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05-0684 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:05-00000684 r Property Address: APN: 78080 AVENIDA LA FONDA Application description: . 770-121-005- - Property Zoning: REMODEL - COMMERCIAL Application valuation: VILLAGE CO Applicant: Architect or Engi BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: --------------------------------- BARRY PARKINS DDS Contractor: --------------------------------- PACIFIC INLAND CONSTR, INC 14093 BUSINESS CENTER DRIVE MORENO VALLEY, CA 92553 Lic. No.: 9548685 Date: 5/31/05 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION ioemes are 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 Class: 819855 License No.: 9546685 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �ense issued. jfy// Date: ntractor: Q — 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 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 1196 Policy Number GRANITE STATE 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 C de, I shall orthwjth com ly with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by OS �icant: any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date :.5 (_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN nt r not intended or offered for sale If however the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. mpry 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 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: LQPER111IT . - 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 construction, and hereby authorize representatives of this county o enter upo�th move -mentioned property foM'urp s � r _/ 61 a pp g Date:> gnature (A licant or A entl: Application Number 05-00000684 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee 617.00 Plan Check Fee 401.05 Issue Date Valuation . . . . 95000 Expiration Date 11/27/05 - Qty Unit Charge. Per Extension BASE FEE 414:50 45.00 ------=--------------------------------------------------------------------- 4.5000 THOU BLDG 50,001-100,000 202.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 76.38 Plan Check Fee 19.10 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/05 Qty Unit Charge Per Extension BASE FEE 15.00 3069.00 ---------------- .0200 ------------------------- ELEC GARAGE OR NON-RESIDENTIAL ----------------------------------- 61.38 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 100.00 -Plan Check Fee 25:00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/05 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 2.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 13.00 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 88.50 Plan Check Fee 22.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/27/05 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 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 LQPERMIT Application Number . . . . ,05-00000684 ---------------------------------------------------------------------------- Special Notes and Comments COMMERCIAL - INTERIOR TENANT IMPROVEMENT - RENOVATION OF EXISTING "LQ ARTS FOUNDATION OFFICES" TO A DENTAL OFFICE - 3,069 SQ.FT. "B" OCCUPANCY, 31 OCCUPANT LOAD, TYPE V-1HR CONSTRUCTION, -2001 --CODES. CDD -CONDITIONAL APPROVAL LETTER DATED MAY 25, 2005. SEE LETTER IN FILE FOR CONDITIONS TO BE SATISFIED PRIOR TO TEMPORARY / FINAL -CERTIFICATE OF OCCUPANCY—May 31, 2005 9:27:50 AM bhanada. ------------------------ Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW 140.11 ENERGY REVIEW FEE 40.11 STRONG MOTION (SMI) - COM 19.95 Fee summary Charged Paid ----- - -------- ------ Credited =--------- ---------- Due ----------------- Permit Fee Total 881.88 .00 .00 881.88 Plan Check Total 467.28 .00 .00 467.28 Other Fee Total 100.17 .00 .00 100.17 Grand Total 1449.33 .00 .00 1449.33 LQPERMIT A Bin # Permit # 0 U t� Project Address: A. P. Number: Contractor: x Address:)( 0 R 3 B Mjvo Cin. ST. Zip: WWei,,,o--� Telephone: X State Lic. Arch:. Engr.. Designer: )��, '� 4. Address: _W_00 G ' City, ST. Zip: �a1V�1 Telephone State Lic. Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. "Flood plain plan "'Grad ing plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees v C1 Y Of La Quince ` 6 Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 2. 7 Z Building Permit Application and Tracking Sheet (1f4t216-- Owner's Name: x� Address: X 4kih S 1> vR Project Description: x Y 3, e,&. R -z553 /I til , „r+, .._� Project � gpc(circle.one): Ne%%• Add'n Alter Repair Dcmo (,{ id6 Sq. Ft.: #Ston s: # Units: ' Estimated Value of Project: X APPLICANT: DO NOT -WRITE BELOW THIS LINE Rec'd TRACK Plan Check submitted Reviewed. read}• for correcti Called Contact Person Plans picked up Plans resubmitted 2"' Review. ready for correct Called Contact Person Plans picked up Plans resubmitted ''' Review. ready for correcti Called Contact Person Dat:eef permit issue �v8 Caw PGS 7a f S� �? -�� S- F �xcr 3/,, WA LC y � CO In/i=o r (-.14I I y f.. C »D �� e ►�� �,, ►a v M E -7747- P�A-6Lr a V. 1144 F VS t: �I23 V* A'pp. 1�M ij, 1)0%'4� W- �hc n/ t G Dt�cdssad , T ING PERMIT FEES 12) Item Amount ons 17 Plan Check Deposit Plan Check Balance Construction ;lei Mechanical � io ssu ?i Electrical s Plumbing S.M.I. . Grading ons/issue Developer Impact Fee A.I.P.P. 3� ° Total Permit Fees 4417 ♦ 7�� �v8 Caw PGS 7a f S� �? -�� S- F �xcr 3/,, WA LC y � CO In/i=o r (-.14I I y f.. C »D �� e ►�� �,, ►a v M E -7747- P�A-6Lr a V. 1144 F VS t: �I23 V* A'pp. 1�M ij, 1)0%'4� W- �hc n/ t G Dt�cdssad , T ING PERMIT FEES 12) Item Amount ons 17 Plan Check Deposit Plan Check Balance Construction ;lei Mechanical � io ssu ?i Electrical s Plumbing S.M.I. . Grading ons/issue Developer Impact Fee A.I.P.P. 3� ° Total Permit Fees 4417 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Doug Evans, Director -CDD BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760).777-7011 To CDD: 5-05-2005 Due date: 5-18-2005 Status: 2ND Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Deveiopment Department has reviewed the Building Plans for the following project: Description: Tenant Improvement(Dentist Office) Address or general location: 78-080 Avenida La Fonda( old LO Arts Bldg) Applicant Contact: Robert Riccardi 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. �� Mrd c_ e4Z'T-e�`r'lf� ❑ ...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. Doug Evans, Director -CDD Date I 04- w M M T T w U F� OF Tt�� To: Building and Safety Department From: Wally Nesbit; Associate Plann Date: 5/25/05 Subject: TI for Dental Office = 78080 La Fonda (old LQAF building) The subject building plans have been reviewed by CDD. We have signed the green sheet to release the building permit. However, the following items will have to be fully satisfied by the applicant prior to any temporary or final occupancy: 1. The existing landscaping has deteriorated and is in violation of the City's requirements for property maintenance. Landscape plans for site remedial work shall have been submitted to and approved by CDD prior to any final .inspection(s) being called for, and installed and verified prior to release of any temporary or final CO. 2. Applicant shall provide a minimum of 2 parking stalls at the rear of the property, as were required by the original Plot Plan 87-375 approval. A site plan for all landscape and parking improvements shall be provided. Applicant shall prepare any required civil drawings for the parking stalls and joins to the north alley, as may be . required by the Public Works Department. Plans shall have been submitted to and approved by CDD and Public Works prior to any final inspection(s) being called for, and installed and verified prior to release of any temporary or final CO. 3. All roof mounted mechanical equipment must be installed below the horizontal plane of the roof parapets, so as to not be visible above a horizontal line of sight, as required under Section 9.100.050.6, LQMC. Please ensure that the applicant receives a copy of these requirements with the permit. If you have any questions, please contact me at X7069. c: File; Plot Plan 87-375 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 Moreno Valley 'Palm Desert .• Perris Rancho Mirage .;. Rubidoux CSD -: San Jacinto 4. Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, 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 (760) 863-8886 Fax (760) 863-7072 Date 3 > D� La Quinta Building Department RE �� �, (05MA6 V-�IS�1'� 1 The Riverside County Fire Department is granting the fire clearance for the following -U0D Aqt Please call if you should have questions. 760-863-8886. Thank You R pectfully, Jason Stubble Fire Systems Inspector RIVERSIDE COUNTY FIRE DEPARTMENT WAR= 82-675 Highymy 111, 2nd FI., Indio, CA 92201 * (760) 8634MM 9 Fax (760) 863-7072 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. . Banning Beaumont Calimesa y Canyon Lake Coachella Desert Hot Springs Indian wells Indio Lake Elsinore La Quinta c- Moreno Valley Palm Desert 0 Perris 4 - Rancho Mirage 41 San Jacinto Temecula Board of Supervisors Bob Buster, District 1 Jahn Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 E nK►. Marion Ashley, District 3 November 28,2005 City of La Quinta Building0epartment Re:. Barry Parkins D.D.S. The Riverside County Dept Department is granting a fire final For the following project located at ,78-080 Avenida La Fonda. By Terry De oucy Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2°d FI., Indio, CA 92201 • (760) 86349M 9 Fax (760) 863-7072 Craig E. Anthony Fire Chief Proudly serving the unincorporated' areas of Riverside County and the Cities of: Banning Beaumont 4. Cahmesa Canyon Lake Coachella Desert Hot Springs 4. Indian Wells Indio .;. Lake Elsinore .. La Quinta Moreno Valley 4. 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 82-675 HighwayIndio, Fax (760) 863-70 7z May 17, 2005 Robert Ricciardi, Architect 75-090 St. Charles Place, Ste. A Palm Desert, CA 92211 Re: Non -Structural Building T/I Plan Review LAQ-05-TI-044 / 78-080 Avd. La Fonda. 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. 11) As 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 submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 2) 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. 3) Install portable fire extinguishers per Tale 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 4) 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. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Applicantrinstaller shall be responsible to contact the Fire Department to schedule inspections. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist Cc: City of La Quinta = Building Dept. RAPEMP DatalLa Qwita%PR0JECMT1UA04)5­T ".d= EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 21d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072