04-5454 (RC)BUILDING & SAFETY DEPARTMENT
C P.O. Box 1504 ` (760).777-7012
OFTt'9 78-495 CALLE TAMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT,,
Application Number 04=,0`0-005454=_'"�`V Date 7./14/04
Property Address - 47040"_WASHINGT.ON=ST STE,3101
APN: 643 -200 -018 -
Application description . REMODEL - COMMERCIAL,
Property,Zoning COMMUNITY COMMERCIAL
Application valuation.. 75000
Owner Contractor
LA QUINTA DEVELOPERS AFFILIATED CONSTRUCTION CO INC
C/O WES OLIPHANT 7790ON AVE OF THE STATE
77900 AVENUE OF THE STARS PALM DESERT CA 92211
PALM DESERT CA 9.2211 (760) 345-2626
WCC: STATE FUND
WC: 176910720042 04/01/05
CSLB: 186863 11/30/05
CCC B
---- Structure Information :COMMERCIAL REMODEL -----
_Construction Type . TYPE V - NON RATED
Occupancy Type . . . . . BUSINESS <50-.
Other struct info . . ... CODE EDITION � 2`Oj01
i FIRE SPRINKLERS I n /rJ Y.ES
MIXED-USE OCCUPAN, B
OCCUPANT LOAD . II JUL. 15 20042 9L0 0
FIRST FLOOR SQ FTG 2893,. 00
----------------------------------------------------- "_ I: -----------
Permit
Y �➢P
Permit BUILDING PERMIT -- FldlAe!CEDEPT.
Additional desc
.Permit Fee . . . . 527.00 Plan Check Fee 342.55
Issue Date Valuation . . . . 75000
Qty Unit Charge Per Extension
BASE FEE 414.50
25.00 4.5000 THOU BLDG 50;001-100,000 112.50
i
Permit . . . . . ELECT —.ADD/ALT/REM
Additional desc
Permit Fee 72.86 Plan Check Fee 18.22
Issue Date Valuation . . . 0
Qty Unit Charge Per Extension
BASE FEE 15.00
2893.00 .0200 ELEC .GARAGE OR NON-RESIDENTIAL 57.86
ti
P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: 1�
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
Architect or Engineer:
A,,4 / 4
Architect or E er s dress:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm under penalty of peijury 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 jp full force and effect.
License Class u License No.
Date U2 Contractor
fl I
OWNER UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contracto ' 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 Contractors' 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).):
U 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 or 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner.
WORKERS' 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.
1 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
/ is ueworkers' compensation insurance carrier and policy nurpber re:
CarierS TAS F -f t r� f� �'- Policy Number 17( q 1(0 % Za (, �{
_ 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 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date Applicant '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAGE IS UNLAWFUL, 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.
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
APPLICANT
ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Buildingand Safetya
1. Each person upon hose behalf this application is made, each person at Permit
ehose request and fto the or whose benefit work snditions and nperformed under or pus set forth on this rsuant 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 Ouinta, 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 to enter upon the above-mentioned props inspection purposes.
Date / Signature (Applicant or Age
h F'r gt�Sc
77 St
J
Page 2
Application Number';04-00005454
Date 7/14/04
Permit MECHANICAL
Additional desc
Permit Fee •. . . . 19.50 Plan Check
Fee 4.88
Issue Date Valuation
0
Qty .Unit Charge Per
Extension
BASE FEE'.
15.00
1.00 4.5,000, EA MECH VENT INST/ DUCT ALT
4..50
Permit . . .. . . PLUMBING
Additional desc'.
V
Permit ,Fee 4.8.00 Plan Check
Fee 12.00
Issue Date . . . Valuation
. . . 0
Qty Unit Charge Per
Extension
BASE FEE -
15.00
5.00 6.0000 EA PLB FIXTURE
30.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00 ,
Special Notes and Comments
-Commercial Remodel.(Fidelity National
Title TI) "B" Occupancy, Type VN
Sprinkled, Occupant.•Load 29
Other Fees . . `STRONG MOTION (SMI)
- COM 15.75
Fee summary ChargedPaid Credited
Due
Permit Fee Total_ 667.36 00
.00 667.36
Plan Check Total 377.65 .00
00 377.65
Other Fee Total •15.75 .00
.00 15.75
Grand Total 1060:76 .00
00' 1060.76
Bin V
�3
CI' -
Permit #
Project Address: _ p,
A. P. Number:
Legal Description:
X Contractor:
j( Address: _ Uv
X City, ST, Zip: A,
X Telephone: 740 -3
A State Lic. # (p 6;
Arch., Engr., Designer:
Address:
City. ST. Zip:
Telephone:
State Lic. #:
JC Name of Contact Person: We
X Telephone # of Contact Person:
N Submittal
Plan Sets
Structural Cala.
Truss Calcs.
Energy Coles.
Flood plain plan
Grading plan
Subcontactor List
Gr9nt Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
�0,
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calie Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
'I l /l #IAddmss:
%mer's Namc'.D t%e IC
7 7n. ST. Zip: r. e �4 1-L L 1 /
t& c -
I - A,, FTelephone. L 3 tl l~ 2e, Z 4,
zo Project Description:
Citv Lic. #:
Dom' 71�- lf7C..� f;n/AidGt' — �vs C,
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:rZ 34(3 # Stories: # Units:
stimatcd Value of Project: Q
d Z
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING PERMIT FEES
Plan Check submitted �� Item
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Plans picked up Construction
Plans resubmitted Mechanical
2" Review, ready for correcti s/issu 7 �3,Electrical
Amount
Called Contact Person 7�3 Plumbing
Plans picked up S I 1
Plans resubmitted Grading
Review, ready for corrections/issue Developer Impact Fee
Called Contact Person A.1.P.P.
Date jof permit issue
/j
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495,CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 7-08-2004
From: Oscar Orci, Planning Manager Due: 7-15-2004
Building Permit Release
The Community Development Department has reviewed the Building Plans for the
following project:
Description: TENANT IMPROVEMENT USE (FidelityT)
Address or general location: 47-040 WASHINGTON STREET .
APN and/or legal description 643-200-018
Applicant Contact: WES OLIPHANT (760) 345-2626
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. -
r
cau/�uAH�
s 1 RE RROiEC pN
Craig Anthony
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
4.
Canyon Lake
4.
Coachella
4.
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
4.
Palm Desert
4.
Perris
.;.
Rancho Mirage
4.
San Jacinto
4.
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
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto venue • Perris, California 92570 • (909) 940:WW • ax 909) 910
September 29, 2004
To: City of La Quinta
Building Department
Re: Release for final occupancy
47040 Washington, Suite 3101 /Fidelity Financial
The Riverside County Fire Department hereby releases the above referenced project for issuance of an
occupancy certificate, at the discretion of the Building Department.
Respectfully,
Dale A. Evenson
Fire Safety Specialist
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
a•
Beaumont
o•
Calimesa
e•
Canyon Lake
r.
Coachella
Desert Hot Springs
g.
Indian Wells
❖
Indio
Lake Elsinore
La Quinta
o•
Moreno Valley
.;.
Palm Desert
e•
Perris
e•
Rancho Mirage
C•
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 3
RIVERSIDE COUNTY.FIRE DEPARTMENT
In cooperation with the
California Department of Foresny and Fire Protection
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
July 13, 2004
Sanborn Architects
1227 S. Gene Autry Trail
Palm Springs, CA 92264
Re: Non -Structural Building TA Plan Review
tAQ-04-TI-100 / Fidelity National Title
47-040 Washington St., #101
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) 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) Provide either a separate Knox Key Lock box, Model 3200, mounted per recommended standard of
the Knox Company or provide key(s) for inclusion in the general building Knox Box. 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 Knox
Box.
3) Install portable fire extinguishers per Title 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. In multi -tenant buildings, businesses shall post the
business name and suite number on back doors as well as the front. Suite numbers or letters must
be a minimum of 6" 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.
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
Y
Walter Brandes
R Fire Safety Specialist
CCc: City&off Ua Quinta = Buildirig'Dept _
K%PEPWP DaftUA QL*hWaOJECTSTMA?6Lh1W.'&c . _ .. -
.� f
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE `
'82-675 Highway 111, 2nd FI., Indio, CA 92201 9 (760) 863-8886 • Fax (760) 863-7072
tkUFORNIA
1FOT
RIVERSIDE COUNTY
PflOO - 11
FIRE DEPARTMENT
In cooperation with the
�F
California Department of Forestry and Fire Protection
it
�oROT�C �
210 West San Jacinto Avenue . Perris, Califomia 92570 • (909) 940-6900. Fax(909)940-6910
FIRE
Tom Tisdale
Fire Chief
December 2, 2004
Proudly serving the
To: Affiliated Construction
unincorporated
77-900 Avenues of the States
areas of Riverside
Palm Desert'Ca, 92211
County and the
Cities of:
Banning
Beaumont
Cahmesa
Cannon Lake
Re: Final fire Clearance
Coachella
Desert Hot Springs
The Riverside County Fire Department is granting a fire life safety clearance for
<47040AWashin__gton St: pet La Quinta Professional Building Suite #3202.
Indian Wells
Indio
Lake Elsinore
La Quinti
Moreno Valley
If you have any questions contact me at 760-345-6954
Palm Desert
Perris
Rancho Mirage
.-
Respectfully,
San Jacinto
Temecula
Neal Stephenson "
Board of Supervisors
Fire Systems Inspector.
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson
District 4
f
f
I
i
ti
o Certificate of Occupancy'
14
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�'-
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Building & Safety Department
t
OF
This
p
a 3
2 S aM
IY
This Certificate is issued pursuant to the requirements of Section 109 of the California Building -
` Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
.construction and/or use. {
K � � BUILDING ADDRESS: 47-040 Washington St: Ste 3101
I
Use classification: Commercial Office `.`Fidelity National Title" TI Building Permit No.: 04-5454
z Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR 1%
E
y 3 qqR
4
' Owner of Building: La Quinta Developers Address: 77-900 Avenue of the Stars q
City, ST, ZIP: Palm DeserOil
Alba
t, CA 92253
By: Daniel P. Crawford Jr. �
Date: 9130/04
-
Building Official
z
POST IN A CONSPICUOUS PLACE
f
f
I
i
ti
o Certificate of Occupancy'
14
�o
�'-
���'
Building & Safety Department
t
OF
This
p
a 3
2 S aM
IY
This Certificate is issued pursuant to the requirements of Section 109 of the California Building -
` Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
.construction and/or use. {
K � � BUILDING ADDRESS: 47-040 Washington St: Ste 3101
I
Use classification: Commercial Office `.`Fidelity National Title" TI Building Permit No.: 04-5454
z Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR 1%
E
y 3 qqR
4
' Owner of Building: La Quinta Developers Address: 77-900 Avenue of the Stars q
City, ST, ZIP: Palm DeserOil
Alba
t, CA 92253
By: Daniel P. Crawford Jr. �
Date: 9130/04
PREPiC2iED 9/30/04,
16:38:29
INSPECTION HISTORY REPORT
PAGE 1 .
PROGRAM BP521L
0/00/00 THRU. 0/00/00
-
" CITY OF LA
QUINTA
-
-
- .-
--------------------
APPLICATION
--------------------------------------
PROPERTY ADDRESS
---------------------------------------------------
APN
Alternate ID-
STRUCTR
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
- 04 00005454
47040 WASHINGTON STSTE 3101.
'643-200-018- - - -
- -
000 000..
BADA
00
BUILDING PERMIT - ADA
145 0001 FRAMING
- 8/06/04
APPROVED
ST '
000 000
BADA
00
BUILDING PERMIT'- ADA
"160 0001 DRYWALL NAIL
8/13/04
APPROVED
ST'. -
000000
BADA
00
BUILDING PERMIT - ADA
162 0001 T -BAR .,
9/10/04
DISAPPROVED
DC •.
000 000
BADA
00
BUILDING PERMIT - ADA
162 0002 T -BAR
9/13/04
APPROVED
DC
"000 000
BADA
00
BUILDING PERMIT'- ADA
199 0001 FINAL.
9/30/04
APPROVED
- DC - -
,000 000
- E02
-00
ELECT - ADD/ALT/REMODEL
315'0001 TEMP USE OF PERMANENT
POW 9/10/04
APPROVED
DC
" - 000 000
E02
00
ELECT - ADD/ALT/REMODEL
- 310 0001`ROUGH ELECTRICAL _
9/13/04.
APPROVED
DC ..
.. RES COMM:
Rough -electrical above T -Bar observed.
000 000
•E02
00
ELECT - ADD/ALT/REMODEL
.399 0001 ELECTRICAL FINAL
9/30/04
APPROVED
-, DC ,
000 000.
M01
00
MECHANICAL
.405 0001 ROUGH MECHANICAL
9/13/04,
APPROVED
DC
- RES COMM:
Rough mechanical ducts above T -bar observed.,.
000 000
M01
00
MECHANICAL -
499 .0001 MECHANICAL FINAL
9/30/04
APPROVED
DC -
000 000
P01
00
PLUMBING
200 0001 UNDERGROUND PLUMBING
•8/03/04
APPROVED
., DC
000 000
P01
-00
PLUMBING
- y 299, 0001 PLUMBING FINAL
- 9/30/04
APPROVED
DC - -