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PLBG (0403-044)78010 Main St Ste 108 0403-044 LICENSED CONTRACTOR 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 # Lic. Class Exp. Date 11i M/ 0., / 1 -Si Date P 8lgnature of Contractor. ontractor - % OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner 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. (VI 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 & policy no. are: Carrier STATE FUND. Policy No. 1440123-D3 (This section need not be completed if the permit valuation is for $100.00 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 the workers' compensation laws of California, and agree that if I should become subject to the workers'vcompensation prow signs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:.G`Applicant : SLI o' /.f` 'z ? _, ✓' }7. Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to,enter upon the above-mentioned property fovinspection purposes' _ R /Z f y r / y l Signature (Owner/Agent) f ..y, :s l .. Date ' "f _1 PERMIT PERMIT# • _BUPLDING DATE ~ I VALUATIONM LOT ,'g,i TRACT / / o, A / aN 4 yRX) XV JOB SITE f `- APN ADDRESS 78-0.1.0 DA A .c •riz U&. , T 9U11 X 1,08 OWNER CONTRACTOR / DESIGNER / ENGINEER 011) TOWN UN Q LTiNTA, LLC MARVIN : 30baS 789QS J alst ' C , STZ. 201 78-01" CALIX ? dAT3ta,S l LA Qtnt ! m CA. 92253 Lek QXWTA CA 92,253 (760)773-2567 CLYW 5447 USE OF PERMIT PLUMBNO 1NSTALLAT1014 OF 000 GALLON' OT;.PAS ANTE CEMPT097' Al ,"UI Z 109 PER P1.A111.t WD HKAUR DEPT A.PPM VAL. VALUATION 11300.09 WO EIRI t . I.Cr, D COST OF CON-S'YRUC31YCF( I 15W.01D r t f:P 13Ij C1 fc. E IN -090 41.9.ODO $27.00 ST313-TCYTAL CONSM. " TCT7XT AYM.r PI.Mi CMCK $27,00 IX33 P-=-'PAW Ta S $ 1.00 D MAR 16 2004 RECEIPT FIA E DEPT. B DATE FINALED INSPECTOR rf a,. a l INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: SIZE NOTE 2 L Bal DDIMI KATER RESISIANr RAME AND ODVM I. REFER TO SPECIFICAOONS SHEET NO. S-2-12 2. REFER TO SPECIFICATIONS SHEET Na S-252 ouIEET 3. REFER TO SPECIFICA't10N5'SHEET NO. 5-251 Ex I RTr*w SEAT. - . lfY' _ VAFGASLEGRACE . SEE s - SKEET 1 No. s-252sa C WMEWNTS e !., g, ----- [[i T — 3 $1C TYPECAL OUTLET 1 ! " END ti SIDE SrE 400TE 3 1P c 1 A ua" CEPIN RECESS ' e IF 4 . 3p- TYPICAL ETW B SIDE WALLS INLET - OUTLET 2 ESD VIEW SECTION A - A END VI GREASE ITERCEPTOR MTIi SZPLE• BOX'.. TWO MANHOLES EXTENLED TO GRADE DESIGNIED FOR DIRECT H-20 LOADING OF MANHOLE. EXTENSIONS 750 THRU 1500 GALLONS EXCAVATION SPECIFICATIONS ALL DIMENSIONS IN INCHES C-1500 LENGTH t2'-0" 12'-0" WOAEL A B C O E F C N PC G-750 40 38 55 74 74 19 3/4 4 t/2 31 1/2 PC G-1000 50 48 67 74 74 24 3/4 4 t/2 4i 1/2 PC G-1200 PC G-100 59 57 74 162 1/2 60 1/2 77 1/2 1 74 85 74 85 29 1/4 30 3/4 4 t/2 15 50 - 53 1/2 EXCAVATION SPECIFICATIONS MODEL G-750 1 G-1000 0-1200 C-1500 LENGTH t2'-0" 12'-0" 12'-0" t2'-0" 480tH B'-0" B' -C -- W-0" 9'-0.• BELOW INLET 3'-4- 4!-2" 4'-11" 5-2 I/2" TANK HEIGHT 4'-7- 5--5" 6'-2" G-5 1/2" • P.O. BOX 602 HIGHLAND, CA 92346 909 793-7602 800 945-8265 Fox: 909 793-1283 ass oue er. 10-1-01 B. BRAKE SGPA ARCHITECTURE N PLANNING TRANSMITTAL DATE January 22, 2003 TO Mr. Brian Monroe Marvin Investments, Inc. 78-080 Calle Estado,' Suite 201 La Quinta, CA 92253 FROM Michael Cather VIA Fax: (760) 771-5057 PROJECT Old Town La Quinta La Quinta, California SAN DIEGO a SAN FRANCISCO PROJECT NO 20210-D-01 DESCRIPTION Enclosed please find proposed grease interceptor schedule for buildings A, B & C COPY TO File F:\2002\20210\DOl \Corr•Xmt\Client\BrionMonroe.rmt.doc 1545 Hotel Circle South, Studio 200, Son Diego, Coihmio 92108 David Reinker, AIA. President 619.297.0131 (p) 619.294.9534 (f! www.s3Pa.corn OLD TOWN LA QUINTA GREASE INTERCEPTOR SCHEDULE BUILDING A January 22, 2003 Suite SquareNumber Waste Interceptor No. Footage of meal X Flow X Retention X Storage = size Footage of meal per Flow Ratio Retention Time Storage = Factor (Liquid per peak Ratio Time Factor I (Liquid I capacity) peak hour I I capacity) i. A-100 3,089 40 X 6 X 2.5 X 2 = 1200 A-109 1,199 60 X 6 X 2.5 X 1 = 900 A-111 1,225 40 X 6 X 2.5 X 2 = 1200 BUILDING B Suite Square Number Waste I Interceptor I No. Footage of meal X Flow X Retention X Storage = size per Ratio Time Factor I (Liquid I peak I I capacity) i. hour B-100 1,899 30 X 6 X 2.5 X 2 = 900 B-102 905 50 X b X 2.5 X 1 = 750 BUILDING C Suite Square Number Waste I Interceptor No. Footage of meal X Flow X Retention X Storage = size per Ratio Time Factor (Liquid peak capacity) hour C-100 12,162 35 X 6 X 2.5 X 2 I= j 1050 C-102 1189 60 X b X 2.5 I X 1 = 900 C-104 40 1 X 6 X 2.5 X 2 1= 1 1200 C-200 14-,-458 3,026 100 1 X 6 X 2.5 X 2= 3000 a;:-30-03 09:26 am Frcm-VA.TER DIS'RI MMACHEIUA VALLEY +7603983111 T-013 P. 02/03 F-428 __ -. --•--- ASSESSOR'S PARCEL. )t)Ni / Qr , NLR IGE COMMUNtTT RaALTH AGENCY _ _FART,MENT OF ENVIRONMENTAL HEALTH '10PLICATIO N FOR WASTE WATER DISPOSAL APPROVAL 'PUCAN is Suoxa t'+i lorry ••:'n fwr wD'ee o(0 5c^,_60 wat pun (1's20' w t -a0' SGALC! O awn:o CO nW ;peerLreUCna s InCiealcd on no al enau s _t 5st A nomr6l n jabv. G'IIK rcr i9 r86dIR4 •roan ✓.o ppyaca,.on a :abmatod. Chett, mw! be mado peyatlo :o the Cou9b d Riven ld0. Apo—' of "S opt ii r¢ma.n .viI0 for 6 D¢'+od nel to eaoaeo ons ; stir :tom dill 6 D3ym`11 ,Agent CC,pr.lrat:cr. Contact—Dorow, 100 Plopatty Asdtcss- bot Sae 1 bt`otbr Agen;vmsil ACJL73L I A /; //ai h Q.• Gy ; 1 eeJ— ,ml!. p,•p• SL'P, PJP, WC. - :a" YIP Stri6 rip .'-IlfAC?t 1; 1;,4 - - v.Iz:nnp. R!rc ;:.ae Pre •. e::. l i v ' _ Illnalufe U!AD01i 'jnf 't^ . ►/ / h d..J - FOR OFFICE U36 ONLY ZV6CK 6OX lF REQUIRED is C116cko0, iN6 epphcetao shat be wntld vto f¢ie'".ed tMtr. vw C] Dalaiktl CnnlWr Clot Plarq RaaVirsd (1 b S foot irdetval) 4 any box. inrcrnaaon is Provided and the tae polo. Resubentttats lefer Ener air• rlpleo oel0w may ri,qu;rs repayment bf fats Utes SO 0ay6 Oder V NOiO!np Tank Agrcomems Completed V Stbl( Sp¢Gel!61 Lot inePect'on FtQ;%OtQ ? G-er6ecat on a EA•auns S.u. 6yst6m Row—fadTtta*ta:8roa• Pege Grid WGf;9 •.-.IebrertGr FMg4ilad C) Lato Lm Inip.)CWn COmgl6tod: Initials r (Attach r« COH-: AN -!0y. 3ants Ano Feylon Cnly) Rte: I Spas p rcolg'ion Report R¢quit(rd O Maintsr-gMt 600nle1 Prdrld d Q Spa,; el FeaatO tly 6ur:rg nepon Fleoutred Fidel tr.6pCCW 4 Cabe n!ont cf Ervlronn'tc4tat 803111% is requireb, ;] R.r¢v,ew ize01%Ileo hstiala Da'e I Q PI¢asa ryll 1,o hcijrs FRIOR to mypettior4 LiciProloex o _Data C+L: r Sons Peroola•.lon dottnp Ioapot: BY atwfcd 9y Oau S oGa map Pate - TYOe' pvGmrua so f SYsttYrt0 Ty `W siva atn{a) No. I glnp gnus try .or•- Cueose ImeW—, Valli l7 !toldrn0 tank rwPrasemvnl BecrcOrrx. FitttNO Unira t 1, 5 + CI haw Q AGeNon aatl cal. U E"UnO -)(6 nnoo, to 5%wr - Leach Boo o0. fl :. 'out Llltear Sldewsn Allowance fL long t wide of 60l!Om Area 80ttdnl .tree rock! 40• R. n.nnl µAN n uneca _rout 006Was r>brt.s Irfet Teats. DepYl 0 prop liod Botw TVsted Depth------ xec:at dabiyn for olopot (1) Pit OItlR Dur fVo, PIl9 pit I34Ie'r Intel (f31) To Oeplpt AaOwaa a aginikim GRIa asn FsuOr 135' • 6' - I - Deptn '^ 1 IVsll Fte%,"ADPMOO: Gram -9 Plan ADP:ovcd. ee Pian Qtied Of%Y pporowe: Dab: +y peM iEMAAKS: ;wr ,. S AL/ Wit% I J rir o I nLt. U Woo Onllina Perin:ts I — i 7nis e-,,Cllcal;on s APPROVE luenio for the catopmy fl1MK94 It' '•''~_ ..yCT10N 0 a,x.vo. na aoslgn rd a Mwade' system as i!:dleawd o. ins aceemP+nied plot par:• utpg the t6eulrvrft(U ;st 16W. n SECTION Revenue CDde - Fee 6 C DbJ•q. A Wilding petnyt R nCDaF6ary for the in9lstlautb of ins ehJVB• dasg reb .sistem. Il4s,. ySniaia 'o o LU' + In tF iliarr re>Senral 'lao%' wcoatiw,tm Chsok Is tt) 9epiie Ank rit•gl be 100' misirnum ham any woos. O—In:tiot t,) rased lilac+r -: Ce 100' mlflmut* tion any wagel s. nwllnp ¢xpettolan este u.` ;ti be-oFr linea "h -v to 50' m nlmurn Fon. ony %WI16. Ionslon RIVERS11OL: 909 e56•U960 n (4) Seepage vas ryuel t¢ 190' rro mum from any •epte. lrrWTnti wD I df ep INDIO* 760-463.7000 SOUTHWEST: 909.600.6180 I ..vv vv,L LN ,HJtMLN I t'tK UVWU UWG S-46 10 -FEET EACH WAY OF PROP. WATER MAIN -dW ET-RULT 6" SDR 35 VENT LINE -ONSTRUCT 8" SDR 35 SEWER MAIN CONSTRUCT 48" SEWER MANHOLE PER CVWD DWG S-5 CONSTRUCT 8" X 6" PVC WYE - ONSTRUCT 8" X 6" PVC REDUCER 'ONSTRUCT 6" X 90' PVC BEND IMPROVEMENTS PLANS. PE-42.?0 PROP. g- i:.,. : :.; /FUTURE BLDG. •D° FF -42.50 2 TCO 41.90 PE -4 CO INV 34.01 \ F ` 7cY--© 15 41,4 u PROP. BLDG. •C FF -42.80 " PE -42.30 ILI