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11-0855 (RC)P.O. BOX, 1504 Contractor: JL MANAGEMENT & CONSTRUCTION 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000855 Property Address: 78430 HIGHWAY 111 APN: 604 -050 -044 - Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 200000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: FIRST KARMA RESTAURANT, INC. 3075 RUSTIC MANOR CIRCLE RENO, NV 89509 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/22/11 Applicant: Architect or Engineer: Contractor: JL MANAGEMENT & CONSTRUCTION ChI(�r I �/ "iSO�� 69600 HIGHWAY 111 )� /E5hQ=JV 1 ROSEMEAD, CA 91770E1 (626)282-2368 r) 7 jl " r(��'=i A c' +• 2��i i� �^ �O I Lic. No.: 806822 ------------------------------------------------------------------------------------------------- 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 C s: A B License No.: 806822 V Date: Z' Contractor: . f/ 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)-: (_) 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.). (_) 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.). (_ 1 I am exempt under Sec. , BAP.C, .or this reason Date: Owner: ' L/ 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 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 be ome subject to the wor ters' compensation provisions of Section / 3 0Zptl-cant: Labor e, all forthwith com ith those provisions. Date: - WARNING: FAILURE TO SECU CRIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 co ty ordinances and state laws relating to building constructjpn, and hereby authorize representatives //of this yZo ter u on the above-mentioned propert insp n purposes. `Date: �l ignature (Applicant or Agentl: Application Number . . . . . 11-00000855 Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . . . . . . ASSEMBLY BLDG <1000 Other struct info .. CODE EDITION 2010 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY A-2, B ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 8693.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 989.50 Plan Check Fee 643.18 Issue Date . . . . Valuation 200000 Expiration Date 2/18/12 Qty Unit Charge Per Extension BASE FEE 639.50 100.00 3.5000 ---'------------------------------------------------------------------------- THOU BLDG 100,001-500,000 350.00 Permit . . . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 67.50 Plan Check Fee 16.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/18/12 . Qty Unit Charge Per Extension BASE FEE 15.00 30.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 22.50 10.00 3.0000 ------------------------------------ EA ELEC APPLIANCES ---------------------------------------- 30.00 Permit MECHANICAL Additional desc . Permit Fee 74.50 Plan Check Fee 18.63 Issue Date . . . . Valuation 0 Expiration Date 2/18/12 Qty Unit Charge Per Extension ' BASE FEE 15.00 6.00 4.5000 EA MECH VENT INST/ DUCT ALT - 27.00 1.00 6.5000 EA MECH AH <=10K CFM 6.50 4.00 6.5000 EA MECH OTHER MECH EQUIPMENT 26.00 Permit PLUMBING Additional desc . Application Number . . . . . 11-00000855 Permit . . . PLUMBING .Permit Fee 81.00 Plan Check'Fee 20.25 Issue Date . . . . Valuation .0 Expiration Date 2/18/12 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB FIXTURE DRAIN/VENT REP/ALT 3.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 ---------------------------------------------------------------------------- Special Notes and Comments INTERIOR TENANT IMPROVEMENT OF EXISTING RESTAURANT TO "ASIAN SUSHI BUFFET"'. REMOVE EXISTING TEPPANYAKI STATIONS (4 QTY) WITH EXHAUST HOOD AND BAR. 2010 CODES. TENANT IS BUFFET DE JOUR C/O LIN PING TIN - 33223 CAMPUS LANE CATHEDRAL CITY 92234. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 64.32 BLDG STDS ADMIN (SB1473) 8.00 ENERGY REVIEW FEE 64.32 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 1212.50 .00 .00 1212.50 Plan Check Total 69.8.94 .00 .00 698.94 Other Fee Total 136.6.4 .00 .00 136.64 Grand Total 2048.08 .00 .00 2048.08 r Bin # G� City of La Quinta Building &.Safety Division P.O. Box 1504, 78-495 Calle Tampico la Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet PermittY� Project Address: 1j Q . v� I I I Owner's Name: KhkJ1 lzm/ A. P. Number: Address: Ni-J4Ni-J4 IL Legal Description: City, ST, Zip: Contractor: 'T 1 p j Tele hone: Address: Project Description: City, ST, Zip: Telephone: • r. & ul State Lic. # : City Lic. M. Arca., Engr., Designer D • A -) t u / Address: City, ST, Zip: /v I I s / � --674RAIA 74,10 -4-41 - Z , . Telephone: : �A State Lic. Name of Contact Person: M Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FG: # Stories: # Units: Telephone # of Contact Person: 8 Estimated Value of Project: - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Pian Check submitted $ �/ �� Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correctio ue y EElectrical. Subcontactor List Called Contact Person f Plumbing Grant Deed Plans picked up S.M.1. �l Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval ✓ Called Contact Person A.I.P.P. ` Pub.yp r Date of permit issue Total Permit Fees dl/6/!/- 8//0 ? RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD ESTABLISHM ENT PLAN APPROVAL NOTICE SR# 23856 Date 8/22/11 Project Name Asian -Buffet Address 28430 Hwy l 11, La Quinta Plans Submitted by Aleana Johnson Owner Liu Zuhua LLC Phone 760-641-2280 Phone 760-641-2280 The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. Provide a grease interceptor letter from.the sewer agency. 2. Provide a certified air balance report for f -e exhaust and make up air. 3. Provide a splash guard (stainless steel minimum 18 inches high) between the fryer and the burners. 4. Provide reduce pressure backflow device on the water line to the carbonator. 5. All sneeze guards will be evaluated onsite. 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 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 Tracey Ford, EHS III Phone (760) 863-8287 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: DEH -SAN -178 (Rev 2/06) Corona 2275 S. Main St Suite 204 (951) 273-9140 Fax (951) 520-8319 Signature Company Name M Date Hemet Indio Murrieta 800 S. Sanderson 47-950 Arabia St 38.740 Sky Canyon (951) 766-2824 "A" Dr Fax(951)766- (760) 863-8287 (951) 461-0284 7874 Fax(760)863- Fax (951) 461-0245 8303 Department Web Site — www.rivcoeh.org Palm Springs 554 S. Paseo Dorotea (760)320-1048 Fax(760)320-1470 Riverside 4065 County Cir (951)358-5172 Fax(951)358- 5017 ax(951)358- 5017 P.O. Box 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICO •(760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: 6 ' . q - / / From: Les Johnson, Director -Planning Due Date: Permit #: Status: S�' �K- Building Klan$ Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: Address or General Location: -%8 , 4130 Zk Applicant Contact: . 9-�� .26- 570-9978 The Planning Department finds that: ❑ .:.these Building Plans do not require Planning Department approval. ...these Building Plans are approved by the Planning Department. ❑ these Building Plans equire' corrections. Please forward a copy of the attached corrections t the applicant: When the corrections are made please re rn them to a Planning Department for review. L� s Johnson, Ne -68t< la ning Date - ed �� ciw 6 ►a 6k.:s�4a %cr-Pink � n10ni 11) S r RD x73770-�?— r -nmrIr,nrPn� COACHELLA VALLEY WATER DISTRICT LI) V-) ti i. t i i ASSESSOR'S PARCEL NUMBER . 85-9.95 Avenue 52 A�.G 1 9 2�.�� ___,._: Coachella, California 92236 � J (760)398-2651 APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR AVPROVAL--j APPLICANT: Submit this form with a copy of a SCALED plot plan (1" = 20' to V= 40' SCALE) drawn to District specifications. A nonrefundable filing fee is required when the application is submitted. Check must be made payable to the Coachella Valley Water District. Approval of this application shall remain valid for a period not to exceed one (1) year from date of payment. NOTE: ALL BUSINESSES PRODUCING FAT, OIL, AND/OR GREASE, LOCATED IN A MULTI -SUITE BUILDING WILL REQUIRE A SEPERATE LATERAL OFF THE MAIN SEWER LINE FOR GREASE INTERCEPTOR CONNECTION. Plan Check No. �yJ T C _ O �, / Qa ` G ent, Contractor, CQntact Person Ad ress City State Ziipp' Telephone i 14fa7 L call b� 0 1 I ►,��; yy' Owne Lij.� I Address / Ci�Stat ip Telephone 1k) 3 2 c 1�ir� i/ j. Job Pr es `-- City F Zip j Legal Descriptio • D A f � I PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS NOTE: PLANS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION IS COMPLETE AND THE PLAN CHECK FEE IS PAID. GENERAL CONSTRUCTION: Type of Construction: /Setitate, New Food Facility Remodel of Existing Food Establishment Hours of Operation I-�r I Capacity: Internal External , External Seating with Misters or Heaters Bar with Food Service Bar Nonfood Service Softener Service: /lC � x Multiservice (reusable) / Single Service (disposable) OWNER/REPRESENTATIVE DECLARATION: I certify that I have read the entire application and state that all information is correct. I understand that the amount of fee paid is based on my declaration of information on this form and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be discarded if not picked up within sixty (60) days of approval or denial and that no inspection of my establishment will be conducted, or approval granted to operate, until all proper information requested has been received and plans have been approved and returned. Signature �fV 7!V I. r Date / FOR DISTRICT USE ONLY No. of Systems Type of System(s) No. Dwelling Units ❑ Sand/Oil ❑ Grease Interceptor Waived Fixture Units__ Grease Interceptor _ ❑ New Exiting _ Lint Trap ' ❑ Replacement ❑ Addition ❑ Clarifier ❑ Connect to Sewer REMARKS: zip IF This application is: Approved ❑ Denied ❑ Conditional Approval* Fee S // `J, � Check No. 01799 *See Remarks Date g�(�z Initial G� Signature Date CV WD -921 Rev 6/11 I I COACHELLAVALLEY WATER DISTRICT . *** CUSTOMER RECEIPT *** Uper: CASHIER5 Type: OC Drawer: 1 Date: 8/04/11 04 Receipt no: 78218 Oescrtion Quantity Amount .211 3093 PZ PLANNING B ENGINEERING 1.00 $115.00 Trans number: 1107986 11-313 fender detail CK CHECK 999• $115.00 Total tendered $115.00 Total payment $115.00 Trans date: 8/04/11 Time: 15:51:33 *1 RUE CINSERVATION USE WATER WISELY* X:. !7601 396-2651 . COACHELLA VALLEY WATER DISTRICT COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 8/4/2011 =ET DE TOUR - 78430 HWY 111, LA QUINTA Project: 11-3093 Project Date: 8/4/2011 Amount Due: $115:00 GEO: 05-07-19-3 Planner: GILBERT RAMIREZ 'ROPER CREDIT, PLEASE RETURN THIS PORTION WITH NCE AND INCLUDE THE PROJECT ON YOUR CHECK ' -T,escription 'Charge Amount Total Amount :NTRL $50.001 $50.00 ROL $65.00 $65.00 $115.00 I SUBJECTa.SOURCE CONTROL _ BUFFET DETOUR -78430 HWY 111, LA QUINTA. COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Page 1 PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CMES OF: BANNING BEAUMONT CAL (MESA CANYON LAKE C OAC H E LLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUx CSD SAN JACINTO. TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE . DISTRICT 2 JEFF STONE - DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 r Rrvmsw COUNTY FIRE DEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 922114131 • Phone (_760) 863-8886 • Fax (760) 863-7072 www.rvcfire.org L�AUG(�� ifAugust 15, 2011 RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural LAQ-1 I -TI -025 Asian Sushi Buffet 78-430 Hwy 111 La Quinta, CA You have been issued a release for a tenant improvement on an existing building. THIS IS NOT AN OCCUPANCY PERMIT. It is prohibited to use/process or store any materials in this occupancy that would classify it as an "H" occupancy per Sec. 307 of the 2010 CBC. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION: Install door hardware and exit signs as per Chapter 10 of the 2010 CBC. A minimum 2A1 OBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a visible location within 75' walking distance from any point in your building or suite. Fire extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal service tag attached to the extinguisher, or purchased from a retail store with a sales receipt attached. A licensed fire extinguisher company must service extinguisher yearly. All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times. The hood/duct system must be monitored by the fire alarm system if building is currently monitored. Hood/Duct suppression system plans shall be submitted for above'referenced project. A durable sign stating "This door to remain unlocked during business hours" shall be placed on or adjacent to the front exit door.' The sign shall be in letters not less than one inch high on a contrasting background. Provide key(s) 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. Key(s) shall be provided at time of final inspection. As may be necessary to maintain proper fire .sprinkler protection due to constructions changes, fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. A re-inspection fee will be required if more than one (1) inspection is necessary. 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. S'ncerely, By: Jaso Stubble - --- ---- _. - - - - - Fire-Safety=Specialis - - - - - -