BCOM2016-003578-495 CALLE TAMPICO D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
r Date: 9/7/2016
.Application Number: BCOM2016-0035 Owner:
Property Address: 78825 HIGHWAY 111 STE 1�— -' RM LA QUINTA c
APN: 643020065 5319 UNIVERSITY STE 236 z
Application Description: TJ MAXX / 22,120SF TENANT IMPROVEMENT/VB/M-OCC/596-OL/SPRINK IRVINE, CA 92253 0
Property Zoning: r
Application Valuation: '$400,000.00 p
�a v
Applicant: Contractor:
z
LR ARCHITECTURE B DAVIS INC
213 W. ALAMEDA AVE #203 1441A TERMINAL AVENUE
BURBANK, CA 91502 SAN JOSE, CA 95112-4314=_ C�
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: B License No.: 773316
DDaattee — / ContractdTl
OWNER -BUILDER DECLA TION
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 a I
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.).
(_) 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
Lender's Address:
(408)436-4800
Llc. No.: 773316
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 . 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: t
Carrier: STATE COMPENSATION INSURANCE FUND Polity Number: 9153908
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 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 Code, I shall forthwith
comply with those provisions.
Date: ' i Applicant
WARNING: FAILURE TO SECURE WORKERS' 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 Building Official 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 hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
at�� •-7 Ap-nature (Applicant or Agent
Date: 9/7/2016
Application Number: BCOM2016-0035
Owner:
Property Address: 78825 HIGHWAY 111 STE 1
RM LA QUINTA
APN: 643020065
5319 UNIVERSITY STE 236
Application Description: T1 MAXX / 22,120SF TENANT IMPROVEMENT/VB/M-OCC/596-OL/SPRINK
IRVINE, CA 92253
Property Zoning:
Application Valuation: $400,000.00
Applicant:
Contractor:
LR ARCHITECTURE
B DAVIS INC
213 W. ALAMEDA AVE #203
1441A TERMINAL AVENUE
BURBANK, CA 91502,
SAN JOSE, CA 95112-4314
(408)436-4800
---------------------------------------------------------------
Lic. No.: 773316
.------------------------------
Detail: 22,120SF MERCANTILE TENANT IMPROVEMENT/VB/M-OCC/596-OL/FULLY SPRINKLED [TJ MAXX) THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO
THE BUILDING FRONT FACADE, BUILDING SIGNAGE, CANOPIES, OR RACKING/SALES FIXTURES. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
ART IN PUBLIC PLACES - COMMERCIAL REMOD
270-0000-43201 0 $1,500.00
Total Paid for ART IN PUBLIC PLACES - AIPP: .$1,500.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE -YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1.5
$142.50
Total Paid for BLDG CITY STAFF -PER HOUR: $152.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0 0
$16.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $16.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
. SERVICES
101-0000-42403
0
$24.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES PC
101-0000-42600
0
$12.09
Total Paid for ELECTRICAL: $36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$362.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF, PC
101-0000-42600
0
$96.70
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
101-0000-42403
0
$108.77
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$84.12
Total Paid for ELECTRICAL- NEW CONSTRUCTION: $652.19
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$326.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$217.53
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN
101-0000-42402
0
$36.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT FAN PC
101-0000-42600
0
$14.49
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL HEATER
101-0000-42402
0
$24.71
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL HEATER PC
101-0000-42600
0
$12.09
Total Paid for MECHANICAL: $631.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$193.44
DESCRIPYION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$193.44
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, S+ OUTLETS -
101-0000-42401
0
$36.26
DESCRIPTION •
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, S+ OUTLETS PC
101-0000-42600
0
$24.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
Total Paid.for PLUMBING FEES: $490.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$935.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$748.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$49.31
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$134.88
Total Paid for REMODEL: $1,867.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
101-0000-20308
0
1 $112.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $112.00
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Qty of La Quinta ^
Bu/ldhlg 6C Safety Mkion 1• "
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
C) rA
Project Address: .
. I III
Owner's Name: *IK
A. P. Number. Ga' • iD 1 • 2
Address: Ifs -001pp paw, 50i Z12. b
Legal Description:
City, ST, Zip: 45;�A ,, ,em 124r&
Contractor. A 1?4 4
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Telephone:
Project Description:
Address: `„
City, ST, Zip: Q9 9*pf
I `VYW a
Telephone*
State Lia # f%' % City Lic. #: N
Arch., Engr., Designer61% M"10i
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Address: ��
City, ST, Zip:
Telephon . fw h rt
State Lie. #:
Name of Contact Perso e:BQV 0�,R
Construction Type: V. Occupancy: M
Project type (circle one): New Add'n. Alter Repair Demo .
Sq• FL2( 11-40 1 # Stories: 1# Units:
Estimated Value of Project ....
Telephone # of Contact Person
® W*4*0
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. PLICANT: DO NOT WRITE BELOW THIS UNE
Y
Submittal
ReWd
'Reed
TRACMG
PERMUFEES-
Plan Sets
Plan Check submitted
Item Amount
StrudoW Calls.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
. Called Contact Person
Plan Cheek Balance
Mile 24 Calls.
Plans picked up
Construction
Flood plain plan
Plans resubmitted ' .
blechatiical
Giading plan
V Review, ready for correetionsrmm
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.OAL Approval
Plans resubmitted
Grading
IN IIOIISE:-
''' Review, ready for eorreetionsAssae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I,P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
' lig• �•P' ��il P, y
P.
9,
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LRARCHITECTURE
78-825 H I G H WAY 111
EXIBI T A SUITES 1 AND 2
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 BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
CAL FIRE - RIVERSIDE UNIT
RIVERSIDE COUNTY FIRE DEPARTMENT
y,
OFFICE OF THE FIREVARSHAL
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
wvvw.rvcfire.org
August 9h, 2016
Rodrigo Escobar
213 W. Alameda Avenue # 203
Burbank, CA 91502
Re: Building Tenant Improvement — T7 Max Tenant Improvement
LAQ-I6-TI-020 78-825 Hwy 111, 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 and 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) 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 burglar 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 affixed 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
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 hours.
Other requirements: