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05-0113 (RC)Y BUILDING & SAFETY DEPARTMENT m P.O. Box 1504 OF 78-495 CALLE TAMPICO (760).777-7012 FAX (760),777-7011 >^O L QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT 01 vpismn-ation Number 05=00000113-,, Date 4/14/05 P-operty Address . . . . . . 78370 HIGHWAY 111 STE 110 PN: 604-050-048- - - Application description REMODEL - COMMERCIAL Property Zoning . . . . . . . COMMUNITY COMMERCIAL Application valuation . . . . 50000 Owner ------------------------ Contractor MADISON PTM LA QUINTA ------------------------ RICHEY CONSTRUCTION, BOB 71361 SAN GORGONIO RD 84550 AVENUE 54 RANCHO MIRAGE CA 92270 COACHELLA CA 92236 (760) 880-0162 WCC: EXEMPT WC: EXEMPT 04/30/06 CSLB: 344538 04/30/05 CCC: B C36 ------ Structure Information COMMERCIAL REMODEL, TOTALLY LOW CARB ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . MERCANTILE Other struct info . . . . . CODE EDITION 2001 FIRE.SPRINKLERS YES MIXED-USE OCCUPANCY M OCCUPANT LOAD . 29.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2360.00 Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 414.50 Plan Check Fee 269.43 Issue Date . . . . - Valuation . . . . 50000 Qty Unit Charge Per Extension BASE FEE 252.00 25.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 162.50 Permit . . . . . . ELECT - ADD/ALT/REM Additional desc . . Permit Fee . . . . 62.20 Plan Check Fee 15.55 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2360.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 47.20 Permit . . . . . . MECHANICAL Additional desc Permit Fee -64.00 Plan Check Fee 16.00 Issue Date . . . . Valuation . . . . 0 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 01 - 113 Applicant: Applicant's Mailing Address: /MCT4l� Architect or Engineer: Architect or Engineer's Address: Lic. No.: t3UILUINU PERMIT DECLARATIONS y LICENSED CONTRACTOR'S 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 �ode, and ss Lice is injull fpLc nd effect. / /'� r?cP icense Class /`S L j LiClense No. r J 7T Dn' Contracto A7 10 ft a J !(l r �O�? OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). L) I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 syyeedyy workers' coen ation insurance Carrieyend policy numbe re: amer 7�Gft�{ /��ihC Policy Number✓ c3 Z 9'—OUT L/A I i ®�3 ©� �0 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 Z// forthwith comply with those provisions. ✓ Date (� �7 CO—r Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1 00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 pernit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 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. 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county tyy to too enter upon the above-mentioned property for inspection purposes. 610- Signature (Applicant or Agent): Page 2 Application Number . . . . . 05-00000113 Date 4/14/05 Qty 'Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU% 18.00 2.00 6.5000 EA MECH VENT FAN 13.00 ---------------------------------------------------------------------------- Permit . . . . . PLUMBING Additional desc Permit Fee . . . . 118.50 Plan Check Fee 29.63 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 ---------------------------------------------------------------------------- Special Notes and Comments Commercial Remodel "Totally Low Carb" TI, "M",Occupancy, Type VN Sprinkled, Occupant Load 29 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 10.50 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 659.20 .00 .00 659.20 Plan Check Total 330.61' .00 .00 330.61 .Other Fee Total 10.50 .00 .00 10.50 Grand Total. 1000.31 .00 .00 1000.31 ,a i�i�l� Qu inCity of Lato Building 8 Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico OSS v/, 3 La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet : Jf Project Address: 7,t �I I� a �G - W TD V� om-ner's Name: A. P. NumberL7 AAddrcss:� - Legal Description: City. ST. Zip: Q Contractor. ' k s- G iTeiephone: Address: Ax o' — i p Oji D&,cri : X 'City, ST,Zipyry r Telephone�'V' t;• ` O State Llic iy (Cif Lie. r Arch I Engr., igner. t I Address: �```�� 6Z-- (�Nt •�' City, ST, Zip: &";I d-,- Telcphone:o CJI MCTDN �""'', : . - .. =4 r .;:�:- eConstruction Type: Occupancy: _ State Lie. #.; . Project type (circle one): New Add'n Alter Repair Demo 1C Name of Contact Person: FL: # Stories: N Units: %C kSq. Telephone # of Contact . :,..;�•��� stimated Value of Prol APPLICANT:'DO NOT WRITE BELOW THIS LINE p Submittal Req'd Recd TRACKING PERMIT FEES Plan Sett Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calm Called Contact Person Plan Check Balance e'lnergy Cales. Plans picked up O Construction Flood plain plan Plans resubmitted Q 7 O.5 Iechanical / Grading plan 2'' Review; ready for correcti ` e !� >iElcctrical Subcontactor List ACalled Can- . - PPlumbing Grant Deed Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correction sfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees T Total Permit Feei ??1q '393hos- ,a AUG -24-2005 WED 11:03 AM RIVERSIDE COUNTY FIRE Craig E_ Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of- Banning fFanning v4 Beaumont • oti Calimesa Canyon Lake Coachella Desert Hot Springs '(radian Wells Indio Lake Elsinore •8 U (�ita Moreno Valley Palm Desert Perris v Rancho Mirage San Jacinto so Temecula Board of Suparvisors Bob Bustcr, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Murion Ashley, District 5 August 24, 2005 1 City of La Quifita Building Department FAX NO. 17608637072 P. 01/01 RIVERSIDE COUNTY FIRE DEPARTMENT 8hwai o, Fax(T60yM_-7072 Re: Fire ,Life Safety Clearance (Total No, Carbs, Low The Riverside C unty Dept Department is granting a fire Fuld life safety clearance For the following project located at 78-370 Hwy 111 Suite 110 Byo ZD�eoucy Fire Systems Inspector t5 -o(13 EMERGENCY SERVICES DIVISION . PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2'0 FI., Indio, CA 02201 • (760) 863.8886 - Fax (760) 863-7072 Craig E. Anthony Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont 4. Calimesa Canyon Lake 4. Coachella Desert Hot Springs -.0- Indian ;Indian Wells 4. Indio Lake Elsinore La Quints Moreno Valley Palm Desert 4. Perris :• Rancho Mirage 4. San Jacinto .;. Temecula Board of Supervisors Bob Buster, District 1 John Tavagbone, 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 FL, Indio, CA 92201 e (760) 863-8886 • Fax (760) 863-7072 December 28, 2004 Prest, Vuksic, Architects, Inc. 44-530 San Pablo Ave, Ste. 200 Palm Desert, CA 92260 Re: Non -Structural Building T/I Plan Review LAQ-04-TI-140 /Totally Low Carb 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 keys 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. 3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware. One pair of front doors shall be converted to common -knowledge, single operation type hardware. 4) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact certified extinguisher company for proper placement of equipment. 5) 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. 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. kCc: Xity of La Quinta- Building Dept KVEZVM DataU a:hwnaEcrSVXACWA-ntao.doc Sincerely, FRANK KAWASAKI Chief Fire Department Planner By � Walter Brandes Fire Safety Specialist EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2"d Fl., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 Jan 21 05 O1:32p p.2 h� - ■ . r rrwr��e /�a l ��istn� r MOMM0D¢ i• r . i iii // j.� � �'', V' �/' � :!i � � • rrill III r 747/ a�wr�.a.�e,�•11•�w�■�ar��ao��r�r��saPl�►.a�.w.r �4��w.��.��r ow�M �w�vot�•o••ae,+.�+s�v..�e•o�a��«rr>�c�..o.��vr+�t�•���awr•��� islot�w�Mrlro�l ���"r'Qwr��avo�yrrvw��atwar�>a wOLLV�L7■aHAlc •owl AMWiMPA - �-Q ftVgW A* 1 Pon $fVswt �mpwftpm t 1��11A�1MI��aJ�110�'� �'�V�dr4l '1 _01 r{tc ft ADb—I O\\ -1* , \\\ 'n MAA mw,&onof I.g O?t q'� ; "b v-1 vt1 '� 'NM .3 - ZZb ti4 _ c r'!'�!9 qty` \\� r'`f1 �£�� ' �.rMep��ooaocNorm.00� 14.d�+�}�►��nA��J !tipROMW WAMAvq%AWA U�ooY� gt��M�p 11N�P4�91���N WORM"MAVXUIW . T►ed7lrts�►1/pitv>n► �orrais�,b�ot>�v�>sd�t6 UPMEW90 om %we= 0 u nwAv tw= �arren.�...�..va ..�.Rwwv jaiazi>ziQ WZVA ANTIvA:T��7�O� I . Coa.r annn.Mw tll-1 a111.t01VS 0d O1W-041 ImIt-01 6002-01-10 ZZO-1 Z00/ZOO d Zti-1 Af981 ON# 3111131VS Od OW-Wcid nii:00 SOOT-IZ-10 +.r "JAI� �. COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECTL caw PERMIT NO. ADDRESS 9— 3� d d� .,.J:.i 1 e b i REMARKS: INSPECTOR IA r( R.v.t aR tirCi�J' �tr►�rte- L,3ri P✓ G i (� G1 loet"", f c fly GioQTI �[� ( ��°► . 1 d j j �+ vi �+MCnQv��( 6 -IQ� Sb a 7r.d! �� Pi' IJwe� I ii�r r_^ ff r� I e vt 0 4:z d 1!e -KA t+ 4tj (-cl (er-l-gel ,we. C lAe CIA 4 6%1'�Z � a 3.�a �C- IsF 1123 4` Brea #' lv COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CORRECTION Plan Check # IVN05-027 Date 4/1/05 DBA Totally Low Carb Address 78-730 Hwy 111 Ste 110, La Quinta Plans Submitted by Joanne Callahan Phone _ Owner Address Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. The water heater is inappropriately sized. The minimum size for this facility is 40 gallons capacity and 9kW or 30,000 Btu's. 2. Sneeze guards and protection will be evaluated at the time of first equipment inspection. The Environmental Health Department reserves the right to direct changes at that time should the guards be ineffective. 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. The trash enclosure must meet current standards and be finished so that the interior floor and walls are smooth and easily cleanable. Seal these interior surfaces with an approved two part epoxy. 5. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by vermin. The delivery cloor air curtain must deliver air at a velocity of 1600 fps at a height of 3' above the floor. 6. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak shift 7. All food and utensil sinks must be plumbed to floor sinks through approved air gaps. The utensil sink must have two drain boards at least 18" x 18" or the size of one compartment, which ever is larger. 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) 8. All utensils and equipment must meet NSP/ANSI: or equivalent standards for use in a commercial food service facility. 9. A construction guide has been. issued with this plan correction. All issues not otherwise addressed by this plan correction must be resolved according to the guidelines set forth therein. 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 e�`e-- c-- Companyi V9Vk ' LL\AJ DateI� I �� COLJ Ll Certificate of Occupancy ,- 34 Jrxom"= M �.� C OF Building & Safety Department , r 5 sM 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: 78-370 Highway Ill Suite 110 Use classification: Commercial "Totally Low Carb" TI Building Permit No.: 05-0113 k4 Occupancy Group: M Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Madison PTM La Quinta Address:. 71361 San Gorgonio Road X i City, ST, ZIP: Rancho Mirage, CA 92270 By: Daniel P. Crawford Jr. Date: 8125105 Building Official EPOST INA CONSPICUOUS PLACE CO,•