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04-5952 (RC)U � ' BUILDING & SAFETY DEPARTMENT P.O. Box 1504,(760).777-7012 c� OF9 78-495 CALLE TAMPICO FAX (760) 7774011 LA QUINTA, CALIFORNIA 92253 -INSPECTION:-R:EQUESTS (760) 777-7.153 BUILDING PERMIT Application Number _ 04-00005952 Date 9/13/04 Property Address 47040 WASHINGTON ST STE 3201 APN: 6.43-200-018- - - Application description . REMODEL = COMMERCIAL Property Zoning COMMUNITY COMMERCIAL Application valuation . . 43335 Owner Contractor --------- - --------------- - --- -r ------------------------ LA QUINTA_ DEVELOPERS �AFFILIATED-CONSTRUCTION'CO INC' ` C/O WES OLIPHANT 77900N AVE OF,THE STATE C/O WES OLIPHANT PALM DESERT, CA 92211 PALM DESERT, CA 92.211, (760)34572626 "WCC - STATE FUND WC: 176910720042 04/01/05 CSLB: 186863 11/30/05 CCC: B EP Cti Y ®F �31lIRlTq FIN,gNC� DE w P.O. BOX 1504• /� . w VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-70111��� LA QUINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 19 lj Applicant: C Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 gpele, and my Lice a is in full force and effect. icense Classcense No.—I Mga_ ate ntractor N\1W"_1 is� OWNER -BUILDER DECLARATION I hereby affirm under -penalty of perjury that I am exempt from the Contractors' 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 civij 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 ttie 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.). U 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 Owne 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. 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 tuber are- q R!� V 41 y Number 1? 9 1 C1 0 SCh _ I certify that, in the performance of the work for which 1his pe it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califo(� ia, and agr a that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pVov)8ions. T WARNING: FAILURE TO SECURE WORKS S' COMPENSATIOkCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU ND 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.). Lenders Name Lenders Address 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 cancellatio I certify that I have read this application and state that the abov informatio is co I. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this-cotlitt to enter u on the ove-mentioned property for inspection purposes. �-(Applicant or Agent): �-- - -- �''{. OyO"2 Application Number ---------------------- - - - - -- 4�'00595 --------------------- - - - ` -- ---------------- -------------------------- - - - - -- ------ .Structure Information COMMERCIAL REMODEL ----- Construction.Type TYPE V - NON RATED Occupancy Type BUSINESS <50 Other'struct 'info `CODE EDITION 2001 FIRE SPRINKLERS ' YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 12.00 FIRST FLOOR SQ FTG .00 SECOND FLOOR SQ FTG 1198.00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee . . . Issue Date Expiration Date BUILDING PERMIT 375.50 3/13/05 Plan Check Fee . 244.08 Valuation . . . 43335 Qty Unit Charge Per Extension BASE'FEE 252.00 19.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 123.50 Permit ELECT - ADD/ALT/REM Additional desc Permit Fee . . . . 38.96 Plan Check Fee 9.74 Issue Date . . . . Valuation 0 Expiration Date 3/13/05 Qty Unit Charge Per Extension BASE FEE 15.00 1198.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 23.96 Permit MECHANICAL Additional desc . '. f Permit Fee '19.50 Plan Check Fee 4.88 Issue Date Valuation p Expiration Date 3`/1'3/05 . . . Qty Unit Charge _Per Extension BASE FEET 15.00 1.00`- 4.5000 EA MECH VENT 'INST/ DUCT ALT 4.50 Permit . ... . . . PLUMBING Additional desc Permit Fee . . 36.00. Plan Check Fee 9.00 Issue Date _Valuation . . . . 0 Expiration Date 3/13/05 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA.' PLB FIXTURE 18.00' 1..00 3.0000 EA PLB WATER INST/ALT/REP. 3.00 Special Notes and Comments ----------------------------------- Commercial Remodel (1,198 sqft) - Office ---- Application Number ------------ . . . . ------------- 04-00005952 -------- -- �- --------------------=-------- ----------------------------------- ------------ Special Notes and Comments TI, "B° Occupancy,'Type VN Sprinkled.' Occupant Load 12. r ------------------------------------------- Other Fees --------------------------------- STRONG MOTION (SMI) - COM 9.10 Fee summary, Charged Paid Credited Due, Permit Fee Total 469.96 .00 .00 469.96 Plan Check Total 267."70 .00 .00 267.70 Other Fee Total: 9.1.0 .00 .00 9.10 Grand Total 746.76 .00 .00 746.76 4 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT ` Application Number 04-00005952 Date 9/13/04 Property Address 47040 WASHINGTON ST'STE 3201 APN: 643-200-018- - - Application description REMODEL COMMERCIAL Property Zoning .'._COMMUNITY COMMERCIAL Application valuation 43335 Owner "Contractor -=---------------- =- -- '------------,- LA QUINTA DEVELOPERS',/"'- AF1~ILIATED CONSTRUCTION CO INC C/O WES OLIPHANT 7790ON AVE OF THE STATE C/O WES OLIPHANT PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)345-2626 WCC: STATE FUND WC: .176910720042 04/01/05 CSLB: .186863 11/30/05 CCC: B r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4hf " BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 0 — S / .- 2 I Date: - 0 Applicant: Applicant's Mailing Address. Architect or Engineer: 4. Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS 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 Licens 's in full force and effect. \ �� License Class License No. Date Contractor �k.A OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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.). U 1, 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 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. 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 ued S�yorke com ensation insurance ca 'rand licy number are: Carrier yV 1 �y p Policy Number _ I certify that, in the performance of the work for which is permit is iss ed, I shall not Mploy any person in any manner so as to become subject to the workers' compensation laws of California and agree that, if I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p tom`s. ,�\ Date • Applicant V , `� ��k WARNING: FAILURE TO SECURE WORKERS OMPENSATION CO RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA, 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 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 thew being performed under or following issuance of this permit. 2. Any permit issued as a result of this application bec mes null d void i ork is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit t ancellatio I certify that I have read this application and state that the ab a 'nformatio is come . agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou ty o enter u n the a -mentioned property for inspection purposes. Date Signature (Applicant or Agent): - IT Certificiffe of Occupancy_ ,- TdtF •T ' y "./('. Incoaxinntra �� - - _ OF9w Building. & Safety Department r At •This Certificate is issued pursuant to' the requirements of Section 109 of the California Building Code, -certifying khat, • at the time of issuance, this structure was in. compliance with the r provisions of the 'Building Code and -the various ordinances of the City 'regulating building construction and/or use.. - $ - F BUILDING ADDRESS: 47=040'WAS_HINGTQN"ST'STE; 3201- 4 Use classification: COMMERCIAL ,- - "` Building Permit No.: 5952 ' Occupancy Group: BType of Construction: VN ° Land Use Zone: CC I :Owner of Building: LA QUINTA DEVELOPERS - Address: 77-900 AVE OF THE STARS City, ST, ZIP:, PALM DESERT CA 92211 ` By: KIRK KIRKLAND , Date: 11-29-04 Building Official' POST IN A CONSPICUOUS PLACE I Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. Banning 4. Beaumont Calimesa •t• Canyon Lake ❖ Coachella r. Desert Hot Springs .; Indian Wells Indio t. Lake Elsinore 4. La Quinta 4• Moreno Valley Palm Desert .; Perris '10 Rancho Mirage .; San Jacinto •t• Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 Marion Ashley District S RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 82-675 Highway 111, 2nd FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072 September 6, 2004 Gabriel Lujan 74-818 Velie Way, Ste. 12 Palm Desert, CA 92260 Re: Non -Structural Building TA Plan Review LAQ-04-TI-116 / 47=040, Washington St ,-Ste� 32014 3202 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) Fire sprinkler system plans for the tenant improvement area must 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 4400, 3200 or 1300, 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, this form must be authorized and signed by this office for the correctly coded system to be purchased. 3) Install portable fire extinguishers per Tittle 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 By Cc: City of_La_Quinta — Building Dept H'W1YV E2P omu,o�h1PROJEcrs�mLaoaa-ntte.doc Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 `SOF f1 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety'Manager To CDD: 8-12-2004 From: Oscar Orci; Planning Manager Due date: 8-20-2004 Status: 1ST Review. Building Plans Approval (This is an approval to issue a building permit) The Community Development Department has reviewed the Building -Plans for the following project: Description: TENANT IMPROVEMENT "USE" Address or general location: 47-040 WASHINGTON ST #3201/3202 ° Applicant Contact: ' WES OLIPHANT 345-2626 f 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. ❑ ...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. Oscar Orci, Planning Manager Date Craig Anthony Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning Beaumont Calimesa 4 - Canyon Lake 4. Coachella .;. Desert Hot Springs 4. Indian Wells 4• Indio 4. Lake Elsinore 4. La Quinta 4. Moreno Valley Palm Desert Penis 4. Rancho Mirage 4. San Jacinto 4. Temecula Board of Supervisors Bob Buster, District I 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 Avenue •Perris, California 92570 • 9 940-6900 • Fax 90 0 November 18, 2004 City t of La Quinta. Building Department Re: La Quinta Professional The Riverside County Fire Department is granting a fire and life safety clearance for the following project located at-17"6,Washingtonst.-_Suite32Ql La Quinta. Please call if you should have Questions. Respectfully FRANK KAWASAKI Chief Fire Department By S®� Terry Deo cy Fire Safety Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072