07-1162 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-OOOOi162`,
Property Address: 79800 HIGHWAY 111 STE 106
APN: 649-020-040- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 75000
I '
T4ht 4 1w 4"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lic ed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and 0. Is
Code my License is in full force and effect.
License Class: B Li n o.: 713882
Date:^< f• 0'?—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 ISec. 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 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 _ 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) 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
r
Owner:
99C ONLY STORES
C/O JEFF GOLD
40.00 E UNION PACIFIC AVE/
COMMERCE, CA 90023 //U)
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/18/07
Contractor:
U MAY ,2 1 ?
ELEMENTS IN DESIGN 007
54259 SOUTHERN HILLS C/jy0�
LA QUINTA, CA 92253 FIN 1AQ(/�
(650) 400-4900 ANCFpF�A
Lic. No.: 713882
-----------------------------------------------
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 Policy Number EXEMPT
certify that, in the performance of the rk for which this permit is issued, 1 shall not employ any
person in any manner so as to bec a subject to the workers' compensation laws of California,
and agree that, if �allh
a workers' compensation provisions of Section
3700 of the Laboly with those provisions.
((„ t
• Date4 "� "� lAp.plican
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 Director of Building hnd 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 ouinta, 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 infor ion is c r,ect. I agree to comply with all
city and county ordinances and state laws relating to building con ction, ereb a representatives
of this county to enter upon theabove-mentionedproperty f specs' S.
1—�- 1
Dat" e': -- 7 Signature (Applicant or Agent):
i
Application Number . . . . . 07-00001162
------ Structure Information SUITE 106/B-OCC/OL-39
-----
Other struct info
CODE EDITION
01BMP04E05EN
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
M/B
OCCUPANT LOAD
39.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1547.00
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . .
527.00 Plan Check Fee
342.55
Issue Date . . . .
Valuation . .
. . 75000
Expiration Date
11/14/07
Qty Unit Charge
Per
Extension
BASE FEE
414.50
25.00 4.5000
-----------------=----------------------------------------------------------
THOU BLDG 50,001-100,000
112.50
Permit . . .. ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
38.10 Plan Check Fee
9.53
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
11/14/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
18.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
8.10
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
24.00 Plan Check Fee
6.00
Issue Date . . . .
Valuation
. . 0
Expiration Date
11/14/07
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
RETAIL TENANT IMPROVEMENT SUITE 106
"CASH PLUS" 1547 SF B
OCCUPANCY, TYPE
VN CONSTRUCTION. 39 OCCUPANTS. 2001
CBC,CMC,CPC, 2004 CEC,
2005 ENERGY
CODES.
LQPERMIT.
V
Application Number
. . . . .
07-00001162 '
---------------------------------
Other Fees . . .:.
-------------------------------------------
. . . . .
ACCESSIBILITY
PLAN REVIEW
34.26
ENERGY REVIEW
FEE
34.26
STRONG MOTION
(SMI) - COM
15.75
Fee summary
Charged
Paid Credited
Due'
-----------------
Permit Fee Total
----------
589.10
--------------------
.00
----------
.00
589.10
Plan Check Total
358.08
.00
.00
358.08
Other Fee Total
.84.27
.00
.00
84.27
Grand Total
1031.45
.00
.00
1031.45
LQPERMIT
Zal
rBin vi
Bin
C3
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
: Building Permit Application and Tracking Sheet
Permit .# b
1, `` .
0
Project Address:' I
Owner's Name:. '
A. P. Number:
Address: s $6 U1r_ Q 14 L 5.
Legal Description:
City, ST, Zip: e
Contractor:
Telephone:, 00
Address:
Project Description: I C yj a
City, ST, Zip: L Q QU i
Telephone:
NOWSA
City Lic. #:
A/ . _s
/�W
State Lic. # :
Arch., Engr., Designer:
(M 5�
Address:
City, ST, Zip:
Telephone '760 57
State Lic. #:
of Contact Person: j�j t
�Sq.
Construction Type:,, I
V -1� ,-J Ct upancy:
Project type (circle one): ew dd'n . Alter 4RepAaEirDemoName
Ft.: #Stories: #:
Telephone # of Contact Person:
—,8'5-157
Estimated Value of Project. '' CJQ(j ar
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd
Rec'd
TRACKNG ."
'PERMIT FEES
Z
Plan Sets
Plan Check submitted
(
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
s
Pian Check Deposit
Truss Calcs.
Called Contact Person
s:
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
I
echanical
Grading, plan
2"d Review, ready for correctionsguDe
&I
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
I.Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
cc
#20/07 C012 APMueD
51n124oO4 - WS nPftWneIC W)
10/11/2007 14:11 760-347-4361 EiD INC PAGE 02/03
John R, Pewkin,-
Fire Chlef
Prwdl}-.iendng the
unincorporated
areas of Riverside
Cowih- mid the
Clues of.
Beauniont
Canyon Lake
Descrt Hot Spri1.1gs
-I.-
lodian Wells
Indio'
Lake Elsinore
La Quinta
valley'
A
Palm. Desert
petri3
Rancho Naage
Sem.Tacinto
Temecula
Board of Supervia=
Bob Bu&tcr, .
DLqdct 1
J06 Tavajajqiu.c,
DittHet 2
Jaff
District 3
Roy 100ror1.
Diatrid 4
Marion Ashley,
Dj."Jat 5
RIVERSIDE COUNTY
FTRE DEPARTNENT
In cooperation xvith the
Califomia Department of Forestr5, and Fire Protection
210 West Saii Jacinto Avenue Perris., oslifofnia OSLO - (951) 9.40-69n0 - Fax (951) 940-rj9lo
Date.— ///0 7
Ld 0 w 'ki 41
Building Depaxtmet)t
ru�, cc) PA45
The Riverside Cmmty Fire T.)epartmentis ntjng the. Fire clearance for. the following
location 7q- 06 __ . `�J x`/06
Please call if you should have �ucstions 760-863-8886
Respectfully,
)'anon �bb I e
Ffi-O Systems Insperaor.
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of.
Banning
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
4 -
Indio
Lake Elsinore
le
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
4 -
San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
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
210 West San Jacinto Avenue • Perris, Califomia 92570 • (909) 940-6900 • Fax (909) 940-6910
May 11, 2007
Gabriel Lujan & Associates .
45175 Panorama Drive, Ste A
Palm Desert, CA 92260
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-07-TI-030 Cash Plus at 79800.Highway 111, Ste 106, La 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 2000 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard
of the Knox Company. Plans must be submitted to the Fire Department for approval of
mounting location/position and operating standards. Special forms are available from this
office for the ordering of the Key Lock Boxes. This form must be authorized and signed by
this office for the correctly coded system to be purchased. If the building/facility is protected
with a fire alarm system or burglar alarm system, the lock boxes will require "tamper"
monitoring.
A minimum 2A10BC 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.
ELECTRICAL PANEL BOX:
All breakers must be labeled and a clearance of 36 inches must be maintained around the
panel at all times..
OTHER REQUIREMENTS:
Approved building address shall be placed in such a position a to be plainly visible and
legible from the street. Said numbers shall contrast with their background.
A durable sign stating 'This door to remain unlocked during business hours" 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.
Applicant/installer shall be responsible to contact the Fire Department to schedule
inspections. A re-inspectio w9bbeIcegiM&ifowlas,,famomell(ftimpection is necessary.
82-675 Highway 111, 2nd Fl., Indio, CA 92201. (760) 863-8886 • Fax (760) 863-7072
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,
Tracy Hobday
Chief Fire Department Planner
By:
Sonia Cooley
Fire Safety Specialist
Certificate of Occupancy
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 79-800 HIGHWAY 111 STE#106
Use classification: COMMERCIAL ("CASH PLUS")
Occupancy Group: B
Owner of Building: 99c ONLY STORES
Building Official
Type of Construction: VN
Building Permit No.: 07-1162
Use Zone': CR
Address: 79-800 HIGHWAY 111
City, ST, ZIP: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: OCTOBER 15, 2007
IN A CONSPICUOUS PLACE
Certificate of Occupancy
�W
4
Lura �e^gn,��
G� OF'I1'9�5 Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 79-800 HIGHWAY 111, STE. 106
Use classification: COMMERCIAL — CASH PLUS Building Permit No.: 07-1162
Occupancy Group: B Type of Construction: VN Land Use Zone: CR
Owner of Building: 990 ONLY STORES Address: 4000 E. UNION PACIFIC AVENUE
City, ST, ZIP: COMMERCE, CA 90023
By: STEVE TRAXEL
Date: OCTOBER 15, 2007
Building Official
POST IN A CONSPICUOUS PLACE