07-0186 (RC)� 15
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Application Number: 07-00000186
Property Address: 79245 CORPORATE CENTRE DR
APN: 649-820-017- - -
Application description: REMODEL - COMMERCIAL
Property Zoning: COMMERCIAL PARK
Application valuation: 200000
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACfOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 d Professionals Code, and my License is in full force and effect.
License Class: B Lice eNo.: 859158
Date: Contractor�
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, 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.).
1, 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:
LQPERMIT
Owner:
111 VENTURE LLC
327 E 18TH ST
COSTA MESA, CA 92627
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/09/07
Contractor:
PREMIER CONSTR & REMOD
2189 E. MCMANUS DRIVE
PALM SPRINGS, CA 9226 APR
(760)275-2891 092007
Lic. No.: 859158
C1T':yr090FLA0i11A1.r.
-----------------------------------------------
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 FLJND — Policy Number 1803816-2007
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 0 the workers' compensation provisions of Section
3700 of the Labor Code, I shall I spi.-Thhuc� m h hose provisions.
te
Da F� f �4� Applicant:
WA NING: FAILLIFE TO . SECURE WORKERS' COMPENSATION COVEF�A �EIS 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building co and hereby authoriz / epresentatives
of his county to enter upon the above-mentioned property f
Da:e: Signature (Applicant or Agent):
ch
LQPERMIT
Application Number . . . . . 07-00000186
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
989.50 Plan Check Fee
643.18
Issue Date . . . .
Valuation
200000
Expiration Date . .
10/06/07
Qty Unit Charge
Per
Extension
13ASE FEE
639.50
100.00 3.SOOO
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
350.00
Permit . . . . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
69.00 �Plan Check Fee
17.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/06/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
120.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
S4.00
Permit . . . . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
24.00 Plan Check Fee
6.00
Issue Date.
Valuation . . .
. 0
Expiration Date
10/06/07
Qty Unit Charge
Per
Extension
BASE FEE
1S.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9-00
----------------------------------------------------------------------------
Special Notes and Comments
tenant improvement for
phenomenal
health 3825 sq. ft. March
14, 2007
2:52:00 PM j.johnson
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . STRONG MOTION (SMI) - COM
42.00
Fee summary Charged
----------------- ----------
Paid Credited
---------- ---------- ----------
Due
Permit Fee Total
1082.50 .00 .00
1082.50
Plan Check Total
.666.43 .00 .00
666.43
Other Fee Total
42.00 .00 .00
42.00
Grand Total
1790.93 .00 .00
1790.93
-� W -ml;
Bin #
3D
A R
L I ity of La Quinta
JUL 1 Building U Safety Division
P.' . Box 1504, 78-495 Calle Tampico
La Uinta, CA 92253 - (760) 777-7012
By
Ul ln-fl?"ermit Application and Tracking S eet
Permit #
Project Address:
C49F. (7,f UrPPAWY
Owner's Name:
A. P. Number:6 4
Address
Legal Description: T1'0:�5L9 "e-0
City, ST, Zip:
Contractor:FM�MUFN—> Cct-�,-:;77,
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
h
State Lie. #
City Lic #:
Designer:
Li t –re -5 —rc> L) (7L=
Address:
City, ST, Zip:
Telephone: Construction Typea.Lh=l Occupancy:
State Lic. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person'.TL;:C7' T7(7'q462:;'� Sq. Ft.: # Units:
Telephone # of Con t Person: Estimated Value of Project -W,4,
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Ree'd TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Trus s Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
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.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
76- 7'
1
School Fees
Total Permit Fees
WI)NT -1 0 Rrl cv) OLD PwAC�- (VVMaK-1z,-
's O -RT C U� pp 0 '-- 2- r, .
Q
- -KM3EZ3EM=
I --
42K
0
r)
Cr
0
Ln
T=7
x
III
k.
ACCE55IBLE PATH
OF TRAVEL
F- - - - - - - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
FEW NO
r
I if III IIIII III of eels III III I ilill II III I I I III III I III I I I IIIIIIIII IIIIIIII I IIIII 1 111141111 1 111111 1 1 1 11111111111 1 1&
EXISTING SHELL BUILDING
10, -0"
L ...
............
..... .........
........... ..... -------
--SU I TE
......... LV
101 SUITE
L
102
"SUITE - -----
loo
I I I
. . . . . . . . . .
:::'z -H T TF:::
........ I�H I TF 1� H I T F
5 U I I I
103
10 6 105 04
i I I I \ \ : : : : : : : : : : : : : JUL 17 007
loll
-7—/- -7-= '7/ z 7- 7- mlm/pmm� 1-77- -7
�Kf ST 14G' IWG�LOIIGINI BLP/G//
A
79�ER46 CORPORATE CENTRE DRIVE
L�A Q JINTA CA lFrm'RNIA
Bin #
CJC.
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # r
b
0�" C
Project AddreCF-4Qri!
Owner's Name:
A. P. Number:+
� Z � d�
Address:
Legal Description:
r
Contractor:
City, ST, Zip: 4, O— 9 L
.
Address:
Project Description:
City, ST, Zip:
Telephone: MM
ff Pf1�°n/OM� e4 L-
1b
fj
State Lic. # : City Lic. #:
fog., Designer: t�:>(�
Address:
City, ST, Zip V
Telephone: .
State Lic. #:
Construction Type: � ccupancy:
Project type (circle one): New. Add'n Alter Repair Demo
Name of Contact Person: � �
Sq. Ft.:sV0g Z
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project. C1--)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd ; .
Reed
TRACKING .
PERMIT FEES
Z
Plan Sets
Plan Check submitted
/
Item
Amount
Structural Calcs.
Reviewed, ready tirections
Plan Check Deposit
i
Truss Calca.
Called Contact Person y
d O
Plan Check Balance
Energy Calcs4 T 1
J
Plans Picked up
M
Construction
Flood plain plan
�J
Plans resubmitted
Mechanical
Grading.plau
2" Review, ready for correctio ue
Electrical
Subcontactor List.
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for.correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
0
School Fees
77—
Total Permit Fees
/U/
/ %> Coo rw/P�am O arra
l*t 07 CPO'1nnROv6P
1-[6 �V Kolvb Rte.
john R. ""Irm
Ciro Chief
�tvudly $awing the
vri owaw
,4M- ofRlvcmide
Ccnlnty and The
Cities of,
i Banning
9esumont
Cetitne.�
1%
(arly"n 1AC
1. Caschelia
' o
0'r'" Not springs
.4.
1 t�+dinn �'eite
India
a
Lakc i ltttlOrr
,i.La Qtilnta
I�ureno Valley
iPatRm C303ert
iPt ds
�BchC 1Iimg'
tren.,lacbtto
�'em ruld
0 ar Supemis�)m
job %ttv,
t
{hn 7a.�ag3;m�c,
E. Dittri.cf 2
'l nistriat 3
��Y WitStef!,
Dittrid 4
i
t
m k'01le'Y.
i
: 51 9139-•RgN-3h 6
February 8. 1008
11.AARi ENGINEERING
RWERSI p COLTX7,y FIRE DEPARTMENT
Ir. cr;pperafifon wiih the
C'alifcrreia ??ei'Qrtnte�t �Pl'n�•cst
�'v ani: Fire .Prolectiort
as , en ao Yta _
PAGE 01
Dr. Jeff Wock..ngs
422L6 Washington Street, Suite 183
8ermwis Dunes, CA 9220;
RE: TENANT 1IMPiROVEMENT PLAN CHECK
LAO.OT-Tp_004/PtltenoRt�rttal ptesi4h at 7924!5 Corporat® Centre Drive,
La Quints
CA '
NOT AN
building. THIS IS
It is prohibited to use/process or storg any meteriais. in this occupancy
as an W occupancy Per 300. .307 Of the 2000 UBC. that would classify ;t
'rHE FOLLOWING COI D.ITIONS MUST BE ytET PRIOR i'O INSPECTION.
Install door hardwares and exit signs as per Chapter 10 of the 2000 UBC,
irtstaft Knox Lock Boxes. Models 44100, 3200 or 4300, mounted per reoommande,d standard
Of the Knox Company. plans must be submitted to the Fire tO per 1`ent for approval s n a d
rilourltirtg iOCOrderposition and oRe�ting stsridards. Special farms are available from thin
Office for the Orderir.-g of the Key Lock Boxes. This forrn must r authorized avai and signed by
it offitre for the corre�ly coded system tc tO Pul"C used. If the buildinglfacility is protected
with a fire alarm'. or burglar alarm system, the lack boxes will require "tamper,
monitoring.
.� -Z
A minimum 2A108C Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
visible location within 75' welking distalncai from any point in your building or suite. Fire
extinguishers Can to Installed by a licensed extinguisher company with a State Fire Marshal
service tag attached to the extinguisher, or purchased from a retail stare with a sales receipt
attachad. A licensed fire extinguisher company must service extinguisher yearly.
ECT !r' N I lanv- 14-\ • Z
AN I'reakers must be labeled and a Clearance of 36 l"Ches roust be maintained around the
panel at all times.
�ACEl7 F
OTHER REQUIREMEN-rs:
tIMeRGENCV SE"IC@S DIVISION • PLANNING SFCrioh . INDjo OFME
82.675 Highway IRI, 2nd r2., Indio. CO. 92201 . 2760; 86D -9M • F6X (760) 863-707'2
02/20%2007 12:51 909-888-9626 GgA�T ENGINEERING r
. PAGE 02
Approved building address shall be aced in such
Said numbers shall contrast with they backgro nd a position a to be plainly visible and legible from the street.
A durable sign stating "This door to remain unlocked during• 5 „
the front exit door. The sign Shall be ir'e 09tters not less they, one inch 't h
business hours shalt be sliced c or acljrace3nt to
A►�I�licant/inststfer shall X-6De l> A4 _ 9 ®n a contrasting background,
f'" will be r be ►eanon a (1 to contact the Fire Departrrtent to schedule inspections,
spa
least 72 hours q� �r and mey be arrangection d b is necessary.
Requ9sts for inspections are to be made at n
y ceiling (760) 863,888@.
Ail questions regarding the meaning of these conditions should
Engineering Staff at (780) 863.8888, be referred to the Fire Department Planning &
Sincerely,
Tracy Hobday
Chief Fire Department Planner
Sonia Cooley �`.
Fire 5Afety Specialirst�,
EMERGENCY SERVICES DIVISION • PLANNING MCnON • INDIO OPME
62.673 WgRwAy 1, 11, a RI., India, CA 42201 * (760) 863.8886 a Fir. (760) 803-7072
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of
Banning
Beaumont
Cal:mesa
Canyon Lake
Coachella
Desert. Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPAR�IV ENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (951) 940-6900 • Fax (951) 940-6910
Date %io / 7-. ]z
City of La Quinta
Building Department
CASE #
The Riverside County FVov-neVe
epartm'gr i g the
location — a�/
Please call if you should have q estions 760-863-8886
Respectfully
B
Terry DeSoucy
Fire Systems Inspector
for the followin
DA/
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2ntl FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
00
o
c
m `Q
O
Z
N
N
N
co
E
_
N
N
Q
°)
c
cu
v
V
C
C
J
W
1�
C
O O
�.
�
W
�
m
N
m
�
N
V� C_
O. U
U)
z
..
0o
r-
U)
O
J N
LV N
w
0) y O
uj
V
W
S a`
M
N
j~
V
O
0 0
it y
W
F—
ai
U)
U
W01
W
L
co/�
4ftm
"
o� c
%.
v
ZLU
Q
�
m o
O
O o .�
a
W
F-
o
CL
CO
V..y
a) +r
c)
y
0
aa.
W
Z
o
■
"�
y O
dam'
of
CL
z_
a
ca
w O Cc
It
U
Q�i
w
:3
C)
W
�
J
c .�
Q
(
J
Q
W
w y
z
C)_
H
U
\
^
g
5
>
T
O
�i
NI4 Q
W
�_ o
In
0
O
Cal
:3
L
_
a
yi��
A ..�
lj
�
A\ *.i
�
�
cD
•M�
W
..
O
+
V w �F
(6
(c
O
[y
.� O O
aD
U
�V Q0
0
0