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05-1486 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00001486 Property Address: 78370 HIGHWAY 111 STE 155 APN: 604-050-048- - - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 6500 Applicant: Architect or Engineer: >y1p LICENSED CONTRACTOR'S DECLARATION & SAFETY DEPARTMENT ILD -ERMIT JUL hereby affirm under penalty of perjury that- I am licensed underprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Ysiness and Professionals Code, and my License is in full force and effect. ;Mo��No.: B 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 hundied 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.). .� (_ 1 I, as ownei 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 contracior(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.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 SON PTM LA QUINTA 1 SAN GORGONIO RD HO MIRAGE, CA 92270 Contractor: PRIMUS CONTRACTING GROUP, INC 1409 SO. 600 WEST, SUITE D BOUNTIFUL, UT 84010 WCC: STATE FUND' Lic. No.: B VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/05 ----------------------------------------------- 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. 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 1705181 10/O1/06olicyNumber 814726 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 s QvId become subject to the workers' compensation provisions of Section 7y00 of thgA1LbE ,ly,t>aII&rtQti(h comply with those provisions. 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 (5100,000). 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. 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 ounty ordinances and state laws relating to buildi nonstruction, nd hereby authorize representatives offtt�hiisss `unty /f?ent� pon the above-mentioned prop e / i do r es. Date: / (/(% ignature (Applicant or Agentl: Application Number . . . . . 05-00001486 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 58.50 Issue Date . . Valuation . . . . 6500 Expiration Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 45.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 41.10 Plan Check Fee 10.28 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1305.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 26.10 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date Valuation 0 _ Expiration Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT ---------------------------------------------------------------------------- 4.50 T Permit . . . PLUMBING Additional desc . Permit Fee 97.50 Plan Check Fee 24.38 Issue Date . . . Valuation . . . . 0 Expiration•Date 1/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 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 "Bad Ass Coffee" TI,.. LQPERMrr Application Number . . . . . 05-00001486 ---------------------------------------------------------------------------- Special Notes and Comments "B" Occupancy, Type VN Sprinkled, Occupant load 32. ------------------------------------------------7--------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - COM 1.36 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- ---------- 248.10 ------ .00 --- ---------- .00 248.10 Plan Check Total 98.04 .00 .00 98..04 Other Fee Total 1.36 .00 .00 1.36 Grand Total 347.50 .00 .00 347.50 Craig Anthony Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of.- Banning f: Banning s• Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage 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 2 0 est San acinto venue • Pems, Cal' omia 92 0 • ) • ax 909) 940-6910 October 12,2005 City of La Quinta Building Department Re: Bad .Ass Coffee: The Riverside County Dept Department is granting a fire final For the following project located. 1T1-�-Suite B Terry �.uc, Fire Systems Inspector EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd Fl., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 RIVERSIDE COUNTY WDEPARTMENT FIRE DEPARTMENT - Ig way ., n lo, . ax - April 28, 2005 Craig E. Anthony Fire chief Prest, Vuksic, Architects, Inc. 44-530 San Pablo Ave, Ste. 200 Proudly serving the Palm Desert, CA 92260 unincorporated areas of Riverside Re: Non -Structural Building TA Plan Review County and the Cities of: LAQ-05-TI-037 / Bad Ass Coffee I Plaza at La Quinta —Suite 155 Banning 4. Fire Department personnel have reviewed and approved the plans you submitted for the above Beaumont referenced project. Please be advised the following conditions apply as a part of the conditions for the ❖ issuance of a building permit. Cahmesa 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Canyon Lake Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Coachella Job card must be at the job site for all inspections. Desert Hot Springs 2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have a 4. durable and legible tag affixed for identification of the correlating tenant space. Indian Wells 4. 3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware and as noted on Indio Sht. A7.1 of the building plans. 4. Lake Elsinore 4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified La Quinta. extinguisher company for proper placement of equipment. Moreno Valley 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 Palm Desert business name and suite number on back doors as well as the front. Suite numbers or letters must 4. be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the Perris background. Rancho Mirage ❖ Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. ,. San Jacinto Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling Temecula (760) 863-8886. All questions regarding the meaning of these conditions should be referred to the Fire Department Board of Supervisors Planning & Engineering staff at (760) 863-8886. Bob Buster, District 1 Sincerely, John Tavaglione, FRANK KAWASAKI District 2 Chief Fire Department Planner Jeff Stone, District 3 Roy Wilson, %f By District 4 Walter Brandes Marion Ashley, Fire Safety Specialist District 5 Cc: City of. La Quinta — Building Dept. H:%PE2\WP OataUj 0a6datPR0JECTS%TRlAQ-05-TM7.d= EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 DEH-SAN-118 (Rev 8102) Distribution: WHI I t—C)RIC2; f ANAMT—VWnef; ruvn—vm. u TANDY'S INSPECTION SERVICES, INC. PO BOX 13766 - PALM DESERT. CA 92255-3766 OFF3CE / FAX -951.769.9717 PAGER 760.776.3339 SPECIAL INSPECTION DAILY / WEEKLY REPORT PE OF INSPECTION PERFORMED JPERIpT h6ER TYPE OF STRUCTURE � • ���.�.,�+-�. DATE 0--13 ~05 PROJECT ADDRESSWW.Wos NrRWI T AW1095 wnol CFTY OR opuW") PROJECT NAME alauoE ooulsnr P�wLronsonaEtfiltEAftL Kwb ARCHITECT �L� ENG&M eJ IA.CUTC� GENERAL GLM3 CONTRACTOR DESCRIPTION OF WORK INSPEC D tom► L� S - WELDING I RON WELAE:RS NAME CE:RTTFYING AGENCY NAME AND NUMBER PROCESS ANELECTRODE w Yo 119 SAMPLE 1NFORMAMON TIME SUPPLIER 71CKETNUMBER IMXNUMBER AIRTEMP SA� MP SLUMP WATER TIME I TEOED MIXER LOCATION TAKEN: LOCATION TAKEN: Wk .Ili 1 Id \\WU?S:LO S00Z F -i "100 i Mt3 T' T I OP TW A&= 09409M WOW UNLM OTMERNM1BE MflIE IPAYE FOUND TMS WOMTO COMPLY WIIN &#fFUCAaWsIA40NQ An18 SIGNATURE INSPECtW8 CE9TIF7CAT10H AGENCY AND NIWMER LTL669LTS6'�0N XW aocnaag uotloadsuj S'Apuej: WObd Area # 'IV j;1 COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CORRECTION Plan Check # IVN05-038 Date 6/1/05 DBA Bad Ass Coffee Address 78-370 Hwy 111 Ste. 155, La Quinta Plans Submitted by Ethan Camargo Phone 760-578-0576 Owner Ethan Camargo Address 54545 Avenida Diaz, La Quinta Phone 760-578-0576 The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. This plan does not include sewage or water service approval. Prior to the final inspection provide a grease interceptor sizing form from your local water agency. For more information call County of Riverside Land Use at (760)863-7000. 2. 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. 3. The mop sink must be of the floor basin style. Behind all sinks in the splash zone the finish must be water proof to a height of 8' (e.g. FRP/tile) 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. Service windows such as drive through windows must likewise be self closing and if greater than 216 square inches have dedicated air curtains. The delivery door air curtain must deliver air at a velocity of 1600 fpm at a height of 3' above the floor. 6. 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. 7. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak shift 8. Install an approved tile cove base, i.e. slim foot cove base, in room # 3,4,7& 8. Rubber base is not approved. See redline correction on page A 2.1 9. Provide an additional 6.5' linear feet of approved dry storage shelving for this facility. Requirement is 16' minimum. See redline correction on page A 2.1 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 Jerry Dubin Phone (760) 320-1048 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature_&�== Jj f c v Company , Date OSS 05-18-2005 10:41am From -MI) PD SATELLITE +7603919638 T-584 P.002/002 F-874 COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER 85995 Avenue 52 Coachella, California 92236 (760) 398-2651 APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL APPLICANT- Sulnsit this form with a copy of a SCALED plot plan (I"0 2V tot" - 40'SCALE) drawn to District specificadoffi. A nomdtmdablc filing fcc is roquircd wbca the application is submiucd. Cheek must be madc payabk to the Coscbds VaUcy Water District Approval of this application sban eemain valid fora pmol not to exceed one (1) year 5rom date of payment Plan Check No. Ageat,•Coaoactor, COW Person ^\ �1 Andrew City Stam Tp 1 K --6-7u �"j 11i s k"k z,,,- 4aV1.6 t.. C44 52zg3 Tdgbone 8 77i -/-7s7- p„,� Addcme city stale Zip Telephone C — � 5y 5�(S Av l�. ; �z {.� �t� u, c -7�po Job Property Address City zip -1y- 3r7r, 1 it 1S �l��tn 22- l+in tiBw a �.Oh.� 1'MG . �o• � v ri PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS NOTE: YLAMS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION IS COMnM AND THE PLAN CHECK FIRE IS PAID. GENERAL CONSTRUCTION: Type of Conumcon: New Food Facility—Z/ R®odelof Existing Food En Misbmmt Noss of _ = b - 1► ° Sating Capacity: h -,W 1Z F:t®al EtrtMW Sating with Misters or ticatas Bar with Food Swire Bar Nonfood Service Water Manor L Service: Mul&crvicc (rewablc) Single Savin (disposable) v/ OWNEWREPRESENTATTVE DEaAItATl0rN: I ca* tbat I have raid the entire application and state that all iotntmation is conam I uodastaod that the amount of fee paid a based on declaration of bdormstioo on this form and tbat iacomeet information it. grormds for denial of the submitted plu& I also understand tbat plans will be discarded if up within (60) or denial and tlut no inspection of aty cr abtishmcat will be contlacbK or approval gnmted to operate, until all . ved bow been appvvcd ead atumcd. proper' hasec- / Signattue - . -�Z.•. No. of Systems Type of sysmm(e) No. DwdEsS Unies ❑ Sand/00 crease bate ceptor waived Fixture Units ❑ Grease Interceptor ❑ New ❑ g ❑ Lint TV19 © Replacement O Addition ❑ CtarifieF E3 cortaect 10 sewer rAL REMARKS: 1 ' Id ❑ Denied ❑ Conditional wppmval• Fee Sw— G7 Cbeck No. *See R emmira Date Z Inttld Sigtm CC/ Ans- FftrAAJ *.,V31 Craig E. Anthony Fire Chief 'Proudly serving the unincorporated areas of Riverside, County and the Cities of - Banning Beaumont 4. Calituesa Canyon Lake Coachella Desert Hot Springs ;. Indian Wells Indio Lake Elsinore ,. La Quinta Moreno Valley Palm Desert 4.1 - Perris Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 .BWERSIDE COUNTY FIRE DEPARTMENT 82-675 Highway 111, 2nd Fl., Indio, CA 92201 0 8 Fax ( 8q3-7072 April 28, 2005 Prest, Vuksic, Architects, Inc. 44-530 San Pablo Ave, Ste. 200 Palm Desert, CA 92260 Re: Non -Structural Building T/I Plan Review LAQ-05-TI-037 / Bad Ass Coffee Plaza at La Quinta — Suite 155 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 a durable and legible tag 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 and as noted on Sht. A7.1 of the building plans.. 4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC 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. Sincerely, FRANK KAWASAKI Chief Fire Department Planner. By Walter Brandes Fire Safety Specialist Cc: City of La Quinta — Building Dept. H1PEMP Data\La Outnta%PROJECTS%TI\LAO-05-TI-037.doe EMERGENCY SERVICES DIVISION • PLANNING SECTION e INDIO OFFICE 82-675 Highway 111, 2nd A., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072 • QUWC4V P.O. BO,\ 1504 BUILDING & SAFETY DI: PAR"I'MFNT 78-495 CALLr TAMPICO (760) 777-7012 LA QUINTA; CALIFORNIA 92253 FAX (760).777-7011 To: Greg Butler, Building & Safety Manager To CDD: 6-6-2005 From: Doug Evans; Director -CDD Due date: 6-17-2005 Status: 2ND Review Building Plans Approval (This is an approval to issue a Building Permit) The Community Development Department has reviewed the Building Plans for the following project: Description: TI "BAD ASS COFFEE'' Address or general location: 78370 IIWY 11.1 SUITE 155 Applicant Contact: ED ALDERSON 760-771-1755 The Community Development Department finds that: ❑ ...these Building Plans do not require Community Development Department pproval. these Building Plans are approved by the Community Development Department. ❑ ...these BLiilding Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development Department for review. Doug , ns, Director -CDD Date Certificate of.Occupancy-- COPY. "':E4 4 k OF Building .& Safety 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: 78-370 HighwaV 111.Suite 155 Use classification: Commercial "Bad Ass Coffee" TI Building Permit No.: 05-1486 Occupancy Group: B Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Madison PTM La Quinta a Building Official Address: 71361 San Gorgonio Road City, ST, ZIP: Rancho Mirage, .CA 92270 By: Daniel P. Crawford Jr. Date: 10/19/05 IN A.CONSPIC000S PLACE