09-0877 (RC)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: 8/27/09
Application Number: 09-00000877 Owner:
Property Address: 79785 HIGHWAY 111 STE 103 KOMAR INV
APN: 600-020-034- - - 23 CORPORATE PLZ S 7
Application description: REMODEL - COMMERCIAL NEWPORT BEACH, 2 60
Property Zoning: COMMERCIAL PARK
Application valuation: 25000
C" y
Contractor: ^ .` c;
Applicant: Architect or Engineer: K M S CONSTRUCTION S
-. 23 CORPORATE PLAZA, #14��f^�:�..
NEWPORT BEACH, CA 92660
(949)718-4844
Lic. No.: 932143
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
1 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 in full force and effect.
License Class: B -C10 Li nse No.: 932143
Date ontractor: 1 —
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 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 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.).
(_ 1 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( 1 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: 1�
Lender's Address: 1
LQPERMIT
----------------------------------------------—
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 ZURICH INS Policy Number WC48659703
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
37000 of the Labor CoddII-shtall forthwith c ply with thoy provisions.
te�%�: iia icant:
WARNING: FAIL RE 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 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 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 t above-mentioned propert f pection purpose '
Date: nature (Applicant or Agentl: -9�a='�'i1�r'
r-1
-i>
Application Number_ . . . . . 09-00000877
------ Structure Information 3420 SF SHELL STE 103
-----
Other struct info . . . . . CODE EDITION
2007 CBC
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
SHELL
OCCUPANT LOAD
.00
1ST FLOOR SQUARE FOOTAGE
3420.00
2ND FLOOR SQUARE FOOTAGE
-------------------------- ----------------------------------------------------
.00
Permit . . . BUILDING PERMIT
Additional desc . . SHELL IMPROVEMENT TO STE 103
Permit Fee . . . . 252.00 Plan Check Fee
163.80
Issue Date . . . . Valuation
25000
Expiration Date 2/15/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
23.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
207.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . . 17.25 Plan Check Fee
4.31
Issue Date . . . . Valuation . .
. . 0
Expiration Date 2/15/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
----------------------------------------------------------------------------
2.25 '
Permit . . MECHANICAL
Additional desc .
Permit Fee . . . . 21.50 Plan -Check Fee
5.38
Issue Date . . . . Valuation . .
. . 0
Expiration Date 2/15/10
Qty Unit Cliarge Per
Extension
BASE FEE
15.00
1.00 6.5000 EA MECH VENT FAN
6.50
------------------------------------------------------------
-------:-------`
Permit . . . PLUMBING
Additional desc
Permit Fee . . 27.00 Plan Check Fee
6.75
Issue Date Valuation . .
. . 0
Expiration Date 2/15/10
LQPERMIT
R�
Application Number . . . . . 09-00000877
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12.00
----------------------------------------------------------------------------
Special Notes and Comments
SHELL IMPROVEMENT TO SUITE 103 (3420
SF). ADD SINGLE USER TOILET ROOM AND "U"
SHAPED PARTITION WALL. TYPE V -B
CONSTRUCTION 2007 CODES. NO OCCUPANCY
CLASSIFICATION.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN
(SB1473)
1.00
STRONG MOTION
(SMI) - COM
5.25
Fee summary Charged Paid
----------------- ------=--- ---------- ----------
Credited
----------
Due
Permit Fee Total 317.75 .00
.00
317.75
Plan Check Total 180.24 .00
.00
180.24
Other Fee Total 6.25 .00
.00
6.25
Grand Total 504.24 .00
.00
504.24-
LQPERMIT
0
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#in #
City of La Quinta , �, p°`
Building ff Safety Division
P.O. Box 1504, 78-495011e Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
I q -7
.0
Project Address.Owner'
71 78r7 0
- s Name:A.
T_ -_4"djr
P. Number: , .
&CZ�1_020_0_6* ,
Address: 23 CojC>,jahe
Legal Description:Famrc�e pm!;�6vo-
City, ST, Zip: � 6
Con��a�cto`rl
Telephone A*) P3 4 4
Address:
2?2 C0(Wa1%e_Tj2Za *2A_7
City, ST, Zip: e
Cil 92-UpoFe.,.A-A.V4
Project Description: _ . S r.;k.)
Telephone:
1.1..............................
1".., .............. ........
AAA Isecevl tec.Ay
State Lic. # :t9SQA'2-;)
. . . .. . .
City Lie.
Arch., Engr., Designer:l�c
47
Address:
City., ST, Zip: 4
CA' 9262,(o..
7,95-121of
Telephone
.... ......
Construction Type: Occupancy:
State Lie. N
Project type (circle one): NewAddn Repair. Demo
'
Name of Contact Person: iv��' ' �V1p
Sq. Ft.: 4 201
# Stories: k .—T
# Units:
jelepIC6–ne�#_ of Contact Person: 49,14A) -7
Estimated Value of Project: CPO
APPLICANT: DO NOT WRITE. BELOW THIS LINE
N
Submittal
Reqld
Rec!d
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount'
Structural Cales.
Reviewed, ready for corrections
Plan Ch . eck Deposit
Truss Cales.
Called Contact PJ", r -P _r7r111 57' Qn
Plan Check Balance
Title 24 Cales.
Plans picked up 7j r
Construction
Flood plain plan
A86 t,
Plans resubmi'tt4i It-, If! 2 U0 U
Mechanical
Grading plan
-
2'd Review, ready for correction issue
o6ue
_
Elect
.
Subcontactor List
Called Contact Person
Plumbing
•
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Reyiew,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 Permit Fees
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: B- /4-0 9
From: Les Johnson, Director -Planning Due Dater- 5�2-/-09
Permit #: Status:
0
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: e�5�.
Address or General Location: 7 9 - 76 5 / 1 1 103
Applicant Contact: ( �n�e'lC #7 JS
The Planning Department finds that:
❑ ...these Building Plan's do not require Planning Department approval.
1\4
...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
pljase return them to the Planning Department for review.
Les J
, Director -Planning
'0
AUG 17 Z009
city of La Quints
darning Oepa. fmant
Date
John.R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
4 -
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
Rubidoux CSD
4.
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
77-933 Las Montanas Rd STE 201 Palm Desert, CA 92211 • (760) 863-8886 Fax (760) 863-7072
August 20, 2009
Komar Desert
23 Corporate Plaza #247
Newport Beach, CA 92660
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-09-TI-025 Yamaha Golf Carts 79-785 Hwy 111 Suite 103 La Quinta,CA
You have been issued a release for a tenant improvement FOR BATHROOM ONLY on an existing
building. THIS IS NOT AN OCCUPANCY PERMIT. Actual TI plans shall be submitted to our office
for review.
Licensed C-16 sprinkler Contractor shall,install proper sprinkler coverage in new bathroom addition.
Plans shall be submitted to our office for reference only.
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,
By:
Ja Stubble
Fire Safety Specialist
Certificate of Occupancy
T-Vf 4 J4P 12UMM .
I�= Building & Safety Department
G 9�5
OF T
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
2007 California Building Code, certifying that, at the time of issuance, this was in
.structure
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 79-785 HIGHWAY 111 STE # 103
Use classification: COMM: (YAMAHA GOLF CARS OF PALM SPRINGS) Building Permit No.: 09-877
Occupancy Group: B Type of Construction: VN Land Use Zone: CR
Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 32
Owner of Building: KOMAR INV
Address: 23 CORPORATE PLZ #247
City, ST, ZIP: NEWPORT BEACH, CA 92660
By: STEVE TRAXEL
Building Official Date: OCTOBER 07, 2009
POST IN A CONSPICUOUS PLACE