0401-298 (RC)78015 Main St Ste 100
0401-298
LICENSE
D CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
C14 W Professionals Code, and my License is in full force and effect.
O =) C) License # Lic. Class Exp. Date
CY In
W 771 i$:3 B 12,t30/2.(
., .o Z r-- fDate Signature of Contractor-
CoOr
J U C) OWNER -BUILDER DECLARATION
W W r- I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ Cl
to License Law for the following reason:
Z_ ( ) 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).
C0 () I am exempt under Section , B&P.C. for this reason
ul
C\1 Date Signature of Owner
ON
CA
Q WORKER'S COMPENSATION DECLARATION
p Cc I hereby affirm under penalty of perjury one of the following declarations:
`r H p () 1 have and will maintain a certificate of consent to self -insure for workers'
X w = compensation, as provided for by Section 3700 of the Labor Code, for the
O Q performance of the work for which this permit is issued.
Go Q U ( ) I have and will maintain workers' compensation insurance, as required by
O Q Section 3700 of the Labor Code, for the performance of the work for which this
d 0)H permit is issued. My workers' compensation insurance carrier & policy no. are:
It Z Carrier STATEC, F 111 I1 + Policy No. 1,iATi15 ^3
oo 0
r- C)
J
(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
3 subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: f Applicant - : l t H r• —
• 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 hi
application.
1. Each person upon whose behalf this application is made & each person tD
whose request and for whose benefit work is performed under or pursuant o
any permit issued as a result of this applicaton agrees to, & shall, indemn f,
& hold harmless the City of La Quinta, its officers, agents and employe s✓
2. Any permit issued as a result of this application becomes null and voi if
work is not commenced within 180 days from date of issuance of s ch
permit, or cessation of work for 180 days will subject permit to cancellat
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
fthe above-mentioned property for inspection purposes.
Signature (Owner/Agent) I 0 r /)• . Date ''- •u/, I r
y , +
BUILDING PERMIT PERMIT#
£G1 -mac
DATE VALUATION LOT TRACT
JOB SITE
ADDRESS ^jitiCliv Il:fYalla.1.(l i
APN
w
OWNER
CONTRACTOR / DESIGNER / ENGINEER
OLD P,,YV41" LA QTJR4Tii LT.G
MARVIN HOVIES
7F-080 C.Ai,L ,=ADO 9TE201
78.080 OAi.Ue,HST -100 TE 201
L7s t UNTA. CA 92253
I;P,. Quaq:irk CA 92253
(766)771-2567 01314 5407
USE OF PERMIT
COMM:-MCCIAT I rr fiC31 i»J
COlJIMERCIA.i. R MODSL (STUIrr PIZZA) 4,0.73 SQFT, ': fPIEV14
SPRIT MLELG 'A.a OCCUPANCY, OCCUPANT LOAD 261 (11YNWi/TC,00R
.ElKiN0)11`ftiTF..` TIaAT1,0N FRE IMPDSZLI RX1, WORK PZRP`OR.MUJD',WTi40EUT
''.e4.1.t1.f TIC ?i 3 Q2,fl Lam'
EYJVAATKD COST OF CONSTRUCTION
2.00
33A2.00
1'K1dL+11*F li'ET, SUMMARY
PlAli C'HECK rSF 101.000.439-318 S.210,28
CONSTRUCTION FEE 101-000.418-000 $323.1"
N1 ECHAIN I CA LbEE 101.000.4:11-,00 J S45,S0
F..LECTRIC,NI, PY9 101-000•1420-000 $34.96
P1+i3 ABD46) FEE 101.000.419.000 V93.25
3T]1ON ?'MMT! N PKE - COA.E1i 100-000-241-000
aNf LST i 0ATJ ON FER 101-000-423.000
'
a p„1 TOTAf C:E".ItTSfECfJO"1:TON .ANj-) PLAt3 CIMi'X
$1,391..80
»... UI S,S PRL LPAM:F.M. 'I+S
It0.U4
Ci y ®, -
FINANCE
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
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
0.K to Wrap _
Framing tet/
F.A.U.
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 I I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines — - Q
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:
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of-
Banning
£
Banning
4.
Beaumont
40
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
4.
Indian Wells
Indio
Lake Elsinore
.P. -
La Quinta
4.
Moreno Valley
Palm Desert
Perris
Rancho Mirage
4.
Rubidoux CSD
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
yRIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
77-933 Las Montanas Rd STE 201 • Palm Desert, CA 92211 • (760) 863-8886 • Fax (760) 863-7072
December 14, 2009
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-09-TI-043 Stuft Pizza Addition 78-015 Main Street # 103 La Quinta, CA
You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN
OCCUPANCY PERMIT.
It is prohibited to use/processor store any materials in this occupancy that would classify it as an "H"
occupancy per Sec. 307 of the 20007 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2007 UBC.
A minimum 2A1 OBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible
location within 75' walking distance from any point in your building or suite. Fire extinguishers can
be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the
extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire'extinguisher
company must service extinguisher yearly.
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all
times.
A durable sign stating "This door to remain unlocked during business hours" shall be placed on or
adjacent to the front exit door. The sign shall be in letters not less than one inch high on a contrasting
background.
Provide key(s) 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. Key(s) shall be
provided at time of final inspection.
An approved audible interior notification alarm device shall be provided in approved locations. A
C-1 O licensed contractor must submit plans, designed in accordance with NFPA 72, 2002 Edition, to
the Fire Department for review and approval prior to installation.
As may be 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. sprinkler system will have to be
modified and designed in accordance with NFPA 13, 2002 Edition. A licensed C-16 contractor shall
do all sprinkler work and certification. The approved plans, with Fire Department Job card must be at
the job site for all inspections.
Approved suite address shall be placed in such a position to be plainly visible and legible from the
street. Said numbers shall contrast with their background.
Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re-
inspection fee will be required if more than one (1) inspection is necessary. 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.
incerely,
By: .
Jaso Stubble
Fire Safety Specialist
Fill indicates area under existing
roof trellis to be enclosed.
El I I I I I III
............ I ............. I ........
......................................
... ... ......... ......... ........ ............
.........................................
Pot with Bouganvillea espalliered on wall
Poche indicates new walls
SITE/FLOOR PLAN
ADDENDUM A 3/3/04
1/4" = V-0"
111111 john stanford architect
In73-350 el pasec, suite 207 palm desert, ca.
tel. (760) 776-8478 fax (760) 776-8477
Area in question
Existing facade
r - — — — — — —
— ---
I I
I
":
DO
00 00
❑❑ ED] ED] 'DD
0 00
00
D Do
L---- J
In fill existing arch with exterior
plaster finshed to match existing
6070 solid panel doors
New light fixt. to match existing
Bottom of fixture to be a minimum
of 80" above fin. grade
SOUTH ELEVATION
ADDENDUM A
john stanford architect
73-350 el paseo suite 207 palm desert, ca.
tel. (760) 776-8478 fax (760) 776-8477
3/3/04
1/8" = 1'-0"
2
sa- —Q
Temporaryo Certificate of
°
Occupancy
U
LNXMORATM
G
OF Taw
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: 78-015 SUITE 100
Use classification: COMM Building Permit No.: 0401-298
Occupancy Group: A3 Type of Construction: VN -SPRINKLED Land Use Zone: VC
Owner of Building: OLD TOWN LA QUINT LLC Address: 78-080 CALLE ESTADO SUITE 201
City, ST, ZIP: LA QUINTA CA 92260
By: KIRK KIRKLAND
Date: 10-29-2004/EXPIRES 11-29-2004
Building Offi al
POST IN A CONSPICUOUS PLACE