BCOM2015-0055.h
01
4 '�i
78-495 CALLE TAMPICO VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/16/2015
Application Number:
BCOM2015-0055
Owner:.
Property Address:
78982 HIGHWAY 111 STE 2
ONE ELEVEN LA QUINTA
APN:
643080047
46753 ADAMS STREET
Application Description:
SLEEP TRAIN MATTRESS STORE REMODEL/ PM 25865 SHOVLIN
LA QUINTA, CA 92253
c'o
Property Zoning:
c
Application Valuation:
$176,000.00
mol
rO
Applicant:
Contractor:
o o
1�+
GEOFF SPAETE
FRANS CONSTRUCTION INC
m
2641 IRVING BLVD
2364 N CORSEY WAY
DALLAS, TX 75207
-
EAGLE, ID 83616
n
aLn
(208)938-7960
z
Llc. No.: 597405
-'
V
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 597405
Date: 12 "/4,/ 5� Contractor
OWNER -BUILDER 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 is licensed pursuant to the provisions of the
Contractor's State License Law (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).:
( )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 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 burden of proving that
he or 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 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.).
( ) 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:
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.
gaa:f`1t5ve 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: _ Polity Number: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. — r7
Date: 12—&—� �� Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 Building Official 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 building
construction, and hereby authorize representatives of this city.to enter upon the
above-mentioned property for inspection purposes. /),)
Date: —I<— Signature (Applicant or Agent):
p- y 'E - y a.iz sf. .:�W .Eq"al �! S S:A '- : ..."b.`T."res",t`vO d`>ff2T,x,'-- ?-df4:"i'`4 •`; :''
}`
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HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 1 $145.00 $0.00
[ k r.:.... 6hs1.:�' vii«
PAID.BYwF <r"3+kr! i r 7!iy'y <pye.. f°..r�,>'"'.!'[? a '2.; <.Ty§, """""i^r.9:� �;'3 t"j...
CHECK #t CLTD
_< �:ks :' > rbcMETIiODi§%i.aRECEIFTa#3 a� BYE=
MM
Tdtal.Paid for BLDG CITY.STAFF -'PER HOUR: -' - $145.00 , $0.00-
;'d;.��£Y'vP`A
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,f: tw="'A. eR-jf'D:.
� � A000UNT 6��
QTY.
"ref..: �.�":d�""{Fi^.''"b
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PAI0-11T
tr: q.'r.3.e• Y22 .". D
AID DATE:
,. �� DESCRIPTION
'F3;
s
x��AMOUNT �
. ` ..
. Yom:' r
BSAS SB1473 FEE
101-0000-20306 _
0
$8.00
.$0.00
`, k $f.3sa"S
W - rr �` as.tt..
i, ['Y'-+:,. s.,d t< N m I t.. •$ -
-'3' -nf: r
METHODS
"-{w".:1 i`i 2 5
.' 'Yi`Yii
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'¢ F
CLTD BY'
f ., ���RECEIP�T#
f
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. �,.R€CHECK=#fl
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Total Paid for BUILDING'STANDARDS ADMINISTRATION BSA: $8.00 $0.00
$, r+'rmg.z^,r
DESCRIPT,10N '',m:
Y ACCOUNTh � i g 4'
QTY
AMOUNT
n3: x 'IX"
fiPi41D:DAT,E=
. a.t„n^.'-. cs!.. „,.::.:...+'r,..-w:•m-ten.. :art ar'zr..4f:T�o-sn�:§:=�»?c,:c'',N,;,xa:..,.h.Fs�s-co,fs�z£,.v.::
.-
SERVICES: _
101-0000-42403
0
$48.34
$0.00
x:¢ 0Zh.Ah'!e°L"'if ''ligd R 'e
PAID: BYre> *Eu
�'R'i..f' f, .aYx+:_'✓e
k;,._, METIIUU
RECEIPT# T�3�
CHECK #CLfTD
Y'
;q
:v.SNe-.i�..Zx,i4,
y�'
.
-.a.`C�x'r
..�ik49'a=.PY,.::'>.rL.r".A:l✓,:wt.:SY.'3'✓
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{ zq `>�r '�ACCUUNT
... YsaF"4.:`¢r?':a: a VIP;.
rr�
TY'AIVIOUNT'
' PAID�RAIFD`DATE
,DESCRIPTION
x��=a>5-a��'.'4:
im�'%5.3`v`x'�.
wTE'
SERVICES"PC
101-0000-42600
0
$24.18
$0.00
y, i "`F]g.•�Fi..�^
PAID BYW�i,�_
i-0. & .
.EC r:.} R 'bfi
£ph
M
F3 4
r E�'f'fbhD`iakc ' {
CHECK #
�y3:'. ,..r�. E:N�i'r�„=S
CLTD
s_>
e r ? ,
vk��MEyTHOD
t
N BYE.:
Total Paid for.ELECTRICAL: . , $72.52 '$0.00
ri4Pi`<� <.:: '.-,x .u.t?w'I +3$ rf[�`A:-,r
DESGRIPT1UNaA� i
��
""#'.:`&'" r:
7�QTY
" x•..
.dAii"xv:.➢.''>'N"":01
AMOUNT �
'M f$'-3'.SsRo ..5 ucr
p p� f
�1
:§''Sf:YSy ri'3ia9 ;Es
PAID OATE
:x
:: -'?: ^!'h„ .:'.h.TL. R. u �,x,C:_.G.X.Ysd.'kr.W.J?. �Y''.fi5-F._
��ACGOUNT
w._..s. _ ...,,o..° s$E:i..Zv41..._ _4. .,...Fx•h „C6'�A„_
$,_ 2rSr'E x..
.-£'�_ - L,. _n
y AA1D
APPLIANCE' REPAIR/ALTERATION
101-0000-42402
0 ,'
$72.54
$0.00
Tyr L,2 e :: .�. ,. :-+,ti.,:i, .,,�Y s.., :�irA't`'-t..'?"r✓
n PAID?BY�3 ar
U..�i. Y7r`
r t METHOD- F:sm
::k�' "'-," '..v.&"v"•."5. 2Yyt{
, cC�
ECEIPT'#}
CHECK #
1 CLTD BY
✓�hhaS s,. S(: C:, x5'.f'. tYn'.`2i, tC',. ^CAtUH.Y OEM
R
h.. �k'FaAnC''P3Y
q q
y
„e-_S9;x•;+,a� `�F)i.�a, °.�-:"„�'
r z
.,' �&i a"s��;",".:x'".3..N`;; �"`
:t°krRu' -i
i���:3.�>�:!�,�E '4Si, '� �r
�*'�'E•-„4'. iS aF,?S-�'
Pi41D
PAID DATE;
z .DESCRIPTIfON.*g�ACCOUNT��f.4TY
s
Mr,
y
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$28.98
$0.00
a,r:t,`s??Tir-`'k y4
PAIDBY
ie
.�x� - u
RECEIPT##CHECK#.E
CLTD BY
r.e..; ::. ;,,�sMETHOD"e
X.
...t.
a
ACCOUNT!QTY
`E
2. if . M A-'
`af,oS' - '' by 'Ta'{
�:rr� . .
PAIDPAID,DATE'
€�.
.1DESCRIPTION r
iAMOUNT�Y}�
s..r 3-, :+tx`'
,.-i" f.t:.�n. .n.5t.9�:'f";
VENT FAN
101-0000-42402. "
.0
$24.18
$0.00
-f! ye'Sv�
B �§
.
'if .�^ ' F,5:.:'�
1`X."..rA 3
RECEIPT #
CHECKS#� y
BY
aPAIU a�a �
E ..." METHOD M, ..
xCL7D
:.}•ar•,fi'.._.._x
I-J:. `.°:.a w;`�k.
dyeL g:Les24'4'$!i2i 4d3.&`;:tir.1.
DATEn
, "YDESCRIPTION
,.. ,ACCOUNT a
.gTklfsAMOUNT
.�,xPAID`
ixPi41U
VENT FAN PC
101-gam0000-42600 ,
0
$9.66
$0.00
r. "'-", et :'4•�'t,7 : fx `'..'�,_.q�,zs y9^jY�'{"Z4agrY`T' - Y C
x { #PAIDBYe k tgg�
Y9'.-E
tial.: .."PiuRe9:;)M i5- '°S`Wtt afA°pwY
METIiOD
rs
' a�,'xEY.Pi', q+a4 Y9:m-
RECEIPTSCHECK
i.=fr: .S{: vrY.diY�, 'e�faroi i'
#k
CLTD BY
,
;<, .
x>uar,�_ - ro&,,,m.�...a€;.>:.:�,uM;XZ
.:r5t `z.�, <✓s,
a
.r'sa�b:., �,.c"..,«..,,,�:,..
Total Paid for MECHANICAL:, $135.36. $0.00
4 q.e:r .i^r."}'. tfz4+,G•z i.yea`':�f:t?nt''E`1_�l''S.
s ?4DESCRIPTION n
a�' ,?,';
w �,s �A000UNT�
"''u'. ,�i„2,..d'.ksub
.,S*.:3��r"a
^� :
{vCZiTYAMOUNTk
N��PAID
xPAIUILDATE
FIXTURE/TRAP
101-0000.42401
0 $72.54
-
d
t PAID BYE: G�x
',RN �:u: fa' •i.(1fY^ CS ..Rr
,f 3`` = yr„:
..Elm;1`:..r: :fi„.7''`.� :..v"t
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CL*TD BYf
rte.y- aF g:,��METHOD��RECEIPT#CMECK
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J
775N-Tt '.'YY'Ea
DESCRI
DESCRIPAID
TI.
"W"M
lh
QTYm
AMOUNTS5_
1
PAID°DATEPTION
WATER HEATER/VENT
101, 0000 2401
O
$12.09
:$0.00
q. 501
ET
R E C E I FT1 #
xagm CHECK
H _nffi N 14,eii ..............
I Um
�Rf
�NKAII,%
MN
am
T
QTY
0 gp
I AMOUNT WNR
k m
RE ?fflw`IMR
Z
�PAIMDA,,
�
WATER HEATER/VENT PC'
101-0000-42600
0
$7.25
$0.001
"N "M PAID,'
q A'
V1 - N
N ECK!#f;11,jX:li
T
;4W 5
;MET
V Ol
EI!II54
=-kRECEIP
,T1W
DESCRIPTION,,,� 4W
q
nf.
M'
-AMOUr,11gWmg.",
PAID
E a
w
ff�Rii
WATER SYSTEM INST/ALT/REP
1017060642461
O
$12.09
$0.00
A � d A
-METHbj
RECEIPT. c.
SR.
HE.
M .is
an
i- FcrtY
Y
'AMOUNI
iPAIDZATE��
'A 7XT
WATER'SYSTEM INST/Aliii Pc•
101-0000-42600
0
$12.09
$0.00
i' 'm me.
vig-ggg ly �. 1
; p",
t N�METMODJA IN
mm m—,
TRECEIF ,,j
7 CHECKAI:
1T.M.BY
VMR
'T
Zim ;4
i.��,_N.
Total Paid for PLUMBING FEES:. $lifi.i $0.00'
;3ESCRIPTIONN
I- -i
'PAID DATE
I
MANQUNj.
N4,11T�*
T>PAIDf;`
REMODEL; EA ADDITIONAL500 SF...
0;$19
5.75
A I DI BW�.,;,31,4k' i !�
-,- 6 mill,
IVAECEIR.T4#
MW �,,;RO"
CHECK #CITU
BY
A� 1,5N& ��
M A R
U,
5 R, 4,
s
SCA R
141MWI.411�
ON MOM
N.W
U!,
X �iz�
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
-$156.60
$0.00 -
N�Ati; !,I,' gmg
M Mi @l N S 101 ge
METTHOE 10
C14 -W
LTDIBY.n
..........
�!%Xl AN. qk:y, i W
3 KIN
RP
M�
ll c1
,
W 0
ap,MUV W
mNbE
m-
11111
AR5011"m.
...REMOD,ELjIRST 100 SF -
101-000042400
0 $49.31
$0.00
1PAIMBYfl,`h1'i4
g, ORR
'g0l 9 R E C E I PT4, # n
-k HE
ss
RzNj
-C
. ..... ..
ft
F!jT
lw E
�rxtiz
mim
AMOUNT,Mil
r�10 11111;:. WA*zp0n_11g$,NN�
"+�QTaY: PAID
-11T.q iR �_i
,CCOUNT Mug
-x "Ii
,0ATE
PAIS T1.
..REMODEL, FIRST 500 SF PC
'101-0000-42600
01
$134.88
$0.00
PA I Q`BY,,`�
-gi 'g ;,gg
X
'HOD'
]PT*�,� "?il1
50
!.-NT
RCHECK#
:MARM.sm
NO
.0mmama.mm�aMENE-E&E..;
NO
g
Total Paid for REMODEL: $536.54, $0.00
1!�P VT
K
ACCOUNT
x
ul
r1
"'N
0IDATE
A.i
'
_
SMI -'COMMERCIAL
101-0000-20308
0
.$49.28'
-s0.00
BY
Merl .011
_00 1�,,MET!H0Dfflm U);
RECEIPT?&; _10
ECK4 N
P:1
PIN
lo 7RA
Total Paid for STRONG MOTION INSTRUMENTATION,SMI: $49.28, $0.00,
inciispol
Description: SLEEP TRAIN MATTRESS STORE REMODEL / PM 25865 SHOVLIN
Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED
Applied: 10/14/2015 SGU
Approved: 12/15/20151JO
Parcel No: 643080047 Site Address: 78982 HIGHWAY 111 STE 2 LA QUINTA,CA 92253
Subdivision: PM 25865 Block: Lot: 9
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $176,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NOTE
Details: INTERIOR ALTERATIONS. RECONFIGURATE EXISTING FLOOR PLAN FOR MATTERESS DISPLAY AREA AND REMODEL BATHROOM AREA.
SLEEP TRAIN MATTRESS STORE. PER 2013 CBC CODES
Printed: Wednesday, December 16, 2015 2:45:42 PM 1 of 4
SYS7EnAS
'ADDITIONAL
CHRONOLOGY
'CHRONOLOGY TYPE
STAFF NAME -
ACTION DATE COMPLETION,DATE
NOTES
NOTE
STEPHANIE GUMPERT
10/28/2015
10/28/2015
SENT FEDEX TO 'APPLICANT PER REQUEST BY IDGROUP
PLAN CHECK SUBMITTAL
KAY HENSEL
10/14/2015
10/14/2015
3 SETS OF PLANS RECEIVED BY MAIL. 1 SET TO PLANNING
RECEIVED
FOR REVIEW.
RESUBMITTAL
STEPHANIE GUMPERT
12/4/2015
12/4/2015
CALLED ARCH IN IRVINE TO INFORM THEM PLANS ARE READY
TELEPHONE CALL
JIM JOHNSON
10/27/2015
10/27/2015
FOR CORRECTIONS, THEY WANT TO ARRANGE THAT THAT
THE PLANS BE FED -EX TO THEM.
CONDITIONS
CONDITION*. — DATE DATE DATE,-
STATUS REMARKS NOTES
TYPE ADDED REQUIRED SATISFIED
READY TO ISSUE FIRE DEPT. APPROVED 12/4/2015, PLANNING
JIM JOHNSON .12/15/2015 12/15/2015 PENDING
CHECKLIST . DEPT APPROVED 10/28/2015.
Printed: Wednesday, December 16, 2015 2:45:42 PM 1 of 4
SYS7EnAS
Printed: Wednesday, December 16, 2015 2:4$:42 PM 2 of 4 CR?
SYSTEMS
FINANCIAL
•• t •
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
21P PHONE FAX EMAIL
APPLICANT'
GEOFF SPAETE
2641 IRVING BLVD
DALLAS
TX
75207
CONTRACTOR
FRANS CONSTRUCTION INC
2364 N CORSEY WAY
EAGLE
ID
83616
OWNER
ONE ELEVEN LA QUINTA
46753 ADAMS STREET
LA QUINTA
CA
92253
Printed: Wednesday, December 16, 2015 2:4$:42 PM 2 of 4 CR?
SYSTEMS
FINANCIAL
•• t •
DESCRIPTION ACCOUNT. QTY. AMOUNT
PAID
PAID DATE RECEIPT. # CHECK # METHOD PAID BY CLTD
- BY
HOURLY CHARGE - 101-0000-42600 1 $145.00
BLDG CITY STAFF
$0.00
Total Paid for BLDG CITY STAFF - PER HOUR: $145.00 $0.00
BSAS SB1473 FEE
101-0000-20306
0
$8.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $8,00 $0.00
BSA:
SERVICES
101-0000-42403
0
$48.34
$0.00
SERVICES PC
101-0000-42600
0
$24.18
$0.00
Total Paid for ELECTRICAL: $72.52 $0.00
APPLIANCE
REPAIR/ALTERATION
101-0000-42402
0
$72.54
$0.00
APPLIANCE
REPAIR/ALTERATION PC
101-0000-42600
0
$28.98
$0.00
VENT FAN
101-0000-42402
0
$24.18
$0.00
VENT FAN PC
101-0000-42600
0
$9.66
$0.00
Total Paid for MECHANICAL: $135.36 $0.00
FIXTURE/TRAP
101-0000-42401
0
$72.54
$0.00
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00
'
Printed: Wednesday, December 16, 2015 2:4$:42 PM 2 of 4 CR?
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
RETURNED
STATUS
REMARKS
NOTES
DATE
BY
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
10/21/2015
REVISIONS REQUIRED
1ST PLANNING (2
JAY WUU
INST/ALT/REP
10/28/2015
10/22/2015
READY FOR APPROVAL
WK)
WATER SYSTEM
101-0000-426000
INTERIOR REMODEL "SLEEP TRAIN"
$12.09
$0.00
1 12/4/2015
12/18/2015
12/15/2015
APPROVED
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $116.06 $0.00
REMODEL, EA
101-0000-42400
0
$195.75
$0.00
ADDITIONAL 500 SF
REMODEL, EA
101-0000-42600
0
$156.60
$0.00
ADDITIONAL 500 SF PC
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
$0.00
REMODEL, FIRST 500 SF
101-0000-42600
0
$134.88
$0.00
PC
Total Paid for REMODEL: $536.54 $0.00
SMI - COMMERCIAL
101-0000-20308
0
$49.28
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $49.28 $0.00
TOTALS:0. ••
PARENT PROJECTS
Printed: Wednesday, December 16, 2015 2:45:42 PM 3 of 4 rTl
SYSTEMS•
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
STATUS
REMARKS
NOTES
DATE
IST BLDG NS (2 WK)
JIM JOHNSON
10/14/2015
10/28/2015
10/21/2015
REVISIONS REQUIRED
1ST PLANNING (2
JAY WUU
10/14/2015
10/28/2015
10/22/2015
READY FOR APPROVAL
WK)
INTERIOR REMODEL "SLEEP TRAIN"
2ND BLDG NS (2
JIM JOHNSON
1 12/4/2015
12/18/2015
12/15/2015
APPROVED
WK)
Printed: Wednesday, December 16, 2015 2:45:42 PM 3 of 4 rTl
SYSTEMS•
Printed: Wednesday, December 16, 2015 2:45:42 PM 4 of 4
CBFW.,YSTEMS'
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5� City. of La Quinta
. Building 8r Safety Division
P.O. Box 1.504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Buitding Permit Application and Tracking Sheet
Perinit #
Project Address:
Owner's Name:.
A. P. Number.
Address: nn -,L
Legal Description:
�
City, ST, Zip: (Zpy f/or
Contractor:
Telephone: rlI2D 1qtr7 w`,s ;
Address:
Project Description:
City, $T, Zip:
Telephone:v.•'
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1(
_ _
State Lia # : 5 / 1 �b
City Lie'. #
Arch, Engr., Designer:a ,¢ .
Address: 0(04L/ylt_/(77,
City., ST, Zip:
Telephone: 806 .r
State Lic. #: C.� 3�/� %N.
Name of Contact Person: C5� A-C�
Construction Type:.�' � Occupancy:
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Project type (circle one): New Add'n Repair Demo
Sq. Ft.: 4"5700 # Stories: # Unit$:
Telephone # of Contact Person: 6-5e, (� �dC�
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Estimated Value of Project: ODS
APPLICANT: DO NOT WRITE BELOW THIS -LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Pians picked up
Construction
Flood plain plan
Pians resubmitted'.Mechanical
Grading plan
rd Review, ready for correctionstiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review', ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
Ad:P.P.
Pub. Wks. ApprDate
of permit issue
School Fees
Total O-FNes
OCT 1 3. 2015
CI7'Y.Oe LA QUINTA
COMMUNITY DEVELOPMENT
.z
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALI M ESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUX CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
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)
wcfreww.ryq,.a.
org9-
October 19, 2015
Rob Jacknewitz DEC U 4 2015
2324 Hampton Ave CIN OF LA QU11V Ir k 0071
Saint Louis, MO 63139 COMMUNITY DEVELOPMENT
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ-I5-TI-028_ Sleep Train 78982 Hwy 111 Suite 2 & 3I;a 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 2013 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2013 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.
A durable sign stating "This door to remain unlocked when building is occupied" 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.
Display street numbers in a prominent location on the address side of building(s) and rear access if
applicable. All addressing must be legible, of a contrasting color with the background and
adequately illuminated to be visible from the street at all hours. All lettering shall be to Architectural
Standards.
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.
F!,
As it may liq necessary to maintain proper fire sprinkler protection due to constructions changes, fire
sprinkl,ystem plans for the tenant improvement area may be required to be submitted to the Fire
Department for review.
J
A five year sprinkler service and certification for the existing fire sprinkler system is required per Title
19. A licensed C-16 contractor must complete the servicing and certification. Documentation of
completed work must be submitted to the appropriate Fire Protection Planning office. The maintenance
records for the fire sprinkler system must be available on-site for review by field Inspector/personnel.
The existing fire alarm system shall be modified to provide proper coverage as required by the
California Building Code, California Fire Code and adopted standards. A C-10 licensed contractor
must submit plans to our office for review and approval prior to installation.
Applicable room door(s) shall be posted "ELECTRICAL", "FACP", "FIRE RISER" AND "ROOF
ACCESS" on the outside of the door so it is visible and in a contrasting color.
Nothing in our review shall be construed as encompassing structural integrity. Review of this plan
does not authorize or approve any omission or deviation from all applicable regulations. Final
approval is subject to field inspection.
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,
%S
Fire Safety Specialist
r..
Permit Number: BCOM2015-0055 Description: SLEEP TRAIN MATTRESS STORE REMODEL / PM 25865
SHOVLIN
Applied: 10/14/2015 Approved: Site Address: 78982 HIGHWAY 111 STE 2
Issued: Finaled: City, State Zip Code: LA QUINTA, CA 92253
Status: REVISIONS REQUESTED Applicant: <NONE>
Parent Permit: Owner: ONE ELEVEN LA QUINTA
Parent Project: Contractor: <NONE>
Details:
INTERIOR ALTERATIONS. SLEEP TRAIN MATTRESS STORE. PER 2013 CBC CODES
Printed: Wednesday, 28 October, 2015
1of1
B?�SYSTEMS
LIST OF
RETURNED
SENT DATE DUE DATE
TYPE
STATUS REMARKS
DATE
TE
Review Group: BLDG 1ST (2WK)
10/14/2015
10/21/2015
10/28/2015
1ST BLDG NS (2 WK)
JIM JOHNSON
REVISIONS
REQUIRED
Notes:
10/14/2015
10/22/2015
10/28/2015
IST PLANNING (2 WK)
JAY WUU
READY FOR
APPROVAL
Notes:
INTERIOR REMODEL "SLEEP TRAIN"
Printed: Wednesday, 28 October, 2015
1of1
B?�SYSTEMS