREEN SHEET ATTACHED) PRIOR TO TIM'S SIGNATURE (AZ)