11-1278 (OFC)'r-_ k�;� . . 4. -4
P.O. BOX 1504. _ VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 • BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT -
Date: 3/23/12
Application Number: 11-0 0 0 012 7 8 Owner:
.,
Property Address: 7-9625a.VISTA_�R:ALINA -LN BLDG' K LA QUINTA HOUSING AUTHORITY
APN: 600-020-054- - - 78495 CALLE TAMPICO
Application description: NEW COMML - OFFICE/BANK LA QUINTA, CA 92253
Property Zoning: COMMERCIAL PARK
Application valuation:. 355879
I Contractor:
Applicants Architect or Engiri r: MAR
cc qry OPTIMUS CONSTRUCTION INC
1° AR .2.li 2012 , 440 WESTERN AVE #202 i
-LA QUINTA, CA 92253
(808)550-8411
Q
C1�Y(AI .A tFlldll�
rA.€..ay:'.>`^:��`? LiC. No. 902939 �.
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LICENSED CONTRACTOR'S DECLARATION - _' ' ;y WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with• - -I 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 Class: B' License No.: 902939 - for by Section 3700 of the Labor Code; for the performance of the work for which this permit is -
J issued.
/Date: -Z� ` Contractor: - - - FI 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.
OWNER -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 STATE FUND Policy Number 0000506-2010
. following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, 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 , person in any manner so as to become subject to the workers' compensation laws of California,
.permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State c - and. agree that, if I should become subject to the workers' compensation provisions of Section.
License Law (Chapter 9 (commencing with Section 7000). of Division.3 of the Business and Professions Code) ori - 3700 of the Labor I allfowith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - - -
any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).: �teate:��"d. :!
Applicant: '
(_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENUTION 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 PENALTIES 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.). i• - APPLICANT ACKNOWLEDGEMENT
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 contractoi(s) licensed- _ 1. Each 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 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 is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). + city and county ordinances and state laws relating to building construction, and hereby authorize representatives -
.of this county to enter upon the above-mentioned prop y or in p 'ep purposes.
Lender's Name: -
i Date:?ld I-WSignature (Applicant or Agent):
Lender's Address: -
'-LQPERb11T..�-_.•_ _._ --. - .. ...":..._-�,,,E�.:a.._ - �- -s +..�.� •»'- ,a�.��.n��:' _ .rte _ _ _ a•_ - - _ _ _ _r p _
Application Number . . 11-00001278
Structure Information
Construction Type . . TYPE V; UNPROTECTED
Other struct info . . . CODE EDITION .2010
FIRE SPRINKLERS yes
MIXED-USE.00CUPANCY A-3 / B
OCCUPANT LOAD 244.00
1ST FLOOR SQUARE FOOTAGE 4539.00
Permit BUILDING PERMIT
Additional. desc
Permit Fee 1535.50 Plan Check Fee 998.08
Issue Date Valuation 355879
Expiration Date 9/19/12
Qty Unit Charge ,Per. Extension
BASE FEE 639.50
256.00 3.5000 THOU BLDG 100,001-,500,000 896.00
Permit ELEC-NEW COMMERCIAL
Additional desc
Permit Fee 105.78 Plan Check Fee 26.45•'
Issue Date Valuation 0
Expiration Date 9/19/12
Qty Unit Charge Per Extension
BASE FEE 15._00
4539:00.0200 ELEC GARAGE, OR NON-RESIDENTIAL 90 78
Permit MECHANICAL
Additional desc .
Permit Fee . . 118.50 Plan Check'Fee 29.63
Issue Date . . . Valuation` 0
Expiration Date 9/19/12
Qty Unit Charge Per. Extension'
BASE FEE 15.OD
2.00 9.0000 EA MECH FURNACE <=100K 18.00
1.00 11:0000 EA MECH FURNACE >100K 11.00
1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00"
2.00 16.5000 EA MECH B/C >3'-15HP/>100K-560KBTU 33.00
4.00 6.5000 EA MECH VENT FAN 26.00
1.00 6.5000 EA MECH EXHAUST HOOD 6.50
-----------------------------------------------------------------------------
Permit . . PLUMBING
Application Number 11-00001278
Permit . . PLUMBING
Additional desc
Permit Fee. 200.25Plan Check Fee 50.06
Issue Date :' . Valuation 0
Expiration Date 9/19/12,
Qty Unit Charge Per Extension
BASE FEE 15.00
13.00 6.0000 EA PLB FIXTURE 78.00-
1.00 15.0000 EA PLB BUILDING SEWER 15.00
7.00 6.0000 EA PLB ROOF DRAIN 42.00
2.00 7.5000 EA PLB WATER HEATER/VENT 15.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
1.0Q1 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00
11:00 .7500 EA PLB GAS PIPE >=5 8.25
1.00 15.0000 EA PLB GAS METER 15.00
-----Special Notes and Comments
4539 SF CLUBHOUSE BUILDING. AREA
INCLUDES 582SF LAUNDRY AREA: 2010 CODES. -
**PERMIT DOES NOT INCLUDE BLOCK WALLS,
FENCES, SWIMMING POOLS, BBQ'S', TRASH
ENCLOSURES .AND SITE LIGHTING** :
Other:Fees . . ACCESSIBILITY PLAN REVIEW, 99.,80
ART IN PUBLIC PLACES -COM 1759..40
BLDG STDS-ADMIN (SB1473) 15.00
DIF CIVIC CENTER - COMM 2900.42
ENERGY REVIEW FEE 99.80
DIF FIRE PROTECTION -COMM 1634.04
MULTI -SPECIES (MSHCP) FEE 583.52
STRONG MOTION (SMI) COM 74.73'
DIF, STREET MAINT FAC -COMM 1143.83
DIF,TRANSPORTATION = COMM. 25636.27 _
Fee summary Charged Paid Credited Due .
Permit Fee Total 1960.03 .00 .00.. 1960.03
'Plan'Check Total 1104.22 _00 .00 1104.22
Other Fee Total 33946.81 .00'• .00 33946.81
Grand Total 37011.06 00 .00` 37011.06
LQPERMIT
I.i
MAR-04-2014. TUE
06:10 PM RIVERSIDE COUNTY FIRE' FAX NO; 17608637072 P. 11
Riverside County Fire Department Fire Protection Planning Section
• _ -
Rlvor-it0e WIN: 2300 Market SL, Ste. 150, Rhreralde, CA 82601 Ph. (961) D664777 Fax (061) 966.4886 - -
Palm paten O!f)co; 77.933 Las.Momanas Rd., P 201 Palm Desert, CA 92211-4131 Ph. (760) 863.8886 Fax (760) 063•7072F
Fire Department Clearance/Release
Date: 3/4/2014
To: LA QUINTA B&S
•
Fax:
. ` - -` '
y
Tract/Parcel Map #:
CORAL MOUNTAIN APTS — BLDG K (10)
Permit/Lot #:
LAO-12-BP-019
Job Site Address:
79625 VISTA CORALINA
City, State, Zip
LA QUINTA "
Final For Recordation
El Final for Alarm System .
Q Final for Fire Suppression Systeni + ,
Shell Final Only(No Tenant)
a Release For Residential Sprinkler Installation
❑ Building plan Check Fees Paid, Water Requirement Met- if water applicable
❑ Building Plan Check Fees Not Paid '
',
_❑ Residential Sprinkler Plan Check Fees Paid _
❑ - Residential Sprinkler Plan Check Fees Not Paid
Other. Fees `
❑ Fees Not Required ,
Ifeu should have any
questions, please contact the appropriate Riverside County Fire protection Planning office for ' f
further assistance.
KOHL HETRICK
Print Name of Plan Reviewer/Inspector Approved Release •
Sent By: Print Name
Form
G — Ravlsaa 3/01/2012
-
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: 79-625 VISTA CORALINA LN, BUILDING 10 (K)
Use classification: ASSEMBLY – COMMUNITY CLUBHOUSE Building Permit No.: 11-1278
Occupancy Group: A-3 Type of Construction: VB Land Use Zone: CP
Code Edition: 2010 Sprinkler Installed: YES Occupant Load: 244
Owner of Building: LQ HOUSING AUTHORITY
Address: 78-495 CALLE TAMPICO
City, ST, ZIP: LA QUINTA, CA 92253
_____________GREG BUTLER_____________ By: AJ ORTEGA
Building Official Date: MARCH 13, 2014