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BCOM2018-003578-495 CALLE TAMPICO T4ty, U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/8/2018 Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Owner: Application Number: BCOM2018-0035 OD LA QUINTA Property Address: 78987 HIGHWAY 111 80618 DECLARATION AVE APN: 643020050 INDIO, CA 92253 Application Description: PLANET FITNESS / 14,926SF GYMNASIUM TENANT IMPROVEMENT Property Zoning: Application Valuation: $850,000.00_.,..,, Applicant:!, a r �r.•,..v.... b,.:,, , r �•� Contractor: ARTAVIA, MARYANN�I1` J CHASE BUILDERS INC 7325 VINTON AVE # 8 I! �`!OV 0 8 20) � £L� 3508 WOODLAND WAY LOS ANGELES, CA 90034 __.,....v _,. CARLSBAD, CA 92008 p CII'YCiFLAQUfvi'A l;0!`iP•4JidiT'(DcVE!C;' i'r i;frn ',YPii:!t: i7 (609)462-4234 Llc. No.: 970950 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 970950 Date: _ �/ Contractor: _ 0— 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 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.). O 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: 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: E EMPT Policy Number: 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: / _Applicant: i 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 FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 upo the above -mentioned property for inspection purposes. Date: / Signature (Applicant or Agent): Date: 11/8/2018 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: ARTAVIA, MARYANN 7325 VINTON AVE # 8 LOS ANGELES, CA 90034 BCOM2018-0035 78987 HIGHWAY 111 643020050 PLANET FITNESS / 14,926SF GYMNASIUM TENANT IMPROVEMENT $850,000.00 Owner: OD LA QUINTA 80618 DECLARATION AVE INDIO, CA 92253 Contractor: J CHASE BUILDERS INC 3508 WOODLAND WAY CARLSBAD, CA 92008 (609)462-4234 Llc. No.: 970950 Detail: 14,962SF TENANT IMPROVEMENT FOR PLANET FITNESS THIS IS A CONDITIONAL APPROVAL - PENDING CORRECTED LIGHTING CONTROL PLAN AND SITE ACCESSIBLITY REVISIONS - ALL PENDING REVISIONS NEED TO BE APPROVED PRIOR TO FRAMING INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT CITY AMOUNT ART IN PUBLIC PLACES - COMMERCIAL REMOD 270-0000-43201 0 $3,750.00 Total Paid for ART IN PUBLIC PLACES - AIPP: $3,750.00 DESCRIPTION ACCOUNT CITY AMOUNT 101-0000-42600 ($125.00) DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 1.5 $125.00 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - ESGIL CIVIL ENGINEER 101-0000-42600 0 $32.50 Total Paid for BLDG CITY STAFF - PER HOUR: $32.50 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $34.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $34.00 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF 101-0000-42403 0 $280.14 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, EA ADDITION 2,000SF, PC 101-0000-42600 0 $74.69 DESCRIPTION ACCOUNT QTY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF 101-0000-42403 0 $120.07 DESCRIPTION ACCOUNT CITY AMOUNT NON-RESIDENTIAL, FIRST 2,000SF, PC 101-0000-42600 0 $92.86 Total Paid for ELECTRICAL - NEW CONSTRUCTION: $567.76 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $240.12 DESCRIPTION ACCOUNT CITY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $160.08 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $240.12 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0 $160.08 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN 101-0000-42402 0 $53.36 DESCRIPTION ACCOUNT CITY AMOUNT VENT FAN PC 101-0000-42600 0 $21.36 Total Paid for MECHANICAL: $875.12 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $2,255.48 Total Paid for PERMIT ISSUANCE: $2,255.48 DESCRIPTION ACCOUNT I QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 1 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.68 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $440.22 DESCRIPTION ACCOUNT CITY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $440.22 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $40.02 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $16.00 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT CITY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.34 Total Paid for PLUMBING FEES: $1,061.86 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $720.30 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $576.30 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $54.43 DESCRIPTION ACCOUNT CITY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 i 0 $148.89 - I Total Paid for REMODEL: $1,499.92 DESCRIPTION ACCOUNT CITY AMOUNT SMI - COMMERCIAL 101-0000-20308 0 $238.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $238.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $10,464.64 -- PERMIT # 1BU M IL 06 PLAN LOCATION: Project Address: 78-987 HIGHWAY 111 Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: TENANT IMPROVEMENT OF AN EXISTING RETAIL SPACE. MINOR USE CHANGE APPROVED 9/6/18, CHANGE IN OCCUPANCY, NO CHANGE IN AREA. NEW INTERIOR PARTITIONS, FINISHES AND FIXTURES. NEW ELECTRICAL AND LIGHTING SYSTEMS. NEW MECHANICAL SYSTEMS AND CONTROLS. NEW TOILETPLUMBING AND FIXTURES. Applicant Name: Address: 7325 Vinton Aviv #8 City, sT, zip: Los Angeles, CA 90034 Telephone: (310) 876-1141 Valuation of Project $ 850,000.00 Email: ' P-+t Ct �deC(V�%'C a � Contractor Name: J CHASE BUILDERS New SFD Construction: Address: 3508 WOODLAND WAY Conditioned Space SF City, st, zip CARLSBAD, CA 92008 Garage SF Telephone: (609) 462-4234 Patio/Porch SF Email: darren@dmachulsky.eom Fire sprinklers SF State Lie: 970950 City Bus Lie: _7 G , . Arch/Eng Name: Robert J. Sargenti Construction Type: Occupancy: Address: 461 From Road Grading: city, St, zip Paramus, NJ 07652 Telephone: (973) 253-9393 Bedrooms: Stories: # Units: Email: rsargenti@sargarch.com State Lie: C-31054 City Bus Lie: Property Owner's Name: Jack Tarr New Commercial enant Improvements Address: Total Building 14,926 SF City, ST, zip Construction Type: I I B Occupancy: FITNESS CENTE Telephone: ( Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 / CITY OF LA QUINTA SLAB -CONTRACTOR LIST JOB ADDRESS 'ff7 ��i� �- 1�� PERMIT NUMBER WNER ,...— _ BUILDER C:�-- This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work 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 voidance of building permit. I -or each applicable trade, all intormation requested below must oe comp!etea Trade /Classificat' on Contractor _ State :.Contractor's License Company Name Classification License Number Exp. Date (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) r applicant. --un rile" Is not an acceptame response. Workers: Compensation Insurance , City:Business,License - p. Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) hxx/xx/xx) EARTHwORK (C-12) . — CONCRETE (C-8) �) V \ co arc- eAq- FRAMING (C-5) U i STRUCT. STEEL (C-51) MASONRY (C-29.) PLUMBING (C-36) cMiA^MA1 :LATH',. PLASTER. (C-3:5). DRYWALL (G 9M iek HVAC {C-201 ELECTRICAL (C40) ROOFING (C-39) SHEET METAL (C43I) FLOORING (C-15) GLAZING (C-17) INSULATION (C72} SEWAGE DISP. (C-42) PAINTING (C:733) CERAMIC TILE (C-54:) CABINETS (C:-6) FENCING (C-13) LANDSCAPING (C-27) POOL (C-53) J. Chase Builders Inc. General Contractor September 16, 2018 To: Whom it may concern City of La Quinta Building Department RE: Matt Bailey Kevin Sheenan J. Chase Builders Dear Sir or Madam, Please be advised that Matt Bailey or Kevin Sheenan are p documents for the building department on behalf of J Chw permit for the proposed Planet Fitness.. Please feel free to arise. Sincerely, Darren Machulsky Owner 3508 Woodland Way, Carlsbad, CA 92008 Ph. (609) 462 darren(a-Mmachulsky.corn Ca. Lic. # 970950 witted to sign any and all Builders in order to pull the )ntact me should any need Fax. (760) 730,9659 J. Chase Builders Inc. t-jeneral C.ontractor September 16, 2018 To: Whom it may concern City of Hanford Building Department RE: Matt Bailey Kevin Sheenan J. Chase Builders Dear Sir or Madam, Please be advised that Matt Bailey or Kevin Sheenan are p documents for the building department on behalf of J Cha,, permit for the proposed Planet Fitness.. Please feel free to arise. Sincerely, Darren Machulsky Owner 3508 Woodland Way, Carlsbad, CA 92008 Ph. (609) 462., darren(d)dmachulskv.corn Ca. Lic. # 970950 •misted to sign any and all Builders in order to pull the ontact me should any need Fax. (760) 730,9659 Building Permit Number: Project Description: New con'strUction' Exempt: 10 Waterials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan Plan Submittal Date 9/7,12018 Job Site Address 78987 Hwy I I I Owners Name Number, Street, or PO Box City, State, Postal Code Owner's Phone Number i Owner's E-f0all Address I Project Managers Name Project Manager's Phone Number Project Manager's E-mail Address Builder I Contractor Number, Street or P0 Box City, State, Postal Code Project Square Footage OD La Quinta LLC 30240 Rancho Viejo Rd Can Juan Capistrano, CA. 92675 949-795-1401 John Ranous 310-880-7859 dpp� nQir�ation�v �n nits com L TBD (c/o John Ranous) Approx. 14,925 sr ft RU, L Illy, SEE I - 1 2018 A City Approval By Renado Gouldlock-DEC/Burrtec Waste-'I Date of City Approval Materials To Be Discarded: Product Tons Trash F 6-0,00 Not recyclable Product Tons Asphalt r-0-00 Recyclable Masonry (broken)0,00 Recyclable! Brick/Block 0,00 Recyclable Plaster __ 15.0 0 Recyclable) Cardboard0.00 Recyclable Scrap Metal 0.00 Recyclable Commingled �_00.00 Recyclable Tile (floor) 1.50 Recyclable Concrete 1 66.00 Recyclable Tile (roof]_ .00 Recyclable Recyclable Drywall 1--7.25 1--__ Wood r =26,5550 Recyclable Donated / Reuse, 1, 0 0 0J, Q.00 Recyclable Landscape Debris 0.00 Recyclable *Describe Items ( Totals: Recycle Trash Projected Diversion: L- 60.61 11-10J3 L I understand It is the property ovinees responsibility w submit copies 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 Plan (DMP) for the above named project shall guarantee that a, least 65% 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 LAMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner( 1-.�.QdQzaezaI_contractor shall be kept informed of the diversion progress through bi-monthly'Worts. Jf self uling, all p" I material from in�i-pj-oject site must be taken to an approved recycler or transfer lo er/ P ct Manager ter Date - Certificate o Occupancy ot G� OFF Design and Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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: 78987 HIGHWAY 111 Use classification: ASSEMBLY - GYMNASIUM Building Permit No.: BCOM2018-0035 Occupancy Group: A-3 Type of Construction: VB Land Use Zone: CR Code Edition: 2016 Sprinkler Installed: YES Occupant Load: 267 By: AJ ORTEGA Owner of Building: OD LA QUINTA, LLC. Date: 4/16/2020 Address: 30240 RANCHO VIEJO RD, STE B Building Official: AJ ORTEGA City, ST, ZIP: SAN JUAN CAPISTRANO, CA 92675 POST IN A CONSPICUOUS PLACE