05-5134 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
r _
Application Number:;' 05-00005134
Property Address:' 47110 WASHINGTON ST STE
APN: 643-200-999-A -03429
Application description: REMODEL - COMMERCIAL
Property Zoning: COMMUNITY COMMERCIAL
� Application valuation: 30000
Applicant:
202
Architect or Engin
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjur that COWNER-BUILDER
der provisions of Chapter 9.(commencing with
Section 7000) of Division 3 of the Bu iness ls Code, and my License is in full force and effect.
License Class: B License No.: 186863
Datejj* Contractor: P r
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 islicensed pursuant to the provisions of the Contractor's State
License La'w (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).: r
(_ 1 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 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 burdenof proving that he or she did not build or
a, improve for the purpose of sale.).
(_ 1 '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.).
(_ 1 I am exempt under Sec. ;'B.&P.C. for this reason -
Date: Owner:
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/19/05
Owner:
LPP INC
73745 EL PASEO
PALM DESERT, CA 92260
Contractor:
AFFILIATED CONSTRUCTION CO INC
77900 AVE OF THE STATES
PALM DESERT, CA 92211
(760)345=2626
Lic. No.: 186863
WORKER'S 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 bySection 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1769107-2005
I certify that, in the performance of the work for which this permit is issued, I shall not employ.any
person in any manner o as to bec me subject to the workers' compensation laws of California,
and agree that, if I sh , d be m subject to the workers' compensation provisions of Section
3700 of the Labor C de, I s II f hwith comply with those provisions.
Date ry Applicant: d
WARNING:
FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI NAL 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.
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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to bu' g const uction, and hereby authorize representatives
. of this county to enter upon the above-mentioned proper for insp ction purposes.
Date84 Signature (Applicant or Agent:
Application Number 05-00005134
Permit . . . BUILDING PERMIT
Additional desc ...
Permit Fee 284.50 Plan Check Fee
184.93
Issue.Date Valuation
30000
Expiration Date'. 6/17/06
Qty Unit Charge Per
Extension
BASE FEE
252.00
5.00 6.5000 THOU BLDG 25,001-50,000
32.50
A
Permit . . ELECT - ADD/ALT/REM
;
Additional.desc "..
Permit Fee 45.00 Plan Check Fee
11.25
Issue Date Valuation
0
Expiration Date.. 6/17/06 .
` Qty Unit Charge Per
Extension
BASE FEE'
15.00'
1500.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
-----------------------------------------------------------------
30.00
Permit MECHANICAL -.
- Additional desc .
Permit Fee 19.50 Plan Check Fee
4.88
Issue Date Valuation . . . .
0
Expiration Date- 6/17/06,
Qty Unit Charge :Per
Extension
BASE FEE
15.00
1.00 4.5000 EA MECH VENT INST/.DUCT ALT
4.50
Permit PLUMBING
. Additional desc ..
Permit Fee 48.00 Plan Check Fee :..
12.00
Issue Date . . Valuation . . .
0
Expiration Date 6/17/06
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 "Ticor Title" TI,
"B"-Occupancy,`Type.VN Sprinkle, 1,500
' - LQPERMIT
Application Number.
05-00005134
-----------------------'-------.--------------
Special Notes and Comments
-------------------------
sgft,.Occupant Load 15.
Other Fees' -
------------------------------------
STRONG MOTION
:(SMI') - COM
6.30
-
Fee.summary. Charged
Paid
Credited
Due,
Permit Fee Total. 3-97.00
.00
.00-
397.00
Plan Check Total 213:06
00
00
213.06
Other. Fee Total 6.30
.00
.00
6.30
Grand Total 616.36
.00
.00
616.36
LQPERMIT
.
Al
+ -- PERMIT FEES ,.
Submittal Req'd Rec'd , TRACKING Item_ — . - Amount` rt o {
%% i'
} Plan Check submitted I r
Plan Sets- _ _ - - Plan Check Deposit
}} Reviewed, ready for corrections
1 Structural Calcs.Y =
Plan Check Balance R
r Called Contact Person
- Truss Calcs. 1 `
� Construction •
{ Plans picked up #
` Energy Calcs. Mechanical
4 Plans resubmitted _.. _ { • F .
lain plan
Flood p�Electrical j
_ 2^" Review, ready for correctio -s-issue OS�,
j Grading.plan X Plumbing" a
Called Co act Person A -- -- ^-
•
Subcontactor ListS.M.I.
r
. r _. • .. e...- - _ _ picked u .i
. Plans P - -
' 1 Grant Deed �� , Grading + iw
' Plans resubmitted 7 +
i H.O.A. Approval , s
Developer Impact Fee { '
• i d' I'" Review, ready for corrections/issue
IN HOUSE:- A.I.P.P.
t
Called Contact Person
Approval
E• - Planning App
Date of permit issue
i Pub. �Vks. Appr•
s School Fees
Total Permit Fees
MID, C�r�eshe�k, IcunS
11/22/2005 TUE 8:46 FAX 0001/001
• u�i'�Cv g ,
.. F'
P.O. BOX 1504 APPLICATION ONLY
Building 78-495 CALLE TAMPICO
Address �F�] �� j�kl -57r ` LA QUINTA, CALIFORNIA 92253
,y
-..rno - e ."IC.• v
Mailing „7
Address o'
CityfV ZI
Contractor l 'l
u Co')--l—wCr—tch co . .
v,y uN IGS l /J'7
&lsff: UCasC #
Arch., Engr.,rQ'a a 3T
Designer ��'
Address T1 _ D
City Zip D _ _ State
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm that lam licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 9 of the Business and Professions Code, and my license Is In full force and
StGRATIIRE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt tram the Contractors License Law for the following
reason: (Sec. 7031.6, Business and Protesslons Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or
repair any structure, prior to its Issuance also
t
requires
prN the
o spo ft Coor ntractor's tractor's Licch en ee Lmilk ir Chapteerr 8 (corn mant throat hengtsw c�tipwui i0�0pra) of
OMsfon 3 of the Business and professions Code, or fhef he is exempt t�terehom, and Cre basis
for the alleged exemption. Any violatlan of Section 7091.5 by anyappneant tar a pemdt subjects
the applicant to a civil penal of trot more than five hundred dollars (SSW).
❑ 1, as owner of the property, or my employees.wOh wages as their sole compensation, will do
the work, and the structure is not Intended or offered for sale. (Sec. 7044, Business and Proles
slons Code: The Contractors License Law does notapply to an owner of property who builds
or improves thereon and who does such work himsefi or through his own em oyaes provided
that such improvements are not Intended or offered for sale. It, however, the building of !m-
pmvemerd is sold within one year of completion, the owner -builder Wit have the burden of
proving that he did not build or Improve for the purpose of safe).
D I, as owner of the props ft am exclusively contracting with Licensed contactors to construct
the project. (Seo. 7044 Business and Protessions Code: The Contractor's License Law does
not apply to an owner of grope* ono bunds or improves tfrereon and who contacts far such
pro%cls w/th a corrtraotor(s) licensed pursuant to the Contractors License Law.)
D 1 am exempt under Sec B. & P.C. for this reason
Data Owner
WORKERS COMPENSATION DECLARATION
I hereby affirm that I have a certificate of cerlseM to selbInsure, are certincale of IAlorkera
Compensation Insurance, or a certified copy thereof. (Sea 9800, Labor Coda)
Policy No. Company
D Copy is filed with the city. D CeNRed copy is hereby furnished.
CERTIFICATE OF E)FIOTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed N the permit Is for one hundred donare ($100) valuation
or less).
=any
certify that in the performance of the work for which this permit Is Issued. I shall not
Calfto a y person In any manner so as to become subject to Workers• Compensation Laws of
Data Owner
NOTICE TO APPLICANT: n after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction tending agency for the performance at the work
for which this permit Is Issued, (Sec, 9097, CMI Code.)
Lenders Name
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration If work thereunder Is suspended for 160 days.
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 city to enter the above-mentioned
property for inspection purposes.
Signature of applicant pate .
Mailing Address
City, State, Tap
WHITE = BUILDING DEPARTMENT
BUILDING: TYPE CONST. OCC. GRP.
Number
Legal Description
Project Description 7-1 cog.
"-
Ft. 5070 No. No. Dw.
I Stories Units
New Add ❑ After ❑ Repair ❑ Demolition O
Estimated Valuatio
CID aq.
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mach.
Electrical
Plumbing
S.M.I.
Grading
Drrvewa Enc.
Infrastructure -
TOTAL
REMARKS
ZONE: BY
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Una.
Side Street Setback from Center Une
Side Setback from Property Una
FINAL DATE INSPECTOR
Issued by- Date_ Permit
Validated by:
Validation:
YELLOW = APPUCANT PINK = FINANCE
I
v �
TA
P.D. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
OF LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD:. November 22, 2005
From: Doug Evans, Director -CDD Due Date: November 30, 2005
j
Status: 1 st Review y
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: T. 1. Ticor Title
Address or General Location: 47-110 Washington Ste. 202
Applicant Contact: Gabriel Luian 760-578-8545
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. .
Doug. Evans, oDirector. CDD Date
V At- /G_ v.le 61-� u ✓► P 7- IT i
CID
. r, Q� i. �/j�+ n . t• ' ' . •}�l\IJ�
vLL ,,.- !y`'+ r y �. Y .- -P,• r .'"k a
�COUNTY
`£FIRE} DEPARTMENT= `t'
P a
'
210 West San Jacinto Avenue' • Perris, California, 92570 ,+ (951) 940=6900.. Fax (951) 940=6910 ' it -• , ,: ,
' ',DEPARTMENT �;' t�.
Craig E. Anthony
Fire Chief..
Date' ' ' - O ez: • . •' i' . , r ""r. , ,'_,,; L- •
Proudly serving the r _ '
unincorporated . ► ` y '
'areas of Riverside
'. County and the r' t ., ♦' , `� -- `.;., 4 . r.- ` . ,. r M `
.,%Cities of: " r ° 1. f•,� i
City of la Quinta. ; 1
Banning Building Departments
Beautnont
j h
Cahmesa
Canyon I ake .Y RE.
Coachella. a ,, - ,• - .a .
The River- . e�C • Count ' Fir • D artmenti is antin t - learance ort ollowin
.Desert Hot Springs � Y , P gr g '- .: •' .r . �'
Location (1L t . 4:
Indian Wells Please call if you should • ave"que 'ons 760-863-8886.
♦ ♦ x rY �-
,.. Indio - . } ., y �•
e Elsinore
♦ a. + -
,
V Moreno Valle s * ' ¢A . s f ♦ `
yRespectfully
Palm Desert
.ferns > r'By
D"
Rancho Mirage P , ;, s
♦;♦ .; : t M Terry UeSo cy �, 4
Jacinto '� , i = - Fine System Inspectors f s {Y
♦ f. t ,
N a
S Temecula '-, - , ''a; , n } i •w '
Ai
Board of Supervisors . ,.. t . #' ~ . 4 4i r,•.. t �•? , - ! �� t y i
Bob Buster, r �: r. M , ► « ---r :7
`•, District l a, a t'
John Tadaglione t
�y'. District 2
` 4' 'Jeff Stone; .. ^ r , `
District 3 ..
t y .♦. .lfn . t - .Y �'' y, 4 R" .a `�'
Roy Wilson
District 4
` arion Ashley,
' District 5
•
• `r• • � .. �+ - ' �, .: _. ?.r 'a P. + fry r •- +a.M * `P Y
- •• , do -'-i, i•i'. �' ' �"-A ♦Z+„ 4, •,' .;. � .. iv_ '' �I,
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
Indian Wells
Indio
Lake Elsinore
4 -
La Quinta
4.
Moreno Valley
Palm Desert
s
Perris .
•
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Boli Buster,
District P
John Tavaglione,
District 2
Jeff Storie,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
82-515 Highway 111, 2nd Fl., Indio, Fax863-10/2
November 22, 2005
Gabriel Lujan & Associates
74-818 Velie Way, Ste. 12
Palm Desert, CA 92260
Re: Non -Structural Building T/I Plan Review
LAQ-05-TI-104 / Ticor Title
47-110 Washington St., Ste. 202
;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. A licensed C-16 contactor will have to
submit plans for review and approval and modify the fire sprinkler system in accordance with-NFPA
13, 1999 Edition. A licensed C-16 contractor shall do all sprinkler work and certification. 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 a certified
extinguisher company for proper placement and spacing 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 condfions should be referred to the Fire Department.
Planning & Engineering staff at (760) 863-8886.
Sincerely,
Tracy Hobday
Chief Fire Department Planner`
13Y
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Building Dept.
H:1PEZVVP DataLLa OA-AaIPROJECTSTIILAO-05-TI-106.dx - -
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 Fax (760) 863-7072
Ce rfl f/ C a fe of Occ'upanc
Y
°-
G�F��;�. 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: 47-110 WASHINGTON ST #202 (TICOR TITLE)
Use classification: COMM Building Permit No.: 05-5134
Occupancy Group: B Type of Construction: VN Land Use Zone. CC
Owner of Building: LPP INC Address: 73745 EL PASEO
City, ST, ZIP: PALM DESERT CA 92260
_ By: KIRK KIRKLAND
Date: 2-28-06
Building Official
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