13-0376 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address
APN:
Application description:
Property Zoning:
Application valuation:
13-00000376
46805 DUNE PALMS RD
649-020-999-A -02377 -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
150000
Architect or Engineer:
OV,
4 4 00 &
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------------- I ----------- -------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions otChapter 9 (commencing with
Section.7000) of Division 3'of the Business and Pr s ' alsCode, a my License is in full forceand effect.
License Class: B Li s 558110
Date:" 4413 Contractor: - --
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from,the Contractor's Stat&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 its4ssuance, also requires the applicant for the
permit to file a signed statement that "he or she is:licensed pursuarr[,to the provisions of the Contractor's State
License LawIthapter 9'(commencing with Section 7000) of Division 3 of the Business and Professions Codef or
that he or,she,is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit -,subjects the applicantto:a civil penalty of not more than five hundred dollars*($500).:
(_) 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
Contractors' State License "Law, does not apply to an owner of property whobuilds or improvesthereon,
and who does ",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 burden of proving'that hwor she did not build or
improve for the purpose of sale:).
(_) I, as�owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Coder The Contractors'- State License Law,doea.not apply to,amownsvof
property who builds or improves thereon,,and who contracts for the projects with.a eontreetor(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 thwperformance;of the
work for which this permit Wissued (Sec. 3097, Ci . C.).
Lender's Name:
Lender's -Address: wu
Owner:.
DESERT PALM MANAGEMENT GROUP
P.O. B. 14055
PALM DESERT, CA 92255
Contractor:
MALOOF CONSTRUCTION,
PO BOX 204`1
PALM DESERTi CA 92261
(760)578-1653
Lic. No.: 5.58110
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/13
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 thisiperniitis
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 number are:
Carrier EXEMPT Policy Number 'EXEMPT
_ I certify that, in the performance-of`the work for which this permit is issued, I shall not employ any
personin any manner so as: tobecome subjeet.to the workers' compensation laws of California,
and agree that; if, I should beco _ to tt worker ' compensation provisions of'Section
�/,`37?00 of the Labor Code, I sJ.o h dlitpl w ose provisions.
Date: I'M Applicant:
WARNING: FAILURE TO SECUREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,000). IN ADDITION TO.THE'COST OF COMPENSATION, DAMAGES AS PROM DED'FOR IN
SECTION 3706 OF THE LABOR CODE; INTEREST-, AND ATTORNEY'S FEES:,
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Directorof'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 actor 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 cerdfythatl have read this application,and state thatthe: above inform on i rre . I agree t omply with,all
city and county ordinances and state laws relating to building constru y author' presentatives
of this county to enter upon the above -mentioned propertyforins
Date: FWAgnature.(Applicant or.Agent):
LQPERMIT
M
in
Application Number . . . . 13-000,00376
Structure Information
Construction Type . .
. . . TYPE
V, UNPROTECTED
Occupancy Type
. . . ASSY
BLDG <300 NO STAGE
Other struct info
CODE
EDITION
2010
FIRE
SPRINKLERS
YES
OCCUPANT LOAD
251.00
1ST
FLOOR SQUARE FOOTAGE
12898.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
814.50
Plan Check Fee
529.43
Issue Date . . . .
Valuation . .
. . 150000
Expiration Date
3/23/14
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
50.00 3.5000
-------------------------------------------------------------------------------
THOU BLDG
100,001-500.,000
175.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
249.60
Plan Check Fee
62.40
Issue Date
Valuation . .
. . 0
Expiration. Date . .
3/23/14
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
20.00 ..7500
PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
488.00 .4500
EA ELEC.DEV2CE/FIXTURE
>20
2,19.60
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee
33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation . .
. . 0
Expiration Date . .
3/23/14
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
4.00 4.5000
EA MECH
VENT INST/ DUCT ALT
18.0.0
Permit . .
PLUMBING
Additional d_e'sc .
Permit Fee . . . .
70.50
Plan Check Fee
17.63
Issue Date . . . .
Valuation . .
0
LQPERMIT
Application Number . . . . . 13-00000376
Permit . . . PL'UMBING
Expiration Date 3/23/14
Qty Unit Charge Per
Extension
BASE FEE
15.00
8.00 6".0.000 EA PLB FIXTURE
48.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
- - - --------------------
Special Notes and Comments
INTERIOR TENANT IMPROVEMENT FOR A
MINIATURE GOLF COURSE AND CONCESSIONS IN
THE FORMER "RADIOACTIVE" BLDG. 12.,898 SF
ON GROUND FLOOR ONLY. TYPE V-B
C6NSTR.251 OCCUPANT LOAD @ FIRST FLOOR.
23 OCCUPANTS @ UNUSED 2ND LEVEL,
ARCHITECT: BOB R`ICCIARDI C3808.
-------------------------------------------------------------------------------
Other Fees . . . . . . . . . BLD.G STDS ADMIN (SB14'73)
7.00
STRONG MOTION (SMI) - COM
31.50
Fee summary Charged Paid Credited
----------
Due.
-- ---------- -------
.Permit Fee Fee Total 1167.60 .00 .00
1167.60
.Plan Check Total 617.71 .60 .00
617.71
Other Fee Total 38.50 .00 .00
38.50
Grand Total 1823.81 .60 .06
1823.81
LQrERMrr
RECEIVED
Bin # C >r G
City Of • La Quints MAR 2 8 2013 .
Building 8i Safety Division CITY OF - QUI TA
P.O. Box 1504,'78-495.Caile Tampico COMMUNITY DEVEL PME
i ..Quinta, CA 92253 • (760) 777-7012
Building Permit Applicadon and Tracking Sheet
Permit # .
Ptojoa Address: U
Owner's Name:.D
A. P. Number. _ —• 02 — 3
Address: Q 5
Legal Description:40
City, ST, Zip: PaIhA
2 C �2-5
Contractor.
Telephone:-1(aQT `1
Project Description: 74
Address:
City. ST, Zip:
V
Telephone:
State Lic. d : City Lie, #,
ArcJi., Engr., Designer. C�_-
r
(2 a
Address: 00eakm I Aq=
A2 a TEL Au
IiL UAI Of
City, ST, zip: 4 CA. 9,2-2-11a
Telephone:
— 0 —
Construction T e:. 1
� ��� 3 S— wI
Project type (circle one): New Add'a Alter Repair Demo �C
Sq. Ft:153 J-# Stories: Z p Unity P+
State Lie. g: • G
Name of Contact Person: fZQ
Telephone d of Contact Person:
=
1 Estimated Value of Project; O
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
Submittal
Rtq'd
Reed
TRA(�2MG PERMT FEES
Pion Sets
Plan Check submitted
Item Amount
Stroctuial Cates.
(reviewed, ready for corrections
Plan 0.ck Deposit.
Truss Cates.
Called Contact Person
tj 1 Pisa Cheek Balance.
Title 24 Calcr.
Ptans.pieked up
Construction
Flood plain plan
Plans resubmitted -
O 8 mteharikal
Grading plan,
Z'! Review, ready for rrectio riot;.
Metrical
Subcontactor list
Called Contact Person
v- Plumbing
Grant Deed
Plans picked up � .
S.hLI.
IMA. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for corrtctio a
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School cet
Total Per it Feet
. 3lZ1ah41'3-- ���>R�--Ihl i}�srx�F Z �-S --� �,,tl.a•tal.
71
-may
'tofu
RECEIVED
oli'n
VIV
Bin. # C
Q*: MAR 2 8 2013
.0ty OfU uinta
BulkUng &r Saky DWon CITY ()F LA QUI.
P.O. Box 1504,'78-495.Calle Tampico COMMUNITY DEVEL
L.A.Quinta, CA 92253 -:(760) 777-7012
Building Permit -A001cation'and Tracking Sheet
.
TA
PME
Permit #
Project Address: 4 (o 0 0
Lrie— &Iro.5
Owner's Name:
A. P. Number.
3-3
Address: eQx
J
Legal Description: -PM J!�3
City, ST, Zip:
Palm De-Ser4 CA. 12-2-5
Contractor.
Telephone: —2 50- N 18
Address:
Project Description: 74
City, ST, Zip:
411�- hole- inA00 - V)n L iolure,
Telephone:
12 iV6 -nolf Lud!
State Lic. #:
City Lic-, #,
Ro W iA
Arch, Engr., Designer.
k'jC:C _je rj
�z (-L) W rtv'
h
Address:7 q, 400 I a
K) rA 1)
araq
Lpe(-
uAl of
V4 -
City, ST. Zip:
CA. 9-iLfl
6IC44-5-
40 -k - se4a
waetw
Telephone: 7w -,109�- 12o
Lin
-e,
Construction Type:.
ype: t occupaacy:A3 61 51
Project ripe (circle one): New Add'n. Alter Repair Demo
-Sq. Ft-:15�33 1'#st-"- I # Unity :
Stories:
State Lic.#: C3AOA I
Name of Contact Person: JZo6e-44 K*jcc,'
Telephone # of Contact Person: -
I ]Estimaw Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
0
Submittal
Req'd
'Rccld
TRACIMG PEPJffrFEES-
Plan Sets
Plan Check submitted 112AI
12AI
I Iten, Amount
Structural C41cs.
Reviewed, ready to wrrettio n Plan Check Deposit
Truss Cale.
Caged Contact Fuson 1 run Check Balance.
Title 24 Calm
Plans picked up 9 b^j Coustmedon
Flood plain plan
Plans resubmitted Mechafikal
Grading plan
2`! Review, ready for correctiowassue Electrical
Subcontattor List
Called Contact Fuson Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
Review; ready for correctionsfisso'c Developer Impact Fee
Planning Approval
Called - Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
qT
4vy
Certificate of Occupancy
w
IX 0KPQkA=
1W Gam.
G � ]IF Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section III 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: 46-805 DUNE PALMS RD, 1ST FLOOR ONLY
Use classification: ASSEMBLY — ROCK-N-ROLL MINI GOLF Building Permit No.: 13-0376
Occupancy Group: A_3 Type of Construction: VB Land Use Zone: VC
Code Edition: 2010 Sprinkler Installed: YES Occupant Load: 251
Owner of Building: DESERT PALM MANAGEMENT
Address: 74-199 EL PASEO STE 101
City, ST, ZIP: PALM DESERT, CA 92260
GREG BUTLER By: AJ ORTEGA
Building Official Date: APRIL 10, 2014
POST IN A CONSPICUOUS PLACE
Desert Palm Management -Group, LLC
PO Box 14055 Phone: 760-250-7818
Palm Desert, CA 92255 Fax: 760-321-9837
April 5, 2013
To whom it may concern,
Desert Palm Management Group has authorized Rock n Roll Mini Golf to make changes to our building
located at 46805 Dune Palms Road per the architectural drawings by Robert H. Ricciardi.
If you have any questions or concerns please feel free to contact me at (760) 250-7818.
4Thank ,
r
Jennifer Roberts
a
RECEIVED
JUN 0 3 2013 HER
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Burt Hanada
From:
Jim Sullivan <jsullivan@cvag.org>
Sent:
Tuesday, July 16, 2013 9:27 AM
To:
Burt Hanada
Cc:
AJ Ortega
Subject:
RE: CHANGE OF USE TUMF QUESTION
You are correct, change of use to a lower TUMF category is zero.
Jim Sullivan AICP
GIS Program Director
`r Coachella Valley Association of Gowrnmants
' G 760.346-1127
CW
www.cvag.org
From: Burt Hanada [mailto:bhanada(a)la-quinta.org]
Sent: Friday, July 12, 2013 3:21 PM
To: Jim Sullivan
Cc: AJ Ortega
Subject: CHANGE OF USE TUMF QUESTION
Hi Jim,
I have an interior tenant improvement that is a change of use. The former use was a retail
building. The proposed use is an interior miniature golf course with concession. Because the
TUMF for an indoor recreation is $5,570.72 per area and the previous use of retail is $5,683.94 .
per area, Am I to assume that zero TUMF is required?
Thank you,
Burt T. Hanada
City of La Quinta Community. Development Dept.
Plans Examiner / Inspection Supervisor
78-495 Calle Tampico
La Quinta, CA 92253
PH: (760) 777-7125 Direct (760) 777-7023 F: (760) 777-7011
email: bhanada@ la-quinta.org
i
4
u��cv
Building & Safety Department
78-495 Calle Tampico
PO Box 1504
La Quinta, CA 92253
(760) 777-7012 voice — (760) 777-7011 fax
To: Greg Butler, Building Official To PD: July 10, 2013
From: Les Johnson, CDD Director Due date: July 17, 2013
Permit # 13-376 Status: 2"d Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Division has reviewed the Building Plans for the following project:
Description: Rock and Roll Mini Golf — Tenant Improvement
Address or general location: 46805 Dune Palms Rd.
Applicant Contact: Robert Ricciardi, (760)408-1208
The Planning Division finds that:
❑ ...these Building Plans do not require Planning Division approval.
these Building Plans are approved by the Planning Division.
❑ ...these Building PI ns require corrections: Please forward a copy of the
attached correction to the applicant. When the corrections are made
pleas return them o the Planning Division for review.
Les Jolson, JC&dmunity Development Director
Note: PLEASE RETURN PLANS WITH GREENSHEET TO THE BUILDING
DIVISION.
Date
4 412amrw
MEMORANDUM
TO: Building & Safety Division
FROM: Jay Wuu, Associate Planne
DATE: July 10, 2013
SUBJECT: 46-805 DUNE PALMS ROAD
ROCK AND ROLL MINI GOLF
The Planning Division has reviewed the building plans for the Rock n Roll Mini Golf,
and has the following comments:
• Please keep in mind Condition of Approval #7 of Conditional Use Permit
2012-146:
7. Prior to issuance of a Certificate of Occupancy for Rock n Roll Mini Golf,
the applicant shall complete one of the following:
a. A shared parking agreement shall be obtained between the property
owners of the Rock n Roll Mini Golf parcel and the La Quinta Valley
Plaza property owner's association for a minimum of twenty (20)
parking spaces. A copy of this agreement shall be provided to the
Community Development Department; or
b. Complete a parking analysis identifying the existing on -site parking will
adequately serve the proposed land use as provided for in La "Quinta
Municipal Code Section 9.150.050B. Said parking analysis shall be
conducted by a qualified individual or firm approved by the Commurity
Development Director.
. ��� ®� �AFE�TuYINTA
DEP'T.
NT
BUILDING & S
DATE
y 6�7 sY 4.
If you have any questions, please contact me at 760-777-7067.
N
0
MEMORANDUM
To: Greg Butler, Building Official
From: Amy Yu, Assistant Civil Engineer
Via: moth R. Jonasson P.E. Public Works Director ector /City Engineer
Ed Wimmer, P.E., Development Services Principal Engineer
Date: May 2, 2013
Re: PCN 13045 Public Works Department Green Sheet for Rock N Roll
Mini -Golf at 46-805 Dune Palms Rd
Public Works clearance for release of building permit for Rock N Roll Mini -Golf is
recommended, with the followirig conditions:
1. Applicant to install detectable warning (truncated domes) extending the full
width and depth of the existing curb ramp excluding flared sides per CBC
Section 1127B.5; and .
2. Applicant to install a sign below the symbol of accessibility stating
"Minimum Fine $250" per CBC Section 1129B.4 with 80" minimum from
bottom of sign to ground; and
3. Applicant to restripe the existing. accessible parking stalls (paint faded);
including the two ADA parking symbols, the border, stripes and the words
"NO PARKING" within the loading and unloading access aisle per CBC
Section 1 129B.4. The words "NO PARKING" within the access aisle were
barely visible at the site.
CITY OF LA QLANTA
BUILDING & SAFETY DEPT.
DATE L3 gv�11E�"
COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER
85-995 Avenue 52
`" ��•��—LN
Coachella, California 92236
(760) 398-2651
APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPRI
APPLICANT: Submit this form with a copy of a SCALED plot plan (I" = 20' to I" = 49 SCALE) drawn to District specifications. A nonrefimdable filing fee is
required when the application is submitted. Check must be made payable to the Coachella Valley Water District Approval of this application shall remain valid for
a period not to exceed one (1) year from date of payment NOTE: ALL BUSINESSES PRODUCING FAT, 0I1., AND/OR GREASE, LOCATED IN A MULTI
-SUITE BUILDING WILL REQUIRE A SEPERATE LATERAL OFF THE MAIN SEWER LINE FOR GREASE INTERCEPTOR CONNECTION.
Plan Check No.
Agent, Contractor, Contact Person
Address City S Zip
�l3• I t MoaQ.�Gie l
Telephone
6D -Z IA f
I-"oY el 11
Owner ,
9; as kj4M+-1723*5
Address Ci - State Zip
AIALVAW
Telephone
921
Rev 6/1)
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
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE .
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVERSIDE COUNTY F'IR DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfire.org
July 31, 2013
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ-I3-TI-011 Rock N Roll Minigolf 46-805 Dune Palms La Quinta, CA
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN
OCCUPANCY PERMIT.
It is 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 2A10BC 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.
A durable sign stating "This door to remain unlocked during business hours" shallbeplaced on or
adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting
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
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.
Install Knox Key Lock box, mounted per recommended standard of the Knox Company. Special
forms are available from this'office for the ordering of the Key Switch. This form must be authorized
and signed by this office for the correctly coded system to be purchased.
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.
Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of door.
Fire Sprinkler Riser door shall be posted "FIRE RISER" on the outside of door.
Fire Alarm Control Panel door shall be posted "FACP" on the outside of door:
Roof Access door shall be posted "ROOF ACCESS" on the outside of door.
The maintenance records for the sprinkler system in this building must be available on -site for review
by the Fire Department Inspector. A Five year certification for the existing sprinkler system is
required per Title 19 sprinkler standards. •All correction work noted at five year certification must be
performed and completed. Proof of work from the sprinkler contractor will be required.
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 Staff at (760) 863-8886.
Sincerely,
By:
Jason Stubble
Fire Safety Specialist
CITY, OF LA QUINTA SUB -CONTRACTOR LIST
JOB ADDRESS PERMIT NUMBER OWNER.' BUILDER .
This form shall be posted 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.
Trade Classification
/
'Contractor,-*:... ::::. :::::>
; ,::..::>:;:::::::.:: ::.:; :;
:::::::::.:.`:.::Sat :.
:;:;<..::. ;:: ractor.s License :: ;::.:::::>:.
:.:... :...
:. :.:..::;: Workers Com a satiori:trisuranbe:".;':::::':::'.:.:'<::.
n
Cit ..Business License:;::.'..
y
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 (C712) :.:.
CONCRETE
FRAMING It-5)
STRUCT: STEEV (C-51)
MASONRY (C-29) ..
PLUMBING (C-36)
LATH; PLASTER (0.=35)
DRYWALL (C-9) .'• ,:
1.
HVAC. (C720)':.
ELECTRICAL. (C=10) :.._:
RQOFING,IC_39):::;
SHEET.METAL (643)
FLOORING iG:15).:.:..::;
GLAZING (C-.17}"
INSULATION' (C-2)
SEWAGE DISP (6-42)
PAINTING (6=33) :
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
1
LANDSCAPING
POOL (C-53)