RC (0403-328)78015 Main St Ste 108
0403-328
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
7 71 3
'ate 7' Signature
of Contracto44 1
I j w r'
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.
( ) 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 & policy no. are:
Carrier STATE FUND . . Policy No. 1410125413
(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' compensation provisions of Section 3700 of the Labor
Code, I.Shall forthwith comply with,those provis.ons. .r _
Date: _ b"- i °AppIicant - `,.as"
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 shove -mentioned property foi inspection purposes. /
Signature (Owner/Agent). ` Date,,
PERMIT #
BUILDING PERMIT.
VALUATION LOT TRACT
DATE f
r
JOB SITE
ADDRESS 'Y 6s r 1 s.1.1 .4.v .43 El" 1TLT5TlX I
67
APN _ ..
OWNER '"
CONTRACTOR / DESIGNER / EN &NEER •
MARV r 1NVrUrTME_SM 1140
1t J'AA'ifiTD:1 HC97+t M
7s?.Oet) CAUX.:h :DC3 SM,? 2()r
78.08:1 C.A.t U6 6'.M '2'A1)0, U11-201
i'_r:., QUM-CA CA 922.5:i
LA Qi3.Wr..A. Cwt, 92253
(760)771-2567 CD-Ul 54(%7
USE PERMIT
IOF/
( {'f A {
h
k"t7AdAIMCLA , r&,Nl001?-L (1 °.AIZ'1'PSAN i3AK?.?R1' 1'i) ".IM" OCCUPANCY, TYPE
VN y.PRINKLEr), OCCUPANT WAD 2S, 2001 CSC -
VAL1.E1-1,'11014 4,4oB4O9 W
Effi`i"TED 009T 9FC.O7' S"UC`ITON
4,482X10
P3UtiW1 L a(3 4MARY
PYAN CHECK PEK ` a} 101.000.439-318 %.ftgo
CONSTRUCTION PURE,-,-, 101-000-418-000 $%i o
ME.ChWIC.t1LP:ee .,* 101.000.421.000 519,30
ELECTRIC 1. P&N, 101-000-420-000
P11t7hA1))1 O FEE 101-,106.419^600 SX100
STYICYNO MOTION f+`E.J: ?A 100-000-241--000 .. $.94
)x'3. CQ'1MI11c"lrlotl.t 141) PLAN CI-MICITC
$1919.49
I 5 P:E-t'AID.YMS
n
$om
i
D lid C) 1.a1KA141;!' E T+XEN D7.7. ,ff0W
U93.4'.J"
MAR 2 3 2004
CITY OF IAQU,,N`IA
-El
Z
(` V
Oce OF
FthgA_ I
I
R T
DATE
BYE'
DE FI
ATNALED
INSPECIQR
s
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 I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX 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:
JUL-15-04 THU 02:48 PM MARVIN HOMES. FAX NO. "607715057 P. 01
I? ip
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-70
INSPEC N REI;( ST E
Owner MARVIN INVEST N
Gy?
Contractor MARVIN HON ......... i_
TM fft A El f k 1//
Permit Number 0403-328
POST ON JOB IN CONSPICUOUS —PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-015 MAIN STREET —SUITE 108
COMMERCIAL REMODEL (LART iAN —BAKriRy
TI) I'M" OCCUPANCY, TYPE VN SPRINKLED,
OCCUPANT LOAD 25, 2001 CBC
TYPE OF INSPECTION DATE INSP.
TEMPORARY PdW—ER-----7—,
SETBACKS
U/G PLUMBING I WASTE
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
0
I
a
X
x
A
x
-L. #
CitetDy of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
NO3-3 zo
Project Address: -7 -fj (_S j''i 1i4 _S ,
Owner's Name: l
A. P. Number:
Address: 7,0 _e!5og,0 LL G5 r Iq 4%D -<le
Legal Description:
Contractor: /4g Ujk( J1tU C,5M e
City, ST, Zip: 4 Lt• k, ?ZZS i
,•:-.,... ate_- -:. ---:
FTelephone: '7,/- Z
Address. _ C-97 Do Tjj5 Zp (
Project Description:
City, ST, Zip: „/-4 lk--QV 4/4 21S3
_ - . l/B1JeGr 2 ,c, v L -✓
Telephone lv
• :a::"?.. -- . - =- ° :, A!i'Cc,G
Ls',... D 10
s 7L_
u /vz,-4v ez4
State Lic. # : ( 55 3 City Lic. #:01 D7
Arch., Engr., Designer:,3,V"jI( ST4A.L FoAD 14r,41.-
Address: 3 ,Z -,c C[ P> , zO
C %CG ✓ L c
pp ( ° 4 ir ,
p
City. ST. Zip:L
// pp
Telephone: 7 - /79 =,'. « s`:~_ ';_
State Lic. #:
Name of Contact Person: L 5 lk; W ok(
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 7y7 # Stories:
Telephone # of Contact Person: Z S6
Kstimated Value of Projec
3/S APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Z (jtt/
,3
Plan Check submitted
l 1.-3
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
y/
Plan Check Deposit
Truss Calcs.
Called Contact Person Aff-56 j
/2
Plan Check Balance
CKC." $o
Energy Calcs.
a
Plans picked up
ZL
Construction •
ba
Flood plain plan
Plans resubmitted
-,f
Mechanical
la.5b
Grading plan
Y' Review, ready for correct- slissue
Electrical t5 @.15 •
.Zs
Subcontactor List
Called Contact Person,0945
%IDI
Plumbing L3% •
3-7-
Grant Deed
Plans picked up
S.Nt.l.
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
A Cl(WD Ca TLk-
t/
JS
t
K D
Tak mac
)S
r-/0 w' "v L
(
Total Permit Fees
1113
- ' / D Z1 > TTo C`stuvcsq 'J t-r-. B-suB•uirnrL — /v suyaCd
• u fti
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-70 12
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 1-13-2004
From: Oscar Orci, Planning Manager Due date: 1-20-2004
Status:l st Review
Building Plans Approval
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Bakery
Address or general location: 78-015 Main St. Stes. 108
Applicant Contact: Wells Marvin 771-2567
The Community Development Department finds that:
1K ...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. Wherithe corrections are made please return them to
the Community. Development Department for review.
Oscar Orci, Planning Manager
Date
Tom Tisdale
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
Canyon Lake
4.
Coachella
Desert Hot Springs
4.
Indian Wells
.•.
Indio
4.
Lake Elsinore
•: .
La Quinta
.•
Moreno Valley
Palm Desert
Penis
4.
Rancho Mirage
.;.
San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
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
May 28, 2004
City Of La Quinta
Building Department
Re: Old Town L.Q.
The Riverside County Fire De artment i safety clearance for the
Following address located al 78015 Main St. Hwy 111 Ste A-108 a Quinta. Please call if
you should have any questions.
TD/jl
FRANK KAWASAKI.
Chief Fire Department Planner
By O -4y
Terry DeS cy
Fire Systems Inspector
EMERGENCY SERVICES DIVISION . PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2n° FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072
y of A? COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY Decal #
* E DEPARTMENT OF ENVIRONMENTAL HEALTH
o District Environmental Services Division District #
T
P.O. Box 7600
Riverside, California 92513-7600 774600 L _:;_,n.
* Facility #f:
„-:;
404y q ' 015 Phone: (909) 358-5172
_3
AN APPLICATION TO OPERATE A FOO ;_Fq,C1ITl T M 1
CASHIER 1
±,.` .,
i::
Riverside County Ordinance No. 4.52 and the California Health anc a ety ode
_
THIS APPLICATION IS FOR: ` EW OPERATION [ ] RE -OPENING A CLOSED FACILITY
[// ] ANNUAL RENEWAL ( ] CHANGE OF OWNERSHIP
NAME OF OWNER: 6iSi4Z4 dA DBA: 1 11-gl-lob% VGZ(l2GJ 6ab"Z5
Co .
ADDRESS OF DBA: . U1S 1. , - Stf-,_ZT (Cy'!? CITY.. - ✓a :f?
'7 2 2S 5
ZIP._`. zz G
BILLING ADDRESS: _31 130 Pt"7V70>1 Q2. CITY: I_n&W1h4h / 4INtS
ZIP 72276
PREVIOUS NAME OF ESTABLISHMENT AT THIS LOCATION (IF ANY):
DATE YOU PLAN TO OPEN? 6 `2` ' cf DID YOU OPERATE THIS BUSINESS LAST YEAR? AJ6
' PLEASE BE ADVISED THAT FOOD WORKER CERTIFICATES ARE REQUIRED FOR EMPLOYEES OF FOOD ESTABLISHMENTS
LOCATED IN
THE UNINCORPORATED AS WELL AS THE INCORPORATED (CITY) AREAS EXCEPT IN THE CITY OF BLYTHE.
FOOD ESTABLISHMENTS
FOOD ESTABLISHMENT LESS THAN 2,000 SQUARE FEET IN SIZE.............................................$405.00
FOOD ESTABLISHMENT BETWEEN 2,001 AND 5,999 SQUARE FEET IN SIZE .................................
$612:00J
FOOD ESTABLISHMENT 6,000 SQUARE FEET OR MORE IN SIZE ....................................................
[ ] $850.00
# if additional food operations Each Additional Food Operation w/in Food Establishments ...........................
[ ] $112.00
FOOD ESTABLISHMENT LESS THAN 200 SQ. FT. IN SIZE, PREPACKAGED FOOD ONLY ..............
[ ] $147.00
PRODUCESTAND ............. ................................ :...........................................................................
[ ] $384.00
CATERER..............................................................................................................:..........
[ ] $267.00
COMMISSARY.........................................................................................................................
[ ] $307.00
CERTIFIEDFARMERS MARKET..........................................................................................................................
[ ] $277.00
CHRISTMAS OPERATION FROM NOVEMBER 26TH TO DECEMBER 31ST .........................................
[ ] $ 71.00
NON-PROFIT SEASONAL SNACK BAR (OPEN LESS THAN 6 MONTHS PER YEAR) ................................................
[ ] $ x'1.00
VENDING MACHINE [ ] NUMBER OF MACHINES: .................................................... EACH $ 46.00
RESTRICTED FOOD SERVICES (SUCH AS 'BED AND BREAKFAST OPERATIONS) WITH 20 ROOMS OR LESS .....
$220.00
[ ] NUMBER OF ROOMS:
PLEASE SUBMIT A CHECK OR MONEY ORDER PAYABLE TO RIVERSIDE COUNTY
DEPARTMENT OF ENVIRONMENTAL HEALTH WITH YOUR APPLICATION
AN ENVIRONMENTAL HEALTH PERMIT APPROVED BY A REPRESENTATIVE OF THIS DEPARTMENT IS REQUIRED BEFORE OPENING A NEW OR CLOSED FOOD
FACILITY. YOU ARE NOT AUTHORIZED TO OPERATE UNTIL ALL APPROVALS HAVE BEEN OBTAINED. IN THE EVENT THE PERMIT IS NOT APPLIED FOR OR NOT
RENEWED WITHIN THIRTY (30) DAYS OF THE DATE OF THE OPENING OF THE FOOD FACILITY OR THE EXPIRATION DATE OF THE PERMIT, AN ADDITIONAL
PENALTY FEE OF 20% WILL BE REQUIRED. IF THE PERMIT IS NOT APPLIED FOR OR NOT RENEWED WITHIN SIXTY (60) DAYS OF THE DATE OF OPENING OR
THE EXPIRATION DATE OF THE CURRENT PERMIT, AN ADDITIONAL PENALTY OF 100% WILL BE REQUIRED. PERMITS ARE NOT REFUNDABLE OR TRANSFERABLE.
I HEREBY APPLY FOR A RECEIPT/PERMIT, WITH APPROPRIATE FEES ATTACHED, TO OPERATE THE ABOVE FOOD ESTABLISHMENT, SNACK BAR, BED & BREAKFAST,
VENDING MACHINE, COMMISSARY, CATERING OPERATION, PRODUCE STAND OR CHRISTMAS OPERATION IN THE COUNTY OF RIVERSIDE.
i
DATE: OWNER/MANAGER'U33
NATURE rL DRIVERS LICENSE
TELEPHONE(S): BUSINESS: k 1O P2 312 288 HOME: 7(4 7 I-4-b
COUNTY USE ONLY
NOTES:
DEH -SAN -032 (Rev 9/03)
C
7
CO111TY lT RTV[ t IDF
DEPART OP ENUIFONllFNTAL
HATH
07-01-2004 THU 1S1
d 74-•d`a(l o 40-.0`
CR
IR 1
CASHIER 1 4,326 1042UM
0521
L'ARTISAN VALLEY BAKING COMPANY PACIFIC WESTERN NATIONAL BANK
31130 PLANTATION DR 90-3820/1222 .
THOUSAND PALMS, CA 92276
(760)343-2888 6/15/2004
$ **405.00
PAY TO THE County Of Riverside`''"
ORDER OF 13 rn ^ri 1
Four Hundred Five and 00/100+*++*+*+**+**+*+****+***++****+*+* s+:,e* ********+********+*******+*+******+*+***+**+* DOLLARS 8 '
County Of Riverside }
t ..
- Department of Environment Health
P.O. Box 7600
Riverside, CA 92513-7600
_ Nr
MEMO
112000 5 2 LII' 1:12223132001: 04 Sell 5 L849 311'
COUIT'i (IF RIVERSIDE
DRART OF EIVIRMIENTAL
HULTH
0i -01-20C14 THU 41
00
L'HEY 405. (ND
IT01 1
Cj. HIEi 1 4i L`(; 10.27M .
4
COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
ENVIRONMENTAL HEALTH SERVICES
SUPPLEMENTAL REPORT TO SAN. FORM # DATE
SUBJECT ► At--msAN VAufv Cp • PERMIT NO. FVr
ADDRESS 9- d 1S 1' A T D Lai ► 9 Z 2 3
REMARKS:
INSPECTOR i
1 t 1 c-'Cva..r—S
1
► . `t'n- PEYL tt L(,Ar-cUv-r1 aF
71416 ,z ,.,Act{
A s 5P r+ 6
N ✓B - CrkELV—
t-VIF
P (lave -J O P xtv- . PLfT
IS
t a F l. 'I' T
P-r.-^ A c . ' C '1- vTt h: • ' °f C Yl-P <-
)kc --el I O eqL5 e& r
LET -T- Az- C,c. - F -Z -(L
DEH -SAN -118 (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office
Area.# . iy COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
/ DEPARTMENT OF ENVIRONMENTAL HEALTH
1 PLAN CORRECTION
Plan Check # N04-017 Date 2/24/04
DBA L'Artisan Bakery Address 78080 Main St, Ste 101, La Quinta
Plans Submitted by Tom Brown Phone (760)578-1953
Owner Wells Marvin Address Phone
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1. This facility is being approved as a 100% pre-packaged facility only. The only exception to this will be for
fountain drinks as indicated in the plan. This facility will have to be reconfigured to provide any other kind of
food service.
2. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak
shift
3. All floor, wall and ceiling finishes in food service areas must be smooth and easily cleanable including
waitress and self service stations such as drink dispensers.
4. All food and utensil sinks must be plumbed to floor sinks through approved air gaps. The mop sink must
be of the floor basin style. Behind all three sinks in the splash zone the finish must be water proof to a height of
8' (e.g. FRP/tile)
5. This facility must have a grease interceptor waiver on file. Please obtain a letter from Coachella Valley 1
Water District prior to final. f
6. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by
vermin.
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 compliance guide is attached to this plan correction sheet. All construction not otherwise addressed on the
plan correction must be performed in accordance with the guidelines set forth therein. 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 David E. Day Phone (760) 320-1048
1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate
them during construction:
Signature
A!,—
Company
Com,
Date 3 A),5 Y
COACHELLA VALLEY WATER DISTRICT ASSESSORS PARCEL NUMBER
85.-i-P.W4Yenne 52
Coachella, California 92236
.(760) 398-2651
APPLICATION. FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL
APPLICANT: Submit this fon with a copy of a SCALED plot plan (1" = 20' to V = 40' SCALA drawn to District specifications. A nonrefundable filing fee is requited
when the application is submitted. Check must be made payable to the Coachella Valley Water District Approval of this application shall remain valid for a period
not to exceed one (1) year from date of payment
Flan Check No.
Agent, Contractor, Contact Person Address City State Zip Telephone
- -oho C- /-< < —z
Owner Address City State Zip. Telephone
r %w pct -4city Zip
Job Property Address //
Legal Description
AILD i
PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS
NOTE: PIANS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION IS COMPLETE AND THE PLAN CHECK FEE IS PAID.
GENERAL CONSTRUCTION:
Type of Construction:
New Food Facility _,* S— Remodel of Existing Food Establishment Hours of Operation ! A4i ting Capacity hrternal— External
External Seating with Misters or Heaters Bar with Food Service _ Bar Nonfood Service Water Softener
Servicer
Multiservice (reusable) Single Service (disposable)
OWNEKIREPRESENTATIVE DECLARATION: I certify that I have read the entire application and state that all information is correct. I understand that the amount of fee
paid is based on my declaration of information on this form and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be
discarded if not picked up within sixty (60) days of approval or denial and that no inspection of my establishment will be conducted, or approval granted to operate, until all
proper information 7161ted has been receiv and plans have been approved and returned.
'Si i i' y Date ;5/-: /
1;
No. of S~ysttmu - Type of Systems) No. Dwelling Units ❑ Sand/Oil [Grease biterceptor Waived
Fixture Unita ❑ Grease Interceptor
❑ New ❑ Existing ❑ Lint Trap
❑ Replacement ❑ Addition ❑ Clarifier
❑ Connect to Sewer
Gal.
CVWD-921
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
4.
Beaumont
Cahmesa
4 -
Canyon Lake
4.
Coachella
4.
Desert Hot Springs
.;.
Indian Wells
4.
Indio
Lake Elsinore
La Quinta
.;.
Moreno Valley
Palm Desert
4.
Perris
.;.
Rancho Mirage
e. -
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley
District 5
RIVERSIDE' COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
January 26, 2004
John Stanford Architect
73-350 EI Paseo, Ste. 207
Palm Desert, CA 92260
Re: Non -Structural Building TA Plan Review
LAQ-04-TI-004 / L'Artisan Bakery
78-015 Main St., Ste. Al 08
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) Fire sprinkler system plans for the tenant improvement area must 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 either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per
recommended standard of the Knox Company or provide key(s) for inclusion in the general building
Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system, the
lock boxes will require "tamper" monitoring. Special forms are available from this office for the
ordering of the Knox Box, this form must be authorized and signed by this office for the correctly
coded system to be purchased.
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.
All questions regarding the meaning of these conditions should be referred to the Fire Department x
Planning & Engineering staff at (760) 863-8886.
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
'xa
By " JL
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta — Bldg. Dept.
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EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
,- Certificate of Occupancy0 Li
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OF 9►Safety pBuildin & 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: 78015 MAIN STREET SUITE 108
Use classification: COMMERCIAL Building Permit No.: 0403-328
Occupancy Group: M Type of Construction: VN SPRINK Land Use Zone: VC
Owner of Building: MARVIN INVESTMENTS INC Address: 78-080 CALLE ESTADO STE 201
City, ST, ZIP: LA QUINTA CA 92253
By: KIRK KIRKLAND
_
Date: 6-29-2004
Building Official
POST IN A CONSPICUOUS PLACE