10-0729 (RC)1c4 - r.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000729
Property Address: 79825 HIGHWAY 111 STE 103
APN: 600-020-034- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: COMMERCIAL PARK
Application valuation: 25000
Applicant: ,
4Wi✓F Z S
T4ht nF °W' 4"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirmunder 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 1$5001.:
(_ 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-
( 1 I am exempt under Sec. , B.&P.C. Jdr this reas)n
I Date: _7r1 �7 / r I Owner.
�7� 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:
LQPERDIIT
Owner:
KOMAR INV
23 CORPORATE PLZ STE 247
NEWPORT BEACH, CA 9266
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/10
WORKER'S COMPENSATION DECLARATION -
1 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 Policy 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 toubject to the workers' compensation laws of California,
and agree that, if I should be a subje to the workers' compensation provisions of Section
000 of,the Labor Code, I I fort wit comply wit ose provisions.
.
Date: / Applicant:
WARNI G: AILURE 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 in n is correct. I agree to comply with all
city and co my ordinances and state laws relating to buildin struction nd hereby authorize representatives
o;his co ty -InInterruupon the above-mentioned prop ert nspe purposes.
00
Dat ! _ `Signature (Applicant or Agent):
LQPERMIT
Application Number 10-00000729
r
------ Structure Information SUITES 103 & 102
-----
Other struct info . . . . CODE EDITION
2007/08 energy
FIRE SPRINKLERS
yes
MIXED-USE OCCUPANCY
B
OCCUPANT LOAD
75.00
1ST FLOOR SQUARE FOOTAGE
----------------------------------------------------------------------------
3739.00
Permit . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 252.00 Plan Check Fee
163.80
Issue Date . . . Valuation . .
. . 25000
Expiration Date 2/16/11
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 . . . . 19.50 Plan Check Fee
4.88
Issue Date . . . . Valuation . .
. 0
Expiration Date 2/16/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
----------------------------------------------------------------------------
4.50
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee
8.25
Issue Date . . . . Valuation
0
Expiration Date 2/16/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
4.00 4.5000 EA MECH VENT INST/ DUCT ALT
18.00
----------------------------------------------------------------------------
Special Notes and Comments
T.I. FOR USTT TAE KWON DO ACADEMY
(BAEKYUN OH) SUITES 103 & 102. 3,739 SF.
"B" OCC. TYPE V -B CONSTR. OCC. LOAD =
75. 2007 CODES 2008 ENERGY. AGENT FOR
OWNER = BRUCE PELLETIER. [STARK
CONSTRUCTION CO. INC. IS MAIN SUB
LQPERMIT
Application Number
. . . . .
10-00000729
-------------------=--------------
Special Notes and
-
Comments
------------------------------------------
CONTRACTOR LIC# 577761
=----------------------------
-----------------------
Other Fees . . .
. . . . . .
ACCESSIBILITY
7 -----------------------
PLAN REVIEW
16.38
BLDG STDS ADMIN
(SB1473)
1.00
ENERGY REVIEW
FEE
16.38
Fee summary
-----------------
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
304.50
.00
.00
304.50
Plan Check Total
176.93
.00
.00
176.93
Other Fee Total
33.76
.00
.00
33.76
Grand Total
515.19
.00
.00
515.19
3
LQPERMIT
CITY OF LA QUINTA SUB-CONTRACTOR LIST
z� > '
/YOB ADDRESS 3� /PERMIT NUMBER OWNER kT O BUILDER Cu����'�L
Ibis form shall be posted on the j b with the Building Inspection Card. at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to worl
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidancf
of building permit. For each applicable trade, all information requested below must be completed by a plicant. 'On File' is not an acceptable response.
• ::..
..:.:..:::.:..
T
rade Classification
.. - . Contractor ... ..... ....... .
.. : --..: :...J>.;::>>.::..:.;: Stat�:Dontnlctor s. Lkense... .;-::.:. ::.::.: ::...:..::: .:--..:_ • ...:.Yy4ilce�s=.. . - . isat%i•fiiswaoc�:�•'::'-:::'..` ;_>::�:::<�<'::....� •.. Git : Busit►e;Es Ucense•';:.:::
Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp, Date
(e.g. A. B, C-8) (xxxxxx) ixx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx)
(C-12)
(C-8)-5)`�' % �. �6 %,% -u. r,.v °-1l 3EEL (G<51) -
MASONRY -M-29)
.t
PLUMBING (C-36)
s
LATH- PLASTER (0-35)
DRYWALL (C-9)...:'.
HVAC. (C-20)
t
ELECTRICAL..:(C=1Q)':.•:.>:
SHEET.MiTAL {
FLO RING
-GLAZING (C-17) .
INSULATION -IC -2V: -
G-42)
SEWAGE DISP- (C -4i) -
PAINTING.
PAINTING (C=33)
CERAMIC TILE (C-54)
CABINETS (C-6)
'
FENCING (C-13)
LANDSCAPING
POOL (C-53)
A
ADD •. ose _ n 2A
Bin #
City of La Quinta
Building &r Safety Division
`�'� •� RUO.? 11� P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
1oZ� Building Permit Application and Tracking Sheet
Permit # R
a
Project Address:
Owner's N
A. P. Number: / ( t Q UIh2
Address: — l ()
Legal Description: jh - 3���
it
Contractor: eYvc.2. ,
City, ST, Zip:
Telephone:? 6 2oW-1111, WIFE. .v {.
,MOM
Address:62 13 -0
Project Description:
City, ST, Zip:
Telephone: ao -3 % fr--
State Lie. #: (�V l City Lie. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #:Project
Name of Contact Person: �-3VIJc s✓ � ! � . -*A— .
Construction Type: S Occupancy: .
type (circle one): New Add'n Alter Repair Demo
Sq, Ft.:?J -7 ?,
# Stories:
#Units:
Telephone # of Contact Person: 76 d � f
Estimated Value of Project: "1 C90 U . 'o z0
APPLICANT: DO NOT WRITE BELOW THIS LINE
M
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan2".
Review, ready for correctionvillsue
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 correctionsllssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
e/a0 4u&-,
*f-It(f 4 4Q914(rw
P.O. Box 1504
78-495 CALLE TAMPICO
11
LA QUINTA, CALIFORNIA 92253
u.
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #:
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD:y' Zo - IV
Due Date: A5A
Status: 1 &4- - CK
Bultdinng, Plans AP
proval
(This is an approval to issue a Building Permit)
The Planning Department has!i reviewed the Building Plans for the following
project: +"
Description:' 10A kgov d 3b HCA DE My
Address or General Location: ��• 8 ZS � (�l � �'� �.
4
Applicant Contact: 31tkcE I`LE,t1EQ 760- 5yd - 908
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
Y'.. ... 11these Building Plans are approved by the Planning Department.Lo
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Les J
n,- Director -Planning
i
city of La Quinla
Punning DePcxtmenf
Date
•
M
cs a a+;�il� y' •; '; ;
Sc
ss:.�
KMS
PROPERTIES, INC
August 11, 2010
Bruce Pellitier
79-825 Hwy 111, Suite102/103
La Quinta, CA 92253
To Whom It May Concern:
Landlord hereby gives permission for tenant Bae Kyun Oh to be self -contractor for tenant
improvements at 79-825 Hwy 111, Suites 102/103 in the Komar Desert Center project.
Jim Brockman
Property Manager
Telephone: (760) 347-5600
KOMAR DESERT CENTER
79-635 Hwy. 111, Suite 105, La Quinta, CA 92253
Email: JimAkmsnroaer ies.com
Fax: (760) 347-5661
B.K OH 11S TEA KWON DO INC.,
79825 HWY 111 STE. #102,103
LA QUngTA CA 92253
City of LA QUINTA. building dqwtment T .
On behalf of me, Bruce Pelletier is representing the R K U.S Tea Kwon Do Inc.,
r
;•..
Page 1 of 1
Greg Butler
From: Partida, Carlos [cpartida@IID.com]
.Sent: Friday, August 27, 2010 7:53 AM
To: Steve Traxel
Cc: Greg Butler; Barram, Guillermo
Subject: USTT Tae Kwon Do 79-845 Hwy. 111 suites 102 & 103.
Attachments: [Untitled].pdf
Good Morning Steve,
Just F.Y.I. I received the approved layout that was submitted to the City of La Quinta and all looks in order for IID to
proceed with the installation of the meters for both suites. As the drawing indicates, the wall that separates both unit is
not being compromised, which indicates that no modifications are being done to the electrical sub panels for the units,
which is IID's main concern.
Please used this email as confirmation for approval from 111), if you have further questions, please give me a call?
Thanks
Carlos Partida
IID Project Manager
760-398-5820
8/31/2010
P
9MORWA4 Tb �f6
►tEw trrr+Dawr
CLASSROOM 2
NEW WINDOW
NEW DDDR
I i
E)N DOOR
oEs►cE
ME 0009
UITERY
Zw OPEruNC ON
DUSTING WALL
pU6SR0ON '1
NEW WW40OW ON
EI Gtmc WALL
+(fIwm ON
INC WAU
MOOR ON
M WAU
N wmOOw Oti
Sim
$. rL OPENING
W,
FLOOR PLAN
� � 6 IMawscr,1£ t/e•ffi
�"• _ ur i A QUINTA
& SAFETY DEPT.
APPROVED.
FOR CONSTRUCTION!
DATE
ALL FIRE: SPRINKLERS
.-ALL LIGHTING AND Ai
MEECHANICAL WILL ST
IN EMSITING LOCATIS
t.�"L►d9J wf
5�6t:- ccL>7m
pr�wlLSttJG %+�
1
3'739 S.F. 9osP� = 75r e= �S
A•
I�CiTs
Iy
NEW STORAGE I DRESSING
ROOM ROOM -nE)X I T
E)RESTROOMIJ
l:T
r�
NEW I/ING ON
EXISTING WALL
6C 50 _NEW1►�NDOW ON
EXISTI WALL
NEW WINDOW
CLASSROOM 2 600 6(50
_NEWINDOW ON
EXISTI G WALL
NEW WINDOW 6C 50
-
-NEWINDOW ON
6C 50 EXIST G WALL
NEW DOOR j
`NEW 91INDOW ON
IS G WALL
1"00um0000 8 ft. OPENI
OFFICE
7E)DOUBLE DODRY
A.D.A. Path of Travel
CLASSROOM 1
I
.All door hardware will be A.D. A compliant
�` C UINTA
FDATE
BUILDING &SAFETY DEPT.
fj®)JED
ONSTRUCTION
BY i
L) -5- -TAS <"v% a o
//� /
5 c1
-7qS h ,03
Qui if �- (!,*,z -
/z -r7
BLACK PIL.T ACADEMY
Owner: BAEKYUN OH
79-410 HW 111 SW. 108
LA QUINTA, CA 92253
TEL,760-564-0770
CELL, 714-606-6834
CONSTRUCTION HOURS
October 1st - April 30
Monday - Friday: 7:00 a.m. to 5:30 p.m.
Sunda Saturday: 8None
:00 a.m. to 5:00 Pm
Government Code Holiday • s,
May 1st - September 30thNone
Monday -.Friday: 6:00 a.m. to 7:00 p.m,
Sunda Saturday: 8:00 a.m. to 5:00 p,ny
Government Cod off
MANAGEMENT COMPANY
LLC
a oLdays; None -.
Construction is NOT PER
KOMAR INVESTMENTS
on the following Code Holidays:
23 CORPARATE PLAZA S W.247
NEWPORT BEACH,CA 92660
New Year's Day
949-718-4845
Dr. Martin Luther King Jr. Day
President's Day
JIM BROKMAN
Memorial Day
Independence Day
Labor Day
CONSTRUCTION MANAGEMENTT anks i Day
CONS 1 A� :
hanksgiving Day '.
BRUCE PELLETIER
Christmas Day
61370 LUCRBNE DR
MT. CENTER, CA 92561
H 760-349-9418
C 760- 578-2761
"AN ADEQUATELY SIZED DEBRIS CONTAINER
IS REQUIRED ON THE JOB SITE DURING ALL
PHASES OF CONSTRUCTION AND MUST BE
RECEIVED EMPTIED AS NECESSARY FAILURE TO DO SO
MAY CAUSE THE CITY TO HAVE THE CONTAINER
DUMPED AT
AUG 0 5 2010 CO.NTRACTORHE EXPENSE OF THE OWNER/
BY:
A RE -INSPECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND 108 CARD ARE NOT ON
THE SITE FOR A SCHEDULED
-INSPECTION.
NO EXCMONS1
COSTCO SHOPPING CENTER
SITE PLAN
H-jahway I I I
tz9 l"G %_Osteo pe01na s„e
CITY Q01 TA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
PrDt _11. OED GmYYI N'p
CONSTRUCTION TYPE
5-B
OCCUPENCY TYPE
B
OCCUPENCY NO. Q
49 EACH UNIT
OR 98 TOTAL p
2007 Building Code
2007 Electrical Code
2007 Mechanical Code
2007 Fire Code
LEGAL DESCRIPTION
BUILDINGS B,C,D,E,F
PARCEL 3 OF PARCEL
MAP 33960 SEC 11
1. EXISITING PLAN
2. NEW FLOOR PLAN
3. ELECTRICAL PLAN
4. FRAMING DETAILS
DATE �OBY i
79-05 B 102 &103 HWY 111
LA QUINTA, CA 92253
�
^
�
`svot leaW2 5F
`
\
OF LA QUINTA/
SAFETY DEPTBUILDING &APPROVED
FOR CONSTRUCTION
' !
`
�
!
i
�
. '
1DATE By'
'
�
�
�
'
`svot leaW2 5F
`
\
OF LA QUINTA/
SAFETY DEPTBUILDING &APPROVED
FOR CONSTRUCTION
' !
`
�
!
i
�
. '
1DATE By'
'
t
TAE KWON DO
aLACK BELT ACADEMY,
ADDRESS: U.S. TAEKWONDO
79825 HWY 111 SUITE 102 & 103
LA QUINTA CA. 92253
Fvlv�� L IV I I I
(.�✓1 dl' 1 � St' 3t'
l wlAWF—aLT t)%arCs) of FLOOR PLAN
t-dlcJNG SCALE 1/8"= l '
• Au— vc�� bma4zS -m �;:m
0M L) t"(! W L -C4 Acc ssLBkr--
FZ-o6ei5r� tt"DU-%A-w-G,-P--�. t c9�. • �.
G1TY f� LA Q�JIN
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE By
ALL FIRE SPRINKLERS
ALL LIGHTING AND ALL
MECHANICAL WILL STAY
IN EXISITING LOCATIONS
OCAZ 1001 wy EX I 5-T.
'5TL ,
BVItSt0G OALL .
F&i; wc. o f L -40A>
fZr�OLP—ev 16&4.0-
2.
ADDRESS: U.S. TAEKWONDO
79825 HWY 111 SUITE 102 & 103
LA QUINTA CA. 92253
i St' I St' l
FLOOR PLAN
SCALE 1/8"=l'
ELECTRICAL PLAN
Adding (6) 110 outlets and (1) phone' ack.
All other li.g5ts will stay in the original locations.
Ov e., 5eY'dtCe-.- In e7MO'"VL R6��tg�Ep
CITY OF L,a„ Uf NTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DArE By i
3.
FRAMEING DETAILS
All door headers will be4x*
All window headers will bei
1- .2xSTUDS a16"O.C.
2- 2x P.T.D.F. PLATE WITH
7/32" DIA. x 3 1/2 -
SHOT
/2"SHOT PINS • 32" O.C.
WITH 14 GAUGE WASHERS
AND FIRST 2 PINS PLACED 1
6" AND 10" FROM PLATE ENDS
Ir IF I
3- CONCRETE SLAB
-BEARING INT. WALL-TYP.
PARTITION ANCHORAGE
7
Y OF LA QUINTA
3UiLDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
U
�a,� ' ��� 30 -DA Y TEMPORA R Y
o� .moo ..
Certificate of 06cupancy
Expires: OCT 6, 2010
Mu 5 !
c 4
OF T�9 �IGGl1N�/
Building & Safety Department
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 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. jSuite #103 South Room only)
BUILDING ADDRESS: 79-825 HIGHWAY 111 #103
Use classification: COMM: (USTT TAE KWON DO ACADEMY) Building Permit No.: 10-729
Occupancy Group: B Type of Construction: V -B Land Use Zone: CR
Code Edition: 2007 Sprinkler Installed: YES Occupant Load: 75
Owner of Building: KOMAR INV
Address: 23 CORPORATE PLZ STE 247
City, ST, ZIP: NEWPORT BEACH, CA 92660
(dam By: STEVE TRAXEL
Building Official Date: SEPT. 7, 2010
POST IN A CONSPICUOUS PLACE