10-0168 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
10-00000168
Property Address:
79295 HIGHWAY
111
APN:
600-340-027-
- -
Application description:
REMODEL - COMMERCIAL
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
1084019
Applicant:
Architect or Engineer:
C�v
4111�_
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 Professionals Code, and my License is in full force and effect.
License CI ss: B-A License No.: 667051
Date: nvactor: _111t[Jnn grem zU aT,
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).:
(_ 1 1, 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. , BAP.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) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7 / 21 / 10
Owner:
LMART REAL ESTATE BUS. TRUST
02 S.W. EIGHTH STREET
ENTONVILLE, AR 72712
e
Contractor:
`""_ HBI CONSTRUCTION, INC.
4921 BIRCH STREET, SUITE ##1
NEWPORT BEACH, CA 92660
(949)851-2211
Lic. No.: 667051
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 STATE FUND Policy Number 719000087
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.
e"aeZ G plicant: H6/ C-ol37 o-%oN
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 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 infor tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructs n, and hereby authorize representatives
offtth/is,Coun�ty to for
upon t ove-mentioned pro erty for inspectioi purposes.
at
nature (Applicant or Agent):
0.0
LQPERMIT
Application Number . . . . . 10-00000168
------ Structure Information EXIST.
221694 SF STORE
-----
Construction Type . .
. . . TYPE
V, UNPROTECTED
Occupancy Type . .
. . . MERCANTILE
Other struct info . .
. . . CODE
EDITION
2007/08 ENERGY
FIRE
SPRINKLERS
YES
MIXED
-USE OCCUPANCY
M/S3/A2
OCCUPANT LOAD
6171.00
1ST
FLOOR SQUARE FOOTAGE
221694.00
----------------------------------------------------------------------------
2ND
FLOOR SQUARE FOOTAGE
.00
Permit . . .
BUILDING PERMIT
Additional desc
REMODEL OF EXIST
STORE
Permit Fee . . . .
3709.50
Plan Check Fee
2411.18
Issue Date . . . .
Valuation . .
. . 1084019
Expiration Date . .
1/17/11
Qty Unit Charge
Per
Extension
-
BASE
FEE
3539.50
85.00 2.0000
----------------------------------------------------------------------------
THOU BLDG
1,000,001 - UP
170.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
259.62
Plan Check Fee
64.91
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
1/17/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
146.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL 2.92
20.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
4.00 11.0000
EA ELEC
MISC
44.00
406.00 .4500
----------------------------------------------------------------------------
EA ELEC
DEVICE/FIXTURE >20
182.70
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
137.00
Plan Check Fee
34.25
Issue Date . . .
Valuation . .
. . 0
Expiration Date . .
1/17/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
12.00 6.5000
EA MECH
VENT FAN
78.00
LQPFRMIT
Application Number
Permit . . . . .
. . . 10-00000168
1010140
Qty Unit Charge Per
Extension
4.00 6.5000 EA MECH OTHER MECH EQUIPMENT
----------------------------------------------------------------------------
26.00
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 273.00 Plan Check Fee
68.25
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 1/17/11
Qty Unit Charge Per
Extension
_ BASE FEE
15.00
39.00 6.0000 EA PLB FIXTURE
234.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
3.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
----------------------------------------------------------------------------
9.00
Special Notes and Comments
REMODEL TO WALMART SUPERCENTER. 221,694
SF EXISTING. 128 SF ADDED OUTDOOR
STORAGE. M/S-2/A-2 OCCUPANCY.TYPE V-B
CONSTRUCTION.**2007 CODES / 2008 ENERGY
CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
241.12
ART IN PUBLIC PLACES-COM
5400.10
BLDG STDS ADMIN (SB1473)
41.00
ENERGY REVIEW FEE
241.12
STRONG MOTION (SMI) - COM
227.64
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 4379.12 .00 .00
4379.12
Plan Check Total 2578.59 .00 .00
2578.59
Other Fee Total 6150.98 .00 .00
6150.98
Grand Total 13108.69 .00 .00
13108.69
LQPERMIT
City of La Quinta
C' Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # (1,
jj
Project Address: 79295 Us Hwy111
Owner's Name: Walmart R.E. Business Trust
A.P.Number: 600-340-027
Address:702 S.W. Eighth Street
Legal Description:
City, ST, Zip: $ en t onvi 11 e , AR 7.2716
Contractor: To Be Determined
Telephone:;
479-204-0220
/;; <:. ;s.:;:;;::;>:..;.>; •,::..
r�5<is <<•<•r ,•«;:ry;><,:::.:;?>:;<•.
Address: T$j�
Project Description: Remodel pharmacy, rest -
City, ST, Zip: T$D
rooms, customer service, various
Telephone: TBD
''�t,>;:x,��<<�;,s./•,,;<.;;.:>:�<:::,>><;:>
offices rocer, ice maker.alcoves,
State Lic. # : TBD City Lic. #: TBD
Arch., Engr., Designer: James A. Hailey
refurbish arden center, replace/re-
air doors floor tile, roce 6
Address:6700 Antioch Plaza, Ste. 300
m nt vestibule e i� ment & 'roof
City,ST,Zip:Merriam, KS 66204
equipment as noted.
Telephone: 913 - 2 62 - 9095
"C .r:'J•:`
a�.', {>:>:'% ` <=
<'>ti.�;; :v;:>�-� : / ::. • •
Construction Type:
YP VN Occupancy: S 3 , M , A3
Project a circle one New Add'n Alter Repair Demo
State Lic. #: C- 3 0 8 7 0
:<<;<i -• •,s;...:..:.,.,i.w...<.
Name of Contact Person: Che 1 sea Covington Maass
Sq. Ft.: 3 0 0 0 0
# Stories: 1
# Units:
Telephone # of Contact Person: 415 - 7 8 2 - 4101
Estimated Value of Project: $ 1 , 0 8 4 , 019 .00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
3
Plan Check submitted
item
Amount
Structural Calls.
a
Reviewed read for c
Y
tions
L Z
n Check Deposit
Truss Caics.
Called Contact Person
MAR 0
n Check Balance
Title 24 Calls.
Plans picked up
Co struction
Flood plain plan
Plans resubmitted i
chanical
Grading plan
tad Review, ready fo corrections ssue
2
Electrical
Subcontactor List
Called Contact Person
Z
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted - Maei
/7%
Grading
IN HOUSE:-
'"' Review, ready for correction ssue
Impact Fee
.Planning Approval
Called Contact Person Wt
/.P.P.
JDeveloper
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
4:;iel a 44 As-
31aa i ill`
3 2 y A115 �G (0 1?
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING &•SAFETY DEPARTMENT
(760)777-7012
FAX (160) 777-701 1
To: Greg Butler, Building & Safety Manager To CDD:
From: Les Johnson, Director -Planning Due Date:
Permit #: Status:
dui ding Flans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location:
Applicant Contact: 41/5- 7V - 4 /O /.
The Planning Department finds that:
❑'�_ these Building Plans do not require Planning Department approval.
❑ ...these Building Plans are approved by the Planning Department:
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant: When the. corrections are made
Please teturn them to the Planning Department for review.
Les Jo on; D rector -Planning Date
��`
MAR 0 20
10
arning Cepartm.3r14
71-780 San Jacinto Dr. Ste. E2; Rancho Mirage,,:ca. 92270 ph. (760) 834-8860 fax (760) 834-8861
Letter of Transmittal
To: City of La Quinta Today's Date: 7-14-10
78-495 Calle Tampico City Due Date: 7-15-10
La Quinta, CA 92253 Project Address: 79-295 Highway 111
Attn: Phillip / Burt Plan Check #: 10-168
Submittal: ❑ 15l ❑ 4'h
❑ 2nd ❑ 5lh
® 3`d ❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes:
# Of
Descriptions:
Includes:
# Of
Descriptions:
Copies:
Copies:
❑
Structural Plans
®
1
Revised Structural Plans
❑
Struct. Calcs
®
1
Revised Struct. Calcs
❑
Truss Calculations
❑
Revised Truss Calcs
❑
Soils Report
❑
Revised Soils Report
®
1
Structural Comment List
❑
Approved Structural Plans
®
1
Redlined Structural Plans
❑
Approved Structural Calcs
®
1
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
®
1
Other: Specs, Mech. Curb
Comments:
Structural content is approvable.
If you have any questions
please call.
This Material
Sent for:
❑
Your Files
®
Per Your Request
❑
Your Review
❑
Approval
❑
Checking
❑
At the request of:
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other ❑
DEPARTMENT
ENVIRONMENTAL HEALTH
Plan Check # SR17892
Project Name Walmart
Plans Submitted by
Owner Walmart RE
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Date 04/12/10
Address 79295 Hwy 111, PefrtrBesert f
Chelsea Covington Maass Phone, 415-782-4101
Address 702 SW 8th, Bentonville AR Phone
72716
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
*This is an approval for the following only: remodel of restroom and seafood dept.
finishes; replacement of refrigerated cases; installation of a rotisserie double stack oven.
No other items were considered under this approval.
1. All equipment shall be ASNI certified (i.e. NSF/ ETL approved).
2. All floor sinks shall be at least half exposed under equipment and shall have a protective
stainless steel birm on the back of floor sink.
3. All cove base in seafood department shall be approved type. Provide sample of tile prior to
installation for consideration of approval.
CONSTRUCTION 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 should be made at least five (5) working days in advance.
A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to
operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL
INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid.
Request for inspection should be made at least five (5) working days in advance.
PLANS CHECKED BY Rebeca Norwood, REHS III for Tracey Ford Phone 760-320-1048
acknowledge -the -corrections noted herei and as indicated on the plans and agree to incorporate them during
construction:
SignatureFDate % -
Company Name ti B ( Co N 0 t ly e
DEH-SAN-178 (Rev 2/06)
(Corona uPmvt Tnd4o Allurrieta Palm sprmi gs Ri-zerside
+2275 S. Main St Suite 204 800 S. Sanderson 47-950 Arabia St "A" 38740 Sky Canyon Dr 2500 N. Palm Canyon Dr 4065 County Cir
(951) 273-9140 (951) 766.2824 (760) 863-8287 (951) 461-0284 -(760) 320-1048 (951) 358-5172
Fax (951) 520-8319 Fax (951) 766-7874 Fax (760) 863-8303 Fax (951) 461-0245. Fax (760) 320-1470 Fax (951) 358-5017
Department Web Site — www.rivcoeh.org