14-0420 (RC)J P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t444&Q"
Application Number: •--14-00000420
Property Address: 44025 JEFFERSON ST STE 104'
APN: 604-521-005- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: NEIGHBORHOOD COMMERCIAL
Application valuation: '20000
Applical3tArchitect or E ineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Bu ' s nd Professionals Code, and_y License is in full force and effect.
License Class: C9 -B rcense,f o.: 010936
ZIC
✓ 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, 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.).
(_) 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: _
Lender's Address:
LQPERMIT
e
Owner:
REGENCY MARINITA LA QUINTA
36 EXECUTIVE PARK STE 100
IRVINE, CA 92614
(949)726-6028
Contractor:
DESERT DRYWALL
PO BOX 10580
INDIO, CA 92202
(760)578-5219
Lic. No.: 91093
VOICE (760) 777-7012
FAX (760) 777-1011
INSPECTIONS (760) 777-7153
Date: 5/15/14
LLC
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 STATE FUND IPolicy Number 1958236
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 sh become subject t the wo mpensation provisions of Section
7)010 of the Lab, I shall forthwith ompl ith tl a provisions.
Cat; Applicant
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS AWFUL, 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 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 aut a representatives
of this couytyytoo Epter upon the above-mentioned pro y or inspection purp es.
Date �ig�ature (Applicant or Agent): V `C'
LQPERMIT
' Application Number .
. . . . 14-00000420
------- Structure Information
SHELL SUITE 104
-----
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. . . BUSINESS <50
Other struct info
CODE EDITION
2013/2010 en
FIRE SPRINKLERS
yes
"
OCCUPANT LOAD
56.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1667.00
Permit . . .
ELECTRICAL 2013
Additional desc .
_Permit Fee . . . .
23.83 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
11/11/14
Qty Unit Charge
Per
Extension
1.00 23.8300
----------------------------------------------------------------------------
LS ELEC DEVICES, FIRST 20
23.83
Permit . . .
MECHANICAL 2013
Additional desc . .
Permit -Fee . . . .
11.92 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
11/11/14
Qty Unit Charge
Per
Extension
1.00 11.9200
EA •MECH APPL REP/ALT
11.92
Permit . . .
PLUMBING 2013
Additional desc .
Permit Fee
23.84 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
11/11/14
Qty Unit Charge
Per
Extension
1.00 11.9200
EA PLBG FIXTURE/TRAP
11.92
1.00 11.9200
--------------------------------------------------------------7-------------
EA PLBG WATER INST/ALT/REP
11.92
Permit . . .
REMODEL 20i3
Additional desc . .
Permit Fee . . . .
116.19 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. . 0
Expiration Date . .
11/11/14
Qty Unit Charge
Per
Extension
LQPERMIT
•LQPERMIT
Application Number . . . . . 14-00000420
Permit . . . . REMODEL 2013
Qty . Unit Charge Per
Extension
1.00 48.6200 LS MISC REMODEL,
1ST•100 SF
48.62
3.15 21.4500 EA MISC REMODEL,
ADDL 500 SF
67.57
----------------------------------------------------------------------------
Special Notes and Comments
INTERIOR TENANT IMPROVEMENT TO SUITE 104
- TENANT: PERRY PHYSICAL THERAPY. 1677
SQ.FT "B" OCCUPANCY TYPE V -B W/ FIRE
SPRINKLERS. OCC. LOAD = 56. 2013 CODES &
2010 ENERGY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK,
REMODEL
187.11
Fee summary Charged Paid
Credited
Due
Permit Fee Total 175.78 .00
.00
175.78
Plan Check Total .00 .00
.00
.00,
Other Fee Total 188.11 .00
.00
188.11
Grand Total 363.89 .00,
.00
363.89
•LQPERMIT
Bin #
G
ti
` �� City of La Quinta
U Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
(D L
Project Address: !¢[ ZS �E t�� , -4E O i
Owner's Name: g O p—M ` e vL
A. P. Number: Gj2-1 — COG'
Address: 'j �2 Z21 �tfw
Legal Description: �GE 'M,f T '• LI - (,QU
City, ST, Zip: '005� O -A , `1 ZZ(o D
Contractor:
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Telephone: � (off ,� 7 ,. 2A1
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Address53.173 C-t'l i6 1�6t ff et7 )rX LX
roject Description: -Cel (,k -AT L M 02 -OJ GM+e-tf-
City, ST, Zip:Cp614)C
VT7—" 6 i les W LJ kLLd:, b' 1VIOIT O)I On-
Telephone: ..
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State Lie. # :
City Lie. #•:
e �� .��,� l may( ♦l per- pts
Arch., Engr., Designer:
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Address: ?D BTW ��( 2!'v
Lam- LIE FArMS
City., ST, Zip: flit 4c" Fel RA'tlE C , 9 U-70
o, -- 3(o0Tele hone:
Co n struction Type: e: Occu aneY
_
StateLie.#C2I �
Project ect hPe circle one • New Add'n Alte r Repairair Demo
Name of Contact Person: pkv (J ��
Sq. Ft.: ��
#Stories: 1
Units:
Telephone #.of Contact Person: -70C).
Estimated Value of Project: 'L1� QQd
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING I
PERMIT FEES
Plan Sets
Plan Check submitted
W9
Item
Amount
Structural Calcs.
Reviewed, ready fo orrections
11)" (.-
Plan Check Deposit
Truss Calcs.
Called Contact Person f�
Plan Check Balance,
Title 24 Calcs.
Plans picked up ,I
MAO
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
✓
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
✓
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P� AN
"J"L
5�� ehig; le k RC -f T✓a►;s . 01rW1 4 AW.
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
C OAC H E LLA
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 15, 2014
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ- I 4 -TI -0 16 Perry Physical Therapy 44-025 Jefferson St# 104 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 2013 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 13 of the CBC.
A minimum 2A10BC 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. All lettering shall be to
Architectural Standards.
Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s)
shall have durable and legible tags affixed for identification. Key(s) shall be provided at
time of final inspection.
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
submitted to. the Fire Department for review.
A five year fire sprinkler service and certification for the existing fire sprinkler system is
required per Title 19. 'A licensed C-16 contractor must complete the servicing and
certification. Documentation of completed work must be submitted to the appropriate Fire
Protection Planning office. The maintenance records for the fire sprinkler system must be
available on-site for review by field Inspector/personnel.
Applicant/installer shall be responsible to contact the Fire Department to schedule
inspections. A re -inspection fee will be required if more than one (1) inspection is
necessary. Requests for inspections are to be made at least 72 hours in advance and may be
arranged by calling (760) 863 8886.
All questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering Staff at (760) 863 8886.
Sincerely,
Jason Stubble
Assistant Fire Marshal