Loading...
0403-039 (PLBG)78015 Main St Ste 109 0403-039 LICENSED CONTRACTOR DECLARATION rt' hereby affirm under penalty of perjury that I am licensed under provisions of • t;. Y P tY P 1 rY 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 B 11 Jf2( e Dat i'J f'%' ,Signature of Contractoe`r '• OWN ER -BU ILDER,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. (g) 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. 1440125-03 (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 pfrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.,' Date: :l I—I'ZZpplicant e`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 folinspection purposes. /.. Signature (Owner/Agent) f! 9` ✓ f .! ` 6 'rte6 Date ' % f) '/ BUILDING PERMIT PERMIT# 0403-0,19 DATE VALUATION LOT TRACT JOB SITEts APN ADDRESS t ' ":s .5 WMIR n .a?'4.M1•.J7u.l, 111,F. 109 _ OWNER "' CONTRACTOR/DESIGNER/EN INFER 011 -row .LA CSL Tt—L;13-r- 3- ^73-080 78-0,80CALISESUA O, SfF 203 78-080 CA3:,S.E:L?S" ADO SIE 201 LA. QY3INTA CA 914,253 LA Qi 111 TA CA 92253 (76OP71-.2:167 , l ULfi 5407 USE OF PERMIT PLUMBING 31 d.1;TA►,L1.ft'1I0N- OF 900 CA%,L014 LTP2bASE Yt4TKPCLeF?'FOR AT SUITE A, 109 PEP. PLAN AND HEALTH DZ'PT 11PFROVAL, VALUATION J s 3 . '3.`MN3:•RD e.°fJ 51" O..' CONS RUC®rION PL;UMBINCL k'KE 103.000-4.19.000 MOD o JB -V Orta, C ., t . '. U 021 ANJ P . X D $27.00 .05519 PRE-PAIDMPS $0.00 MAR 1/6 2004 .t :BION ADW CITY OF LA QUINTA FINANCE DEPT.'., RECEIPT DATE BY t DATE FINALED INSPECTOR ,. , „ ,''^•r G-••,/ ,,,,' "' .i 'f J J a ?ter - iK- 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 Pibg. 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: SGPA ARCHITECTURE ■ PLANNING TRANSMITTAL 2Z`i SAN DIEGO ■ SAN FRANCISCO 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 PROJECT NO 20210-D-01 DESCRIPTION Enclosed please find proposed grease interceptor schedule for buildings A, B & C COPY TO File F:\2002\20210\DOI \Cort•%ml\C6nl\BrianMonroo.rm.doc 1545 Hotel C rde South, Studio 200, Son Diego, Coii4omio 92108 David Reinker, AIA. President 619.297.0131 (P) 619.294.9534 (f) vrww.sr3Pu.cotn OLD TOWN LA QUINTA GREASE INTERCEPTOR SCHEDULE BUILDING A January 22, 2003 Suite Square Number Number Waste Waste Interceptor No. Footage of meal X Flow X Retention X Storage = size of meal per Flow Ratio Time Factor I (Liquid Storage = peak per capacity) Ratio hour Time Factor (Liquid 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 I Waste I (Interceptor No. Footage of meal X Flow X Retention X Storage = size per Ratio Time Factor (Liquid I peak I I capacity) hour B-100 1,899 30 X 6 X 2.5 X 2 = 900 B-102 905 50 X 6 X 2.5 X 1 = 750 BUILDING C Suite Square Number Waste Interceptor No. Footage of meal X Flow X Retention X Storage = size per Ratio Time Factor (Liquid peak capacity) hour C-100 2 162 35 X 6 X 2.5 X 2 1= j 1050 C-102 1,189 60 X 6 X 1 1= 900 C-104 1,458 40 X 6 X 2.5 X 2 _ 1200 C-200 3,026 100 X 6 X 2.5 X 2_ 3000 ,> ja1.-30-03 09:26am From -WATER DISTRICT/MACRE LA VALLEY +7693983711 T-013 P.02/03 F-428 a3UNtY C7f R(V6RS!GE Co,VIMUNITT HEALTIA AGENCY PARTMENT OF ENVIIZONMENTAL HEALTH 'VPLICATION FOR WASTE WAMR DISPOSAL. APPROVAL 'PUGO+ i: Submtit his lwtr .,.;Ih fun Wit'" Of 0 5r-AA10 Plot Flan (1'+20' w 1'.a0' SCALE! Ow+n ro t+eaPW speaLreutna at ktdit7lad or Ina atnac."•dU eck lie-_ A non-Wa ndabt►. Vil>ti iee is revii Men f.0 ;,py4ce4on a eubWalOd. Clteck trust be M804 paYyClo %o the County d R'tversido. AFProvar of tltia .td'n:tie Yr YII remain .pilo for 6 Pwpd Act to YacceG one y04r -*Wm 08114 o! Pa'Ima:ll ---- Cit :.taw Ylp TelephonE Agent c andeta-Mr, Contact ParOor Addr_sa y C fittt9 /11rre 1'2r i4ty> rR '< crraaCcz •adt..n. riWner Jet) Property 414rEss .'L `: /A '5-' W. Size Wjisf AgencyNVYtl Use Or Feml. PIP, SUP, PUP, 41C. Legal CV$C(tPiiOn ' (r !DAa11lAQ.MH Site Pre#.. o.t.9 // v Srpnatutu o'csn L,v7 "_leZd.? loFOR OFFICE U36 OW C`IFCK BOX IF 1"LFOU111Ea it any box is chisrWo, W6 WhcaWG s be Wnsldertd reje:ted 4ntr,vw O Deteiled GnntsW Piot Piano RtgtrYed (t b S (001 itrenal) liner mzlon is provided an9 me tee paid. RetubmlUa,s later Inas $0 Gays 2ref 4wk: nbte0 Gab+.nay require repayment of fess U 011ier . u howng lank Agr"me. ate CW*111led U %33 SpMot!st Lot tneppcboa ttOq%.*te s G comae" of Eroating S.D. 6yratem Rejuved T1►orrtas 6100. page tiHd Q vs QCE Cicaianer Asg411id Q Cate La. InsPacoon CoRtplWed: lmidals J." (Attach tar DOWSAN'AOy. 3anu Ana Replor Cf1ty) Ra narka: So:Is Psecol°,'ion Report Required 0 MainkowgG 500PIe1 P1044 d Q Spey al RhW10:dy SX -Ag nepoft PYavrted n Final W%VoC A by 0api-Ml st Ct tr+lronmentat duds a requires. Please rvl 20 hours FRIOW to mW eCUON ;s RsrYwe.V FUIQvIRd hitiato Da'e - . . - - liClPfOreCt P _Dau C r SOVs prlcMaaon'dodrp aopoa BY ON Map P&Ab — --.SSV Typ@ APpr and By Gate _— ko. of $YSialle Type Ol 9ystafrl(e) No. Owaur9 Unea (1) '30954 TanA $ol, Rate Gr90 m ep utl Trap U Holdne Trot; C3 ft+pt4-m9nt Bebfeortx. FuWfO Unite G1 rra r, 4w O Aadtuon a t •T ca;. 1 r}CiGstirl0 CGn!1eC1,059mr '-'-'^'— - Leach Bed t0. ft Sq. ft. 'mat Lltwar $IQewad Allowinee Ion t wi0e of ImItc a Atea 4 patient Ares tt. rocw sq. A. runnlltz It. Insut► _Lk+Y(sj f1 g IlyetTestedDepllt(]IW'A witllmn nnd+e:ttxltOC{ewdraitdirtea propoaod tsMkxe Tteeted Depot of - -_ - Lavan 'Itis+ Apolicab.+ FM V Factor 1 O 5. ' -M 5' To:aGear AetSwaena I Dt;ou1 Nid1 Re ewApprWed: Dela: _ woo or" FellnYs •6radttl9 Plain A,ppvved. DalfK PNn Ghee 0" —Dale: ,--.•----. +_ Tnis apCucan;on APPROVE 1DE10160 ICr the C6%09W cns•cAod Ir 1 i6CTTDN 0 abc.00, he oeslen n1 a diwo": syNorn s i^dlea,sd as 140 accompanied pla par. UCtny the rVistirertlt m ;at krR at SECTION C abrsve. A W1141ing parmit it nttCalsanq for 0.16 instodoven Df itis abOvt• 0esgte4 s'/cam, Ile R 9trt,erie 'a o 1rr t1 1n rF r a9Mjtl: jgSQprt3 (+.) Seprle Tbnk r,t.ssl be 100' minimum hem any wsps. t.) ;aacr. mese mju ; be 100' mlrlmwn lroa any worth. nsludtng expanelsr area. w I h, Saws Tmee rws be 50' mmtmurn to,?a" WePs. `n (e) SecWgo PAI fMet tY 130' Rmiewm from arlr •'."Vtd. 4Y_Iudlr% NP l/ dnaG. .J1tl_ i Revenue Code Fee ti S Cheek A _ Date RIVERSICE: 909 85Cr0960 INDIO* 760-863.7000 ' I SOUTHWEST. 909.600-6190 ` r.. S;E KO:E 3 E - INLET Ne vlEw SEE NOTE 2 A taE L An 7 DOM WATER RESISIANT' E AND 00VE i Fl rrm Sol SEE WC. SMELT r10. S-250 ILEI 1 C NOTES: 1. REFER TO SPECIFICAnONS $HEE'T NO. S-2-12 -2. REFER TO SPECIFICATIONS SHEET NO S-252 ouLiEr 3. REFER TO SPECIF1CATIONS SHEET NO. S-251 ALL OLMENSIONS IN INCHES I G-1500 1 GRACE IH 12'-0" WGDEL A B C D E F C 4'-2" PC G-750 40 38 55 74 74 19 J/4 4 1/2 Fc G -i000 5L 48 65 74 74 24 3/4 4 1/2 d4-11 PC G-1260 54 57 74 74 74 29 1/4 4 1/2 PC G-1 J0 G2 1/2 GO 1/2 77 1/2 55 85 30 3/45 NOTES: 1. REFER TO SPECIFICAnONS $HEE'T NO. S-2-12 -2. REFER TO SPECIFICATIONS SHEET NO S-252 ouLiEr 3. REFER TO SPECIF1CATIONS SHEET NO. S-251 W ILt I SLEEPElt^a SECTION A - A END VI GREASE INTERCEPTOR 'VdlH SAMPLE' BOX TWO MANHOLES EXTENLED TO GRADE DESIGNED FOR DIRECT H-20 LOADING OF MANHOLE EXTENSIONS 750 THRU 1500 GALLONS EXCAVATION SPECIFICATIONS MODEL C-750 1 G -100D V RMUE 70 1 I G-1500 1 GRACE IH 12'-0" L I 6" tLCREYEHTS 1 1 -- OUTLET j .3 t/4- TrnICAL SIDE 9 -7- Lill MAILS 4'-2" 4'-11" 5-2 1/2" LN -MG 5'-5" RECESS 1 B I 1 u TYPI ti 4 3 CAL END hf SIDE MALLS YYA"Rim W ILt I SLEEPElt^a SECTION A - A END VI GREASE INTERCEPTOR 'VdlH SAMPLE' BOX TWO MANHOLES EXTENLED TO GRADE DESIGNED FOR DIRECT H-20 LOADING OF MANHOLE EXTENSIONS 750 THRU 1500 GALLONS EXCAVATION SPECIFICATIONS MODEL C-750 1 G -100D G -120D I G-1500 LENGTH 12'-0" 12'-0" 12'-0" T2' -D" WIDTH 8'-0° --BELOW 6'-0" 8'-0" 9 -7- INLET T-4" 4'-2" 4'-11" 5-2 1/2" TANK HEIGHT 4'-7" 5'-5" 6'-2" 6'-5 1/2" P.O. BOX 602 HIGHLAND. CA 92346 909 793-7602 800 945-8265 Fox: 909 793-1263 1-0I I IS. BRAKE i r-,Uk, i Urv1L r-Nk;AJtMtN I t'tN GVWD DWG S-46 T « T'' ., ` 1. /0 L22 N 89'50'47 E 191.67' ( / 10 -FEET,'& -%CH WAY OF PROP. WATER MAIN L23 N 00.09'13- W 13,39, CONSTRWCT `4" SDR 35 VENT LINE L24 N 00.09'13- w L25 N 00.09'13- w 12.77' / BLDG. CONSTRUCT 8" SDR 35 SEWER MAIN L26 N 00'09'13- W 8.69' LDG. D CONSTRUCT 48" SEWER MANHOLE PER CVWD DWG S-5 L27 N 00.09'13- W 25.46' FF- G. 2 Tco 41so CONSTRUCT 8" X 6" PVC WYE L28 N 00'09'13' W 13,52' PE=42.00 TC INV 34.01 L29 N 00'09' 13 W 24.95' \ -ONSTRUCT 8" X 6" PVC REDUCER L30 N 00.09'13' 3ONSTRUCT 6" X 90' PVC BEND L31 N 00'09'13' W 13 39' L32 N 00'09' 13' W 7.29' (7 L33 , N 00'09'13' W L34 N 00'09' 13' L35 N 00'09'13' W 25.44'+ L36 N 00'09' 13' W 25.44' L37 N 00'00'00' W 52.66' L38 N 00' 18'07' W 19.97' <jj t Gi - + TCO 472 • f-C-OINV 38.80 © TCO 42 30co LATERAL INV. 0 36 . 73 IN LATERAL INV 0 • •INV." ' 0 0 0 • : • © r ' 1j E, 10+39.36 3 ' ' TCO 42.60 TCO 42.60 241.11 i , CO INV 39.10 2 1 CO INV 39.10 2L INV.LATERAL INV 35.91 INV• ® MAIN 36.79 CO INV 39.10 2 CO INV 39.10 LATERAL LATERAL INV. ® MAIN 36.97 TCO 42 60 UT INV 35.81 INV. ® MAIN 136.95 2 1111-14 ion L32 N 00'09' 13' W 7.29' (7 L33 , N 00'09'13' W L34 N 00'09' 13' L35 N 00'09'13' W 25.44'+ L36 N 00'09' 13' W 25.44' L37 N 00'00'00' W 52.66' L38 N 00' 18'07' W 19.97' <jj t Gi - + TCO 472 • f-C-OINV 38.80 © TCO 42 30co LATERAL INV. 0 36 . 73 IN LATERAL INV 0 • •INV." ' 0 0 0 • : • © r ' 1j E, TCO 42.60 MAIN 3 6.85 EE SEWER CO INV 39.10 2 IMPROVEMENTS PLANS.VTNR3 CNV. ® PROP. BLDG. 'A"' M AII FF -43.20 PE -42.70 Ni AA Z /l( 15*'y r visr.-sa.,_':kik:- ...'ra ;::.,-..LATERa - - __.-----_•------- .. .7.. Ear<L( 1 ,ion 2 PRO G. 'C FF -42.80 PE -42.30 10+39.36 3 ' ' TCO 42.60 TCO 42.60 241.11 HH N0. 2 CO INV 39.10 2 TCO 42.60 CO 4 .60 CO INV 39.10 2L INV.LATERAL INV 35.91 INV• ® MAIN 36.79 CO INV 39.10 2 CO INV 39.10 LATERAL LATERAL INV. ® MAIN 36.97 TCO 42 60 UT INV 35.81 INV. ® MAIN 136.95 2 TCO 42.60 MAIN 3 6.85 EE SEWER CO INV 39.10 2 IMPROVEMENTS PLANS.VTNR3 CNV. ® PROP. BLDG. 'A"' M AII FF -43.20 PE -42.70 Ni AA Z /l( 15*'y r visr.-sa.,_':kik:- ...'ra ;::.,-..LATERa - - __.-----_•------- .. .7.. Ear<L( 1 ,ion 2 PRO G. 'C FF -42.80 PE -42.30