14701 (RER)t 4
� .
P.O. BOX 1504
Building 78-'483 H'WY 111 78-495 CALLE TAMPICO
Address LA OUINTA, CALIFORNIA 92253
Owner may jjaira �•
Mailing
BUILDING: TYPE CONST. VK- OCC. GRP. Be-
Address 49-740 Entrada Circle 604-050-005
A.P. Number
City Zip Tel.
La .Quinta, CFS 92253 564-1260. Legal Description
Contractor _ Remodel 'rest'aux-ant
ter. Project Description
,fit ViTiimprovements improveme
The Beer An . nter...
.At�drry s ., •
No. 14701
.�-l�Jl tDiea��er �3
-
' City ..
Indio, CA
Zip.
(2201
Tel
345-5599 .
Side Street Setback from Ce. terQLine`
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP TO ONE •
State Lic.ai:
City 3491
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
8 Classif..
Lica#
Sq. Ft. No. No. Dw.
Arch., Engr.,
Size Stories Units
ro:
Designer " d: ASSOciates. orranceNew
❑ Add ❑ Alter ❑ Repair ❑ Demolition. ❑
PddU. s Box 14076
T%13103 830-5815
.Issued by:
City7-'.p9
authorize representatives .of this city to enter the above—
mentioned property for inspection purposes.
State
Torranc*is r C0503
Lic. #
Mailing Address
Validation:
LICENSED CONTRACTOR'S DECLARATION .
City, State, Zip
1 hereby affirm that.l am licensed under provisions of Chapter9'(commencing with Section
000) of Di sion 3 of the Business and Professions Code, and my license is inrfull force and
effectl� #�, 1iffuQ�
yI
�1GNATURE 1 DATE
�� 'OWNER•BUILOER DECLARATION
I hereby affirm that I am exempt from the Contractor's License law for the following
Estimated Valuation x513 � �i . i t71
reason: (Sec. 7031.5,Business and Professions Code: Any city, or county which requires a
permit to construct. alter, Improve, demolish, or repair any structure, prior to its issuance also.
'
requires the applicant for such permit to file'a signed statement that he is licensed pursuant to --
PERMIT - AMOUNT
the provisions of the Contractor's License Law, Chapter. 9' (commencing with, Section 7000) .of
-
Division 3 of the Business and Professions Code. or Nat. he is exempt therefrom, and the basis
for the alleged exemption. Any violation, of Section 7031.5 by any applicant for a permit
- '
Plan Chk. Dep. �• +
subjects the applicant to a civil penalty of not more than rive hundred dollars (S500).
Plan Chk. Bal. i +
0 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, Buisness and
COnSt. • UU•
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves. thereon and who does such work himself or through his own employees.
Mech. - - J r U U'
provided that such 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 did not build or improve for the.purpose of sale.) ..
Electrical r'3 s 95 -
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing ; .�}
struet the project: (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not to buildsthereon,
apply an, owner of propertywho orimproves .and who contracts for
• such projects with a contractors) #.censed pursuant to the Contractor's License Law.)
S.M•l,
..
❑ I am exempt under Sec. B. & P.C. for this reason
Grading -
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I heieby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's CWpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.'
TOTAL
CERTIFICATE OF EXEMPTION FROM-
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one -hundred • dollars IS 100) valuation
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.
Date Owner
NOTICE TO APPLICANT: If, after making -this Certificate of Exemption you should become
subject to the Workers' Corripensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
REMARKS
ZONE: BY:
Miliimum Setbackbistances:
Front Setback from Center Line
R S tb k f R
ear a ac rom ear Prop. Line.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND>
Side Street Setback from Ce. terQLine`
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
Side Setback from Property Line
.
ATTORNEYS FEES.
U
This is a building permit when properly filled out, signed and validated; and is subject.to
expiration if work thereunder is suspended for 180 days.
FINAL DATE
INSPECTOR v \�
I certify that I, have read this application and state -that- the above information is correct.
I agree to comply with all city -and county ordinances and state laws relating to'building
construction, and hereby
.Issued by:
Date " Per mill) V
U i
authorize representatives .of this city to enter the above—
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
y
City, State, Zip
yI
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES NO.
PLUMBIW FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. S0. FT.
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
SLAB GRADE.
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
HEATING (ROUGH)
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
SEWER OR SEPTIC TANK ROUGH WIRING 716-gCf
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
GAS (ROUGH) METER LOOP
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GROUT
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
GRADING
cu. yd.
$ plus x$
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
FRAMING —
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Zoe S
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. Fr. ® c
FIRE ZONE ROOFING
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/.c
SPARK ARRESTOR`
HOUSE SEWER
•
1'
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING'
ELECTRICAL
HEATING & AIR COND.
SOLAR
SETBACK
OUND PLUMBIN UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE.
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING 716-gCf
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
INAL INSP. '� S
FRAMING —
FINAL INSP.' �5
/
ROOFING
Zoe S
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE I
SPARK ARRESTOR`
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
INAL INSPECTI�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
Building
Address
Owner RLoll
� �
y io{) 1, E
Mailing
Address
City
� QV,
t
4A '
Rear Setback from Rear Prop. Line
Ahf
�.
P.O. BOX 1504 APPLICATION ONLY
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
E4irodo1, Ca«'e
Zip g22S3 . Tel. GO- I Zroo
Contractor
A va1lc�� Improv -too b
Address 01eQi�d�4 *3
City J- f Q . Zip' �Q 1 Eely�4599q
State sic. �g��" ! ® 3411
& Classif. ti 'i 1
Arch., Engr.,
Designer c, R�;�9LiQ �3 'T4cronct
Address el.
P,�, (c 1�0 9� 310 39- s
City Zip fl O�� State
A4C® `1 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby afS.lr that J6am lire�n:s,,:d underprovisions of Chapter 9 (commencing with Section
7000) of Dvi YoR of th Bs and Professions Code, and my Ii
's i ft u force and
effect. �i1 11 ' 11
S GNATURE DATE
NER-BUILDER DECLARATION
I hereby affirm that I am 1
xempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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).
f71, 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
II
I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
17 I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. Company
[Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the'permil is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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 f Ca ifn, ia.
Date Owner
NOTICE TO AP LICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name -
Lender's Address -
This is a building permit w 1n r
qoped filled out, signed and validated, and is subject to
expiration if work thereundetrits $$$$uspe efor 180 days.
I certify that I have read tis $plica iorb and state that the above information is correct.
I agree to comply with all ty aqd co my ordinances and state laws relating to building
construction, and hereby ay,tfiorize representatives -of this city to enter the above-
mentioned property for inspectioVpurposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING -DIVISION
JILDING: TYPE CONST. OCC. GRP.
P. Number G04 — 0-50— 00 S
Legal Description
Project DesFip)tic
Sq. Ft. 41M No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter IV( Repair ❑ Demolition ❑
Estimated Valuarn6f - l5 -D i - O O
\\ R r
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL r.
REMARKS
e
AMOUNT
5 F10 _0
35-18.5-
ZONE:
Sra.s
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
\�
1.
Issued by:
Date Per
Validated by:
DEC 0
Validation:
t
i
CONSTRUCTION ESTIMATE
NO, ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. $
2ND FL. S0. FT, @
POR. SQ. FT. m
GAR. SQ, FT,
CAR P. SQ. FT.
WALL SO. FT.
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
BATH TUB
SQ. FT..Q c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'A c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/�c
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
_
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
. INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Mi
Q)V,
tjq�
�t of Ila 011thita
cllt� �ctl`ttltttlili
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-483 Highway 113.
,.,,, �;,;—C.. Restaurant Bldg. Permit No. 14701
Group A3 Type Construction VN Fire Zone
Owner of Building Rai' Laird Address
City La Quinta, CA 92253
By. _
/ Dote; _
Building Offi 01 POST IN A CONS?ICUOUS PLACE
Use Zone CPS
49-740 Entrada Circle.
Richard Kirkland
April 5; 1995