11-0248 (RC)P.O. BOX 1504 �. VOICE (760) 777-7012
78-495 CALLE TAM'PICO FAX (760) 777-7011
LA QUINTA, 'CALIFORNIA 92253 - BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-71"53.
BUILDING PERMIT
Date: 4/01/11
Application Number: 11 000.00_2_48 Owner:
Property Address: "47050 WASHINGTON ST STE 4202• . LA QUINTA DEVELOPERS
APW 643-200-019- - - ; 77900,AVENUE OF THE STARS
Application description: , REMODEL - COMMERCIAL. PALM DESERT, CA 92211
Property Zoning: COMMUNITY COMMERCIAL.
Application valuation: 20000
- Contractor:
Applicant: Architect or Engineer: EAGLERA CONSTRUCTION CO
P.O. BOX'456 D
THOUSAND PALMS, CA 92276
(760)343-5467'
N Lic. No.: 873295.
U�NZP
`•N pF CEpE
• — — — — — — — — - — — — —-------------------- - — - _--------------
- — — — --- - --------- ------_____-- --------._ _ — --—-
LICENSED CONTRACTOR'S DECLARATION • - • WORKER'S COMPENSATION DECLARA O - - -
- 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) of Division 3 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 lass: B license No.: '873295 _ for by Section 3700 ofthe Labor Code, for the performance of the work for which this. permit is "
' + issued. • , `
ntractor: _ - _ 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 ,
•
OWNER-BUILDER DECLARATION - -• insurance carrier and policy number are:
I hereby affirm under penalty of periury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT
following reason�(Sec. 7031-5, Business and Professions Code: Any city or county that requires,a permit toycertify 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 sobs 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 theod I'shall forthwithcomply with those provisions.that he or she is exempt therefrom and thebasis for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit subjects the applicant to a civil penalty of not morethan five hundred'dollars ($500).:. - ale,
. (_ I.1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: 'The WARNING: FAI RE TO SECURE WORKERS' COMPENSATION COVERAGE 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
o
and who does the work himself or herself through his or her own employees, provided that the ' . 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 ATTORNEY'S. 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 ACKNOWLEDGEMENT
( �) 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,
O 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.
- I 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. I agree to comply with all `
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize:representatives
- of this county to enter upon the above-mentioned propert for inspection purposes. _
' Lender's Name: - _
Jate: q � �� S' ature (Applicant or Agent):-
Lender's Address:IJ
-
f
LQPERMIT
Application'Number. .11-00000248
------ •Structure Information 1,265SF TI/VB/B-OCC/13-OL/FULLY
SPRINKLE -----
Other struct info CODE EDITION
2010
FIRE SPRINKLERS
FULLY
MIXED-USE OCCUPANCY
B
OCCUPANT LOAD
13.00
1ST FLOOR SQUARE FOOTAGE
1265:00
Permit BUILDING PERMIT.
Additional desc .
Permit Fee 207.00 Plan Check Fee
-134.55
Issue Date . . . Valuation
20000 .
Expiration Date 9/28/11
_
" Qty Unit 'Charge. Per
Extension
BASE FEE
45.00
" .18.:0.0 9.0000 THOU BLDG 2,001725.,000
162.00
l Permit ELECT - ADD/ALT/REM
Additional desc .
Permit Fee' 37:65 Plan Check Fee
9.41
Issue Date. _ Valuation
0
"Expiration Date 9/28/11.
Qty Unit Charge' -Per
Extension
BASE FEE
..15.00.
20.00 7500 PER ELEC DEVICE/FIXTURE. IST 20
15.00
17.00:4500 EA ELEC.DEVICE/FIXTURE >20
7.65
Permit MECHANICAL
Additional desc
Permit Fee 19:50. Plan Check'Fee
4.88'
Issue Date Valuation
0
Expiration Date.. 9/28/11.
Qty Unit Charge, Per
Extension
BASE FEE
15.00
1.00 4;5000 EA MECH VENT INST/ DUCT ALT
4.50
-----Special NotesandComments
1,265SF OFFICE TI/VB/B-OCC%13-OL/FULLY '
SPRINKLED - APPROVED WITH COMMENTS. THIS
PERMIT DOES NOT INCLUDE.BUILDING SIGNAGE'.
OR.ADDITIONAL SQUARE FOOTAGE. 2010 -
CALIFORNIA BUILDING.CODES.
LQPERMIT .
-
Application Number
11 -00000248
---------
Special Notes and
Comments
March 28,•2011 10:18:38
AM AORTEGA
--------------------------------------
Other Fees
ACCESSIBILITY PLAN REVIEW,
13.46
-
BLDG STDS ADMIN (SB1473).:`
1:00
ENERGY REVIEW FEE
13.46,
• Fee summary
Charged
---
Paid Credited
Due.
-----------------
Permit Fee Total
264.15
Ob 00..
264.15
Plan Check Total
148.84
.00 .00
148.84
Other Fee Total
27.92
.AO .00
27.92
Grand_ Total
440.91
.00 .00
440.91
LQPERMIT
1
RIVERSIDE Coin FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA. DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanan Rd., Ste. #201, Palm. Desert, CA 92211-4131 . Phone (760) 863-8886
• Fax (760}_863-7072
wwW.rvefire.org
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
March 31, 261
AND THE CITIES OF:
BANNING
BEAUMONT.
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
CALIMESA
LAQ-1 I -TI -006 Affiliated Construction 47-050 Washington St. 4202 La Quinta, CA
-
CANYON LAKE
,
COACHELLA
Y
You have,been issued a release for a tenant improvement on an existing building. THIS IS NOT
DESERT HOT SPRINGS
AN OCCUPANCY PERMIT...
EASTVALE
`It is prohibited to use/process or store any materials in this occupancy that would classify it as an
INDIAN WELLS'.
occupancy per Sec. 307 of the 2010 CBC.
INDIO
LAKE ELSINORE
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
LA C?uINTA
.Install door hardware -and exit signs as per, Chapter 10 of the 2010 CBC.
MENIFEE°
`
MORENo VALLEY
minimum 2AIOBC Fife Extinguisher, (State Fire•Marshal Approved) must be mounted` ', a
visible location within 75' walking distance from any point in your building or suite. Fire
PALM DESERT
4
extinguishers can be installed by a licensedextinguisher company with a State Fire Marshal
PERRIS
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.
RANCHO MIRAGE
RUBIDOUX csb
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel
SANJACINto
at all times. . t
TEMECULA,-.
A durable sign stating "This door to remain unlocked during business hours" shall be placed on
wILDOMAR
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
BOARD OF
SUPERVISORS:
have durable and legible tags affixed for identification of the correlating tenants ace. Key(s) ,
shall be provided at time of final inspection..
BOB BUSTER.
DISTRICT 1
As may be necessary to'maintain proper fire sprinkler protection due to constructions changes,
JOHN TAVAGLIONE
fire sprinkler system plans for the tenant improvement area are required to be submitted to the
DISTRICT 2
Fire Department for review.
JEFF STONE' -
DISTRICT 3^
Approved suite address:shall be placed in such a position to be plainly yisible and legible from
JOHN BENOIT
the Said numbers shall contrast with their, background.
DISTRICT 4
..street.
MARION ASHLEY
-
DISTRICT 5
' a ,
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 Staffat (760).863-8886.
incerely,
By:
Ja ori S le
Fire Safety Specialist
0 0 T
Qgb(rC4J
P.D. BOX 15.04 BUILDING, & SAFETY DEPARTMENT
OFT1 � 78"495 CALLS TAMPICo (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
'To: GreOutler, Building & Safety Manager To CDD: .3" pq I
From: Les Johnson, Director -Planning Due Date: ✓�'
a /•- //.
Permit #: 'Status:
Blul[ding Plans .Approval
(This is an approval to issue a Building Permit)
The Planning Department. has reviewed the Buildin Plans for the followin
project: -
9 9
Description: 4 TI
Address or General Location:
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 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.
Les Joh son, Director -Planning Date
1
Co•S�� vc+w��lo 84o✓az�
weeived
PEAR 114 2011
r City of La Gminto
Planning Depalffient
P.O. Box 1504 Building & Safety Department
7.8-495 Calle Tampico (760) 777-7012
La Quinta, California 92253 FAX (760) 777-7011
Date: March 28, 2011
Project: 78-0550 Washington, St, Suite 4202
HTE No. 1 1-0248 Contact: Gabriel Lujan - 760-578-8545
Check Date
Agency
Status
3/28/11
Non -Structural Issues
APPROVABLE
Structural Issues:
N/A
w
3/15/11
Planning Approval: r
APPROVABLE
o
Public Works Approval:
N/A
o
Health Department Approval:
N/A
Q
LU
q -j-
Fire Department Approval:
—
CVWD Grease Interceptor):
NI A
LU
o
❑
Building .Plans Signed:
wII
Cr
3/28/11
Assessors. Site/floor*,Plan:.
RECEIVED
C
z
Contractor Information.
State & City.License #'s, Workman's Comp, Sub -list.
❑
:Building. Permit -Fee
Fees, created:
YES
Permit. printed:
Inspection card created:.
Fees:.. $440.91 Due:.
$440.91
APPLICATION # ADDRESS Lh.;pSb
w*6thjgjb*4 -err BY
Aj
VALUATION. 'SQ. PT
ist- :FLOOR
'UNIT COUNTS
d
2n. FLOOR
•
COVERED PATIO'
GARAGE.
TYPE. CONST :..
-OCCUPANCY
•
A/C
FIRE- .-SPR.I.NKLEk-
OF BEDROOM
FLOOD, ,ZONE
OF'I ITS -
CODE 'EDITION
ROOF TYPE
WASHER
MECHANICAL
-.DRYER
A VENT FANS
#'EX-RAUST HOOD
A/C -<3 TON
A/C >3 TON.
FAU <100,000 BTU
'FAU >100,000 BTU
DUCT ALTERATION
:QF -FIXTURES
SEWER
..SEPTIC SYSTEM
'ROOF DRAINS.
WATER- HEATER
WATER PIPING
.LAWN SPRINKLER'
.GAS PIPING 1-4
GAS PIPING` >4
-GAS METER
vol
R.
I
ELECTRICAL
SQ_ E -T. - Liv
GARAGE SQ.. FT
TEMP POWER.
q
FIXTURE
GRADING
<50.CUI YDS
>50 CU YDS
CDD APPROVAL
ENGINEER APP.
'UNIT COUNTS
•
TO ` ILETS
RIVET
SHOWERS,
BATHTUBS.
•
SINKS.
BAR -:SINK
_BBQ
-c
DRINKING FOUN:
WASHER
-.DRYER
WATER HEATER
ROOF DRAINS
FLOOR DRAINS
KITCHEN SINK
VEG -SINK
LAUNDRY
FIREPLACE
ELECTRICAL
SQ_ E -T. - Liv
GARAGE SQ.. FT
TEMP POWER.
q
FIXTURE
GRADING
<50.CUI YDS
>50 CU YDS
CDD APPROVAL
ENGINEER APP.
Bin #
a AC
City of La Quinta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ��
Project Address: .
n
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor: Lip P U 011
City, ST, Zip:
Telephone
Address: q �
^ � r`�-V� S
Project Description:
City, ST, Zip:
CA
''—' 1 Iv
�tNl i
State Lie. # :
City Lie. #:
Arch., Engr. estgn
Address: O '
City., ST, Zip:
C G'
Tele hone: �1 � =i
.... <i---li..
+::: i.i.:{•j:.)`>�v':.n'::.>::i>>i`:;?i::{":%:>
Construction Type: Occupancy:
State Lie. #:
Projecte
typ (circle on New Add n Alter Repair Demo
Name of Contact Person: s
A�
Sq. Ft.: 1°�Co�7
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project. .--
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING I PERMIT FEES
Plan Sets
3
Plan Check submitted
/�� �� Item ,
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
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
Pub. Wks. Appr
Date of permit issue
School Fees
01
Total Permit Fees
O,a i
19114111
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