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07-2594 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00002594 79845 HIGHWAY 111�STE 600-020-034- -� REMODEL - COMMERCIAL COMMERCIAL PARK 75420 4 BUILDING & SAFETY DEPARTMENT Ul BUILDING PERMIT Owner: 104/ STARBUCKS 17700 NEWHOPE ST. #200' FOUNTAIN VALLEY, CA 9270 Architect or Engineer: Contractor: KDC CONSTRUCTION 1442 E. LINCOLN A ORANGE, CA 92865 (714)632-6717 Lic. No.: 763589 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/23/08 4AD ® - - - - - - - - - - - - - - - - - - - - - - - f- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — LICENSED I hereby affirm under penalty of perjury that I am lic( Section 7000) of Division 3 of. the Business and Prod License Class: B-1220-1736- rr::��" " RACTOR'S DECLARATION nder provisions of Chapter 9 (commencing with )Is Code, and my License is in full force and effect. License No.: 763589 S -k (3 OWNVR-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exe p rom 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.). (_) 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.). 1 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: _ Lender's Address: LQPERA11T 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 SEA INS Policy Number BB1080855 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to beco a subject to the workers' compensation laws of California, and agree that, if I shou become bject to the workers' compensation provisions of Section 3700 of the Labor C I shall for with comply with those provisions. Date:• CA`pplicant: WARNING: FAILURE TO SECURE WORKERS' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE C T 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 onstruction, and hereby authorize representatives of this c my to enter upon the above-mentioned pr, «y fo inspection purposes. ,Date: Signature_IApplicant or Agent): 1 Application Number . . . . . 07-00002594 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 531.50 Plan Check Fee 345.48 Issue Date . . . . Valuation . . . . 75420 Expiration Date 10/20/08 Qty Unit Charge Per Extension BASE FEE 414.50 26.00 - ---------------------------------------------------------------------------- 4.5000 THOU BLDG 50,001-100,000 117.00 - Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee 51.00 Plan Check Fee 12.75 Issue Date . . . . Valuation . . . . '0 Expiration Date 10/20/08 Qty Unit Charge Per Extension BASE.FEE 15.00 1800.00 ---------------------------------------------------7 .0200 ELEC GARAGE OR NON-RESIDENTIAL ------------------------ 36.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 35.00 Plan Check Fee 8.75 Issue Date Valuation . . . . 0 Expiration Date 10/20/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 ----------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 6.50 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 235_.50 Plan Check Fee 58.88 Issue Date Valuation 0 r Expiration Date 10/20/08 Qty Unit Charge Per Extension BASE FEE 15.00 30.00 6.0000 EA PLB FIXTURE 180.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 , 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 X1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 LQPERDIIT LQPE"11T Application Number . . . . . 07-00002594 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments STARBUCKS 1800 SQ. FT. TENANT IMPROVEMENT STE #104, ------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION -------_-------------------- (SMI) - COM 15.83 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 853.00 -------------------- .00 ---------- .00 853..0'0 Plan Check Total 425.86 .00 .00 425.86 Other Fee Total 15.83 .00 .00 15.83 Grand Total 1294.69 .00 .00 1294.69 ft `27 NC&`;AW I 0-1 o City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: -7�04+C,-. Owner's Name: CQEF±-E- clo A. P. Number: (",00 020 03 Address: Legal Description: L—ST'3 _F*'X Contractor: %S e- 6 tS Address: LJkJ A I f 'City, ST, Zip: Telephone: (7 H) 4f ftn, E5 Project Description: City, ST, Zip: 0 ezo CA Telephoner? (/i - City Lie. State Lie. ?i Arch., Engr., Designer: 4 Address: 1 300 City., ST, Zip: Telephone: State Lie. #: jT Construction Type: Occupancy: IE!> Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: F=P� Sq. Ft.: ) SC)p # Stories: # Units: Telephone # of Contact Person:bi P) 7 R Estimated Value of Project: _ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rqtd Rec1d TRACKING PERMIT FEES Plan Sets Plan Check submitted q,141 Item Amount' Structural CaIcs. Reviewed, ready for corrections -Plan Ch . eck Deposit Truss CaIcs. Called Contact Person A--- 16 /S Plan Check Balance. Tide 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical J r�b Grading plan 2' Review, ready for correcti?6issue 8 .0q Electrical rx Subcontactor List Called Contact Person Plumbing Y, I A/ Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading /V r\ IN HOUSE:- 3rd Review, ready for corrections/issuk I Developer Impact Fee Planning Approval Called Contact Person A.I.P.P, Pub. Wks. Appr Date of permit issue ol School Fees Q4 L 7 ft Jital Perq' k `27 NC&`;AW I 0-1 o COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE L) SUBJECT Y" 10 I'l (` K:52 PERMIT NO. ADDRESS � - • U -IS, - l C' IS I i Jl LAI REMARKS: r INSPECTOR J. c ; (,�'• R N is Y l!�IL)cd t '' 1- f ��-•l. 41 . i .� j i f - ` ��' 4 L L' l (cc -� fIL1 �r _�{ �r i F 1 AA ell Pt 1 11 ( r .F - ,t(I V DEH -SAN -118 (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office FOOD ESTABLISHMENT PLAN APPROVAL NOTICE 40.7 in Check # t 3 Date QCT• Z QQ eject Name ins Submitted by Nner ie plans are now Address N fitfl e e,1,A PhOoone !; I \Lh &I'j val 1 Q Phon to the conditions listed below and the attached compli S :ONSTRUCTION INSPECTIONS Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection hould be. made at -least five (5) working days in advance. k FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate ihall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE". h been completed and PERMIT FEES have been paid. Request fo spect" sh Id be made at least five (5) working day in advance. PLANS CHECKED BY Phon [acknowledge the correction„ _not .d her .n and as indicated on the plans and ag t incorporate them Burin ; .onstruction: Signature Date Company Name DEH -SAN -178 (Rev 2/06) Hemet Indio Miurrieta Palm Springs Riverside Corona 2275 S. Main St Suite 800 S. Sanderson 47-950 Arabia St 38740 Sky Canyon 2500 N. Palm Canvon 4065 County Cir 204 (951) 273-9140 (951).766-2824 Fax (951) 766- "A" (760) 863-8287 Dr (951) 461-0284 Dr (760) 320-1048 (951) 358-5172 Fax (951) 358= F&X (951) 520-8319 7S74 Fax (760) 863- Fax (951) 461-0245 Fag (760) 320-1470 5017 COACHELLA VALLEY WATER ws,riucr ASSESSOR'S PARCE.I. NVNIBLIt 85-995 Avenue 52 ()-& �DOd(760) Coachella, California 92236 398-2651 APPLICA'HON FOR WASTEWATER MIT110EPI'ORISEPARATOR APPROVAl- A11PLICAN'r; Submit this form with acopy ofa SCALED plot plan f 1" = ->0' to I" = 4th' SCALL) dram to Disuict spe6fications. A nonrefundable filing fee is requirtxi when the application is iubniittcd. Check must be made payable to the Coachella Valley Water Nstrict. AppiovA of this application shall remain valid for a period not to excccd one (11) yvit from date of paynicol. Plan Cheek No. n:1 rJ Agent. Contractor, Contact 11crion Adds s City State Zip Telephrinc t=C-- Mc -6^, 5A*,-mt4n, iZA- %M, � 00 --261 e 6 Owner Adtircss City State Zip Telephone 11100 -;;-k- Gom-M r4 Z o 114) qzq 1100 Job Property Address City Zip -79F3 Sgwa--1 % I t ; <=-, %I I r Io off L,,ti,- (Z 01 I -A -rPr CA- q -z -Z -q L,cgal Description L-A:)T- --�. DBA I --�--2-k(WOS9 ---KEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS NOTE; PLANS WILL NOT BE ACCEPTED UNLESSTIIIS APPLICATION IS COMPLETE ANDTHE PLAN CHECK FEE IS PAID. GENERAL CONSTRUCTION: Type of Construction: _ .5M -t— MlC>"'141fT L.t.1 Nae rood Facility *---"'Remodel of ExLstin&Food Establishment I lours of Operation _' Sating Capacity: Internal 'RI. External Switing with Misters or licatLm --- Bar with Food Service Bar Nonfood Service water Softener Service: Multiservice (reusable) Single Service (disposable) OWNrRY'RURESENTATIVE DECI,%RATION: I certify that I have wad the entire application and state that all information is correct. I understand that the amount of fee paid is based on my declaration of inforniltion on this form and that incorrect information is grounds for denial of the submittal plans. I also understand that plans will be discardrd if not picked up within sixty (60) days Of approval or denial and that no inspection of my establishment will be conductal. or approval granted to operate, until all proper information uested has been received and plans have been approved and returned. Signature Date FOR DISTRICT USE ONLY No. of Systems Type of Systcm(g) No. Dwelling L;nits 0 Sandvoil5�1 Grease Interceptor Waived 1 Fixture Units C3 Grease Interceptor 0 New 0 Existing 0 Lint Trap [:] Replacement 0 Addition 0 Clarifier 0 Connect to Sewer Gal. REMARKS: V Z4 t-1 4azff- be lu6-euig=twtad n- ez i-l;w-ee- -3) W, jz`f-�)e-4� ive:" This .&Beaton is. 1XI Apprw.-Ld 0 Dcninl C3 Ccridilional Arri-a" Fee S —5 L/) Cheek No. 9/20,9 - ,SLV RenialU Date 2- 6r /0 Initial azure ��, Z -),Y CVWD-421 John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of Banning 4. Beaumont Calimesa 4 - Canyon Canyon Lake v Coachella ••• Desert Hot Springs Indian Wells 'Indio Lake Elsinore Ga Qu inta ,Moreno Valley I Palm Desert Perris r'Rancho Mirage -San Jacinto Temecula Board of Supervisors Bob Buster; District 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., Suite 20 t • Palm Desert, California 92211 • (760) 863-8886 • Fax (760) 863-7072 October 19, 2007 Applicant: Tait and Associates 9089 Claremont Mesa Blvd. # 200 San Diego, Ca, 92123 (818) 300-3878 RE: TENANT IMPROVEMENT PLAN CHECK LAQ-07-TI-101 / 79845 HWY 111 Suite 104 La Quinta, Ca. 92247 You'have been issued a release fora 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 2001 CBC. 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 submit plans for review acid approval and modify the fire sprinkler system in accordance with N_ FP_ A 1 S, 1999 Edition. A licensed C-16 contractor shall do all sprinkler work and certification. The approved plans, with Fire -Department Job card must be at the job site for all inspections. Prov'Ide'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. 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. Shelving, counters,_ etc., must be in place, however, no merchandise may be placed in the building prior to inspection 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. 2300 Market Street, Suite 150 • Riverside, California • (951) 955-4777 • Fax (951) 955-4886 39493 Los Alamos Road, Suite A • Murrieta, California 92563 • (951) 600-6160 • Fax (951) 600-6164 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 as to be plainly visible and legible from the street and rear access if applicable. Building address numbers shall be a minimum of 12" for building(s) up to 25' in height, and 24" in height for building(s) exceeding 25' in height. In multi -tenant buildings, businesses shall post the 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 background and adequately illuminated to be visible from the street at all hours. ' 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 -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 Colleen E. Estrada Fire Safety Specialist 2300 Market Street, Suite 150 • Riverside, California • (951) 955-4777 • Fax (951) 955-4886 39493 Los Alamos Road, Suite A • Murrieta, California 92563 9 (951) 600-6160 • Fax (951) 600-6164 pmjed stwtutks - clesqR. DWGN PARAMETERS so. MPH : EVOSURE V' .1 Cbki . mn ,015 la,70 too zags 1$83. za s� 9GL91 b,00F Sas' 0.00 000 S-70'.. ST'L i"00 .iisk 4010esi) ,.3&n �0,00.1 64 ilk, ".201V .,e Aw ;EILMMI, TYR "6 x 10MAW '.IiomiAx�4 vs T-42,81 I STD' 51'1 PIPE 12r' 7 - &we steo plam t ado 4m TL lxlr k112" m" -s F LA QUINTA BUILDING & SAFETY DEPT. AS E ,ROVED 11A�'4 b 0 ROVED FOR CONSTR CTION 2� 379 Wayz�� M11 Ql ;F# 272 'Yol�-f ••-a=y CA S�1 �' S5 x: (661) 259-0700 FAX (661) 2594900 Proiw swftcK* Cogs - menu board OESM PARAMETEME apN't4 URE, V 2 C61wdn waa, iowi►F SOWN NEt4►1, wry+ 7,+2" ai6 1d�p .x0.07' 4.6D' 111 .6 15Q 1lA! mat .. .. .. soao isles: Sao" 000 A� 4Iu, 1ua P430' 4t Tp '969F :. 2 -SO, x,QZ�4 WALL ;e 7D49 ?atl i0ili3. dGl1At LJMelk F"�s+ptf�, 4d48t *4 $ atd� blDO= QfJQC. i►BiNE ; At(ACHE6 w `m. 1� �- Q0 4 �Or90 44iRi Ot1D ,Q00 lOI'AhUrj', f Q tQ BE_ AREA. ,. ARM #'Ri~8 MONI1tT. aeon; gnu' ttlt ::: ;.rte f C AME -ems , i.. W'.ELDW JQ ak% PLATE 9,00-; Qa0 :.0'; A' ;i3/�S� FLATE.,•�� Q Q = JON •':8eA0 X150: -:1111 M4�;: , SlCEL FtESNr ri 4QA 2 Ft101S�tf9tfgif. .6; �5BFdt. 6cf R ai , ° 10Q Q0 t'SiJfT' CONSOPPAIM B! r .. M : _ �� • II4NCr� F 4 29i'!B �'" f13, . MA, 1 yc' `'!F3'r..r.. _ NTS was Pole • ..-: . . " ' #'�."-�.' . _ 4 I�E/4Y.X kk {' T 5P Ts1l10oll ►Peg4AAW — #5E,Wr MATE T" SR *-86,14 � �r�_P; —11 TYP. BASE PLA(r si"F' ft- SteeiPEa1e �a1 TOT",,-� k- j -M1T�i T PL U -MMM, 144.M r--- I CITY OF LA QUINTA BUILDING & SAFETY DEPT, APPROVED FOR CONSTRUCTION BY i 2- 53'79'VVvvyx%= NfIlle pf*ct Staitucks - Pmboaid MIN PAPAMETERI 60 MPH DMWREV 2'Ca(umfm Hod"t 71 15;70 19 A3 a3tW 04 C., OA 0 0.00 Am OBD OQO AIM, MOW. "CAO 'low '-ARE IyK7M YT :. . I- : , - T :Yop :REST -0. !V. O.0 An. P:'Tt 2500 poft, 1 _2 -0.91 :sq"Tube Tw," tm 3W Ofil X 24" TN(* 7EL (( 561) 25944 PAM (661) 259-M 2'- 11 1!8" Al;QM_ 50, TUBE 2"543. w- -0,250"WAL-1 &4WNCt Aft_A,b4c'D- L -E-VAT. IC N ''NTS CU&T PLATE Typ AA LA1 E_" t= f-4) Tolk t /25' t 4 Ti CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY -STPEL* FRAME BASE 71 ,WCLbtb TO aASC'PLAt % c4), :Yop :REST -0. !V. O.0 P:'Tt 2500 L -E-VAT. IC N ''NTS CU&T PLATE Typ AA LA1 E_" t= f-4) Tolk t /25' t 4 Ti CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY Certificate of Occupancy T4&f °t xA Q" 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: 79-845 HIGHWAY 111. STE. 104 Use classification: COMMERCIAL RETAIL- "STARBUCKS" Occupancy Group: B Owner of Building: KOMAR INVESTMENTS Building Official Type of Construction: V -N Building Permit No.: 07-2594 Land Use Zone: CR Address: 23 CORPORATE PLAZA. #247 City, ST, ZIP: NEWPORT BEACH, CA 92660 By: AJ ORTEGA Date: JUNE 26, 2008