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11-0731 (RC)i 11`( -4� -Q P.O. BOX 1504 VOICE (760).777-7012. 78-495 CALLE TAMPICO - FAX (760) 777-7011 "LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT, INSPECTIONS (760)777-7153 BUILDING PERMIT 'Date: 7/26/11" Application Number: +-110-�� 0 073-1 Owner:0. Property Address: 43576 WASHINGTON ST STE 120 - GANDHI SANDHYA S APN: 609-070-051-2 - - 30926 STEEPLECHASE DR Application description: REMODEL - COMMERCIAL SAN JUAN CAPISTRANO, CA 92675 Property Zoning: COMMUNITY COMMERCIAL Application valuation: 15000 Contractor:ID Applicant: Architect or Engineer: ORR BUILDERS 39301 BADGER, SUITE #30 jj PALM DESERT, CA 92211 ` JU 26 ?®11 + (760)360-6632 I' Lic. No.: 693077 C1T'V0FS F1'� A QlI1N7 ^ ki LICENSED CONTRACTOR'S DECLARATION _ - 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) ofDivision3 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 License C71..)) B j License No.: 693077 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ate: Contractor. 2 ��(//LD�2S - V I have and will maintain workers' compensation insurance, as required by.Section 3700 of the Labor ° Code, for.theperformance 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 ' STATE FUND Policy Number 1960920-2011 ' 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 Code, II forthwith comply with those provisions. 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).:. ate: plicant: . 1—) 1, as owner of the property, oriny 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 CO AGE 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 liis or her own employees, provided that the I DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If; however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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.). APPLICANT ACKNDWLEDGEMENT r 1—) I, as owner of -the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby'made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State.License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, I—) I am exempt under Sec. B.&P.C. for this reason 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. - Date: Owner. 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 CONSTRUCTION LENDING AGENCY - permit to cancellation. - hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that I have read this application and state that the above information is correct. Iagree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - - city and county. ordinances and state laws relating to buildin onstructi , and hereby authorize representatives ' of this co my to enter upon the above-mentioned proper, inspe t urposes. - Lender's Name: - - Xat/ e? 1 -gnature (Applicant or Age Lender's Address: LQPERMIT .. Application Number . . . 11-00000731 Structure Information . Construction Type TYPE7V, UNPROTECTED Occupancy Type BUSINESS <50 Other struct 'info CODE EDITION 2010 FIRE SPRINKLERS YES OCCUPANT•LOAD 13.00 1ST FLOOR:SQUARE FOOTAGE '1249.00 - Permit BUILDING PERMIT Additional desc . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date Valuation . . 15000 Expiration Date ". .. 1/22/12 Qty Unit Charge Per Extension BASE FEE 45.00 .13.00 9.0000 THOU BLDG 2,001-251000 117.00 Permit PLUMBING Additional desc . Permit Fee . . . . 48.00 Plan Check Fee ... 12.00 Issue Date . . Valuation, 0 Expiration Date 1/22/12 Qty, Unit"Charge -Per Extension BASE FEE 15.00 2.00 6-.0000 EA PLB' FIXTURE 12.00 2:00 7.5000 EA PLB WATER•HEATER/VENT 15.00 2.00 3..0000 EA PLB WATER INST/ALT/REP 6.00 -------------------------------------------------------- Special Notes and Comments 1242 SF INT.•T.I. SUITE 120. TYPE V -B ' CONSTRUCTION,."B" OCCUPANCY, 13 = OCCUPANT LOAD_ 2010 CODES. TENANT: JOSEPH DOYLE, MD. -------------------------------------------------------------------- Other Fees ... . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due -------- ------- ------------- Permit Fee Total 210.00 ,00 00 ---------- 210.00 Plan Check Total 117.30 .00 .00 117..30 . Other Fee Total 1.00 -.00 .00 1.00. Grand Total 328.30 ..00 .00 328.30 LQPERMIT Din #(A CIty Of ,a Quinta Building &' Safety Division , P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per7l , # �! Project Address: 2� Owner's Name: v. dOVYl A.?. Number: Address: 9t 1 iVa Clame Legal Description: City, ST, Zip: • .ti$!�}ii�w:`S:::i:l1J i!<:i::G;�: '.{:?iy;:iv:4: Contractor:Telephone: :4:::<.,:c• .:; :::::>:,;;:;>f>;Uyryi<:�.: .,<,• .:�:::k..�.a:.A:k4.. ,...::..:.:: Address: Project Description: City, ST, Zip: QiUi4+ qQww& . - Telephone::.:; ;i: '::.'v.i0•Y ii i'%i+ i}:M:\\t:ri il.'• _ � /�A3i Vf �W, -Cal c .:..............: IVA State Lia #: Lic. #, u © 61& q2-20-5 yCiity ,Q UVJ•t'Jb 1't 1 � I GG CG�(�:. Addiess:76-40 6euU W V VA ike 1 City., ST, Zip: 'b l/t, 20— t Telephon :�ba `Gl/!J �ZO�j s< r E� 5;::<.:s .tt.>.A>.:. .>.::::: %;:>.,:;v:; Construction Type: V 1� Occupancy: . State Lic. #: g 6� >>......::..... x::�:.:::>.; rr.•z: ;s:Project type (circle one): New Add Alter Repair Demo ...:....::......:..... Name of Contact Person: �� LQ/�� Sq. Ft.: 2 #Stories: Oa?.Q # Units: Telephone # of Contact Perso -1670 Q — rz Estimated Value of Project: APPLICANT:. DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Tide 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correction issue Z Electrical Subcontactor List Called Contact Person 7 Z Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3"1 Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue • wk School Fees . Total Permit Fees 1 P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 `SOF T LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Director To PD:. July 6, 2011 From: Les Johnson, Planning -Director Due Date: July 11, 2011 Permit #: 11-731 Status: 1 St Building Plans Aprowa! (This is an approval to issue a Building Permit) • The Planning Department has reviewed the Building Plans for the following project: Description: 1242 sq. ft Tenant Improvement Address or General Location: ' 43-576 Washington St. Ste. 120 Applicant Contact: RobertH. Ricciardi,(760).408-1200 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Departmentapproval. l...these Building Plans are approved by the Planning Department. ❑ ...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 Planning Department for review. ,A -71411 Les Johnso irector-Planning !Date rawly '- .11 • JUL X 6 2011 City of ; a Quir�ta Piannir j Depaftent Y PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CrrIES OF: BANNING BEAUMONT CALI M ESA' CANYONLAKE C OAC H E LLA DESERT, HOT SPRINGS EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE Ruimoux CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 . JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION John R. Hawkins � Fire Chief 210 West San Jacinto Avenue - Perris, CA 92.570 (951) 94076900 - www.nrcfire.org July 7, 2011 I RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-1 I -TI -021 Joseph Doyle MD 43-576 Washington #120 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 2010 CBC: THE FOLLOWING CONDITIONS. MUST BE MET PRIOR TO INSPECTION: Install .door hardware and exit signs as per Chapter 10 of the 2010 CBC. A minimum 2AIOBC 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. y� All breakers must be labeled and a clearance of 36 inches must be maintained around'the panel . at all times. Approved suite address shall be placed in such a position to be plainly visible and legible from the street. Said numbers shall contrast with their background. An approved audible interior notification alarm device shall be provided in approved location. A C-1 O licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation 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. 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 of the correlating tenant space. Key(s) shall be provided at time of final inspection. As may be necessary to maintain proper fire sprinkler protection due to constructions changes, y fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. . 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. \Ja cer , By: on Stubble Fire Safety Specialist