12-0179 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
12-00000179
-44025 JEFFERSON ST STE
604-521-005- -
REMODEL - COMMERCIAL
NEIGHBORHOOD COMMERCIAL
150000
Ta�/ 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
105 REGENCY MARINITA
36 EXECUTIVE PARK
IRVINE, CA 92614
(949)726-6028
Architect or Engineer:
a(P-
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 Cl ss: B License No.: 669244
ate: I Z oniractor:
O�pl
E UILDER DECLARATION
1 hereby affirm under penalty of perjury that I am 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).:
(_) 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.).
(_) 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. , BAP.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
Contractor: if
ALL COUNTY CONSTrU
PO BOX 3428 (ems
FULLERTON, CA 92834
(562)244-8638
Lic. No.: 669244
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
A LLC
;�- .14 2012
Date: 6/14/12
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 Policy Number 7130024222
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
700 of the Labor Co , I all rt ith mply with those provisions.
Aa pplicant:
WARNING: FAILURE WO ER 'CO TION COVERAGE IS UNLAWFUL, AND SHALL'
SUBJECT AN EMPLOYER T CRIMINAL PENALTIE 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 nstruction, an hereby authorize representatives
of this cou y t enter upon the above-mentioned property f i p do oses.
ate: � gnature (Applicant or Agen
Application Number . . . . . 12-00000179
------ Structure Information SUITE 105 OF SHELL BUILDING
-----
Construction Type
TYPE V, UNPROTECTED
Occupancy Type
BUSINESS <50
Other struct info . .
. . . CODE EDITION
2010.
FIRE SPRINKLERS
yes
OCCUPANT LOAD
14.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1380.,00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
57.75 Plan Check Fee
14.44
Issue Date . . . .
Valuation . .
. . 0
Expiration Date . .
12/11/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
1.00 3.0000
EA ELEC APPLIANCES
3.00
55.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE .>20
24.75
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
814.50 Plan Check Fee
529.43
Issue Date
Valuation . .
. . 150000
Expiration Date
12/11/12
_
Qty Unit Charge.
Per
Extension
-
BASE FEE
639.50
50.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
175.00
Permit . . . MECHANICAL
Additional desc .
Permit.Fee . . . .
39.50 Plan'Check Fee
9.88
Issue Date . . . .
Valuation
0
Expiration Date
12/11/12
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
2.00 4.5000
EA MECH VENT INST/ DUCT ALT
9.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9.00
1.00 6.5000
' -----=----------------------------------------------------------------------
EA MECH VENT FAN
6.50
Permit PLUMBING
LQPERMIT
Application Number . . . . . 12-00000179
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 61.50 Plan Check Fee
15.38
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/11/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 6.0000 EA PLB FIXTURE
36.00
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 TENANT IMPROVEMENT FOR DENTAL
OFFICE AT SUITE 105 (DR JAIME
CARSTAIRS)1380 SF. TYPE V -B W/
SPRINKLERS. 2010 CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
52.94
ART IN PUBLIC PLACES -COM
730.00
BLDG STDS ADMIN (SB1473)
6.00,
ENERGY REVIEW FEE
52.94
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 973.25 .00 .00
973.25
Plan Check Total 569.13 .00 .00
569.13
Other Fee Total 841.88 .00 .00
841.88 ,
Grand Total 2384.26 .00 .00
2384.26
' LQPERMIT
CERTIFICATE OF COMPLIANCE (Page 1 of 4) LTG -1C
ProjectName:
Date:
DENTAL OFFICE
2-20-12
Project essClimate
Zone:
u' g
1380 SF
44025 JEFFERSON ST., LA QUINTA CA. 92253
15
Unconditioned Floor Area:
General Information
Building Type: Nonresidential p High -Rise Residential p Hotel/Motel
E3 Schools Relocatable Public Conditioned Spaces p Unconditioned Spaces
Schools
Phase of Construction: 0 New Construction [3 Addition td Alteration
Method of Compliance: p Complete Building tj Area Category O Tailored
Documentation Author's Declaration Statement
j I certify that this Certificate of Compliance documentation is accurate and complete.
Name: NORMAN NGUYEN
Signature:
ompany:
to :
2-20-12
Address: QItapplicable:
6425 HUGHES DR. �� NCG�y
CEDE#
City/State/Zip HUNTINGTON BEACH zE I485 Z
Phone: 714-469-0723
Principal Lighting Designer's Declaration Statemen
I am eligible under Division 3 of the California and Pro e,sions Code Ic' t responsibility for the lighting design
V
This Certificate of Compliance identifies the lighti a cations required for compliance with
Title 24, Pages 1 and 6 of the California Code of Reg
'A��F�
�Oi� C
The design features represented on this Certificate of Com ent with the information provided to document this design
on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for
approval with this building permit application.
Name: NORMAN NGUYEN Signature: /f
Company: rga
Phone: 714-469-0723
(� M ig
Address: 6425 HUGHES DR.
11111
License# E 18485
City/State/Zip:
HUNTINGTON BEACH 0 Z��2
-
Date:
2-20-12
Lighting Mandatory Measures
Indicate location on building plans of Mandatory M r s Note Block:
LIGHTING COMPLIANCE FORMS & WORKSHEETS (dheck box if worksheet is included)
For detailed instructions on the use oj this and all Energy ljjiciency Standards comp lance orms, please refer tote Nonresidential Manual
published by the California Energy Commission.
(d LTG -1C Pages 1 through 4 Certificate of Compliance. All Pages required on plans for all submittals.
E3 LTG -2C Lighting Controls Credit Worksheet
tf LTG -3C Indoor Lighting Power Allowance
p LTG -4C Pages 1 through 4 Tailored Method Worksheet
p LTG -SC Pages 1 and 2 Line Voltage Track Lighting Workshe
12_71
BUILDING & SAFETY DEPT.
.APPROVED
FOR ONSTRUCTION
2008 Nonresidential Compliance FormsJul
1?
Y 2010
BY
DAM
CERTIFICATE OF COMPLIANCE (Page 2 of 4) LTG -1C
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
ProjectName:
DENTAL OFFICE
Date:
2-20-12
Climate Zone 15
Installation Certificate, LTG-I-IN(Retain a copy and verify form is completed and signed.)
Field Inspector
O
Certificate of Acceptance, LTG -2A (Retain a copy and verify form is completed and signed.)
Field Inspector
O
separate Lighting Schedule Must Be P'illed 0utJbr Conditioned and Unconditionedpacesnsta a ig ting ower tste on
this Lighting Schedule is only for: O CONDITIONED SPACE 0 UNCONDITIONED SPACE
The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance
with §146(a)
❑ Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the
calculation of actual indoor lighting power density in accordance with the Exception to §146(c). All portable lighting in
excess of 0.2 watts per square foot is totaled below.
Luminaire Schedule(Type, Lamps, Ballasts)
Installed atts
How wattage was
Field
determined
Inspector 2
CEC
According
0 4
Complete Luminaire Description
w
°
o
w .
w
x
Cd 2(i.e,
z
3 lamp fluorescent troffer,
Cd
;
.�
Default
from
to
§130-
.
e°
F32T8, one dimmable electronic ballast )
a
v�
3 ..a
NA8
(d or
Z
A
2X4 DROP W/21`32 ❑
❑
55
❑
18
990
❑
❑
B
6" RECESS LIGHT ❑
❑
15
❑
24
360
❑
❑
C
4" RECESS LIGHT ❑
❑
15
❑
3
45
❑
❑
D
EXIT W/ 90MIN. BATTERY & EMER❑
❑
5
❑
3
15
❑
O
E
4' WRAP W/1 F32 ❑
❑
35
IY
❑
1
35
❑
❑
F
CEILING SEMI—FLUSH MNT. ❑
❑
26
❑
1
26
❑
❑
❑
❑
❑
❑
❑
❑
❑ 1❑
❑
❑
❑ 1
❑
INSTALLED
WATTS PAGE TOTAL:
Building total number of pages Installed acts Building Tota7l
1471
(Sum of all pages)
Enter into LITIC
Page 4o
1. Wattage shall e determined according to Section an e). Wattage shall e rating o ig t xxture, not rating o bulb.
2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary.
2008 Nonresidential Comvliance Forms Julv 2010
CERTIFICATE OF COMPLIANCE (Page 3 of 4) LTG -1C
Project ame:
Date:
DENTAL OFFICE
2-20-12
INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST
Fill to contro s &r all spaces: a area controls, multi-levd controls, c manual ay ig ting contro s or daylit areas >
automatic daylighting controls for daylit areas > 2, 500 ftp, d) shut-off controls, e) display lighting controls, J) tailored lighting
controls - general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive
automatic controls for retail stores > 50, 000 ft?, in accordance with Section 131.
MANDATORY LIGHTING CONTROLS - FIELD INSPECTION ENERGY
CHECKLIST
Field
Inspector
Type / Description
Number
of Units
Location in Building
Pass
Fail
TIMER
1'
CLOSE TO PANEL
❑
❑
OVERRIDE SWITCH
1
CLOSE TO THE ENTRANCE
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
Field Inspector's Notes or Discrepancies:
2008 Nonresidential Compliance Forms July 2010
CERTIFICATE OF COMPLIANCE (Page 4 of 4) LTG -1C
ojec ame:Date:
DENTAL OFFICE
2-20-12
Conditioned and Unconditioned space Lighting must not be combined for compliance
Indoor Lighting Power for Conditioned Spaces
Indoor Lighting Power for Unconditioned Spaces
Installed Lighting
Watts
Installed Lighting
Watts
(from Conditioned LTG -1C Page 2)
1471
(from Unconditioned LTG -1C Page 2)
Lighting Control Credit
N/A
Lighting Control Credit
Conditioned Spaces (from LTG -2C)
Unconditioned Spaces (from LTG -2C)
"
Adjusted Installed
Adjusted Installed
Lighting Power
—
1471
Lighting Power
Complies if Installed <_ Allowed =
Complies if Installed:5 Allowed
Allowed Lighting Power
Allowed Lighting Power
Conditioned Spaces (from LTG -3C)
1494
Unconditioned Spaces (from LTG -3C)
Required Acceptance ests
Designer:
This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A
LTG -3A• The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as
meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different
lighting and the number ojsystems. The NA Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since
this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms
can be grouped by type of Luminaire controlled
Enforcement Agency:
Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with
controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG -2A and
LTG -3A form are not considered a complete form and arenot to be accepted by the enforcement agency unless the boxes are checked and/or
filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications,
installation certificates, and operating and maintenance information meet the requirements of§10-103(b) of Title 24 Part 6. The field inspector
must receive the properly filled out and signed forms before the building can receive f nal occupancy. A copy of the LTG -2A and LTG -3A
for each different lighting luminaire control(s) must be provided to the owner of the building for their records.
Luminaires Controlled
LTG-2AandLTG3A
Controls and
y
ami c
Sensors and
a
Automatic
Equipment Requiring
Testing Description
c
2 o U
Location
Daylighting Controls
Acceptance
TIMER
ON—OFF ON TIME
CLOSE TO PANEL
❑
2HR OVERRIDE SWITCH
ON—OFF ON TIME
CLOSE TO THE ENTRANC
❑
BI—LEVEL SWITCH
UNIFORM REDUCTION
ALL ROOMS
❑
El
El
El
El
11
El
2008 Nonresidential Compliance Forms July 2010
INDOOR LIGHTING POWER ALLOWANCE LTG -3C
rojectName:
DENTAL OFFICE
Date:
ID
2-20-12
ALLOWED LIGHTING POWER (Chose One Method)
Separate -3C must be filled out for Conditioned and Unconditiondl Spaces. Indoor Lighting Power Allowances listed on
this page are only for: p CONDITIONED spaces p d9tiiaQTM'FIONED spaces
COMPLETE BUILDING METHOD
BUILDING CATEGORY (From § 146 Table 146-E) WATTS COMPLETE ALLOWEDPER (ft') X LDG. AREA WATTS
TOTALS
AREA WATTS
AREA CATEGORY METHOD — Part A
AREA CATEGORY (From § 146 Table 146-F)
WAITING/RECEPTION
EXAM
OFFICE
STORAGE, HALL, LOUNGE, LAB, OPEN AREA ...
RESTROOM
MECH. ROOM
WATTS ALLOWED /
PER \ft2) X AREA (ft2) = WATTS
1.1 334 367
1.2-� 686 823
1.2 139 167
0.6 135 81
0.6 48 29
0.7 1 1 38 27
v -
■MLU
TOTALS
AREA WATTS
AREA CATEGORY MET170D — Part B AdditionalWattage Allowance(from Table 146-F Footnotes)
A B C
ID
E
F
G
Additional
ALLOWED
Primary
Watts
Per fl
Wattage
Allowance
Description(s) and Quantity of Special
Total
Design
WATTS
Smaller of
Function Sq F1
Allowed
(B x C)
Luminaire 2 Types in each Primary Function Area
Watts
D or F
TOTALS — Enter into Area Category Method — Part A (table above)
I. Additional watts available only when allowed according to ftfootnotes on bottom of Table 146-F for chandelier or sconce;
art, craft, assembly or manufacturing specialized task work; precision commercial/ industrial work; or lab specialized task wo4c.
2. Special luminaires are light fixtures described in the Table 146-F Footnotes that are subject to an additional wattage
llowance.
TAILORED METHOD
Total owe atts using the Tailored Methoden from age I o ow
The indoor lighting power allowance using the Tailored Method of compliance shall be determined using the L
TG -4C -set
of forms. A separate set of LTG4C forms shall be filled out for CONDITIONED and UNCONDITIONED spaces
'2008 Nonresidential Compliance Forms August 2009
pc COMM R
IN COOPERATION WITH
!i`H IE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
John R. Hawkins — Fire Chief
210 West San Jacinto Avenue - Perris, CA 92570
(951) 940-6900 www.rvcfire.org
PROUDLY SERV" THE
uWNCORPORATW AREM March 6, 2012
Of WYERS nE COUNTY
Arm THE CmES Or`
BANNING RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural RE -DESIGN
LAQ-12-T1-023 Dr. Jamie Carstairs Dental Office 44-075 Jefferson#105 La Quinta, CA
BEAUMONT
CAUMESA
CANYON LAKE
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT
COACHELLA
AN OCCUPANCY PERMIT,
OlbERT HOT SPRINGS
'It in prohibited to use/process or store any materials in this occupancy that would classify it as an
EASTVALe
H occupancy per Sec. 307 of the 2010 CBC,
INDIAN WELLS
(Nolo
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
JURUPA VALLEY
Install door hardware and exit signs as per Chapter 10 of the 2010 CBC.
LAKE EL&%OIRe
LA CKnmrA
A minimum 2AlOBC Fire Extinguisher, (State Fire Marshal Approved).must be mounted in a
visible location within 75, walkingdistance from any y point in your building or suite. Fire
M�NIFeE
extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal
MORENO VALLEY
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
PALM DESERT
yearly.
PER.RIS
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel
RANCHO MIRAGE
a
t all times.
Rusmoux CSD Approved suite addresses shall be placed in such a position to be plainly visible and legible from
SAN JACINTO the strait. Said numbers shall contrast with their. background.
TEMECULA An approved audible interior notification alarm'device shall be provided in approved location. A
WIwOMAR C-1 O licensed contractor must submit plans; de4ped in accordance with NFPA 72 to the Fire
Department for review and approval prior to installation
EKAIRD OF A durable sign statingwIlAs door to remainunlocked during business hours:
BOB BUSTER ' shall be placed on
SUPEWSORS: or adjacent to the front exit. door.
The sign shall be in letters not less than one inch high on a
Contrasting background,
DISTRICT 1
Provide
ode key(s)) to the bk t space for inclusion in the nWm'budding Knox Box. Key(s) shall
JOHN TAVAGUONE legible ag.s affixed for identification
DISTRICT 2 shall be provided aof the correlating tenant space. Key(s)
t time of final.
JEFF STONE mspectiOn.
DISTRICT 3 As it may be necessary to maintain propc
JOHN BENOIT fire sprinkler stem plans for the t fire spruikler.protection due to constructions changes,
sP sy P enant improvement area itis
DISTRICT a the Fire Department for review. y be required to be submitted to
MARION ASHLEY
DISTRICT 5
4-/ 1. 5 G1_,.1 2
rik�lm
T' '�.iz ii•+'"''at "ir't�„ l Sii'n, +. 4uk < Y
. y •'Yfi'u., td
lel '4R C Y :t• -
Applicauthnstaller shall bee responsible to contact the Zµ a bepartmedt to so u a spections.
A re+i t3j�oct oa fee wall •b a required if more than one (1) ins ocuoilis na Y -Requests for
inspoc ons`are tQ be made:at toast 77 hom in advance and naY bear angel bye Ming (760)
MASK` �.
Ali questions regarduzg t} meaning of these condsticns should be raferred to the Fire
alrartment
Planning 8t nglneeung Staff {700j.863`�8886...
• • ,Ly 'f; F' 1. �.. �;
Y'b 'I
Fine: Sadypec4
. '-•' .,
4
nYH 1
A
:
ti + {
r.
C
`' ! � • -. '�°in +}•: 3 �"xrzP 4Y�k�'�C'>i, { 7, y.# a', 's ..
_ .' >. z .' y 4 ` �•. ;^t a#x y ,ie— ,� f vt Y � body` '
,
i.' . ' �'• .x �� �,3ar-.�, J;;y4L c tart ..
zt-
�
* t wi Kry.7�yJ
__,:.•w ..'[.. 5:.1. 1.--� .%.'...: Rs..i,F'k's'Yrw`'?ttiii��.'�^.t{*,t4�t
Bin # �....
: ..
�I /Off. � �i(t[1b .
•,'. .:'Bt #kung 8L Saft'ty Divis#on .: .
P.O. Box. 1504, 78-495 Calle Tampico
14.Qufita, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Pemtlt # :
�� '•
�T
Project Address: 7. S C F C&IL,5 N
Owner's Name:. P�
A. P. Number. # t O•
I.City'STIzip:
Address: . 07S..J
Legal Description: /.
Contractor.
Telephone:
Address: ti JIS
Project Description:
City, ST, Zip: :� ^
�J " O V'
Telephone: t S d 0 , `
<
State Lie. # : J City Lie. #;
Arch., Engr., Designer�-�-j
A K CQ K S i��}
'nn
C A I � 2,
Address:
�
City., ST, Zip:
Telephone: y Construction Type:. £'Occupancy:
State Lie. #: ,,. _ Project type (circle one): New Add'a Alter Repair Demo
Name of Contact Person: J A,S O tJ Sq. Ft.: # Sto '
Telephone # of Contact Person: A _ 6IL-7 3 d
Estimated Value of Proj /��A =1 t Z
APPLICANT: DO NOT WRITE BELOW THIS. UNE
#
Submittal
Plan Sets
Req'd
„
Recd
TRACMG PERMIT FEES
Plan Check submitted 1-01Weak Amount
Structural Coles.
Reviewed, ready for corrections 2 ),Z> Plan Check Deposit. .
Truss Cales.
Called Contact Person'Ilk «, 20 Plan Check Balance.
Tule 24 Cales.
0 .
Plass picked up Construction
Flood plain plan
Plans resubmitted..
UO& Mechanical
Grading plan2"
Review, ready for correctio issue ZElectrical
Subcontactor List
Called Contact Person -{' Yl�ig Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN DOUSE.-
3a Review; ready for corrections/issue Developer Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. VF'ks. Appr '
Date of permit Issue
School Fees
Total Permit Fees i a. ?)R>+. 24o
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLS TAMPICO (760) 77 7 -70 12
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #:
To CDD: c�2A�y a
Due Date: 3171h2_
[ /2_
Status: l.5f - O X
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has- reviewed the Building Plans for the following
project:
Description: kAw-&zo.
Address or General Location: 4.4j -a75
Applicant Contact:
-
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
these Building Plans are approved by the Planning Department.
❑ ...these Building PI ns require corrections. Please forward a copy of the
attached correction . to the applicant: When the corrections are made
plea; retutri-them t ' 'he Planning �Department�for review.
Les
Date
Tec av
FEB
City of La Qtjnta
Planning D-1,anent