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=sheds 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°(8500).:
(_) 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
LQPERMIT
Owner:.
DESERT PALM MANAGEMENT GROUP
P.O. B. 14055
PALM DESERT, CA 92255
Contractor:
MALOOF CONSTRUCTION,
PO BOX 2041
PALM DESERTi CA 92261
(760)578-1653
Lia. 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, 1 shall not employ any
personin any manner so as: tobecome subject.to the workers' compensation laws of California,
and agree that; if, I should beco _ to tt worker ' compensation provisions of'Section
x/,`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 3708 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):
M
in
LQPERMIT
Application Number . . . . 13-000.00376
Structure Information
Construction Type . .
. . . TYPE
V, UNPROTECTED
Occupancy Type
. . . ASSY
BLDG <300 NO STAGE
Other struct info
CODE
EDITION
20.10
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 . . . .
24.9.60_
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
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 . . . . . . . . . BLDG 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
LQPERMff
RECEIVED
Bin # C >r G
Cit Of • La Quints MAR 2 8 2013
Building 8i Safety Division CITY OF - QUI
P.O. Box 1504,'78-495.Caile Tampico COMMUNITY DEVEL
i ..Quinta, CA 92253 • (760) 777-7012
Building Permit Applicadon and Tracking Sheet
.
TA
PME
Permit # .
Ptojoa Address:
U Owner's Name:.D
A. P. Number.600—SW-02_
— 3 Address: Q 5
Legal Description:40
City, ST, Zip: PaIhA 2 C �2-5
Contractor.
Address:
Telephone:-1(aQ2
Project Description: 74
City. ST, Zip:
Telephone:
State Lic. 9:
V
City Lie, #,
ArcJi., Engr., Designer.
C�_-
r (2 a
Address: 00eakm
I
Aq= A2 a TEL Au IiL UAI Of
City, ST, zip:
Telephone:
— 0
State Lie. g: • G
Name of Contact Person:
—
fZQ
4 CA. 9,2-2-11a
Construction T e:.
� ��� Al3 S—
Project type (circle one): New Add'a Alter Repair Demo
Sq. Ft:153 J-# Stories: Z p Univ
w.
�C
P+
Telephone d of Contact Person:
it Submittal Rtq'd
= 1 Estimated Value of Project; O
APPLICANT: DO NOT WRITE BELOW THIS UNE
Recd TRA(�2MG PERMT FEES
Pian Sets
Plan Check submitted
Item Amount
Stroctuial Cala.
(reviewed, ready for corrections
Plan 0.ck Deposit.
Truss Cala.
Called Contact Person
tj 1 Pia. Cheek Balance.
Title 24 Cala
Ptans.pieked up
Construction
Flood plain plan
Pians resubmitted -
O 8 mteharikal
Grading plan,
Z'! Review, ready for rrectio riot;.
Metrical
Subcontactor list
Called Contact Person
v- Plumbing
Grant DeedPlans
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 Fees
. 3lZ1ah41'3-- ���>R�--lhl i}�s�rx�F Z �-S --� �,,tl.a•tal.
71
-may
'tofu
oli'n
RECEIVED
VIV
Bin. #C
Q*: MAR 2 8 2013
.0ty OfU uinta
BulkUng &r Saky Duron 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
Contractor.
City, ST, Zip:
Palm De-Ser4 CA. 12-2-5
Telephone: —2 50- N 18
Address:
Project Description: 74
City, ST, Zip:
Telephone:
411�- hole- inA00 - V)n L iolure,
12 iV6 -nolf Lud!
State Lic. #:
City Lic-, #,
Ro W iA
Arch, Engr., Designer.
k'jC:C
_je rj(-L)
W rtv'
�z h
Address:7 q, 400 I a
K) rA 1)
araq
Lpe(- uAl of
V4 -
City, ST, Zip:
Telephone: 7w -,109�- 12o
State Lic.#: C3AOA
CA. 9-iLfl
Lin I
6IC44-5- 40 -k -e, - se4a waetw
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 # Univ :
w.
Name of Contact Person: JZo6e-44 K*jcc,'nes:
Telephone # of Contact Person: -
I ]Estimaw Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
0
Submittal
Req'd
'Rec'd
TRACIMG PEPJffrFEES-
Plan Sets
Plan Check submitted 112AI
Iten,
12AI Amount
I
Structural C41cs.
Reviewed, ready to wrrettio n Plan Check Deposit
Truss Cala.
Caged Contact Fuson 1 run Check Balance.
Title 24 Calm
Plans picked up 9 b^j Coustmedon
flow 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
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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
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