BCOM2019-002678-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/30/2019
Permit Type/Subtype: BUILDING COMMERCIAL/REMODEL Owner:
Application Number: BCOM2019-0026 CALLE QUINTA VENTURE
Property Address: 78080 CALLE ESTADO 11260 WILBUR AVE STE 301
APN: 770151003 NORTHRIDGE, CA 92253
Application Description: ROYALE REAL ESTATE / TENANT IMPROVEMENTS
Property Zoning:
Application Valuation: $38,000.00
Applicant: Contractor:
GABRIEL FRANCO P
DON RAUSCH CONSTRUCTION INC
50855 WASHIGNTON ST C322 712 S WILLIAMS RD
LA QUINTA, CA 92253 OCT
3 0 2019 D PALM SPRINGS, CA 92264
CITY OF LA QUINTA (760)3
Llc. No..::75 77
4793
DESIGN & DEVELOPMENT DEPARTMENT
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.: 754793
Date:4Z'kzk0Contractor: A t .Qn
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.).
(_) 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:
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 11fork 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: )NSURANCE COMPANY OF THE WEST Policy Number: WSD504608300
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 bar ode, I shall forthwith
comply with
ythose provisions.
Date: `v xvi t__ Applicant:
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 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
3s 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
`allowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
-ommenced within 180 days from date of issuance of such permit, or cessation of work
:or 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives of this city to enter up he above-
nentioned property for inspection purposes.
)ate: Signature (Applicant or Agent):
Date: 10/30/2019
Application Number:
BCOM2019-0026
Property Address:
78080 CALLE ESTADO
APN:
770151003
Application Description:
ROYALE REAL ESTATE / TENANT IMPROVEMENTS
Property Zoning:
Application Valuation:
$38,000.00
Applicant:
GABRIEL FRANCO
50855 WASHIGNTON ST C322
LA QUINTA, CA 92253
Owner:
CALLE QUINTA VENTURE
11260 WILBUR AVE STE 301
NORTHRIDGE, CA 92253
Contractor:
DON RAUSCH CONSTRUCTION INC
712 S WILLIAMS RD
PALM SPRINGS, CA 92264
(760)325-1177
Llc. No.: 754793
Detail: FIRST FLOOR TENANT IMPROVEMENTS FOR REAL ESTATE OFFICE. CONSTRUCT PARTITIONS TO CREATE (3) OFFICES, SPLIT CONFERENCE ROOM TO
(2) MEETING ROOMS, CONVERT STORAGE CLOSET TO PHONE CALL BOOTH, NEW LIGHTING IN ALTERED AREAS, PATH OF TRAVEL UPGRADES TO
ACCESSIBLE ROUTES AND RESTROOMS. NO TUMF ASESSMENT PER 2018 HANDBOOK. THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT QTY AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 1 1 $161.00
Total Paid for BLDG CITY STAFF - PER HOUR: $161.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
101-0000-42403
0
$120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$92.86
I Total Paid for ELECTRICAL - NEW CONSTRUCTION 2018: $212.93
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIAL TI
101-0000-42421
0
$160.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIAL TI PC
101-0000-42420
0
$240.00
Total Paid for FIRE FEES: $400.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT PC
101-0000-42600
0
$80.04
Total Paid for MECHANICAL 2018: $160.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($21.00)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($98.50)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$72.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$57.63
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$54.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$98.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600 1 0
$50.39
Total Paid for REMODEL 2018: $234.48
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($0.50)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - COMMERCIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
101-0000-42600
($5.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $0.00
,.
cza Qa�fra
(Al WORM\ --
Project Address:
APN #:
W"-
Applicant Nameb_ fr��`l�,fCa
Address:
City, ST, Zip: /&
Telephone: 7(O -7?G - 32po
Email:(�aF �C�f7 ��>f��015
Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
Property Owner's Name7fhl4o"
Address: S Al
City, ST, Zip A 6e,
Telephone: *7(,,0-776 24)0
IT #
Project Description:
r n nu
Valuation of Project $350nDQ
ew SFD Construction:
Conditioned Sp SF
Garage 5F
Patio/Porch SF
Fire Sprinklers SF
New Commercia / Tenant Improvements:
Total Building SF
Construction Type: Occupancy: FInc
Email: %f'_ - - - --/- - '* �D-a�T �e7Of�
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal Required
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
Received
e
4'
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E (Created 7/18) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
This document is used to demonstrate compliance with requirements in 6110.9 130. p. ,§130_1, ,§140.6 and §141.d[b12 for indoor lighting scopes using the prescriptive path.
Project Name: Royale Real Estate lReport Page. Page 1 of 6
Project Address: 78-080 Calle Estado IDate Prepared: 7n/a/7nl q
C. COMPLIANCE RESULTS
Table Instructions: If any cell on this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D. for guidance
Lighting in
conditioned and
Allowed Lighting
Power per
140.E b (Watts)
Actual
Lighting Power per 140.6
a
(Watts)
Compliance Results
01
02
03
04
05
06
07
08
09
10
Complete
Building
§140.6(c)1
Area
Category
140.6 c 2
Area
Category
Footnotes
§140.6(c)2G
Tailored
140.E c 3
Total
d Allowe
(Watts)
Total
Designed
(Watts)
Adjustments
Total Actual
(Watts)
*Includes
Adjustments
05Mustbe>_09
§140.6
unconditioned
spaces must not
be combined for
compliance per
§140.6(b)1.
=
>_
-
Portable
Lighting
140.6 a
PAF Control
Credits
§140.6(a)2
(+)
(+)
(-)
(-)
(See Table 1)
(See Table 1)
(See Table K)
(See Table L)
(See Table F)
(See Table J)
(See Table R)
Conditioned:
-
2,581.5
>
1,082
-
1,082
COMPLIES
Unconditioned: ED ,- >
Controls Compliance (See Table H for Details)
COMPLIES
Rated Power Reduction Compliance (See Table S for Details)
Not Applicable
CITY OF LA QWNTA _ +�
CA Building Energy EfFiciDDMM&MEft"ompliance: http://www.energy.ca.gov/title24/2016standards July 2018
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E (Created 7/18)
CERTIFICATE OF COMPLIANCE
Project Name: Royale Real Estate
Project Address: 78-080 Calle Estado
CALIFORNIA ENERGY COMMISSION
NRCC-LTI-E
port Page: Page 2 of 6
to Prepared: 10/4/2019
EXCEPTIONAL CONDITIONS
s table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form.
exceptional conditions apply to this project.
ADDITIONAL REMARKS
is table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
atic Time Switch Controls
F. INDOOR LIGHTING FIXTURE SCHEDULE
Table Instructions: Include all permanent designed lighting and all portable lighting in offices
01
02
03
04
Name or
Complete Luminaire Description
Specialized Luminaire Types
Watts per
Item Tag
Track
Portable
luminaires
1
25w LED
25
2
(4) 4 ft Fluorescent T8 Energy Saving
n
n
104
05
06
07
How Wattage is
Total number
Exempt per
determined
luminaires
§140.6(a)3
NA8 Default
10
Q
NA8 Default
8
Total Designed Watts CONDITIONED SPACES:
08
09
Field Inspector
Design Watts
Pass
Fail
250
El
832
1,082
'NOTES: Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per j130.0 0 Wattage used must be the maximum rated for the
luminoire, not the lamp.
G. TRACK LIGHTING
This Section Does Not Apply
I ODIC %.V111I11UCU
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance: http://www.energy.ca.gov/title24/2016standards July 2018
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E (Created 7/18) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
Project Name: Royale Real Estate lReport Page: Page 3 of 6
Project Address: 78-080 Calle Estado jDate Prepared: 10/4/2019
04
05
06
07
08
09
10
11
12
Complete Building or Area Category
Area Controls
Multi -Level
Shut -Off
Primary/Skylit
Secondary
Interlocked
Field Inspector
Area Description
tion
Primary Function Area
130.1 a
Controls
Controls
Daylighting
Daylighting
Systems
Pass
Fail
130.1 b
130.1 c
130.1 d
140.6 d
§140.6ia11
❑
❑
❑
*NOTES: Controls with a * require a note in the space below explaining how compliance is achieved.
13
EX: Conference 1: Primary/Skylight Daylighting: Exempt because less than 120 watts of general lighting;
Plan
Sheet Showing Daylit Zones:
EXCEPTION 1 to §130.1(d)2
I. LIGHTING POWER ALLOWANCE: COMPLETE BUILDING OR AREA CATEGORY METHODS
Table Instructions: Complete the table foreach area complying using the Complete Building or Area Category Methods perjIndicate if additional lighting power
allowances per 1140,E c or adjustments per J11Q.E a
J are being used.
Conditioned Spaces
01 I 02 03
04
05
06
Complete Building or Area Category Allowed Density
Area Description
Area
Allowed Wattage
Additional Allowances / Adjustments
Primary Function Area (W/ftz) `
(ftz)
(Watts)
Footnotes I PAF Portable Ltg
Office Office (> 250 square feet) 0.75 j
3,442
2,581.5
❑ El❑
TOTAL:1
3,442
2,581.5
See Tables J, K, R for detail
J. POWER ADJUSTMENT: PORTABLE LIGHTING IN OFFICES
This Section Does Not Apply
ADDITIONAL LIGHTING ALLOWANCE: AREA CATEGORY METHOD FOOTNOTES
This Section Does Not Apply
L. TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE
This Section Does Not Apply
M. ADDITIONAL LIGHTING ALLOWANCE: TAILORED SPECIAL FUNCTION AREAS
This Section Does Not Apply
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance: http://www.energy.ca.gov/title24/2016standards July 2018
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E (Created 7/18)
CERTIFICATE OF COMPLIANCE
Project Name: Royale Real Estate
Project Address: 78-080 Calle Estado
N. ADDITIONAL LIGHTING ALLOWANCE: TAILORED WALL DISPLAY
This Section Does Not Apply
O. ADDITIONAL LIGHTING ALLOWANCE: TAILORED FLOOR AND TASK LIGHTING
This Section Does Not Apply
P. ADDITIONAL LIGHTING ALLOWANCE: TAILORED ORNAMENTAL/SPECIAL EFFECTS
this Section Does Not Apply
Q. ADDITIONAL LIGHTING ALLOWANCE: TAILORED VERY VALUABLE MERCHANDISE
This Section Does Not Apply
R. POWER ADJUSTMENT: LIGHTING CONTROL CREDIT (PAF)
This Section Does Not Apply
IS. RATED POWER REDUCTION COMPLIANCE BY SPACE
This Section Does Not Apply
port Page:
to Prepared:
CALIFORNIA ENERGY COMMISSION jbgg
N RCC-LTI-E
Page 4 of 6
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance: http://www.energy.ca.gov/title24/2016standards July 2018
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E (Created 7/18)
CERTIFICATE OF COMPLIANCE
Project Name: Royale Real Estate
Project Address: 78-080 Calle Estado
Report Page:
Date Prepared:
CALIFORNIA ENERGY COMMISSION
N RCC-LTI-E
Page 5 of 6
IT. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
Table Instructions: Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed, please explain why in
4Table E. Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at htto _Z
YES
NO
Form/Title
Field Inspector
Pass
Fail
(�
('
NRCI-LTI-01-E - Must be submitted for all buildings
❑
r
NRCI-LTI-02-E - Must be submitted for a lighting control system, or for an Energy Management Control System (EMCS), to be
recognized for compliance.
❑
❑
NRCI-LTI-03-E - Must be submitted for a line -voltage track lighting integral current limiter, or for a supplementary overcurrent
protection panel used to energize only line -voltage track lighting, to be recognized for compliance.
❑
❑
NRCI-LTI-04-E - Must be submitted for two interlocked systems serving an auditorium, a convention center, a conference
room, a multipurpose room, or a theater to be recognized for compliance.
❑
❑
(1
(0—
NRCI-LTI-05-E - Must be submitted for a Power Adjustment Factor (PAF) to be recognized for compliance.
❑
❑
(
(0—
NRCI-LTI-06-E - Must be submitted for additional wattage installed in a video conferencing studio to be recognized for
compliance.
❑
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance: http://www.energy.ca.gov/title24/2016standards July 2018
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E (Created 7/18)
CERTIFICATE OF COMPLIANCE
(Project Name: Royale Real Estate
Project Address: 78-080 Calle Estado
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
Documentation Author Name: Joan Hacker
Company:
ess:
Insu-form, Inc.
43585 Monterey Avenue, Suite 7
CALIFORNIA ENERGY COMMISSION jbg�g
N RCC-LTI-E
port Page: Page 6 of 6
to Prepared: 10/4/2015
Documentation Author Signature:Joan Hacker Date: l01910 4y Joan Hacker
Date: 2019 10 04 14:02:15-07'00'
Signature Date: I&/'?
CEA/ HERS Certification Identification (if applicable):
City/State/Zip Palm Desert, Ca 92260 Phone. 760-345-1352
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of
Compliance (responsible designer)
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this
Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable
compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available
to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the
documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Avlaj Responsible Designer Signature:
mpany : 5bc./ Mich
dress: 71—%910 <
AQ fA4 /um 'V
y/State/Zip: 15*6hd M,fu'ic 11 ,
Date Signed:
License: 0V/170R�
Phone: -740-4?—.3 — G06
CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance: http://www.energy.ca-gov/title24/2016standards July 2018