BCOM2016-006778-495 CALLE TAM PICO '
LA QUINTA, CALIFORNIA 92253 DESIGN &'DEVELOPMENT DEPARTMENT
BUILDING PERMIT
.Application Number: BCOM2016-0067
Property Address: 51350 DESERT CLUB DR STE 3
APN: 770155010
Application Description: DESERT CLUB / COMM T. -I.
Property Zoning:
Application Valuation: $10,000.06
Applicant:
DEMO UNLIMITED INC
81750 AVENUE 50
INDIO, CA 92201
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 Professions Code,
and my License is in full force and effect.
License Class: C21, A License No.: 473328
Date:-' rCont ar�ctor
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 aC
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.).
( ) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/12/2017
Owner: `°�
q.R�
JEFF F /DP
SKS
2810 T //,,��
HERR BEACI-,' A02 3
`
SFS/GNANO 7YOF44
Q�/N
Contractor: INC iZOAM %Q
DEMO UNLIMITE6 81750 AVENUE 50 ,Y, OFpNRNSA17-
INDIO, CA 92201
(760)775-5884
LIc..No.: 473328
WORKER'S COMPENSAT-ON 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 370C of the Labor Code, for the performance
of the work for'which this permit is issued.
I have and will maintain workers' carnpensation 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48815881
I certify that. in the performance of tine 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, ' I should becomesiy, jectto the
workers' compensation provisions of Section 3' 0 o the or Code I shall f rthwith
complywi thos provisions.
l!r 1
Date:- ' l- ,� 1 lApplicant:
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 FORIN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to,the Building Official for a permit subject to
the conditions and restrictions set forth on thisapplication.
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 owne4 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 perfor'med.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 abov information i orrect.
I agree to comply with all city and county ordinances and state la s r ting o building
construction, and hereby.authorize representat ves of this ci to nt upo the
above-mentioned property for inspection purposes.
Date: Z/ L "�—Signature.(Applicaot or_Agent):
Date: 1/12/2017
Application Number:
BCOM2016-0067
Owner:
Property Address:
51350 DESERT CLUB DR STE 3
JEFF FREDERICKS
APN:
770155010
2810TH ST
Application Description:
DESERT CLUB / COMM T.I.
HERMOSA BEACI-, CA 92253
Property Zoning:
Application Valuation:
$10,000.00
•
Applicant:
Contractor:
DEMO UNLIMITED INC
DEMO UNLIMITED INC
81750 AVENUE 50
81750 AVENUE 50
INDIO, CA 92201
INDIO, CA 92201
(760)775-5884
------------------------
---------------------------------------------------------------------
Llc. No.: 473328
Detail: CONSTRUCT PARTIAL HEIGHT OFFICE WALLS TO CREATE (4) OFFICE SPACES, (1) BREAKROOM AND A COPY & STOF.AGE AREA. PER 2013 CALIFORNIA
BUILDING CODE
FINANCIAL •1.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$6.15
Total Paid for Credit Card Fee: $6.15
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
iQTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for MECHAMICAL: $17:74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$6$.40
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$54.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
Total Paid for REMODEL: $264.48
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
101-0000-20308
0
$2.80
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.80 ,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEN— FEE: $5.00
Bin# Qty of LCI Quanta
Building a Safety Division
Permit # 78-495 Calle Tampico
hn ] V La Quetta, CA 92253 - (760) 777-701,2
11 a l a Building Permit Application and Tracking Sheet
Project Address: �j l Ufj� "S� �� Owner's Name: 1itA O
A. P_ Number: `
Address: (ej\T�y p 'Cd
Legal Description:
City, ST, Zip: Tµ '-O C)b4 2 2 O
Contract0 r. 1n.O c
0
Tele hne: l� SS B
P low
Address: El -75o
Project Description: WpWA4- 'SML S� s
City, ST, Zip: µ9� O
C2� \
i
Cot- clb � aMLVLT_v -� t 1Q
le h ne•
TeP0 O T'I 5
L A
State Lic. # : 22>
City Lic.
Arch., Engr., Designer: Ja
co ni
Address: 5 L
_ 2
City, ST, Zip: Lt,, SCVZ'
Telephone: h
one: O L
Occupancy:
n truction Type: ane
tae '
S t Lic. # C
Project type(circle one • New Add'n Alter Repair Demo
Name of Contact Person:
�f
Sq. Ft.: 7i2
# Stories:
# Units: t
Telephone # of Contact Person: C)
2eJ O 0
�o
Estimated Value of Project: VD, 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
/J
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit '
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
]i.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, 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,
1
Total Permit Fees
Plan Submittal
Building Permit Number.
PmJect Description: Small Tenant Improvement
Exempt: O
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
12/28/2016
JobSfteAddmsal 51350 Desert Club Drive, Suite 3, La Quinta, CA 92253
Owner's N
Number, Street, or PO
Ctty, state, Postal t:
Owner's Phone Nun
Owner's E -Mall Add
Project Manager's
Project Manager's Phone N
Project Manager's E-mail A
Builder / Contn
Number, Sbeet or PO
City, State, Postai f
Demo Unlimited Inc,.
81750 Avenue 50
Indio, CA 92201
760-775-5884
IsmithCaAdemounllmlted.com
Chris Bloch
760-200-7097
cblocha tidemouniimited.com
Demo Unlimited Inc,.
81750 Avenue 50
Indio, CA 92201
Project Square Footage I 1225 sq ft
City Approval By Renado Gouldlook-DEC/Burrtec Waste
Date of City Approval
Materials To Be Discarded:
Product Tons
Trash 1.50 Not recyclable Product Tons
Asphalt 0.00 Recyclable Masonry (broken) 0.00 Recyclable
i Brick/Block 0.00 Recyclable Plaster C:00 Recyclable
Cardboard 0.00 Recyclable Scrap Metal G.00 Recyclable
Commingled 0.00 Recyclable Tile (floor) tw12 Recyclable
Concrete 0.00 Recyclable Tile (roof) C.00 Recyclable
Drywall 0.75 Recyclable Wood 1.00 Recyclable
Donated) Reuse* 0.00 Recyclable Landscape Debris 0100 Recyclable
'Describe Items
Totals: Recycle Trash Projected Diversion:
'1 1.9 1 1.5 1 FS5.49PA
I understand n is the property owner's responsibility to submit coplss of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Pian (DMP) for the above named project shall guarantee that at least 50% of the Jobsite.waste Is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use; remaining
materials generated from the first day of the project through the completion of the project in accordance with this plan. This
DMP is Issued in the name of the property owner(s) and shall remain their property throughout the construction and/or
de lition proIecl. A coni or serving as agent of the owner may obtain a DMP for the owner. However, the.DMP Is still
18ST-'
in th�rname of the perty owner(s) and the owner retains legal responsibility for ensuring that the prcvisions of the
D P a red t .Thep party owners) and general contractor shall be kept Informed of the diversion progress through
b on hty o . self- Zing, all refuse material from this project site must betaken to an approved recyc er or transfer
Owner / Developer / Project Manager / Superintendent Date .
'b"�10 - wel
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
NORCO
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUX CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
KEVIN JEFFRIES
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOrr
DISTRICT 4
MARION ASHLEY
DISTRICT 5
CAL FIRE -RIVERSIDE UNIT
RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 922114131 • Phone (760) 86.3-8886
• Fax (760) 863-7072
www.rvcfire.org
December 161, 2016
Chris Bloch
81750 Avenue 50
.Indio, CA 92201
Re: Building Tenant Improvement — Demo Unlimited Inc.
LAQ-I6-TI-035 51350 Desert Club Drive #4 La Quinta, CA
Fire Department personnel have reviewed and have 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 issuance of a building permit.
The following conditions must be met prior to occupancy:
Deferred Submittals Required:
1) Fire Sprinkler — Tenant Improvement plans must be submitted an j reference the installing
contractor performing the work. Permit fees in the amount of $614.00 will be required.
2) Fire Alarm — Tenant Improvement plans must be submitted and reference the installing
contractor performing the work. Permit fees in the amount of $627.00 will be required.
3) Kitchen Hood Suppression — Tenant Improvement plans must be .submitted and reference
the installing contractor performing the work. Permit fees in the amount of $215.00 will be
required.
4) High -Pile & Rack Storage — Tenant Improvement plans must be submitted showing the
changes of layout and type of racks and shelving as affected by this tenant improvement.
Permit fees in the amount of $348.00 will be required.
Buildings/facilities
1) Install Knox Key Lock box, mounted per recommended standard of the Knox Company. If
the building/facility is protected with a fire alarm system or burglEr alarm system, the lock
boxes will require "tamper" monitoring. Special forms are available from this office for the
ordering of the Key Switch. This form must be authorized and signed by this office for the
correctly coded system to be purchased.
2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall
have durable and legible tags axed for identification of the correlating tenant space.
3) 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". Minimum 6" tall suite addressing shall be provided to both the front and
�Wmo6-00ul
rear entrances. All addressing must be legible and of a contrasting: color with the background
and adequately illuminated to be visible from the street at all houri.
Other requirements:
1) Install portable fire extinguishers per Title 19, but not less than 2.A.1 OBC in rating. All new
and existing portable fire extinguishers shall have current annual servicing performed and
tagged.
2) All kitchen hood suppression systems must have current servicing performed and tagged.
3) All kitchen hood and ventilation systems shall have records of inspection and necessary
cleaning in compliance with CFC 609.
4) Applicable room door(s) shall be posted "ELECTRICAL ", "FACP", "FIRE RISER" and
"ROOF ACCESS" on the outside of the door so it is visible and in a contrasting color.
5) A durable sign stating "This door to remain unlocked during business hours" shall be placed
on or adjacent to the front exit doors. The sign shall be in letters not less than one inch high
on a contrasting background.
6) Illuminated Exit Signage and Egress Illumination placement and functional test will be
witnessed by OFM Fire Inspector at time of final inspection.
7) Each room with an occupancy load of over fifty people shall_ be posted in a
conspicuous place on an approved.
8) All egress doors shall comply with the California Building Codi for proper door hardware.
The Fire Department approved plans and conditions letter must be at thT job site or NO inspection
will be performed.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections.
Requests. for inspections are to be made at least 72 hours in advance and may be arranged by
calling (760)863-8886.
SUBJECT TO FIELD INSPECTION - Nothing in our review shall be construed as encompassing.
structural integrity. Review of this plan does not authorize or approve any omission or deviation
from all applicable regulations. Final approval is subject to field inspection.
All questions regarding the meaning of these conditions should be referred to the Office of the Fire
Marshal staff at (760)863-8886.
Lisa Nottingham — Fire Safety Specialist