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04-5331 (AMUS)BUILDING &SAFETY DEPARTMENT BGx 150.�, U (.760) 777-.7012 78„495 CAIL_ErT'AMPIC.0 FAX (760) 777-7011” LAtQUINTA, GCKtI ORNIrA 92253 INSPECTION REQUESTS. (760).777-71.53° BUILDING PERMIT . Application Number 4 00005331 Date 10/18/04 Property.Address L7:525.00 HIDEAWAY C-LUB-DR� APIC.: 772 _41 ----2 .0=010�W-98-94 Tenant.nbr,' name yHIDEAWAY CLUBHOUSE BLDG Application. description,. •:. ; NEW COMML AMUSEMENT.! • Property;. Zoning . . . GOLF COURSE Application valuation 3755093 Owner Contractor, ------------------------ ------7 -----µ-------'1 ND . LA .QUINTA PARTNERS. :LINTHICUM:.CONSTRUCTORS;: INC.` 375 N' FRON`I''ST-STE 200 17700• N.: -PACESETTER •WAY ,: COLUMBUS.'. ':. ,: OH .43215 SCOTTSDP,LE A'Z : 85255 48 - � 0 ). 515 170"0 - {' WCC: EATON .&.ASSOC WC: MXI98383545. 03/01/05 CSLB.: 76.452.8 ' 03/31/06 ' ;...' CCC: A- -------- Structure =------ AStructure Information A3/S3/S2/B/M CLUBHOUSE °- Construction.•Type-. TYPE V - 1 HR " Occupancy Typey . . . . ASSY' BLDG <300 NO STAGE. Flood.Zone NON.. -AO FLOOD ZONE Other st.ruct infoCODE • ,..., EDITION 200.1 FI RE SPRINKLERS y • - '• YES " MIXED. -USE OCCUPANCY A3.,. S2 , S3 ' B, M: OCCUPANT LOAD' 10 0 8 ..0 0 PATIO SQ:FG ..:;1 : 8758 :00 ,. FIRST FLOOR SQ FTG ` 155'8'4 .00.:. ;..., SECOND FLOOR -SQ FTG 294.45. 00 Permit BUILDING PERMIT Addit'i'onal' desceck .F°•e`e' �'4, 8.+PermitFee'' 90.51.50 Plan Ch3,.* Issue Date Valuation' 3755093 Qty Unit Charge: Per. - Extension -BASE FEE , 3539.50 2756.00 2.0000 THOU' BLDG 1,000,001 UP 5512.00 Permit LEC -NEW -COMMERCIAL .Additional des.c '. Permit Fee 1090.74 Plan Check. Fee 272.69 Issue Date " Valuation 0 Qty Unit Charge Per, Extension' BASE FEE 15.00 .53787.00 . 02'00 , ELEC 'GARAGE. OR •NON-RESIDENTIAL, 1075.. 74. - t P.O. BOX 1504 VOICE -(T60) 777=79172 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922.53 INSPECTIONS (76.0)' 777-71.53 4. BUILDING.& SAFETY DEPARTMENT Application Number: -3 Date: Applicant: o Architect or Engineer:: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals 'Code and-my_Lice is' II force and effect /1 2 License CJIa`ssr N . 7 OWNER -BUILDER DECLARATION I hereby affirm' under penalty of perjury that I am exempt from the Contractors'. State License Law for the following reason (Sea 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 ft 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 (5500).): 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 tarsale (Seca 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 Funs -elf or herself or through his or her own employees, provided that the improvemerds are not Intended or offered for sale. H. 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.). U 1, as owner of the property. am exclusively contracting with licensed oontractors to construct the project (Sea 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. ..B.& P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations:. I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this per►it is issued. . _ I have and will maintain workers' conipensatidn insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is compensation laws of California. scans; I should beyorrme subject to the forthwith comply with those any person in any manner so as to become subject to the workers' Compensation provisions of Section 3700 of the Labor Code. I shalt 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 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 (Sea 3097, Civ. C.). Lenders Name Lenders Address 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 perfomred'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 Cluinta. its officers, agents and employees for any act or omission related to the work being performed under or following issuance of # is pemmit 2. Any permit issued as a result of this application becomes null and void N work Is rat commernced 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 1 agree to comply with an city and county ordinances and state laws relating to building construction, and Hereby authorize representatives of this county enter n above irnermy9{ned property for inspection purposes. 0 Page 2 Application Number . . 04-00005331 Date 10/18/04 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 955.00 , Plan Check Fee 220:88 Issue Date . . . Valuation ? 0 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 9.0000 EA 'MECH FURNACE <=100K 162.00 41.00 9.0000 EA MECH SUSP/WALL HEATER 369.00 18.00 9.0000 -EA MECH B/C <=3HP/100K BTU 162.00 2.00 6.5000 EA MECH EVAP COOLER 13.00 11.00 6.5000 EA MECH.VENT FAN 71.50 4.00 6.5000 EA MECH EXHAUST HOOD 26.00 21.00 6.5000 EA' MECH OTHER MECH EQUIPMENT 136.50 --------------------------------------------- Permit . . . . . . PLUMBING ------------------------------- Additional desc r Permit Fee . . . . 1476.00 Plan Check Fee 369.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 118.00 6.0000 EA PLB FIXTURE 708:00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 27..00 6.0000 EA PLB ROOF DRAIN 162.00 4.00 7.5000 EA PLB WATER HEATER/VENT 30.00 2.00 12.0000 EA PLB INTERCEPTOR 24.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER•SYSTEM 9.00 1.00 15.0000 EA PLB OTHER BACKFLOW >2 INCH 15.00 640.00 .7500 EA PLB GAS PIPE >=5 480.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- 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 ------------------------------ ---- 45,029 SF.CLUBHOUSE BUILDING. [15,584 SF.MAIN LEVEL, 29,945 SF. LOWERLEVEL] [8758 SF. COVERD- TERRACE] A3/S-2/S-3/B/M OCC. TYPE V-1HR 7 Page 3 Application Number . . . . . 04-00005331 Date 10/18/04 ---------------------------------------------------------------------------- Special Notes and Comments {MULTI STORY & SPRINKLER INCREASE FOR ALLOWABLE AREA} 2001 CODES.(PERMIT DOES NOT INCLUDE TEMP POWER AND SITE LIGHTING] THIS PROJECT PROPOSES UTILIZING ELEMENTS OF PREVIOUSLY EXPIRED PERMIT UNDER CONSTRUCTION, THOSE ELEMENTS.SHALL,BE VERIFIED AND APPROVED IN THE FIELD. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Other Fees . . . . . . . . . ENERGY REVIEW - - - - - - - - - - - - - - - - - - - - - - - - - - FEE 588.34 STRONG MOTION (SMI) - COM 788.56 Fee summary Charged Paid Credited Due ----------------- ------------------------------ Permit Fee Total 12588.24 .00 ---------- .00 12588.24 Plan Check Total 6746.05 4500.00 .00 2246.05 Other Fee Total 1376.90 .00 .00 1376.90 Grand Total 20711.19 4500.00 .00 16211.19 - - "] P.O. BOX 1504 APPLICATI --f0kY L •C'U" `1TA Building 78-495 CALLE TAMPICO F;,' _.;:,*,£ r?=PT• Arlriraas rJ(X7 t NP 10 to 141 / rljf� 17 uJkA QUINTA, CALIFORNIA 92253 Address 8 I _ fon '416iVix `1 14 QwnI-AA 1 9 2-75 3 ! ttJ%!�/ ICv r✓1 �,✓5 %Rcl G%025 Trte, I Ow ilff 1 '66 9-45 1 lAb —515 & Classif. %3 -% 6 V5a9" I Lic. # 3363 I Z1. ., 1 r Designer ,,,T � -1;/ R J_4-7!0AA4 St>A 4- 18 5 ;;t 5 -51,3I1-ic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. � B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation, n Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST. V �R OCC. GRP. S� 3 A.P. Number '777-y 100 33 Legal DescriptionA0/ 1AJ6�, MF-cA)D&b7 F -Ad AJC). Project Description d r ,[7 l -2 J- A 00010V O v-, 40 Zr-TizPcf 2-98gq_3 Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter J$ Repair ❑ Demolition ❑ Estimated Valuation l(VIo00 (90 01111"01 PERMIT AMOUNT Plan Chk. Dep. 00 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY:_ Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE RIVERSIDE COUNTY Y FIRE _DEPARTMENT 210 Wes! San Jacinto Avenue . Perris, California 92570 • (951) 940-6900 . Fax (951).94010 Area.# IV COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY �- DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CORRECTION Plan Check # N04-053 Date 7/22/04 DBA The Hideaway Address 52500 Hideaway Club Dr., La Quinta Plans Submitted by Ruben Urritia Phone (760)391-5072 Owner Address Phone ' The plans, are, now. approved -subject to the conditions listed below and.the attached compliance sheet. The snack.bar_which appears.in the plans is not a part of this plan correction and must be submitted under_-' separate cover.'' - - v - - 2. The employee lockers must be on 6" legs or a 4" coved curb (see Sheet ID3.18, and A9 2)' 3. All floor, wall and ceiling finishes in food service areas must be smooth and easily cleanable including waitress and self service stations such as drink dispensers. 4.. All food and utensil sinks must be plumbed to floor sinks through approved air gaps. Dishwashers must be plumbed to a floor .sink unless a filter box is apart of the design. The mop sink must be of the floor basin style. Behind all three sinks in the splash zone the finish must be water proof to a height of 8' (e.g. FRP/tile) 5. The trash enclosure must meet current standards and be finished so that the interior floor.and walls are smooth and easily cleanable. - Seal these interior surfaces with an approved two part epoxy. 6. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by vermin. The delivery door air curtain must deliver air at a velocity of 1600 fps at a height of 3' above the floor. 7. The number of lockers provided shall be equal to, or greater than the number of workers assigned to a peak shift 8. An air balance report will be required prior to completion of the final inspection 9. The soda carbonator water feed must be plumbed so an RP style anti -backflow device is located upstream of the unit. Down stream of the RP use non-reactive (non -copper) piping or tubing. * Cappuccino and espresso type coffee units with direct water feeds will require double check style anti -backflow devices _ 10. The water softener brine tank may not be installed without the express written permission of your local water department. Permission must be received prior to the final or the unit must be eliminated 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 compliance guide is attached to this plan correction sheet. All consti=uction not otherwise addressed on the ;;plan correction_ must:be_performed in accordance. with: the. -guidelines -set -forth therein =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 David E. Day Phone (760) 320-1048 I. acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature Company��t71�/�Pc� Date��