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12-0375 (RC)4 Qtli,� P.O. BOX 1504 _ VOICE (760) 777-7012 , ` iytl 4 78-495 CALLE.TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: _ 4/25/12 Application Number:12-_0000000 Owner: Property Address: 47110 WASHINGTON ST STE 203 CALEO BAY INVESTMENTS APN: 643-200-999-A, -03429 - 77900 AVENUE OF THE STATrNA Application description: REMODEL - COMMERCIAL PALM DESERT, CA 92211 nrpT Property Zoning: COMMUNITY COMMERCIAL 'Application valuation: 50000yyqqContractor:101 LApplicant: Architect or Engineer: CASTLEROCK BUILDERS 441190 CARLOTTA DRIVEDEPT AgUINTA PALM DESERT, CA 92211 (760)272-7878 alt•` Lic. No.: 917273 LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION 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 Cla : 13 - License No.: 90273 for by Section 3700 of the Labor Code, for the performance of, the work for which this permit is - issued. te: � Contractor. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of 4he•Labor Code, for the performance of the work for which this permit is issued. -My workers' compensation NER BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury 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 to'I'certifythat, 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 c=at, any manner so asto become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensedpursuant to the provisions of the Contractor's State - • and agree that, if I should become subject to the workers' c ensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code s all forth wit cemply with tho a rovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by Ir any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500)•: ate:jX,- pplicam: 1 _ 1 1, 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 WARNING: FAILURE TO SECURE WORKERS C MPE SATION 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 PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND . 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 - (_) -1, 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. Ech 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, 1 _ I 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 incorrect. I agree to comply with all work for which this permit is issued (Sec. 3097,.Civ. C.). city 8n0 county ordinances and state laws relating. to building onstruction,,a d hereby authoriz r resentatives • 7at-. the above:mentioned property f r inspection p qses. lender's Name: ignature (Applicant or Agent): Lender's Address: i000 Application Number ': 12-00000375 ------ Structure Information SUITES 203 / 204•.` = ------- Construction Type TYPE V,.UNPROTECTED Occupancy' Type . . . . . BUSINESS <50 Other struct info . . CODE.EDITION 2010" FIRE SPRINKLERS YES OCCUPANT LOAD 27.00 2ND FLOOR SQUARE FOOTAGE 2653.00 Permit . . ELECT '- ADD/ALT/REM Additional desc-. Permit Fee. 101.56 Plan Check Fee.. 17.02 Issue Date Valuation 0 Expiration Date i0/22/12 . Qty Unit Charge: "Per Extension BASE FEE 15.00 2653.00 0200 ELEC GARAGE OR NON-RESIDENTIAL 53.06 5.00• 3.0000 EA ELEC APPLIANCES 15.00 1.00 18.5000 EA ELEC•SVC c=600V/<=200A 18.50 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 414.50" Plan Check Pee 269.43 Issue Date . . Valuation 50000 Expiration Date 10/22/12 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 THOU BLDG 25,001-50,000 162.50. Permit MECHANICAL Additional desc . Permit Fee . . 51.00 Plan Check Fee 12.75 Issue Date . . . . Valuation . . .0 Expiration Date 10/22/12 Qty" Unit Charge Per, Extension" BASE FEE, 15.00 8.00, 4.5000, EA MECH VENT INST/ DUCT ALT 36.00' Permit PLUMBING Additional desc . Permit Fee 91.50 Plan Check Fee'. 22.88 - LQPERMIT - .. _ ... .. _. ... Application Number 12-00000375 - Permit . . . . . PLUMBING Issue Date Valuation 0 Expiration Date 10./22/12 Qty Unit Charge Per Extension BASE FEE 15-00 6.00 6.0000 EA PLB FIXTURE 36.00 5.00 7.5000 EA PLB WATER HEATER/VENT . 37.50 - 1.0.0 3.0000 EA • PLB WATER INST/ALT/REP 3.00 - -.---------------- Special Special Notes and Comments - ----------- -- - INTERIOR TENANT IMPROVEMENT FOR PHYSICIANS OFFICE... SUITE 203 / 204. 2653" SF 27 OCC. LOAD. 2010 CODES. TENANT: DRS ED & ERICA RUIZ.'ARCHITECT:' CHRIS MCFADDEN C17837 ------------------------------ ----------- ------------ ------------------------------------------------ Other Fees . . . . ACCESSIBILITY -PLAN REVIEW 26.94 BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 26.94 Fee summary Charged Paid Credited Due ------------------ -------- ---------- ---------- ---------- Permit Fee Total 658.56 .00 .00 658.56 Plan Check Total 322.•08 .00 :00 322.08 Other,Fee.Total 55.88 .00 .00 55.88 Grand Total - 1036.52 .00 v .00 1036.52 LQPERMIT •, .. • - r • Crty Of: u utnta AttikUng & Saky Division P -0 -Bok -1.504, '78-495 0116 Tamplco La.Quinta, A 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet Permlt # nn Project Address:( S Zo*3 2 Owner's Name: . � i2��. Z A. P. Number. '3 ., pia O �' O a Address: . Legal Description: City, ST, Zip: Contractor dog Q�� �,� Telephone: Address: Project Description: City, ST, Zip: Telephone: ���� State Lia # :City Arch_ Eng, Designer. G Lia #; 0EN Address: �� It City., ST, Zip: f 14 A 1N 2---21 Telephone: State Lie. #: <1::rT ! Name of Contact Person: �� ('� l� Construction Type•_ Occupancy: 1 Project type (circle one): New Add'n Alter Repair Demo Sq. Ft :�j 3 #Stories: 2- # Units: rd-- Telephone # of Contact Person: Q . aJ 6 %4' Estimated Value of Project: eJ APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Plan Sets Req'd Recd TRACMG PERMCF FEES Plan Cheek submitted l Item Amount Strgctund Cale& Reviewed, ready for corrections Plan Check Deposit • . Truss Cates. Called Contact Person Pian Check Balance. Title 24 Calcr. Plans picked up Construction Flood plain plan Pians resubmitted.': Mechanical Gtndlag plan 2'4 Review, ready for correetio issue Z Electrical Subcontactor List Called Contact Person Z Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review; ready for correcdo'nslissae Developer Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr, Date of permit issue School Fees Total Permit Fees �3iO •C7 } °`` uc� �o 5 t:� 4 P.O. BbX .1 504 BUILDING & SAFETY DEPARTMENT -78-495 CALLE TAMPICO (760) 777-7012 F9 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 t To:' Greg°Butler, Building &-Safety Director To PD: April .9, 2012 From: Les.Johnson, Planning -Director Due Date:, April 13, 2012 Permit #: 12-375 Status: 1 st Building Plans Approval z' .(This is an approval to issue a Building Permit) = f The Planning Department has reviewed the Building Plans for the following project: , Description: T.I. Remodel Address or General Location: 47-110 Washington St. Ste. 203-204 Applicant Contact:' Chris McFadden ( s The Planning Department finds that: ❑ ...these Building Plans do -not require Planning Department approval. f' ...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 Johns n, irector-Planning 110e 4 City 6La.6�a.inta Fiarning Dapaltment PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE COACHELLA DESERT HOT SPRINGS. EASTVALE INDIAN WELLS INDIO JURUPA VALLEY LAKE ELSINORE LA QUINTA MENIFEE 'MORENO.VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUX CSD SAN JACINTO TEMECULA WIL06MAR - BOARD. OF SUPERVISORS: BOB BUSTER DISTRICT 1 t JOHN TAVAGLIONE DISTRICT 2 i JEFF STONE , DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 ` IN COOPERATION WITH .THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION John R. Hawkins — Fire Chief .210 West San Jacinto. Avenue Perris, CA 92570 (951) 940-6900 — www.rvcfire.org. April 11, 2012 r RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-I2-TI-033 Dr Ed and Erica Ruiz 47-110 Washington #203/204 La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. - .Itis prohibited to use/process or store any materials, in this occupancy that would classify it as an "H" occupancy per Sec. 307 of the 2010 CBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install'door hardware and exit signs as per Chapter 10 of the 2010 CBC. A minimum 2AIOBC Fire Extinguisher, (State Fire Marshal, Approved) must be mounted in a .visible location within 75' walking distance from. any point in your building or suite. Fire extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal 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. All breakers must be labeled and a clearance'of 36 inches must be maintained around the panel at all times. Approved suite addresses shall be placed in such a position to be plainly visible and legible from the street. Said numbers shall contrast with their background. An approved audible interior notification alarm device shall be provided in approved location. A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 to the Fire Department for review and approval prior to installation 'A durable sign stating "This door to remain unlocked during. business hours" shall be placed on 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 have durable and legible tags affixed for identification of the correlating tenant space. Key(s) ' shall be provided at time of final inspection.. i As it 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. -CITY OF LA QUINTA"SUB-CONT ACT9R LIST JOB ADDRESS 4 r ".'�"`1" PERMIT NUMBER OWNER UIZ/L �lU,�d�s BUILDER. This form shall be Oosted•on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or .their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit.. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. I Trade /Classification Contractor ::.::. ::.State Contracto s Ltcertise .......:. I r' :..;; Workers Com ensation:(risurance:' I p Bus��es License::::. Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp, Date (xx/xx/xx) EARTHWORK (C-12). CONCRETE (C-81 :: t4lk FRA.. .0 �U �. L % STRUCT. STEEL (C-51) 14 MASONRY (C-29) ... PLUMBING (C-361 ,�� �, /, G �ili/Y(P�r C4& �Q (�l1 •^� j �1 4*' 'L Q,O Q LATH; PLASTER (C=35) DRYWALL (C-9)..%... HVAC. I C-20) :::: ELECTRICAL IC=10) .: //l{ �i �'�0 G''�47d fi #0/+P1 --Z010/ !0 p i �j ROOFING' /J /�' SHEET -METAL (C-43) FLO RING (0::151. ` : :`: `' AIlk- GLAZING (C-17) INSULATIONIC-2). - [� 6N l �iiL� � iJ (vii � °%q� 3� SEWAGE DISP (G-42) PAINTING (C-33) '(�� C -f q b �!t / vr!/f,o�- id -1, idahi CERAMIC TILE (C-54) lu CABINETS (0-6) �� 2 FENCING (C-13) LANDSCAPING (C=27) POOL (C-53)