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04-7712 (RC)M Ti4f 4 4 Q" 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=000077T2, Date 2/01/05 Property Address . . . . . . 47060 WASHINGTON ST STE 201 APN: 643-200-030- - - Application description . . . REMODEL —COMMERCIAL Property Zoning . . . . . . . COMMUNITY COMMERCIAL Application valuation . . . . 163030 Owner ------------------------ Contractor RUDMAN MELVIN H ------------------------ DAVIS & ADAMS CONSTRUCTION INC 8282 BUCKHORN STREET 72895 FRED WARI1.LL(-Dr- PALM DESERTA' 921"60 SAN DIEGO CA 92111 (858) 268-9831 S 3 2005 WCC:. STATE FUND WC: 46766104 04/01/05 CSLB: 576505 09/30/05 OF LA QUINTA ANCE DEPT. CCC: B C10 ------ Structure Inoir—COP�II�I�R IAL REMODEL ----- ---- Construction 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 22.00 -------------- 214D FLOOR SQUARE FOOTAGE 2159.00 ------------------------------------------------------------- Permit . . . . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee 58.18 Plan Check Fee 14.55 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2159.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 43.18 Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 863.50 Plan Check Fee 561.28 Issue Date . . . . Valuation . . . . 163030 Qty Unit Charge Per Extension BASE FEE 639.50 64.00 3.5000 THOU BLDG 100,001-500,000 224.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 32.50 Plan Check Fee 8.13 Issue Date . . . . Valuation . . . . 0 . I I P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date 2 ' Applicant: Applicant's Mailing Address: 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 un r 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. 1/ License Class License No. S Z^+ ?� d J Date' Contractor Rt 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 Burliness 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 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. 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 carne nd policy number are: Carrier Policy Numbe 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 provisi S. Date �– Z b Applicant — ✓WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 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 inform tion is correct. I agree to comply with all city and county ordinances and state laws relating to building con struction, and hereby authorize representatives of this county to ent r upon the above-mentioned property for inspection purposes. Signature (Applicant or Agent): Fee summary Charged Permit Fee Total 1002.18 Plan Check Total 595.96 Other Fee Total 34.23 Grand Total 1632.37 Paid Credited Due ---------- ---------- ---------- .00 .00 1002.18 .00 .00 595.96 .00 .00 34.23 .00 .00 1632.37 Page 2 Application Number . . . . . 04-00007712 Date 2/01/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 6.5000 EA MECH VENT FAN 13.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 48.00 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 "Prudential California Realty" TI, Type VN Sprinkled. "B" Occupancy, Occupant Load 22. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 34.23 Fee summary Charged Permit Fee Total 1002.18 Plan Check Total 595.96 Other Fee Total 34.23 Grand Total 1632.37 Paid Credited Due ---------- ---------- ---------- .00 .00 1002.18 .00 .00 595.96 .00 .00 34.23 .00 .00 1632.37 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs 4. Indian Wells 4. Indio 4. Lake Elsinore 4. La Quinta 4. Moreno Valley 4. Palm Desert 4 - Perris Perris 4. Rancho Mirage San Jacinto 4. Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, ' District 5 RIVERSIDE COUNTY FIRE DEPARTMENT Highway 111, 2nd Fl., Indio, Fax863-70/2 January 25, 2005 Design Works Architecture 8282 Buckhorn St. San Diego, CA 92111 Re: Non -Structural Building T/I Plan Review LAQ-05-TI-003 / Prudential Realty 47-060 Washington St. '$9 f 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 keys 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. 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. 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. Sincerely, FRANK KAWASAKI Chief Fire Department Planner By '�FJL Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept H:1PEZWP DaU%La QwdaXPR0JECTSRRLA0-05-T1-=.dW EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 Certificate of Occupancy 4 . Inco�onnzm��� z C� OF�w Building & Safety Department 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. BUILDING ADDRESS: 47-060 Washington St Ste 201 Use classification: Commercial "Realty Office" TI Building Permit No.: 04-7712 Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Rudman Address: 72895 Fred Waring Dr City, ST, ZIP: Palm Desert, CA 92253 By: Daniel P. Crawford Jr. Date: 7/11 /05 Building Official POST IN A CONSPICUOUS PLACE e c�°� F z -SLA Q U I N TA A BUIL� IING ' ETY DEPARTMENT -----�-� 74- � ° -7012 t^ JPjTECTI + REQUEST LINE ...•� 71 7153 9 Owner %MAN F9R�A Contra mr-DAS - &S DAMS CONSTRUCTION Permit Number 04-7712 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 47-060 WASHINGTON ST STE 201 COMMERCIAL REMODEL "PRUDENTIAL CALIFORNIA REALTY" TI, TYPE VN SPRINKLED. "B" OCCUPANCY, OCCUPANT LOAD 22. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS -- U/G PLUMBING / WASTE T-- U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL Ir-- CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE-ROOF OKAY TO WRAP FRAMING COMBINATION / ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION r COVER NO WORK UNTIL ABOVE SIG ED INTERIOR GYP..BD. DRYWALL $ EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE PATERCEVTOR � as MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING —' U/G GAS U/G ELECTRICAL PRE-PLASTER (ALARMS/ BARRIERS)-- FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING CALIFORNIA DEPARTMENT OF FORESTRY RIVERSIDE COUNTY FIRE DEPARTMENT 210 WEST SAN JACINTO PERRIS, CA 92570 (909) 940-6900 (619) 863-8886 INSPECTION LOG COMPLIANCE ORDER Page_ 1 of I Notice No: 2 FACILITY NAME Date: _ (A 30) O S ADDRESSQ-7::Ca(QC2 tL=-�L ��-,i City A QJAN:� Phone: The items listed below are in violation of one of the following: UNIFORM FIRE CODE UNIFORM BUILDING CODE: 24f 01 RIVERSIDE COUNTY FIRE ORDINANCE '7 2ll . ( CALIF. HEALTH & SAFETY CODE (TITLE ) OTHER 0 r�: nq. Measures shall bet en to co ect listed violations. A reinspection will be conducted on or about 19 FAILURE TO C LY U1,T IN LEGAL ACTION. Received B Title �a'cti�J Fire Inspector FOR FURTHER INFORMATION PLEASE CALL Phone RCO 26.11 (Rev 3/97)