BCOM2016-005778-495 CALLE TAMPICO -
LA QUINTA, CALIFORNIA 92253
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DESIGN.& DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BCOM2016-0057
Property Address:
79740 HIGHWAY 111 STE 101
APN:
600010021
Application Description:
TRULY NOLEN / TI ADD ADJACENT SUITE
Property Zoning:
Application Valuation:
$7,000.00
Applicant:
TENANT IMPROVEMENT
CO
75-400 20TH AVENUE
SKY VALLEY, CA 92241
;
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/14/2016
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D 363 C EGA BLV
DEC 14 201fi ES OL COD, CA 92253
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT 'I' ft; OVEMENT CO
75-400 20TH AVENUE
SKY VALLEY, CA 92241
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.: 538824
m�
Date: � q-1 e— r Ccintractor.
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).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure isnot 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:
(760)408-5473
Llc. No.: 538824
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: EXEMPT 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.
Da- to �L ����p�lica�nt:
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. i / /
Da
Date: //Z �—, !Zsignature-(Applic— an o Agent)
Date: 12/14/2016
Application Number: .
BCOM2016-0057
Owner:
Property Address:
79740 HIGHWAY111 STE 101
BEHRSTOCK PROP
APN:
600010021
363 N LA CIENEGA BLV
Application Description:
TRULY NOLEN / TI ADD ADJACENT SUITE
WEST HOLLYWOOD, CA 92253
Property Zoning:
Application Valuation:
$7,000.00
Applicant:
Contractor:
TENANT IMPROVEMENT
CO
TENANT IMPROVEMENT CO
75-400 20TH AVENUE
75-400 20TH AVENUE
' SKY VALLEY, CA 92241
SKY VALLEY, CA 92241
(760)408-5473
•. ---------------------------------------------------------------------------------------------
Llc. No.: 538824
Detail: ENLARGING UNIT
TO INCLUDE SUITE 102 AND 101. UNIT 102 USE TO BE A CLEANERS. ALL CONSTRUCTON SHALL COMPLY TO 2013 CBC CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: -$17.74
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT'
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC'
101-0000-42600
0
.$12.67
Total Paid for PLUMBING FEES: $50.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$136.80
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$109.44
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
` Total Paid for REMODEL: $439.28
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bit) t
City of La Quilita
Buir`ding a Safety Division
P rmit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: Owner's Name: 9 D 6 's,r
A. P. Number:
Address' 3 (v3(o F
Legal Description:
City, ST, Zip: % S roti A'Z
Contracto . A N 20 �• v
yv T c c
2w--P
Telephone:
P
Address: '75$!06
Project Description:
City- ST, Zip: j k L)eA i-C Ci4 �Z /
,� N s � A 4- w I 'C.-+►oe�w -j- D oeil/Z6yo -e Nt
TelPo e h ne•iv QE
Ci
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State Lie. #
City Lie. #.:
L 6 fJ7- w le r 4— (4 T r_ y� t '�
Arch.,'Engr., Designer:
Address: C8 S 2— ^i
City, ST, Zip:
h
Telephone:
one:
aneY
:Cons
taction Type: Occupancy:
-
ProjectStateLic.,_ type circle one): New Add'n e1 Re air Demo
0
Name of Contact Person: t/1 �C_ (244 SS E A
Sq. Ft.: /d 0cC)
# Stories: _-L
# Units: Z_
Telephone # of Contact Person: ?&o --4/.0 B S Y1 3
Estimated Value of Project: 7 aCJO =r®
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Pian 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 corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees.
Total Pcrmit Fecs
--
t
�S
Permit Number: BCOM2016-0057
Applied: 11/4/2016 Approved:
Issued: Finaled:
Status: UNDER REVIEW
Parent Permit:
Parent Project:
Details:
Description: TRULY NOLEN / TI ADD ADJACENT SUITE
Site Address: 79740 HIGHWAY 111 STE 101
City, State Zip Code: LA QUINTA, CA 92253
Applicant: TENANT IMPROVEMENT CO
Owner: BEHRSTOCK PROP
Contractor: TENANT IMPROVEMENT CO
RETURNED
SEN DATE DATE
LIST OF
DUE DATE TYPE CONTACT STATUS REMARKS
Review Group: AUTO
11/9/2016
11/21/2016
1ST BLDG NS (2 WK)
BUILDING BUCKET
Notes:
11/9/2016
11/21/2016
IST PLANNING (2 WK)
PLANNING BUCKET
Notes:
Printed: Wednesday, 09 November, 2016 1 of 1
MWSYSTEMS
r:
0
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALI M ESA
CANYON LAKE
C OAC H E LLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
CAL FIRE - RIVERSIDE UNIT
RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
` Fax (760) 863-7072
www.rvcfire.org
December 8', 2016
Vic Casserly
75400 20' Avenue
Sky Valley, CA 92241
Re: Building Tenant Improvement — Truly Nolan
• LAQ-I6-TI-032 79740 Highway 111 Suite #101 & #102 La Quinta, CA
Fire Dep ilment personnel have reviewed and have approved the plans you submitted for the
above r<enced project. Please be advised the following conditions apply as a part of the
Condit n^ fo '1 a issuance of a building permit.
The foll ming ca >< ions must be met urior to occunanev:
1) Fire Sprinkler — Tenant Improvement plans must be submitted and reference the installing
contractor performing the work. If adding or relocating 10 or less heads, Riverside County?
Fire Department will not charge forthis plan review, but will still need 'to submit plans/
Peimiffees in the amount of $614A0 wilTbe required'if over 10 spriiikldr heads:
2) Fire Alarm — Tenant Improvement plans must be submitted and reference the installing
contractor performing the work. Permit fees in the amount of $627.00 will be required.
3) Kitchen Hood, Suppression — Tenant Improvement plans must be submitted and reference
the installing contractor performing the work. Permit fees in the amount of $215.00 will be
required.
4) High -Pile & Rack Storage — Tenant Improvement plans must be submitted showing the
changes of layout and type of racks and shelving as affected by this tenant improvement.
Permit fees in the amount of $348.00 will be required.
Buildings/facilities
1) Install Knox Key Lock box, mounted per recommended standard of the Knox Company. If
the building/facility is protected with a fire alarm system or burglar alarm system, the lock
boxes will require "tamper" monitoring. Special forms are available from this office for the
ordering of the Key Switch. This form must be authorized and signed by this office for the
correctly coded system to be purchased.
2) Provide keys 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.
3) Approved building address shall be placed in such a position as to be plainly visible and
legible from the street and rear access if applicable. Building address numbers shall be a
minimum of 12". Minimum 6" tall suite addressing shall be provided to both the front and
rear entrances. All addressing must be legible and of a contrasting color with the background
and adequately illuminated to be visible from the street at all hours.
Other requirements:
1) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. All new
and existing portable fire extinguishers shall have current annual servicing performed and
tagged.
2) All kitchen hood suppression systems must have current servicing performed and tagged.
3) All kitchen hood and ventilation systems shall have records of inspection and necessary
cleaning in compliance with CFC 609.
4) 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.
5) A durable sign stating "This door to remain unlocked during business hours" shall be placed
on or adjacent to the front exit doors. The sign shall be in letters not less than one inch high
on a contrasting background.
6) Illuminated Exit Signage and Egress Illumination placement and functional test will be
witnessed by OFM Fire Inspector at time of final inspection.
7) Each room with an occupancy load of over fifty people shall be posted in a
conspicuous place on an approved.
8) All egress doors shall comply with the California Building Code for proper door hardware.
The Fire Department approved plans and conditions letter must be at the job site or NO inspection
will be performed.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections.
Requests for inspections are to be made at least 72 hours in advance and may be arranged by
calling (760)863-8886.
SUBJECT TO FIELD INSPECTION - 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.
All questions regarding the meaning of these conditions should be referred to the Office of the Fire
Marshal staff at (760)863-8886.
Lisa Nottingham — Fire Safety Specialist