11-0854 (DEMO)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
C 11-00000854- ---1
Property Address:
78430 HIGHWAY=111
APN:
604-050-044-
04-050-044-Application
A pplicationdescription:
DEMO - COMML/OTHER
Property Zoning:
COMMUNITY COMMERCIAL
Application valuation:
2000
Tuvl 4 4v Q" ." �
Architect or Engineer:
al
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Code, and my License is in full force and effect.
License ass: A B Licen/se No.: 806822
e:U�� ntractor: %�% Cmc(_
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 hundred dollars ($500)•:
1 _ 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 intendedor 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 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.).
(_) I am exempt under Sec. , BAP.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
Owner:
KARMA RESTAURANT, INC.
3075 RUSTIC MANOR CIRCLE
RENO, NV 89509
Contractor:
JL MANAGEMENT & CONSTRUCTION
69600 HIGHWAY 111
ROSEMEAD, CA 91770
(626)282-2368
Lic. No.: 806822
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/19/11
U L
)
AUG 20il
j;ff_ OF- 1A
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 and policy number are:
Carrier STATE FUND Policy Number 0009634-2011
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 ofthe abor Code, I shall forthwith comply with those provisions.
a: pplicant: 11 � r !.
WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND 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 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 as 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 to enter up the above-mentioned property for inspection purposes.
Date:? I D g ature (Applicant or Agent):
Application Number . . . . . 11-00000854
Permit DEMO PERMIT
Additional desc INT. PARTITION DEMO
Permit Fee . . . . 45.00 Plan Check
Fee
.00
Issue Date . . . . Valuation,
. . .
2000
Expiration Date 2/15/12
'
Qty Unit Charge Per
Extension
BASE FEE
45.00
Special Notes and Comments
PARTIAL DEMO'TO PREPARE FOR REMODEL, PER
APPROVED PLAN. 2010 CODES.
Fee summary Charged Paid Credited
Due
Permit Fee Total 45.00 .00
.00
45.00
Plan Check Total .00. .00
.00
.00
Grand Total 45.00 .00
.00
45.00
LQPERMIT
MORRIS & GLORIA SALEM
FIRST KARMA RESTAURANTS, INC.
9791 WARWICK DRIVE
DESERT HOT SPRINGS, CA 92240
Tel: (775) 232-1528
August 10, 2011
City of La Quinta
Building Department
78-495 Calle Tampico
La Quinta, CA 92253
RE: 78430 Highway 111, La Quinta
Tenant Improvement Plans for Former Flame Restaurant
to be named Asian Sushi Buffet
To Whom It May Concern:
We have entered into a Lease with Buffet Du Jour, Inc. and we have approved their
Tenant Improvement Plans dated 08/10/11 drawn by Jimmy Zhang,. Design for
Restaurant' Plus, Inc.
Sincerely,
First Karma Rstalarants, Inc.
r
Morris 56lem,*esident
Bin #.
G
Cit/ Of La Quinta ,
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permir#
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Project Address: fj
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Owner's Name:(A�
A. P. Number:
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Address: b W ii
Legal Descriptione:—r
City, ST, Zip:
-7-13
Contractor: ( 1
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Tele hone: ti:u
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Address: I L ,%l,
Project Description:
City, ST, Zip:
Telephone:
Stats Lie. # :
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City Lie. C.
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Arch., Engr., Designer.
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Address:
City, ST, Zip:
Telephone:Y'~''`
State Lie. #:
Name of Contact Person:
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Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal Req'd
Rec'd
TRACMG PERMIT FEES
Plan Sets
dd
Plan Check submitted —1 Item Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss Cales•
Called Contact Person Plan Check Balance.
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
P! Review, ready for correctioue it) Electrical
Subcoutactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'^' Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees