BCOM2020-0009BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Building Commercial
Permit Number:
BCOM2020-0009
Property Address:
46760 COMMERCE CT
APN:
600390018
Legal Description
Property Zoning:
Valuation:
$69,536.00
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 02/06/2020
ISSUED DATE: 11/23/2020
CALIFORNIA
Owner: SHADOW ROCK CHURCH
46760 COMMERCE CT, LA QUINTA, CA 92253
Applicant: CRAIG CUNNINGHAM
46760 COMMERCE COURT, LA QUINTA, CA 9225"
Contractor: OWNER BUILDER
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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 (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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 upon the above -mentioned property for
inspection purposes.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 5/9/25 4:50 pm Page 1 of 4
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2020-0009
Property Address: 46760 COMMERCE CT
SHADOW ROCK CHURCH / 15,500SF CHURCH TI/VB/A-3/684-OL/SPRINK *** 15,500SF ASSEMBLY TI/VB/A3-OCC/684-OL/SPRINKLED
[SHADOW ROCK CHURCH] THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE OR ALTERATION TO EXISTING LOAD BEARING OI
LATERAL RESISTING CONSTRUCTION. EXTERIOR ACCESSIBILITY IMPROVEMENTS REQUIRED TO BE COMPLETED PRIOR TO
OCCUPANCY/FINAL. THE BUILDING IS IN COMPLIANCE WITH EXCEPTION 1 TO CBC 11 B-206.2.3, WHICH DOES NOT REQUIRE AN
ELEVATOR IN THIS TYPE OF PRIVATELY FUNDED MULTISTORIED BUILDING WITH LESS THAN 3 STORIES SINCE A REASONABLE
PORTION OF ALL FACILITIES AND ACCOMMODATIONS NORMALLY SOUGHT AND USED BY THE PUBLIC ARE ACCESSIBLE TO AND
USABLE BY PERSONS WITH DISABILITIES. NO TUMF IMPACT UNDER 2018 SCHEDULE. 2019 CALIFORNIA BUILDING CODES.
ninstruction DPt2
Commercial Work Type Remodel
Building/Unit
A-3: Churches,
Gross Square Footage 15500
Occupancy
Gymnasiums
Classification(s)
Conditioned Square 15500
Covered Square
15500
Fire Sprinkler Square 15500
Footage
Footage
Footage
Number of Floors 2
Occupant Load
684
Construction Type V-B
Code Edition 2019
Number of Partition(s)
1
New Electrical Square 0
Number of 64
Receptacle/Switch/L ig
ht(s)
Number of Water 1
Heater(s)
City Development No
Impact Fee Applicable
Number of Appliance 1
Alterations
Water System Install Yes
or Alteration?
Art in Public Places No
Fund Exempt
Footage
Number of Plumbing
Fixtures/Traps
Transportation Uniform No
Mitigation Fee
Applicable
Type Group Sq Ft Value
Printed: 5/9/25 4:50 pm Page 2 of 4
Permit Type
Building Commercial
BUILDING PERMIT
Permit Number:
Property Address
BCOM2020-0009
46760 COMMERCE CT
Invoice No. Fee
Fee Amount
Amount Paid
PERMIT-BCOM2020-00( PARTITION PC
$148.12
$148.12
9 FIXTURE/TRAP
$13.42
$13.42
DEVICES, FIRST 20 PC
$26.83
$26.83
FIRE COMMERCIAL TI PC
$242.00
$242.00
RECORDS MANAGEMENT FEE - MAJOR
$21.00
$21.00
WATER SYSTEM INST/ALT/REP
$13.42
$13.42
BSAS SB1473 FEE
$3.00
$3.00
FIRE COMMERCIAL TI
$36.00
$36.00
APPLIANCE REPAIR/ALTERATION
$13.42
$13.42
PLAN CHECK DEPOSIT - ADDITION/REMODEL
$125.00
$125.00
WATER SYSTEM INST/ALT/REP PC
$13.42
$13.42
FIRE COMMERCIAL TI
$125.00
$125.00
DEVICES, FIRST 20
$26.83
$26.83
TECHNOLOGY ENHANCEMENT FEE
$5.00
$5.00
APPLIANCE REPAIR/ALTERATION PC
$5.37
$5.37
TEMPORARY CERTIFICATE OF OCCUPANCY
$483.00
$483.00
DEVICES/FIXTURES, ADDITIONAL
$117.92
$117.92
WATER HEATER/VENT PC
$8.05
$8.05
SMI - COMMERCIAL
$19.47
$19.47
WATER HEATER/VENT
$13.42
$13.42
HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW
$437.50
$437.50
HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW
$312.50
$312.50
HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW
$250.00
$250.00
DEVICES/FIXTURES, ADDITIONAL PC
$29.48
$29.48
PARTITION
$80.50
$80.50
FIXTURE/TRAP PC
$13.42
$13.42
Total for Invoice PERMIT-BCOM2020-0009
$2,583.09
$2,583.09
Grand Total for Permit
$25583.09
$2,583.09
Workflow Step / Action Name
Action Type Start Date End Date
Inspections v.1
02/06/2020 0:00
----------------------------------------------------------------------------------------------------------------------------------------
FINAL** v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FINAL FOR OCCUPANCY v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FINAL FOR OCCUPANCY v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FINAL** v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH-WIRE INSPECTION v.1
Inspection
------------------------------------------------------
DRYWALL NAIL v.1
----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
OVERHEAD ROUGH PIPING v.1
------------------------------------------------------------------------------------
Inspection
---------------------------------------------------
ROUGH ELEC v.1
Inspection
------------------------------------------------
ROUGH MECH v.1
Inspection
------------------------------------------- - - - - -- -
FRAMING v.1
Inspection
----------------------------------------------------
ROUGH PLBG v.1
------ - - - - --
Inspection
Printed: 5/9/25 4:50 pm Page 3 of 4
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2020-0009
Property Address: 46760 COMMERCE CT
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the buildinq official.
Printed: 5/9/25 4:50 pm Page 4 of 4
t(V Q0(V
— GEM of the D ES E R`!' —
Certificate of Occupancy
Design and Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 of the
California Building Code, certifying that, at the time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 46760 COMMERCE CT
Use classification: ASSEMBLY - PLACE OF RELIGIOUS WORSHIP
Occupancy Group: A3
Code Edition: 2019
By:
Date:
Building Official:
AJ ORTEGA
5/4/2021
AJ ORTEGA
Type of Construction: VB
Sprinkler Installed: YES
Permit No.: BCOM2020-0009
Land Use Zone: CP
Occupant Load: 684
Owner of Building: SHADOW ROCK CHURCH
Address
City, ST, ZIP:
POST IN A CONSPICUOUS PLACE
46760 COMMERCE CT
LA QUINTA, CA 92253
shadOWROCK
C H U R C H
Fire Inspection (Reinspection):
BCOM2020-0009
46-760 Commerce Court, La Quinta
Soundproofing materials will be constructed from the following:
1. Sound deadening material: ROCKWOOL Safe`n'SoundO stone wool insulation, with
superior fire resistance and acoustical performance. Withstanding temperatures up to
2150°F (1177°C), Safe`n'SoundO is non-combustible and will not produce toxic smoke
or promote flames spreading, even when directly exposed to fire. See attached for
additional specifications.
2. Frame to hold sound deadening materials: 1 in. x 4 in. x 8 ft. Premium Kiln -Dried
Square Edge Whitewood Common Board
3. Covering: Light Gray Burlap Fabric. Content: 100% Jute. Fire resistance rating, Class 1
For additional information about the soundproofing panels:
https:Hyoutu.be/NvVV-UEXtT2js
Physical Address 46-760 Commerce Court • La Quinta • California 92253
Mailing Address PO Box 5154 • La Quinta • California 92248
Telephone 760.771-0101 • www.shadowrockchurch.com
PATH OF TRAVEL UPGRADE DETERMINATION
In accordance with the 2019 California Building Code (CBC) Section 11 B-202.4, exception 8, the
cost of compliance with Section 11 B-202.4 is allowed to be limited to 20% of the adjusted
construction cost of the alterations, structural repairs or additions when the adjusted
construction cost does not exceed the current valuation threshold.
Construction cost for proposed project (not including costs of improvements to the path of
travel to the area of alteration): $69,536(A)
Cost of alterations to areas on this path of travel undertaken during the preceding three-year period
which did not provide an accessible path of travel to the area of alteration (as applicable): $0.00(B)
Adjusted construction cost (C) _ (A) + (B) $69,536(C)
PATH OF TRAVEL CONSTRUCTION COSTS:
Elements serving the area of
Is element in
If not, will element
Proposed cost of
alteration based on priority
compliance with
be upgraded to
compliance with
current Chapter
current Chapter
current
11 B? (Y/N)
11 B? (Y/N)
Chapter 11 B
1. An accessible entrance
Y
$---0---
2. An accessible route (interior and
$---0---
exterior) to the
Y
altered area
3. At least one accessible restroom
$---0---
for each gender or a single accessible
Y
unisex, single user or family restroom
4. Accessible public telephones
Y
$---0---
5. Accessible drinking fountains
Y
$---0---
6. When possible, additional
accessible elements such as:
a. Parking
Y
$---0---
b. Storage
Y
$---0---
c. Signs
N
Y
$ 1,077.75
d. Alarms
Y
$---0---
e. Other
N
Y
$ 14,001.95
Total cost of providing compliant
$ 15,079.70 (D)
path of travel elements:
COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED
CONSTRUCTION COST:
Compliance of path of travel upgrades as % of adjusted construction
21.69% (E)
cost: (E)%= (D)/(C)
Note: This may not be less than 20%
*** See next page for details.
SCHEDULE OF ITEM 6:
d. Signs:
e. Other:
➢ Tactile/braille bathroom signs
➢ Tactile/braille "Stairs Down" signs
➢ Tactile/braille "Maximum Occupancy' signs
➢ Tactile/braille "Exit Route" signs
➢ "Minimum $250 Fine" handicap parking signs
o SUBTOTAL
➢ Remove/demo arobic/built up flooring
➢ Replace/install ADA compliant flooring
➢ Underlayment required for flooring
o SUBTOTAL
$ 370.03
$ 173.05
$ 209.51
$ 325.16
42.00
$1,077.75
$ 2,000.00
$10,710.00
1,291.95
$14,001.95
➢ TOTAL $15,079.70
Building Permit Number:
Project Description: Remodel, Shadow Rock Church
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date
Job Site Address
Owner's Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E-Mail Address
Project Manager's Name
Project Manager's Phone Number
Project Manager's E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage
City Approval By
Date of City Approval
Materials To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
D rywa I I
Donated / Reuse*
*Describe Items
46760 Commerce Court, La Quinta, CA 92253
Shadow Rock Church
PO Box 5154
La Quinta, CA 92248
760-771-0101
info(cDshadowrockchurch.com
Bruce R. Durkee
760-396-6601
bruce(cDattornevcpa. net
Shadow Rock Church
PO Box 5154
La Quinta, CA 92248
1,000
Tons
0.25 Not recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.10 Recyclable
0.50 Recyclable
0.25 Recyclable
0.00 Recyclable
Totals: Recycle Trash
1.4 1 0.3
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Tons
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.50 Recyclable
Projected Diversion:
84.38%
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted
from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials
generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is
issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition
project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the
name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are
adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly
reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station.
Owner / Developer / Project Manager / Superintendant
Date
8/2/2020
IN:
Hi
Construction Debris Management Plan
Summary of Requirements
As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction of
most new structures in the State of California comply with sections 4.408 and 5.408 of the code in
accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under
certain conditions.
The City of La Quinta is committed to the highest level of environmental respect, to conserving our
precious natural resources and setting an example to provide for a better world for generations to come.
Recycling helps keep reusable resources out of landfills and will also reduce disposal costs.
IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise
hauler. If you choose to self -haul any recyclables or trash, you must
provide copies of all weight tickets and/or receipts from the transfer station,
landfill, or recycler as the job progresses. Clean-up companies and other
haulers are not permitted to haul waste or recyclables from the City of La
Quinta. Self -haul weight tickets should be submitted to: Mike Veto,
Municipal Services Director - mveto@burrtecdesert.com, or faxed to (760)
340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260.
SHADOW ROCK CHURCH
REMODEL PROJECT
46-760 Commerce Court
La Quinta, CA 92253
Furniture Schedule
Church to use stackable interlocking metal frame chairs, as follows:
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shadOWROCK
(: H U R C H
OFFICER'S CERTIFICATE OF
SHADOW ROCK CHURCH
The undersigned C. CRAIG CUNNINGHAM, of SHADOW ROCK CHURCH (the "Church")
hereby certifies as follows:
1. Attached hereto is a true and correct copy of that certain resolution duly adopted by
unanimous written consent of the directors of the Church authorizing its Secretary -
Treasurer, BRUCE R. DURKEE, to sign any and all documents with the City of La
Quinta, including but not limited to obtain building permits, call for inspections and other
applications, in connection with that property located 46760 Commerce Court, La Quinta,
CA 92253.
2. Said resolution has not been in any way amended, annulled, rescinded, or revoked and is
now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand this 23rd day of November 2020.
SHADOW ROCK CHURCH
By C. Craig Cunningham, its President
Physical Address 46760 Commerce Court • La Quinta • California 92253
Mailing Address PO Box 5154 • La Quinta • California 92248
Telephone 760.771-0101 • www.shadowrockchurch.com
shadOWROCK
1:: H U R C H
SHADOW ROCK CHURCH
RESOLUTION
Authorizing Secretary -Treasurer To Sign Documents with City of La Quinta
WHEREAS, the Board of Directors of SHADOW ROCK CHURCH (the "Church") is applying for a
building permit with the City of La Quinta in connection with that property located at 46760 Commerce
Court, La Quinta, CA 92253; and
WHEREAS, the Board of Directors of the Church desires to authorize its Secretary -Treasurer, Bruce R.
Durkee, to sign any and all documents with the City of La Quinta, including but not limited to
documents to obtain building permits, call for inspections and other applications, in connection with that
property located 46760 Commerce Court, La Quinta, CA 92253.
THEREFORE, BE IT RESOLVED, that Bruce R. Durkee, Secretary -Treasurer, is hereby authorized
to sign any and all documents with the City of La Quinta, including but not limited to documents to
obtain building permits, call for inspections and other applications, in connection with that property
located 46760 Commerce Court, La Quinta, CA 92253.
This resolution was adopted by unanimous written consent in lieu of meeting on November 23, 2020.
C. Craig Cunningham, President
Bruce R. Durkee, Secretary/Treasurer
Physical Address 46760 Commerce Court • La Quinta • California 92253
Mailing Address PO Box 5154 • La Quinta • California 92248
Telephone 760.771-0101 • www.shadowrockchurch.com
P.Q. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
75-495 CAI LE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAF'ET'Y DEPARTMENT
(760) 777-7012
PROPER.JL Y OWNER'S PACKAGE
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
1-HP-0
A.NN ! MICE TO PROPERTY O�!NER
Dear Property Owner.
:An. application.for a building permit has been,submitted in your name listing yourself as the builder of the property
improvements specified at T ; r . ?,
:We are .providing you with an Owner -Builder :4cknowledgment and Iiiformatiou /eri€%ationForm to make Wa aware:of your.
responsibilities and possible ride -you may incur by having this permit -issued in your nixie as the
Owner. -Builder. We w`1i trot issue a building permit until you�have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this: notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S AET'NO EDG, : NT AND VERMC&TIEON OF U4F2,RH,&1DN
ITIRE'UZONS• Read and initial each. statement below t4'signify you understandvr verify this' information. `
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building perinit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious. financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. 'My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as. an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers
W my property
' 2. I understand buildinge
permits are not required to be signed by property owners unless they are responsible for the
construction and are not. hiring a licensed Contractor. to .assume this responsibility_
.3. 1 understand as an "Owner, Builder" I am the responsible.party of record on the permit. I understand that I. may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
P,7� 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
Permits and contracts.
r% S. I understand if I employ or otherwise engage any persons; other than California licensed Contractors, and the total value
01` my construction is at least five hundred dollars ($500), including labor and materials, 1 may be considered an "employer"
under state and federal law.
understand if I am considered an "employer" under state and federal Iaw, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and' contribute to unemployment
compensation for each "employee:" I also understand my failure to abide by these laws may subject me to serious financial
risk,
7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot -legally build them with the .intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under, contract with a licensed general building Contractor.
<t 8. 1 understand as an Owner -builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personas injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
,�'Z 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and.dw California
Division o€Industrial Accidents. I also understand I may contact the California Contractors' state License Board (CS LII) at I-
800-321-CSLB (2752) or www,cslb.ca.gov for more information about licensed contractors.
r i0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
Party legally le all and financially responsible for proposed construction activity at the following address:
1 l . I agree, that, as the party legally and futancially responsible for this proposed- construction activity, .I will, abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12.1 agree to notify the issuer of this, form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. I£ you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist -you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court: It is also
important for you to understand that if an unlicensed: Contractor or employee of that individual or firm is injured while worldrig
on your property; you may be held• siabk for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
r- rs
you will be responsible for verifying whether not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible far sssuitrg;t permit. Nate: A _copy, of the property-uwner's drFver's.lkfinei form nottir[kztZvn, or
other verification acceptable to the agent is.required to be presented when the permit is issued to verify the property
owner's signature. ( 6 a .. l
Signature of property owner
Note: Thefollowing Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNEWS B11MALF
Excluding. the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agents) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note` A copy of the owner's driver's license, for?n notarization,. or other verification
acceptable to the agency is required`fo be presented when the permit is issued to verify the praperry owner's signature..
Property Owner's Signature: Date:
// CITY OF LA QUINTA SUB-CONTRACTO LIS
JOB ADDRESS {� ' ce,^'c'dC , IL ° PERMIT NUMBER OWNER S�'ut. '
� � - p � ` . � ( BUILDER 6�P?,
This form shall be posted on thgjob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work- and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Tradl !Classification
C f►tractar
State Contractor's License
ylt0ilcers C' .
emetion(nsurance
Business:License
Company Name
Classification
(e.g. A, 8, C-81
License Number
(xxxxxx)
Exp. Date
(xxlxxixx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number Exp. Date License Number Exp. Date
(Format Varies) (xxlxxlxx) (xxxx) (xxlxxlxx)
fJ�K (C-12)
FRAMING (C-01
4T1. UCT. SUEL (C•51:)
MASONRY (E 29)
PLUMBING IC-3S)
1<t
a
O r
r
W"j, PL\STER (C-35)
DRIIiNALL (C-9)
ti�Co :rti J��R
,, �c�n--
e
®d
W5 & 0�
C 'l 70
EIECTRIGAL.(C-10)
•
��rf'�?/i�? % ,,,r-,e•.rt :
�(
�,.,.
RQt)flNG (C-391
.
SHEET METAL :(G-")
FLO:E3RINGi (G751
GLAZING IC471
I SMI-ATIt)N>'(G-21
SEW AG€ DISP. (C-42)
PAINtING (0-33)
CERAMIC TILE (C-")
CAI fC-6}
�
Can)
FENCING (C T3)
LA11(pSC4PINC,i (C'-27)
00OL (C-53)
Safe'n'Sound'
Fire and Soundproofing Insulation
ROCKWOOL Safe'n'Sound° is a stone wool insulation for
use in interior partitions of residential wood and steel stud
construction where superior fire resistance and acoustical
performance are required.
Withstanding temperatures up to 2150°F (1177°C),
Safe'n'Sound® is non-combustible and will not produce
toxic smoke or promote flames spreading, even when
directly exposed to fire. This adds valuable extra time
for people to reach safety and for fire services personnel
to arrive.
Safe'n'Sound® has excellent acoustical dampening
properties and provides an easy friction fit into walls,
ceiling and floor applications. It is GREENGUARD
Gold Certified and contributes to a healthier
indoor environment.
Learn more at rockwool.com
ROCKWOOL
Safe'n'Sound' Technical Data Sheet
Batt Insulation 07210 & 09820*
Residential Fire and Soundproofing Insulation Acoustic Blanket Insulation 09 81 16**
ROCKWOOL Safe'n'Sound® is a mineral wool batt insulation for interior partitions of wood and steel frame
construction where superior fire resistance and acoustical performance is required.
Mineral Fiber Blanket Thermal Insulation, Type 1 Compliant
Compliance
Mineral Fiber Thermal Insulation for Buildings, Type 1 Compliant
ASTM C665
CAN/ULC S702
Flame spread index = 0; Smoke developed index = 0 ASTM E84 (UL 723)
Flame spread index = 0; Smoke developed index = 0 CAN/ULC S102
Reaction to Fire Determination of Non -combustibility of Building Materials - Non-combustible CAN/ULC S114
Behavior of materials at 750'C - Non-combustible ASTM E136
Smolder Resistance - 0.09% CAN/ULC S129
Density Actual Density - 2.4 Ib/ft3 (38 kg/m3) ASTM C167
Thickness Product is available in 3" (76 mm) and 6" (152 mm) thicknesses
Wood Stud 16" (406 mm) on center: 15.25" x 47" (387 mm x 1194 mm)
Wood Stud 24" (610 mm) on center: 23" x 47" (584 mm x 1194 mm)
Dimensions Wood Stud 19.2" (488mm) on center: 19.2" x 47" (488 mm x 1194 mm)
Steel Stud 16" (406 mm) on center: 16.25" x 48" (413 mm x 1219 mm)
Steel Stud 24" (610 mm) on center: 24.25" x 48" (616 mm x 1219 mm)
System Description Sound Transmission Fire Resistance
Class (STC)
5/8" gypsum boards (type x) 52 1 hour
3 5/8" steel studs spaced 24" OC
1 layer of 3" Safe'n'Sound* Steel Stud
System Testing 5/8" gypsum boards (type x) 45 1 hour (non-
2x4" wood studs spaced 16" OC loadbearing)
1 layer of 3" Safe'n'Sound* Wood Stud 45 min
Resilient Channels spaced 16" OC (loadbearing)
2x10" Wood Joists spaced 16" OC 50 30 minutes
1 layer of 6" Safe'n'Sound* Wood Stud
Resilient Channels spaced 24" OC
5/8" gypsum boards (type x)
Thickness 125 Hz 250 Hz 500 Hz 1000 Hz 2000Hz 4000 Hz NRC ASTM C423
Acoustical Performance 3" 0.52 0.96 1.18 1.07 1.05 1.05 1.05
6" 1.11 1.28 1.15 1.06 1.03 1.01 1.15
U C SIF/eo �,SSIt/�O
L C UL US Q Q
LISTED
Issued 08-01-20 NOTE: *Master Format 1995 Edition **Master Format 2004 Edition. As ROCKWOOL has no control over installation design and
Supersedes 08-23-17 workmanship, accessory materials or application conditions, ROCKWOOL does not warranty the performance or results of any
installation containing ROCKWOOL's products. ROCKWOOL's overall liability and the remedies available are limited by the general
terms and conditions of sale. This warranty is in lieu of all other warranties and conditions expressed or implied, including the warranties
of merchantability and fitness for a particular purpose.
ROCKWOOL Tel: Es-265-6g Line, Milton, 9 -0110
Tel: 800-265-6878 9Fax: 800-991-0110
rockwool.com
RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
CITY OF LA QUINTA
78-495 CALLE TAMPIco, LA QUINTA CA 92253
MAIN: 760-777-7000 DIRECT: 760-777-7074
FIRE AND LIFE SAFETY
INSPECTION LOG/ORDER TO COMPLY
PAGE OF
PERMIT/CASE#: BCOM2020-0009 NOTICE NO: 1
FACILITY NAME: SHADOW ROCK CHURCH - TI DATE: 4/1/2021
FACILITY ADDRESS: 46760 COMMERCE CT, LA QUINTA CONTACT: Craig Cunningham-760-485-3338 c
The items below are in violation of or shall meet additional requirements of one or more of the following:
CALIFORNIA FIRE CODE
CALIFORNIA BUILDING CODE
LA QUINTA MUNICIPAL CODE
❑ NFPA STD.
❑ CCR TITLE
❑ OTHER
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(1) Provide and maintain 3-feet of clearance around fire protection equipment - Hydrant, FDC & PIV.
(2) Provide "Electrical Room" signage on the exterior side of the rear door.
(3) Provide tenant access and utility room access keys to be store in KNOX box.
(4) Correct EXIT signs tied into motion sensor AC power switch.
(5) Repair/replace egress light in Women's.
(6) Per CFC Table 803.3, the finish materials being proposed sound deadening shall exhibit a Class C rating per
manufacturer specifications. Provide proof of and utilize material that is Class C: Flame Spread Index 76-200;
smoke -developed index 0-450 as detailed by ASTM E84 or UL 723 standards.
*The Office of the Fire Marshal is in support of clearance for Temporary Certificate of Occupancy, pending clearance from
the La Quinta Building Official.
The listed violations/requirements shall be corrected immediately.
A re -inspection will be conducted on or after - at Final for Occupancy/TI Final 2021
FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION AND/OR SIGNIFICANT DELAYS FOR APPROVAL.
Received By: craig@shadowrockchurch.com
Fire Inspector: FSS Kohl Hetrick
Signature:
Radio I.D.: I-630
IF YOU HAVE ANY QUESTIONS OR NEED ADDITIONAL INFORMATION, PLEASE CALL 760-777-7074.
RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
CITY OF LA QUINTA
78-495 CALLE TAMPIco, LA QUINTA CA 92253
MAIN: 760-777-7000 DIRECT: 760-777-7074
FIRE AND LIFE SAFETY
INSPECTION LOG/ORDER TO COMPLY
PAGE OF
PERMIT/CASE#: BCOM2020-0009 / CE21-0814 NOTICE NO: 2
FACILITY NAME: SHADOW ROCK CHURCH - TI DATE: 5/3/2021
FACILITY ADDRESS: 46760 COMMERCE CT, LA QUINTA CONTACT: Craig Cunningham-760-485-3338 c
The items below are in violation of or shall meet additional requirements of one or more of the following:
CALIFORNIA FIRE CODE
CALIFORNIA BUILDING CODE
LA QUINTA MUNICIPAL CODE
❑ NFPA STD.
❑ CCR TITLE
❑ OTHER
THE FOLLOWING CORRECTIONS ARE REQUIRED AND WILL BE ADDRESSED UNDER THE FIRE ANNUAL CASE CE21-0814:
(1) Per CFC Table 803.3, the finish materials being used for proposed sound deadening shall exhibit a Class C rating per
manufacturer specifications. Provide proof of and utilize material that is Class C: Flame Spread Index 76-200;
smoke -developed index 0-450 as detailed by ASTM E84 or UL 723 standards.
(a) Textile Wall Coverings shall be tested in the manner intended for use, using the product mounting system, including
adhesive and shall comply with the requirements of Section 803.1.1, 803.5.1 or 803.5.2 (CFC 803.5)
*FIRE CLEARANCE FOR TI/OCCUPANCY FINAL OF BCOM2020-0009 IS GRANTED.
** ACOUSTIC DEADENING BOARDS AND FINISHES HAVE NOT YET BEEN INSTALLED AND WILL REQUIRE FURTHER
REVIEW AND APPROVAL PRIOR TO INSTALLATION.
The listed violations/requirements shall be corrected immediately.
A re -inspection will be conducted on or after
20
FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION AND/OR SIGNIFICANT DELAYS FOR APPROVAL.
Received By: craig@shadowrockchurch.com
Fire Inspector: FSS Kohl Hetrick
Signature:
Radio I.D.: I-630
IF YOU HAVE ANY QUESTIONS OR NEED ADDITIONAL INFORMATION, PLEASE CALL 760-777-7074.