09-1256 (RC)78015 Main St Ste 100
09-1256
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 097_00001256
Property Address: 78015 MAIN ST STE 100
APN: 770-121-007- -
Application description: REMODEL - COMMERCIAL
Property Zoning: VILLAGE COMMERCIAL
Application valuation: 2000
Td4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
OLD TOWN LA QUI
78015 MAIN ST 4
LA QUINTA CA
LA QUINTA, CA 91
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under ro isions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business rofessionals d r+ License is in full force and effect.
License C ss: > _ Li No.: 67583
e: ! ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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, 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 Contractor's 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 ($500).:
(_ 1 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 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 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.).
(_) I, 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.).
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Date: Owner:
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
JAW 2 E 2010
ClTy (;F ; A QUH41A
INC, ROPER
Nate: 1/27/10
l
f
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.
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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, in the performance of the work for hich this permit is issued, I shall not employ any
person in any manner so become s je to th orkers' compensation laws of California,
and agree that, if I sho b -me subje t wo ers' compensation provisions of Section
3700 of the Labor C e shall forthwi 'th those provisions.
v
te: / / ;cant: '
WARNING: FA URE 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.
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. i
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 ab informati i orrect. I ree to comply with all
city and county ordinances and state laws relating to build' g nstruction a thorize representatives
of this county to enter upon the above-mentioned prop e f inspection r ses.
date: . ignature (Applicant or Agent):
Contractor:
Architect or Engineer-
MORRIS CONSTRUCTION
51200 CALLE PALOMA
LA QUINTA, CA 92253
(760)272-9292
Lic. No.: 867583
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under ro isions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business rofessionals d r+ License is in full force and effect.
License C ss: > _ Li No.: 67583
e: ! ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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, 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 Contractor's 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 ($500).:
(_ 1 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 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 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.).
(_) I, 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.).
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Date: Owner:
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
JAW 2 E 2010
ClTy (;F ; A QUH41A
INC, ROPER
Nate: 1/27/10
l
f
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.
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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, in the performance of the work for hich this permit is issued, I shall not employ any
person in any manner so become s je to th orkers' compensation laws of California,
and agree that, if I sho b -me subje t wo ers' compensation provisions of Section
3700 of the Labor C e shall forthwi 'th those provisions.
v
te: / / ;cant: '
WARNING: FA URE 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.
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. i
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 ab informati i orrect. I ree to comply with all
city and county ordinances and state laws relating to build' g nstruction a thorize representatives
of this county to enter upon the above-mentioned prop e f inspection r ses.
date: . ignature (Applicant or Agent):
b
LQPERMIT
Application Number . . . . . 09-00001256
------ Structure Information 432SF ADDITION/VB/A-2/3-OL (STUFT PIZZA] -----
Other struct info . . . . . CODE EDITION 2007CBC
FIRE SPRINKLERS FULLY
MIXED-USE OCCUPANCY A-2/B/M
OCCUPANT LOAD 3.00
1ST FLOOR SQUARE FOOTAGE 432.00
--------------------------------------------------------- ------------------
Permit . . . BUILDING PERMIT - ADA INV FEE
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee 29.25
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 6/14/10
Qty Unit Charge Per
Extension
BASE FEE
30.00
15.00 4.0000 HND BLDG 501-2,000
60.00
----------------------------------------------------------------------------
Special Notes and Comments
432SF (SUITE 103) ADDITION/VB/A-2/3-OL
(STUFT PIZZA - TAKE OUT] THIS PERMIT
DOES NOT INCLUDE BUILDING SIGNAGE. 2007
CALIFORNIA BUILDING CODE - SEPARATION
AND ALLOWABLE AREA FOR MIXED OCCUPANCIES
(A-2/B/M) PER 508.3.3. ***INVESTIGATION
FEE ASSESSED PER 2007 CALIFORNIA
BUILDING CODE APPENDIX CHAPTER 1 §108.4
FOR WORK COMMENCING BEFORE PERMIT
ISSUANCE***
December 16, 2009 3:51:35 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY
PLAN REVIEW
2.93
BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW
FEE
2.93
Fee summary Charged Paid Credited
----------=----------------------------------------------
Due
Permit Fee Total 90.00 .00
.00
90.00
Plan Check Total 29.25 .00
.00
29.25
Other Fee Total 6.86 .00
.00
6.86
Grand Total 126.11 .00
.00
126.11
DEPARTMENT
ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Plan Check # Date 1/25/10
Project Name Stuft Pizza Bar and Grill Address 78015 Main St. La Quinta
Plans Submitted by John (Jack) Bertram Phone 760-218-3738
Owner John S. Bertram Address 56160 Muirfield Mg. La Quinta Phone
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
This Facility remodel has been constructed without plan submittal. On 1/14/10 an onsite
inspection was performed. Refer to report dated 1/14/10 for plan check corrections.
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 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
Phone
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
construction:
'Signature
Company Name.
Date
Corona
Hemet
Indio
Murrieta
Palm Springs
Riverside
2275 S. Main St Suite 204
800 S. Sanderson
47-950 Arabia St -A"
38740 Sky Canyon Dr
2500 N. Palm Canyon Dr
4065 County Cir
(951) 273-9140
(951) 766-2824
(760) 863-8287
(951) 461-0284
(760) 320-1048
(951) 358-5172
Fax (951) 520-8319
Fax (951) 766-7874
Fax (760) 863-8303
Fax (951) 461-0245
Fax (760) 320-1470
Fax (951) 358-5017
rlo..—r,,, f \]/o{. Caro
_--- `--
Bin #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 922.53 - (?4177-70f2"'1'-`
Building Permit Application and Tracking Sheet
Permit #
Project Address: 79 Q 15 W4* I QD
Owner's Name: LTD — owm 1,
Address: -25 WtA 5-f -V'-- (QD
A. P. Number:
Legal Description:
City, ST, Zip: LA Aa C,& 2z,5
Contractor: 7Mgpg RoPe 12197YYiS 64005Z
ON
Telephone -.-7W -'7-1 6fqoq ro,
Address: 51 z- V 0 CAV e- ?,it
Project Description:
City, ST, Zip: LIOL au
T11 za IA, E
Telephone: '70- R-7) -q?4 )L
IX
W
State Lic. # : OW1 5 3
City Lic. 19D Bi
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
. . . . . . . . . . . . . . . . .
State Lic. #: . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . —
Name of Contact Person: 4
. zl( - W 1$S0
Construction Type: Occupancy:
an
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
I ries:
Units:
Telephone # of Contact Person -77 14- —1. -
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Reqld
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount'
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE--
Review, ready for correcfio,46. n.
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
AM.159— ("t4o*416 AAA-)
LEFIr 44&%&-Xt
VsoL*eD 6t&A.)AWO( Rig
Wt t&WA&AXCqVA*4 .... -Oft*
it
t. F1UU & ate. A103
luinta CA
__ ___ ]
APPROVAIL GRANTED BY THE
COUNTY OF RIVER51gE
ENT i.`,: ENVIROWENTAL.H54TH
?j, L 'I) FEAR f"P,0M DATE Or AV' P"k
by the County of Riverside
`ro i ,P..!-nenial Hea` h, does not relieve the
r c;r Ai chrtect of the responsibility for the. Engineering
A%haectural design."
i~i1 c>t 1 95' EC'inT1 . nns shdufd be
t , •, . 1 % ;1 Oji: 1r1 3 t nrce
C , . !
DESCRIPTION
lents for 78-015 Main St. #100, Ste All 03.
& Storage area
:T ADDRESS
n St. #100 & Ste. A103 .
California 92253
)R'S PARCEL#
E
I
ia C?T F ' i T PLAN C1F"r CSCR IN d 6'R • l
or, AV!LVCIIA.>` _F Oft ALTERATIONS TO t
PAIS AS ORIGhNALLY APPROVED.
COUN TY OF RIVERSIDE
COM',AUNITY HEALTH AGENCY I
f:: 'Af!"TIMENTOF ENVIRONMENTAL '
1' TiH
cons;ructionlequipment
i app!oved.
c-%rrection sheet.
By
cis,?s not authorize the violation of
or other regulation.
Permanent approved soap and towel
dispensersmust be installed at
all hand washing sinks.
VICINITY MAPN. T1. S
CALLE
N
Q
0
MAIN STREET
TAMPICO
CONSULTANTS
Designer:
Gabriel A. Rios
Rios Designs
49-901 Cinnabar Lane
Coachella, CA 92236
(760) 485-7431
Owner:
Marvin Investments, Inc.
Contact: Noreen Tripp -Hudson
78-100 Main St., Ste. 206
La Quinta, CA 92253
(760) 771-2567
Tenant:
Stuft Pizza
78-015 Main St. #100
La Quinta, CA 92253
(760) 777-1660
CODE ANALYSIS
Code Used:
G.F
Approve
G.A
Project M
G.R
CITY OF LA QUINTA S B-CONTRACTOR LIST
JOB ADDRESS • PERMIT NUMBER OWNER JTAL1'- J6C, tVuh✓l BUILDER P
This form shall, beposted on the job 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 co-mmencement 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.
t
LA : PIASTE.R: (G=35.F.;:
OLD TOWTI
December 21, 2009 LA Quiri+A
Greg Butler
City of La Quinta Building & Safety Department
Re: Stuft Pizza —Tenant Improvement
'This letter is to confirm approval by the owner of the above referenced property for the Tenant
Improvement of relocation of take-out area of Stuft Pizza into space at 78-015 Main Street, Suite 103, La
Quinta.
If you have any questions or need anything further please contact Property Manager for Old Town
La Quinta, Leslie Locken (760) 777-1770.
Sincerely,
Wells Marvin
Owner, Developer
Old Town La Quinta
78-100 jMckivi Street, SUife 206 ♦ La QL4infa, GA 92253 • (760) 777 -1770'F -ox (760) 771-5057 • olclfownlagtiinfa.com