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04-3803 (OFC)2004 UIBUILDING & SAFETY DEPARTMENT QIdTA - . AFI „DEPTP.O X 1504 .,. _ }._, �� (760).777-7012 OF 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA;, ;CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 5 - `B(JILDING PERMIT Application Number . . r..�`. . C04-0 0 0 03-8 0 3 Date 5/12/04 Property Address% 78380 -HIGHWAY 111 APN: 604-050-048- - - Tenant nbt, name . . . . SHELL BUILDINGS A & B Application description ,NEW COMML - OFFICE/BANK Property Zoning . . . . . . COMMUNITY COMMERCIAL Application valuation . . . . 1795751 Owner ------------------------ MADISON PTM LA QUINTA 71361 SAN GORGONIO RD RANCHO MIRAGE ' CA 92270 Contractor ------------------------ PRIMUS CONTRACTING GROUP, INC 1409 SO. 600 WEST, SUITE D BOUNTIFUL UT 84010 WCC: STATE FUND SWC: 17051812003 10/01/04 CSLB: 814726 11/30/04 CCC: B ------ Structure Information 2 STORY SHELL BUILDINGS A & B ----- -Construction Type . . . . . .TYPE V - NON RATED Flood Zone -NON-AO FLOOD ZONE' ' Other struct info . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY SHELL OCCUPANT LOAD .00 PATIO',SQ FTG 968.00 FIRST FLOOR SQ FTG 19364..00 SECOND FLOOR SQ FTG 17771.00 ----------------------------------------7----------------------------------- Permit . . . . . (BUILDING PERMIT . Additional desc . . ` R:. a ' Permit Fee . . . . 5131.50 Plan Check Fee .00 Issue Date Valuation . . . . 2244689 Expiration Date 11/12/04 Qty ' Unit Charge Per - Extension BASE FEE 3539.50 796.00 2.0000 THOU BLDG.1,000,001 - UP 1592.00 - --------------------------------------------------------------------------- Permit . . . MECHANICAL Additional-desc Permit Fee 347.00 lan Check Fee .00 Issue Date . . . . Va ation 0 Expiration Date 11/12/04 P.O. BOX 1504 78-495 CALLS TAMPICO VOICE (760) 777-7012FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O4 - 3 x'03I Date: s 'IZ-O¢' Applicant: A— L-/w F- Applicant's Mailing Address: Uqect or Engineer. Architect or Engineer's Address: 7 2 ,G z4 EL Fb-s ria o st- $ Lic. No.: MUILUINU PERMIT DECLARATIONS 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 Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). 01'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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason ,/f Date % Owner_ �l �-D� Sn�✓ �/" % /, l 4'� 40M1 77,4 GL� WORKERS' COMPENSATION DECLARATION 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: Cartier Policy Number v^1 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 forthwiUt comply with those provisions. Date Z !9 �` Applicant/71 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. CONSTRUCTION LENDING AGENCY 1 hereby affirm undagpriatty of p 'ury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address 5gl,7lliill�KOM, /1/(►jfjp �vN•'I� t/%>f' ��7✓� IMPORTANT Application is hereby made to the Director of'Building APPLICANT SCKNOWLEDGEMENT 9 Safety Apermit subject to the conditions and restrictions set forth on this application. I. 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 Ouinta, 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 id 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 Cance tion I certify that I have read this application and state that the above in is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,, anted/hereby authorize representatives of t is county upon the above-rrmentioned property for inspection purposes. Signature (Applic nt or A t. Page 2 Application Number . . . . . 04-00003803 Date 5/12/04 Qty Unit Charge Per Extension BASE FEE 15.00 17..00 9.0000 EA MECH FURNACE <=100K 153.00 17.00 9.0000 EA MECH B/C <=3HP/100K BTU 153.00 2.00 6.5000 EA MECH VENT FAN 13.00 2.00 ---------------------------------------- 6.5000 EA MECH OTHER MECH EQUIPMENT 13.00 Permit ----------------------------------- ELEC-NEW COMMERCIAL Additional desc Permit Fee 757.70 Plan Check Fee .00 Issue Date . . . . Valuation '. 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.7135.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 742.70 Permit ------ . . . . --------------------------------------- PLUMBING ----- - - - - -- Additional desc Permit Fee . . . . 210.00 Plan Check Fee .00 Issue Date Valuation . . . . .0 ` Qty Unit Charge Per Extension BASE FEE 15.00 5.00 6.0000 EA PLB FIXTURE 30.00 2.00 15.0000 EA PLB BUILDING SEWER 30.00 18.00 6.0000 EA PLB ROOF DRAIN. 108.00 2.00 ,1.00 7.5000 EA PLB WATER HEATER/VENT 15.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 ----------- 9.0000 -EA PLB LAWN SPRINKLER SYSTEM 9.00 7-------------------.--------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc Permit Fee- ' 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension ---------------- ----------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments COMMERCIAL SHELL - 37,135 SQ.FT. 2 STORY "OFFICE SHELL" TYPE V -N ("B" OCC. Page 3 Application Number . . . . . ---------------------------------------------------------------------------- 04-00003803 Date 5/12/04 Special Notes and Comments PROPOSED) WITH FIRE SPRINKLER & 3'-.60 FOOT YARDS CREDIT FOR ALLOWABLE AREA. [2 -VN BLDGS & II -N PARKING GARAGE AS ONE BUILDING ALLOWED PER CBC 601.2 MIXED TYPE OF CONSTRUCTION][$3661.28 PLN CHK RETAINER APPLIED TO THIS PERMIT. NO PLN CHK BALANCE]PARKING STRUCTURE IS -NOT AN APPROVED PART OF THIS PERMIT. . ----------------------------------------------------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -COM 8958.75 DIF CIVIC CENTER - COMM 2005.29 ENERGY REVIEW FEE 333.55 DIF FIRE PROTECTION -COMM 2153.83 STRONG MOTION (SMI) - COM 377.10 DIF STREET MAINT FAC -COMM '1039.78 DIF TRANSPORTATION - COMM 78577.66 Fee summary Charged ------------------ Paid Credited Due ---------- Permit Fee Total 6461.20 ------------------------------ .00 .00 6461.20 Plan Check Total .00 .00 .00 b0 Other Fee Total 93445.96 .00 .00 93445.96 Grand Total 99907.16 .00 .00 99907.16 09/16/2005 FRI 10:13 FAX f ' o� La� �ti•c,��o s QUINTA ITIS -QF.., LA & SA lit' DEPARTMENT OF -V � ....._.._ _ _... 77 812 MAY I1`J0-P O QUEST LINE i 77 53 Owner ��_!? _ PRIMUS CONTRA�ITNO�GROUP, INC Contractor-.__.--- .. { Permit Number-;... POST ON JOB IN CONSPICUOUS CLPLACE E SPACES' INSPECTOR Y 111 JOB ADDRE S CO Im'1. SIir P1'. 2 STORY "OFFICE SHELL"'i'YPI3 V -N ("B" OCC. PROPOSED) W/ FIRE SPRINKLER & (3) 60 FOOT YARDS CREDIT FOR ALLOWABLE AREA. PARKING S'CRUC'I'URE IS NOT AN APPROVED ('ART OF THIS PERMIT. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE / U/G ELECTRICAL / GROUNDING FOOTINGS I STEEL { CONCRETE SLAB • �� U'y i DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF PRE -ROOF OKAY TO WRAP D� FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING,— ROUGH MECHANICAL INSULATIO..,N- 27 i COVER. NO WORK UNTIL ABOVE IGNED / P INTERIOR GYP BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MAS IONS F00TI� STEEL BOND BEAM _ POOL / SPA / WATER FEATURE INSPECTIONS PRE GUNITE —/SETBACKS U!G PLUMBING U/G GAS U/GELECTRICAL PRE -PLASTER ALARMS/BARRIERS FINAL INSPECTIONS' TEMP USE OF PERMANENT POWER ELECTRICAL – PLUMBING - MECHANICAL PUBLIC WORKS DEPARTMENT 7 - COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED 0 AanvF APPROVALS DO NOT INCLUDE RIGHT TO Q002/003 9 9 • £00/£00] XVA £T:OT ISS 900Z/9T/60 E3/E3 30Vd li Is . . . . . . . ...... LA QUINTA DEPARTMENT 6.'I:LDlW0 SAFj� 77Q12 II (NSP�. ONIO��QUEST LINE 777-1153 Owner ' PRUM'US CONtRkCrIINCTGROUP, LNC Contractor - 04 -1903 Permit Number_ __._ POST ON JOB IN CONSPICUOUS PLACE IN.q-PF(,-roR MUST SIGN ALL APPLICABLE SPACES ii 78-380 14'IC.14WAY II I Y'PE JOB AIDDRESS—­=-­­- FpiCr,,,�'FIELCT it COMM,I_, -.)1,135 SQ.FF, .. 2STORY ".0 il-,R,�L (3) 60 FOOT ]KI., I V 'N ("B"( '*C - , SPRINK UC':L. moposED) NY, I ,' KING STkUCTURL YARDS CRUDI'l. ALLOWABLE AREA. PAlk I NOT AN APj,RC)VLD PAIN!' OF THIS PCTZMlT- ._GATE INSP. TYPE OFINSPECTION TFMPQRARY POWERSETBACKS _ _ _ ,—_— -., •.,y � .,- ,. ili. WASTE 6TG-1 �L �r,NU FRIKQA�Lj GROUN�Dll��_ FOOTINGS DO NO7 POUW_QON6RETF- UNTIL—ASOVE SIGNtll ROOF NAIL I.EPK-.92�L.-- OKAY IU WRAP NATIO ROUGH ELECTRIC.. H MECHA IM INQ,I)LATION - ------- 2. COVER NO WORK UNTIL ABOVE IGNED EXTERIOR LATH GAS -1 CST �PTZA_S_P_,K�0rjmEWT F CONNECTION _ tR GREASE I N —MASONRY INSPECTIONS STEEI - ------ T_ 7 ,66RD BEAM 7 r-ATURE. INSPECTIONS POOL /SPA _WAT U/C OA J... jT,G_ MS BARRIERS_ FINAL PRE-P� �E INSPECTIONS TFN1P, USE OF PERMANENT' ELECTRK,AI PLUMBING— — --- ------------------------------ - __ GOdd3HS iiODS V9LOTLL09L LOST S00Z/BZ/90 Ok t L1 QUINTA DINS, & SAF'7'Y DEPARTMENT _........ 777-7, 012 NSP Ta01�jo QUEST LINE 77747153 )caner 1V1A019. V.`kil'...— , -001NTA ;nr 'ontractor PRIMUS CONTRACTTNG GROUP, INC lermit Number -04.3803, -� POST ON JOS IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 78-380 HIGHWAY .111 106 ADDRESS— ... ...... .... ..- - -- - ONIM'I, 37,135 SQ.FI'. ? STORY "OFFICE, SHELL" TYPE -N ("B" OCC, PROPOSED) W/ FIRM SPRINKLER & (3) GU FOOT' ARDS CREDITFOR AL1,0WAGLL ARFA. PARKING STRUCTURE NOI- AN APPROVLO PART OF THIS PERMIT, TYPE OF INSPECTION DATE INSP. '•EMPORARY POWER ;ETBACKS T 1/G PLUMBING / WASTE J/G ELECTRICAL / GROUNDING :OOTINGS / STEEL ;ONCRETE SLAB .. �•; •' .-_- DO NOT POUR CONCRETE UNTIL ABOVE SIGNED — iOOF NAIL / PRE -ROOF_ )KAY TO WRAP "RAMING (COMBINATION) D_u - ROUGH ELECTRIC ._ w_.—. _ROUGH PLUMBING —� ROUGH MECHANICAL NSULATION �— , _ _ C.nVFR NO WORK UNTIL ABOV_S_SIONED N C-FiIOR GYP BD. (DRYWALL) % XTERIOR LATH 3AS TCST SEPTIC ABANDONMENT _ SEWER CONNECTION _ SEPTIC / GREA5E INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM _ POOL / SPA / WATER FEATURE INSPECTIONS,_ PRE-GUNITE / SETBACKS �l U/G PLUMBING U/G GAS U/G ELECTRICALS PRE -PLASTER (ALARMS / BARRIERS _ _ FINAL INSPECTIONS _ TEMP USE OF -PERMANENT POWER I r_ ELECTRICAL PLUMBING _ MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. Z0/Z0 39Vd GONd3HS 110DS 4 47AI ?$t,4RR, P /& 4d® /,* jpw AIM {�d;m-4>eA," s e $4 or --o lNll-1LN9i A'G w el^, ?,ww� A40w, Gninl ,6 8W41-10 77 I&S U64a �- &"' I 1 1 b9LVTLL09L Zb:60 900Z/6Z/L0