11-0786 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
IL -11-00000786-7 _
79740 'HIGHWAY'111 STE
649-020-040- -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
12000
Tay/ 4 4v Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
101 99C ONLY STORES
C/O JEFF GOLD
4000 E UNION PACIFIC AVE
COMMERCE, CA 90023
Architect or Engineer:
rl K
------------------
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under isions of Chapter 9 (commencing with j
Section 7000) of Division 3 of the Bus' e s and Professionals C de, nd my Lice a is in full force and effect.
Licens lass: B e se o.: 9 7
te: ntractor.
OWNER -BUILDS ECLARATION
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 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:
LQPERMIT
Contractor:
J N P CONSTRUCTION SERVICES
73255 SHADOW MOUNTAIN
PALM DESERT, CA 92260
(760)404-2891
Lic. No.: 925797
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/15/11
r�•jJ!f� !r'U
� 1 a
2011 f
J
-----------------------------------------------
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.
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 STATE FUND Policy Number 32051
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any mann s as to become subjec o he workers' compensation laws of California,
and agree that, if I s�lto Id become subje to he orkers' compensation provisions of Section
�' P1� a Labor e, I shall Orthvupt coM1WZ:7!ons,
aTe: AnnlirantIMa (A IC�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIq 9NES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPLPNSATION, 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 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 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 th bove information is rr t. I agree to comply with all
city and county ordinances and state laws relating to bu' di g construction, and ere y authorize representatives
of this ceus y t enter upon the above-mentioned prop
for insp ction r o e
Date: C(,/! Signature (Applicant or Agent): -
Application Number . . . . . 11-00000786'
Structure Information
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type . .
. . . BUSINESS <50
Other struct info . .
. . . CODE EDITION
2010
FIRE SPRINKLERS
YES
OCCUPANT LOAD
20.00
-------7--------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2010.00
Permit. . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
135.00 Plan Check Fee
87.75
Issue Date . . . .
Valuation . .
. . 12000
Expiration Date . .
2/11/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
10.00 9.0000
---------------------------
THOU BLDG 2,001-25,000
L------------------------------------------------
90.00
Permit ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
32.25 Plan Check Fee
8.06
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
2/11/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
5.00 .4500
EA ELEC DEVICE/FIXTURE >20
2.25
----------------------------------------------------------------------------
Permit MECHANICAL
Additional desc . .
Permit Fee . . . .
24.00 Plan Check Fee
6.00
Issue Date . .
Valuation . .
. . 0
Expiration Date
2/11/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 4.5000
EA MECH VENT INST/ DUCT ALT
9.00
----------------------------------- ----------------------------------------
Special Notes and Comments
2010 SF INTERIOR T.I.
FOR OFFICES OF A
PEST CONTROL "TRULY NOLEN" BUSINESS.
TYPE V -B CONSTR. "B" OCC. TOTAL OCC.
LOAD = 20. 2010 CODES.
LQPERMIT
Application Number
. . . . .
11-00000786
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ACCESSIBILITY
PLAN REVIEW
8.77
BLDG STDS ADMIN
(SB1473)
1.00
ENERGY REVIEW
FEE
8.77
Fee summary
Charged
Paid
--------------------
Credited
----------
Due
-----------------
Permit Fee Total
----------
191.25
.00
.00
191.25
Plan Check Total
101.81
.00
.00
101:81
Other Fee Total
18.54
.00
.00
18.54
Grand Total
311.60
.00
.00
311.60
LQPERM(T _ _
Bin # J�
v J
City -of La Quinti.
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
040
Project Address: //J BOJ
Owner's Name: qq
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: u G Uh
TIO
}:..:Ari:�>:::;z:;:•w::;.,.>:;<>::{:;<::�:;
Telephone:tiin'«; swsra
Address: f73 ,5�5 &c461cw A
Project Description:
City, ST, Zip: Pam uzmt C h. qZZLc>/5
Telephone ZPIi. 1 (B
A261 eA
State Lic. # : City Lic.
Arch., Engr., Designer: M �/
Address:
,
City., ST, Zip: `� i7 - C;~ 5 2yo
Telephone:76,, • �i %J
y AiY'.yG'J:�{>.'i;Srif >f ;: fG:•.%4
}�::�:�.•�;�,nr>;z::v..;;�.��n M
n v,<s 3,•.•"'sl,
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person: Je)hyl L QtfdQr (I
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7tpo jeD t otp
Estimated Value of Project: ati,�, --
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
3
Plan Check submitted
7�2( it
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correction slue3
i1
Electrical
Subcontactor List
Called Contact Person
t)
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionstiissue '
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P. '
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495. CALLE TAMPICO (7 60) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD:—q-02/
From: Les Johnson, Director -Planning ` Due Date: '7 - Z8
Permit #: Status: / :56 ",e—
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: �� \;� 7�-,c-Q-�,�►./
Address or General Location: 7719� 740 /// ���. /O/ _
Applicant Contact: L% 0audowc,
The Planning Department. finds that:
❑ ...these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
❑ ...these Buil, ing Plans require corrections. Please forward a copy of the
attached co ctions to the applicant: When the corrections are made
klease return t em to the Planning Department for review.
L �onns n, Ulreclor--Planning
JUL 2.1 2011
city of LG ®uin."a
P'rJnning DOPGThent
&
Date
a
RIVERSIDE Coin FIRE DEPARTMEW
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
PROUDLY SERVING THE
UNINCORPORATED AREAS August 3, 2011
OF RIVERSIDE COUNTY
AND THE CITIES OF:
John R. Hawkins — Fire Chief
210 West San Jacinto Avenue — Perris, CA 92570
(951) 940-6900 — www.rvcfire.org
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
Truly Nolan 79-740 Hwy 111 #101 La Quinta, CA
BANNING
BEAUMONT
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT
CALIMESA
AN OCCUPANCY PERMIT.
CANYON LAKE
It is prohibited to use/process or store any materials in this occupancy that would classify it as an
COACHELLA
"H" occupancy per Sec. 307 of the 2010 CBC.
DESERT HOT SPRINGS
EASTVALE
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
INDIAN WELLS
Install door hardware and exit signs as per Chapter 10 of the 2010 CBC.
INDIO
JURUPA VALLEY
A minimum 2A1 OBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
LAKE ELSINORE
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
LA QUINTA
service tag attached to the extinguisher, or purchased from a retail store with a sales receipt
MENIFEE
attached. A licensed fire extinguisher company must service extinguisher yearly.
MORENO VALLEY
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel
PALM DESERT
at all times.
PERRIS
A durable sign stating "This door to remain unlocked during business hours" shall be placed on
RANCHO MIRAGE
or adjacent to the front exit door. The sign shall be in letters not less than one inch high on a
RuBIDOUX CSD
contrasting background.
SAN JACINTO
Approved suite address shall be placed in such a position to be plainly visible and legible from
TEMECULA
the street. Said numbers shall contrast with their background.
WILDOMAR
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.
BOARD OF
SUPERVISORS:
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections.
BOB BUSTER
A re -inspection fee will be required if more than one (1) inspection is necessary. Requests for
DISTRICT 1
inspections are to be made at least 72 hours in advance and may be arranged by calling (760)
JOHN TAVAGLIONE
863-8886.
DISTRICT 2
-
JEFF STONE
All questions regarding the meaning of these conditions should be referred to the Fire
DISTRICT 3
Department Planning & Engineering Staff at (760) 863-8886.
JOHN BENOIT
DISTRICT 4
• Sincerely,
MARION ASHLEY"
By:
DISTRICT 5•Jason
Stubb
Fire Safety Specialist