06-1134 (RC)T -4-
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
`06-00_ j
001134
79800 HIGHWAY 111 STE 109.
649-020-040- - -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
25000
Tit!t44Q"
Architect or Engineer:
/ V`A -
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
99C ONLY
STORES
C/O JEFF
GOLD
'000 E UNION
PACIFIC AVE
OMMERCE,
CA 90023
4 2006'
aPR 2 --
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 in full force and effect.
License Class, B Licen No.: 317390
O R-BUILDE D CLARATION
I hereby affirm under penalty of periur at 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 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 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
LUGO BUILDING & DEV, JERRY
79860 BOGUERON WAY
INDIO, CA 92203
(760)345-4236
Lic. No.: 317390
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/21/06
--------------=--------------------------------
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.
_ 1 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 0654439-2005
_ 1 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 Co I shall forthwith co ly with those provisions.
/:p!C plicant:
WARNING: FAILURE TO SECURE W ERS' CO PENSATION 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 her authorize representatives
of this county to enter upon the above-mentioned propertyJor inspection purpose .
—late W—Signature (Applicant or Agent):
- -000
Application Number . . . 06-00001134
------ Structure Information EXISTING BUILDING
I ------
Other struct info . . . . . CODE EDITION
2001 04E05 EN
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
M
OCCUPANT LOAD
40.00
1ST FLOOR SQUARE FOOTAGE
1544.00
----------------------------------------------------------------------------
Permit .
. . BUILDING PERMIT
Additional desc
.
Permit Fee . .
". . 252.00 Plan Check Fee
163.80
Issue Date . .
. . Valuation . . .
. 25000._'
Expiration Date
10/18/06
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 . .
. . 30.75 Plan Check Fee
7.69
Issue Date . .
. . Valuation . . .
. 0.
Expiration Date
10/18/06..
-
Qty Ui.i.it
Charge Per
Extension -
BASE FEE
15.00
21.00
.750Q PER ELEC DEVICE/FIXTURE 1ST 20
15.75
Permit .
. . MECHANICAL
Additional desc
.
Permit Fee
19.50 Plan Check Fee
4.88
Issue Date . .
. . Valuation
0
Expiration Date
10/18/06
Qty Unit
Charge Per
Extension
BASE- FEE
15.00
1.00
4.5000 EA MECH VENT INST/ DUCT ALT
4.50
----------------------------------------------
Special Notes and
--------------.----------------
Comments
=
' RETAIL INTERIOR
TENANT IMPROVEMENT -
PRIZMA JEWELERS
1544 SQ.FT., "M"
OCCUPANCY, TYPE
V -N CONSTRUCTION, 40
OCCUPANT LOAD.
2001 CBC,CMC,CPC, 2004
CEC, 2005 ENERGY CODES.
----------------------------------------------------------------------------
Other Fees . .
. . . . . . . ACCESSIBILITY PLAN REVIEW
16.38
LQPERINIJT
LQPERDIIT
Application Number
. . . . .
06-00001134
---------------------- ------------------------------------------------------
Other Fees . .
. . . .
ENERGY REVIEW
FEE
16.38
Fee summary
-----------------
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
302•.25
.00
.00
302.25
Plan Check -Total
176.37
.00
.00
176.37
Other Fee Total
32.76
.00
.00
32.76
Grand Total
511.38
.00
.00
.511.38
0
T4hf 4 4 a". � .
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Doug -Evans, Director -CDD
BUILDING & SAFETY DEPARTMENT
(760)777-7012
.FAX (760) 777-7011
To CDD: - March 20, 2006
Due Date: March 30, 2006
Status: 1 St Review
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:
Address or General Location
Applicant Contact:
T.I. Prizma Jewelers
79-800 Highway 111 Ste. 109
Gabriel Luian (760)578-8545
The Community Development Department finds that:
❑ ...these Building Plans do not require Community Development
D artment approval. .
...these Building Plans are approved by the Community Development
Department.
❑ ...these Building Plan require corrections. Please forward a copy of the
attached corrections o the applicant. When the corrections are made
please ,relur them to the Community Development Department for
review.) 1
Doug Evans`,-.Qir�dfor-CDD
2- e,-1 a (i
Date
RIVERSIDE COUNTY FIRE DEPARTMENT (�
In cooperation with the
California Department or Forestry and Fire Protection
210 West an Jacinto Avenue • Perris, California • Fax
Craig Anthony April 18, 2006
Fire Chief
Proudly serving the "II Gabriel Lujan & Associates
Unincorporated 45-175 Panorama Dr., Ste A
Areas of Riverside Palm Desert, CA 92260
County and the
Cities of: Re: Non -Structural Building Plan Review
Banning LAQ-06-TI-031 / Prizma Jewelers
Beaumont Fire Department personnel have reviewed and approved the plans you submitted for the above
❖ referenced project. Please be advised the following conditions apply as a part of the conditions for the
Calimesa issuance of a building permit.
Canyon Lake 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
'• - Department for review, along with a plan/inspection fee. A licensed C-16 contractor will have to
Coachella submit plans for review and approval and modify the fire sprinkler system in accordance with NFPA
Desert Hot Springs 13, 1999 Edition. The approved plans, with Fire Department Job card must be at the job site for all
inspections.
Indian Wells
2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have
Indio durable and legible tags affixed for identification of the correlating tenant space.
Lake Elsinore 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified
extinguisher company for proper placement and spacing of equipment.
La Quinta
4.
Moreno Valley 4) 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. In multi -tenant buildings, businesses shall post the
Palm Desert business name and suite number on back doors as well as the front. Suite numbers or letters must
. be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the
Perris background and adequately illuminated to be visible from the street at all hours.
Rancho Mirage Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
4.
Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling
San Jacinto (760) 863-8886.
Temecula
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering staff at (760) 863-8886.
Board of Supervisors
Bob Buster, Sincerely,
District I
JohnTavaglione,. Tracy Hobday
District Chief Fire Department Planner
Jim Venable,
District 3
Roy Wilson
District 4 BY
Walter Brandes
Marion Ashley, Fire Safety Specialist
District 5 Cc:=City_of La Quints-= Building -Dept?
M:kPEPWP DatalLa Owrda%PROJECTSTRLAO-MTt-031.dm
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2"d Fl., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
i
Certificate of Occupancy o
G�of Building & Sa 9w5 fety Department
ep
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 Suite 109
Use classification: Commercial "Prizma Jewelers" TI Building Permit No.: 06-1134
Occupancy Group: M Type of Construction: VN Sprinkled Land Use Zone: CR
Owner of Building: 99 Cent Only Stores Address: 79-800 Highway 111
City, ST, ZIP: La Quinta, CA 92253
By: Daniel P. Crawford Jr.
Date: 6/15/06
Building Official
POST INA CONSPICUOUS PLACE
0 0 30-DA Y TEMPORA R Y
Certificate of Occupancy
Lw4 EXPIRES August 4, 2005
OFf4'T9ti
Building & Safety Department
This Temporary Certificate, issued pursuant to the requirements of Section 109 of the California
Building Code, and with the concurrence of the Public Works Department and Community
Development Department, certifies that The Hog's Breath Inn, at the time of issuance, 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, Suite 109
Use classification: COMMERCIAL RETAIL- Prizma Jewelers Building Permit No.: 06-1134
Occupancy Group: M Type of Construction: VN (sarinklered) Land Use Zone: CR
Owner of Building: 990 Only Stores Address: 4000 E. Union Pacific Avenue
City, ST, ZIP: Commerce, CA 90023
By: Danny Crawford
Date: May 4, 2006
Building Official
POST IN A CONSPICUOUS PLACE
• _
i