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78982 HIGHWAY 111 STE 3 Permit 05-0212 (RC)P.O. Box 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO (7.60)_777-7012 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . 1--05:_-000M1-2--- . Date Property Address . . . . . . 78982 HIGHWAY 111 STE 3 APN: 643-080-047-9 -000000-. Application description REMODEL - COMMERCIAL Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation . . . . 12000 Owner ONE ELEVEN LA QUINTA C/O SABBY JONATHAN 42620 CAROLINE CT STE 102 PALM DESERT CA 92211 4/08/05 Contractor ------------------------ CONSOLIDATED CONTRACTING, INC. 46753 ADAMS STREET LA QUINTA CA 92253 (760) 324-5488 WCC: STATE FUND WC: 1770749-2005. 01/01/06 CSLB: 824183 09/30/05, CCC: B -C8 ------ Structure Information COMMERCIAL OFFICE "SANTA ROSA DEV" TI ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . BUSINESS <50 Other struct info . . . . . CODE EDITION 2001 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY B OCCUPANT LOAD 25.00. 1ST FLOOR SQUARE FOOTAGE 2500.00 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 135.00 Plan Check Fee 87.75 Issue Date . . . . Valuatt'ion . . . . 12000 Qty Unit Charge Per Extension BASE FEE 45.00 10.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 90.00 "Permit . . . . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . 65.00 Plan Check Fee 16.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2500.00 .0200 --------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 50.00 Permit . . . . ------------------------------------- MECHANICAL Additional desc Permit Fee . . . . 26.00 Plan Check Fee 4.88 Awl P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: ons rR,a C, rye .. Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: [JUILDING 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 Lice is in ull rce and effect. License Class / License N � (-��•Q+�=•, ate1 �b� Contractor✓ t� OW ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra ors' 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, demolis 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 Co tractors' 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 bais 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 ($50117): 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 irftended 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.). U t, 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.). U I am exempt under Sec. . BA P.C. for this reason Date Owner WORKERS' 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 d y cer ' ensation insurance carver oliic�cyy nu b r re: amer Policy Number �r(i �J.. i certify that, in a 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisioW_ Dat€ ApplicafR /dG WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN _RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN FEES. 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 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 construction, and hereby authorize representatives of this county tQ e e n the above-mentioned property for inspection purposes. to Signature (Applicant or Agent):✓// 4 Page 2 Application Number . . . . . 05-00000212 Date .4/08,/05 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 6.5000 EA MECH VENT ---------------------------------------------------------------------------- FAN 6.50 Permit . . . . . . PLUMBING Additional desc . . i Permit Fee . . . . 36.00 Plan Check Fee 9.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 1.00 3.0000 EA PLB WATER ---------------------------------------------------------------------------- INST/ALT/REP 3.00 Special Notes and Comments Commercial Remodel "Santa Rosa Development" Sales Office TI, "B" Occupancy, Occupant Load 25, Type VN Sprinkled. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 2.52 Fee summary Charged Paid Credited Due Permit Fee Total 262.00 .00 .00 262.00 Plan Check Total. 117:88 .00 .00 117.88 Other Fee Total 2.52 .00 .00 2.52 Grand Total 382.40 .00 .00 382.40 !I® a i Oty ®f La Quinta Building eT Safety Division Permit # P.O. Box 150.4, 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012. 05- 02/ Z Building Permit Application and Wracking Sheet Project Address: -1 4Y4"(, , 11 Owner's Name:LLO U K A, L U, A. P. Number: 1, D�UC��'T .. (� Address: -i ( -o6+ 'rAMAFO .m e g P lito©� Le al Descri tion: 1' 'ai` City, ST, Zip: ® -16 -To �� Contractor: ,p + Telephone: �f�� �J'� �jL�jG� Address:�j,''I�a Project Description:/_t�- City, ST, Zip: t&• INTI` G�� Telephone:' State Lie. # : 4624 1 City Lic. #: Arch., Engr., Designer: AIA Address: 61 0*1 I`%..,4J2ftoff City, ST, Zip: Iwo 6k 41 -9w i Telephone: ''�lD�r"�� �•"�' � °'� �:.. x ..,• <:: >: ,, ... f... Occupancy: :��.<:>�#:,:<;�• <..�::::•�v:s?�:e. �; • l... .:•,. �><��:;:•� '�4:<>.:;Construction Type: State Lie. #: 6 j'3 4- Project type (circle one)- New.. Add'n Alter Repair Demo Name of Contact Person: 12AVr,7 ���� �/ Sq. Ft.: # Stories:' # Units: - Telephone # of Contact Person; 't(`p('�- "j") —�3i1 51 Estimated Valiie of Project:1 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Pian Sets Plan Check submitted 1 Item Amount Structural Calls, Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Tide 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20d Review, ready for corrections/issue Electrical Subcontactor List Colled'Contaet Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees T4hi 4 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 L To: Greg Butler, Building & Safety Manager From: Doug Evans, Planning Director BUILDING & SAFETY DEPARTMENT (760) 777-7012 , FAX (760) 777-7011 To CDD: 1-21-2005 Due date. -31-2005 Status: l st Review Building Plans Approval The Community Development Department has reviewed the Building Plans for the following project: Description: TENANT IMPROVEMENTS FOR 2500 SO.FT. SPACE -OFFICE Address or general location: 78-982 HIGHWAY 111. #3 Applicant Contact: DAVE SMOLLEY 771-3345 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department approval. ...these Building Plans are approved by the Community Development Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. Doug Evans, Planning Director 0 Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canvon 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 I John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, . Mm.:. n RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation With the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 June 27; 2005• To: La Quinta Building Department Re: Final fire Clearance The Riverside County Fire Department is granting a fire life safety clearance for Retail Building La Quinta Center`"78:982"Highway 111 Suite #31' LAQ-04BP069 If you have any questions contact me at 760-345-6954 Respectfully, N C Neal Stephenson Fire Systems Inspector JUN -28-2005 TUE 08:32 AM SHOVLIN COMPANIES FAX NO. 7607714431 P. 03 IN COOPERATION WITH CALIFORNIA DEPARTMENT OF F( IIIESTRY AND FIRE PROTECTION A 4080 LF-MON:'i REST, 2ND FLOQI " T P.0, SOX 154 { CLUNTI Ji• jtivhltsini..�( RIVEI ;,IDE, CA 92502 154 (909) 955-47T FAX (909) 955-488 JOB CARD THIS INSPECTION RECORD MUST BE !,T JOS SITE WITH THE APPROVED SET OF I -ANS Owner 0,11L Date Location S - Case No. A.AQ-03- $p gee Sprinkler Company \ — ., Wror d Visual ate nspector (Joints nd Thrust Blocks Must Be Exp sed) Under ound Stailc Date nspeCtor (200 PSI For Hrs. Prior to In action Time) Dato Inspector Overhead Staticpate —Inspector (too PSI For 2 Hrs. Prior to nspoction Time) overhead FinalDate Inspector Fire Maln Installer g- Unde round Visual Date Inspector (Jor is arid hrust Bloc l Must Be Exposed) Under and Static Date nspectnr (200 SI For Hr Pri r to Inspection Til ) () I{fff Under and Flush. Date Inspector Extinguishing System Installer Final Date Inspector Fire Alarm Installer Final / Date — Inspector Tank lnctallAr JUN -28-2005 TUE 08;32 AM SHOO IN COMPANIES FAX NO. 7607714431 P. 05 FACILITY NAME ADDRESS--?-� CALIFORNIA DEPARTMENT OF FORESTRY RIVERSIDE COUNTY FIRE DEPARTMENT ' 210 WEST SAN JACINTO PERRIS, CA 92570 (909) 940-6900 (619) 863-8886 INSPECTION LOG COMPLIANCE ORDER The items listed below are in violation of one of the following: UNIFORM FIRE CODE RIVERSIDE COUNTY FIRE ORDINANCE _ OTHER ILJ Page of Notice No Date: Phone: UNIFORM BUILDING CODE: L CALIF. HEALTH & SAFETY CODE (TITLE Measures shall be taken to correct listed violations.'A reinspection will be conducted ons or about 19 FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION. Received By ---�' Title,.�� FOR FURTHER INFORMATION PLEASE CALL Phone .— I i i In .o JIM I Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of . Banning 4. Beaumont 4. Calimesa 4. Canyon Lake Coachella Desert Hot Springs r. Indian Wells 4. Indio 4. Lake Elsinore 4. La Quinta Moreno Valley Palm Desert Perris Rancho Mirage 4. San Jacinto 4. Temecula Board of Supervisors Bob Buster, District l John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT 82-675 HighwayIndio, . Fax - January 24, 2005 Consolidated Contracting, Inc. 46-753 Adams St. La Quinta, CA 92253 Re: Non -Structural Building TA Plan Review LAQ-05-TI-006 / Santa Rosa Development _ 7<8--982"Hwy 111; #3� Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the issuance of a building permit. 1) As maybe necessary to maintain proper fire sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Job card must be at the job site for all inspections. 2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable and legible tags affixed for identification of the correlating tenant space. 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified extinguisher company for proper placement of equipment. 4) Approved building address shall be placed in such a position as to be plainly visible and legible from the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background. Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. (Cc: City of La Quinta - Building Dept H:IPEMP DahHi Q*taV%0JECTS%TILLA4 15-n- B.Ax Sincerely, FRANK KAWASAKI Chief Fire Department Planner By Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 I 7 7�? OP 6UP45, � �A CITY OFLA OU' BUILDING & ETY-� SAFFETY SDE B T APPROVE� FOR CONSTRUCTION DATE AM09AIL. ACG.. 5."e? A- AM: -f2-----.... TA 0 j*"% -T -V- VF44KCT, .-ro-p—S&N—L * HAND"KAJIL ARRroved bye fleso # E3 Planning Commission O -City Council o'. ommun pt tn i &1tt ia I s Case No. Exhibit h4--0,z*r4,- 0 With Condifions RETAIL SHOPS (Pad M-3) 78-982 Highway 111, La Quinta Iy One Eleven La Quinta Center CONSOLIDA rED C.ONMACrING, INC. 46-753 Adams Street, La Quinta, CA 92253 Phone (ff7400) 7 1-3345 Faxff 00) 771-443.A24 Date.- Designer. Pave Scale: Certificate of Occupancy ot Building &Safety Department This Certificate is issued pursuant to the requirements of Section 109 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: 78-982 Highway 111 Suite 3 Use classification: Commercial "Sales Office" TI Occupancy Group: B Type of Construction: VN Sprinkled Owner of Building: One Eleven La Quinta Building Official POST IN A CONSPIC Building Permit No.: 05-0212 Land Use Zone: CR Address: 42-620 Caroline Ct Ste 102 City, ST, ZIP: Palm Desert, CA 92211 By: Daniel P. Crawford Jr. Date: 6/28/05 PLACE