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04-4484 (CSCS)T-V.f 44Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 WE5 (760),777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . �04-0.0004484; Date 1/27/05 Property Address . . . . . . 79740 HIGHWAY ill APN: 649-020-040- - - Application description NEW COMML - STORES & CUSTOMER SERVICE Property Zoning . . . . . .. . REGIONAL COMMERCIAL Application valuation . . . . 235422 Owner Contractor ------------------------ 99C ONLY STORES ------------------------ MOOREFIELD CONSTRUCTION, INC. .0/O JEFF GOLD 3415 S. SEPULVEDA BLVD 4000 E•UNION PACIFIC AVE LOS ANGELES CA 90034 COMMERCE CA 90023 (310) 390-9400 WCC: STATE FUND WC: 1686016 03/31/05- CSLB: 397892 02/28/05 CCC': B ------ Structure Information BLDG "A" SHELL ------ Construction Type . . . . . TYPE V - NON RATED Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 FIRE SPRINKLERS YES MIXED. -USE OCCUPANCY SHELL PATIO SQ FTG 676.00 ------------- 1ST FLOOR SQUARE FOOTAGE 5167.00. --------------------------------------------------------------- • Permit Additional desc BUILDING PERMIT a Permit Fee 1115.50 Pi ii Check Fee 20.00 Issue Date . . .' . Va tiPEB 04.2005. 235422 Qty Unit Charge Per CIT1fOFLAQUINTA Extension BASE FEE FINANCE DEPT. 639.50 136.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,0.01-5 0,000 476.00 Permit . . . . ELEC-NEW COMMERCIAL Additional desc ". Permit Fee . . . . 118.34 Plan Check Fee 29.59 Issue Date Valuation . . . . 0 Qty _Unit Charge Per Extension BASE FEE 15.00 5167.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 103.34 Permit MECHANICAL Additional desc Permit Fee . . . . 97.50 Plan Check Fee 24.38 P.O. BOX 1504 • V .. VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Professionals Code, and my License is �((��,,full force and effect. /�� p�i License Class /S License No. 3 1 % O f Z Date % ' O S Contractor 1�1 001).• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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. _ 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. M ers' compensation insurance carrier a d is numbZr are: P �, Y P p� 01 y Q Carrier J/ Pr7� ✓/✓/� Policy Number ! !C(�O�/6 _ 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. Date Applicant WARNING: FAILURE TO SECURE WOR RS' 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. 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of 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 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 160 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 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 county to enter upon the above-mentioned property for inspection purposes. Date Z — �� Signature (Applicant or Agent): Page 2 Application Number 04-00004484 Date 1/27/05 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 11.0000 EA MECH FURNACE >100K 33.00 3.00 16.5000 ---------------------------------------------------------------------------- EA MECH B/C >3-15HP/>100K-500KBTU 49.50 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . .108.00 Plan Check Fee 27.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 3.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER' 45.00 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments COMMERCIAL SHELL BUILDING "A" - 5,167 SQ . FT . TYPE • VN CONSTR . [M OCC. PROPOSED] 2001 CODES. ($777.59 PC RETAINER CREDITED TO ENERGY AND -BLDG. PC FEES) **PERMIT DOES NOT INCLUDE BLOCK WALLS, TRASH ENCLOSURE, TEMP POWER AND SITE LIGHTING** ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN.PUBLIC PLACES -COM 1157.11 DIF CIVIC CENTER - COMM 490.86 DIF FIRE PROTECTION -COMM 165.34 HOURLY PLAN CHECK 35.00 STRONG MOTION (SMI) - COM 49.43 DIF STREET MAINT FAC -COMM 118.84 DIF TRANSPORTATION - COMM 8907.90 Fee summary Charged Paid Credited Due +,J Page 3 Application Number . . . . . 04-00004484 Date 1/27/05. --------------------------- Permit,Fee Total 1454.34 -------------------- .00 .00 ---------- 1454.34 Plan Check Total 100.97 .00 .00 100.97 Other Fee Total 10924.48 .00 .00 10924.48 Grand Total 12479.79, .00 .00 12479.79 Date 2/4/05 No. 26862 Owner 99 Cents Only Stores Address 4000 Union Pacific Avenue City Commerce Zip 90023 Tract # Type Commercial CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units ?c o BERMUDA DUNES r Cr RANCHO MIRAGE d INDIAN WELLS PALM DESERT y LA QUINTA ,� "Q IN0 O 649-020-040 La Quinta 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 79740 Highway 111 5167 Unit 6 Unit 2 Unit 7 ,Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments Building A At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of -$0.36 X 5,167 S.F. or $1,860.12 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Wells Fargo -James Ruddocks Check No. 0062102803 Name on the check Telephone Funding Commercial By Dr. Doris Wilson Superintendent Fee collected /exempted by Sh. ron Gilvr y Payment Recd o.00 $1,860.12 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District(s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting PUBLIC WORKS/ENGINEERING DEPARTMENT CLEARANCE SHEET FOR BUILDING PERMITS Date: I:r< Tract No: 2 8 5 7 3 Address(s): Aj Developer: `9e-� ��5 .��FL«, Lot No. (s): The following are the requirements for Green Sheet clearance to issue a building permit for the subject building lot(s)- Proposed building locations are legal -lots, final map recorded. Attach or .previously submitted (current within 6 months) Pad Elevation Certificates in compliance with the approved design elevation for building. pad (deviations of + 0.1 foot). Attach a complete Fugitive Dust Control (PM -10) Plan and packet. COMMERCIAL BUILDINGS (additional requirements to the above): Precise grading plan approved. I011R1o4- I have reviewed and confirmed the requirements listed above and find the improvements to be sufficiently) complete, except as.specially provided below, for construction of the proposed structures) on'the subject' lot(s). Pursuant to my findings;1d that the above may be released for building permit issuance. Recommended by - Dated: I= SPECIAL PROVI O : Buileng & Safety. has been advised that it is appropriate to issue the Building) Permit; however, the Certificate of Occupancy should not be authorized until the following issues have been addressed: Ce' c iia z c—G 1� . �� .► �-� F068 HE;, 1, !iO4 Foicipr i! P.O. Box 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 To CDD: M /o -2k of From: Oscar Orci, Planning Manager Due date: 5-24-2-o" , /) S- status: 3J4 3'f' Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: 79-740 Highway 111 Bldg A (Shell) and 79-800 Highway 111 Bldg C (Shell) Address or general location: 2.39 acres in the Northeast Portion '/ of Section 29, Township 5 South Applicant Contact: Bill Sanchez 485-5308 or Keith 949-474-8714 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ...these Building Plans are approved by the Community Development 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 Community Development Department for review. �1!5iAJ\ M Oseaf4)m, Planning Manager Date P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager From: Oscar Orci, Planning Manager BUILDING & SAFETY DEPARTMENT (760) 777-7012 FAX (760) 777-7011 Building Plans Approval (This is an approval to issue a building permit) -7 /N/oL/ To CDD �"() Due date:Z Statusa.st Review .a The Community Development Department has reviewed the Building Plans for the following project: Description: COMMERCIAL SHELL BUILDNGS Address or general location: 79-740, 79-800 HWY 111 Applicant Contact: KKE ARCHITECTS The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. these Building Plans are approved by the Community Development Department. -A,&- ... these A,&- ...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 Community Development Department f6r review. PA Oscar Orci; Planning Manager Date ti YOUNG ENGINEERING SERVICES •Engineering •Architecture•Surveying• Building & Safety Services Letter of Transmittal To: City of La Quinta Building and Safety Attn: Ed Randall Tel No.: Date: Project P/C#: Tract No.: 6-2-04 79-740 + 79-800 HWY 111 Bld'g A and B 0402-154 (2ndcheck) We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: 1 Plans (redlined) 1 Plans (revised) 1 Structural calculations (1St submittal) 1 Structural calculations (2°d submittal) 1 TJI truss calculations 1 Laminated beam takeoffs / shop drawings 1 Non-bearing wall fire ratings UL report 1 Soils report Comments: Structural content is approvable. This Material Sent for: Your Files X Per Your Request Your Review Approval Checking 'At the request of: Other By: John W. Thompson Phone # 360-5770 ext. 102 77-804 Wildcat Drive, Ste. C •Palm Desert, CA 92211 • (760) 360-5770 *Bron Young •