0304-133 (COMM)LICENSED CONTRACTOR DECLARATION
y I hereby affirm under penalty of periury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Buslness:and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp: Date
1"'^. ..��
Date Signature of Contractor 11
1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed `
contractors to construct the project (Sec. 7044, Business & Professionals
Code). ,
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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 & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
() 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
subjecilo,the workers' compensation provisions of Section 3700 of the Labor
Code, Is 'l ftorthwith comply wit
h those,provisions
Dater Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes..
Signature (Owner/Agent)�+_�~ �-^ Date
PERMIT# . - -
' PERMIT
/BUILDING
DATE LOTTRACT
t y. / EVALUATION
JOB SITE
ADDRESS 60_3il ',1 C)ay P.J Ay ':
All
OWNER
CONTRACTOR/DESIGNER/ENGINEER
SI-i1~'.A HON.ifa,.'1
8) -260 .AVE�= E2..
fi i �264� Au t�lcrwr a
.C:l+. QURM CA 92883
T., A QUW.+A C.P. 92$83
(909)833=8995 CXAIA
USE OF PERMIT
C:E)1viltr9MCML
GOMM> � 2,319 SC2,F"3'.-SF�Hrt�i7.,:� ci-`l�o L9CC;. 7'Y1�LClftd:°t11VS'J'R. .
SP4 INKLERED. IaFRhVT .Db..F v NOTINCLUDE I3.1=K WALLS, POOL l' R ;
SOPA.
FORCHYRA TIO . 13100 SF• .
SPRIN1C:I YER i 319,00 SF'
..
Al•C , COMM:ERCI.AL . 2 39.40 SF
F
1«:03+17'12ACT AMPU14T IV,313.10 U9
:ES'nAJ,�t�'TFD COYr OF C:0Vr_nWC7W073
CONSTRUCTION FEE • • 1f?.) -000-416-001 �7;t iso '
1;LAt4 CFiE:CIC �Ff� 1011-001114119-318 $653._i7
M9CHANIC AL FRT 101.000.421-000 $43.00
F1-ECTRJCAL, ;PSE 101-000.120-000 $121.30
PLUMBING ME 101-000-419-000 mom
ST£ OHO MOT1014.FEE COMM 100-000-241-000- $29.64
ORADMO VKX 101.000-423.000' $15,00.
13EVE1.f. PER IMPACT IME $tti31.66
ART IN PUBLIC PLACU - COMP 270-000.415-000
;�. MUB-TO'i.!'1L CGyAtMUC7I0N AND PT CHECK
$7,M,64
r
1i6FENS
I 1 L�8•lVY
13�:
5YL
AUG 21. 1003: .
CITY.OF LA QUINTA /.
FINANCE DEPT. ✓
RECEIPT
DATE
BY
DATE FINALE D
INSPE TO
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final z a
BLOCKWALL A PROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
-
Final
Final r
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final y i
Utility Notice (Perm)
COMMENTS:
L'
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
r.
Beaumont
ee
Cahmesa
.;. .
Canyon Lake
.;.
Coachella
.;.
Desert Hot Springs
Indian Wells
4.
Indio
.;.
Lake Elsinore
,.
La Quinta
4.
Moreno Valley
4.1 -
Palm Desert
4•
Perris
❖
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley
District 5
.RIVERSIDE COUNTY FIRE DEPARTMENT
„J In cooperation with the
California Department of Forestry and Fire Protection
82-675 Highway 111, 2nd Fl., Indio, CA 92201 • (760) 863-8886 . Fax (760) 863-7072
April 12, 2004
Williams & Paddon
2237 Douglas Blvd., Ste. 160
Roseville, CA 95661
Re: Non -Structural Building Plan Review
LAQ-04-BP-059 / Spa Bldg. @ Trilogy
Fire Department personnel have reviewed and approved the plans you submitted for the
above referenced project. Please be advised the following conditions apply as a part of the
conditions for the issuance of a building permit.
1) Fire Department approval is based upon the 2001 CBC requirements for Group B
occupancies. It is prohibited to use, process or store any materials in the occupancy that
would classify it as a Group H occupancy per Sec. 307 of the 2001 CBC.
2) The Fire Department is required to set a minimum fire flow for the remodel or construction
of all commercial buildings using the procedure established in the 2001 CFC. A fire flow
of 1500 gpm for a 2 -hour duration at 20 psi residual operating pressure must be available
before any combustible material is placed on the job site.
3) The required fire flow shall be available from a Super hydrant(s) (6" x 4" x 21/2" x 21/21)
located not less than 25' or.more than 165' from any -portion of the building(§) as
measured along approved vehicular travel ways..
4) Install Knox Key Lock box, Model 3200, mounted per recommended standard of the Knox
Company. If the building/facility is protected with a fire alarm system or burglar alarm
system, the lock boxes will require "tamper" monitoring. Special forms are available from
this office for the ordering of the Key Switch, this form must be authorized_ and signed by
this office for the correctly coded system to be purchased.
5) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
6) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact
certified extinguisher company for proper placement of equipment.
7) Approved building address shall be placed in such a position as to be plainly visible and
legible from the street and rear access if applicable. Building address numbers shall be a
minimum of 12" for building(s) up to 25: in height, and, 24" in height for building(s)
exceeding 25' in height. All addressing must be legible and of a contrasting color with the
background.
8) Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to
occupancy.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82.675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
te.of OccupancyCertifca
o o
t y'
Buildin ' & Safety Department14
: E
..,
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
x
i�
Code, certifying that, at the time of issuance, this structure was in compliance. with. the
t r
provisions of the Building Code and the various ordinances of the City regulating building
4�
construction and/or use.
{
BUILDING ADDRESS: 60-311 Trilogy Parkway
i
z`
I Use classification: Commercial Spa Building Building Permit No.: 0304-133
t i
Occupancy Group: B Type of Construction: VN Land Use Zone: RL
Owner of Building: Shea Homes Address: 81-260 Avenue 62
City, ST, ZIP: La Quinta, CA 92253
,��.. By: Gary Hartman
Date: 5/21/04
Building Official
d
POST IN A CONSPICUOUS PLACE
� i