0105-044 (CSCS)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
,Chapter 9 (cot-imgncing with Section 7000) of Division 3 of the Business and
Professionals Cotslgd r License is in full force and effect.
License # Lic. Class Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as4their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
(, .) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). ,w3'
O I am exempt under Section B&P.C. for his reasorr o�
Date Signature of Owrter ✓. ,./ ��,
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 & policy no. are:
Carver Policy No.
J (This section need not be completed if the permit valuation is for $100.00 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 Califorp,ia and agree that if I should become
3 subject to the workers' compensation pro lv;islons-of Section 3700 oftabor
Code, I shall forthwith comply wA those,,provisions
Date: + % Applicant ° a M F `
Warning Failure to secure,/, rk�rs�Compensation coverage is unlawful and
shall subject an employer�do,.en inal penalties and civil fines up to $100,000, in
addition to the cost of cofnpensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his,
application.
1. Each person upon whose behalf this application is made & each person*at'
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
• correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned pr ISerty for inspection purposes.
Signature (Owner/Agent) •f •%�%�''� --^`"rte Date
� EJ
BUILDING PERMIT PERMIT#
DATE VALUATION LOT CTRACT
!.
JOB SITE EJ
ADDRESS
APN
SLf^'�49P9' ;1.S.H�y.N �..1L.6.
�SASAd�"SJ'.�'.'�f.i'•-��� '
OWNER
CONTRACTOR/DESIGNER/ENGINEER
r anft�
oviwaysuamm (suB ub-f AITACUM)
110 BIDLC : 1527
P •AI: M !"NFAWT CA 92255
T• C$f
USE OF PERMIT
0.i:,,TA.M1a0114T .f€VPY COMMIEPrRCLA'l.a,pe-1 kf? oTAURA?` T
PORt::ilJi'.ATI O 307 00 317'
AX » CGt_r4l r,-.?1C:1.Ai, L,..Q69. 0 Cyt?
CMITR.ACTAMOUNT i's
EMMA= COS OV £:OMMUC,I:MN
22WIM.50
;JJUMMAt" N
CONSTRUCTION FER 101.000-4 3 8.060 „ 41,063.90
RLA.34 C..F'iWX FEE 101-000-439--318 su•3.5�,
FEEWI'PC6017 101-00-439-518-S1,S00.09
itn a�ta�� faCA►. E�f�L 401-000-421-000 $102.50
ELUC" MCAL 101.000. 20.000 '$j %N
�
PLUfn9I'No Mlt v 01-000.41 9-000 1205.75
°MONO Mt)VOtN D7.9 - COMM100.000.241=0W. 146.29
iMPAC T TTE 0,316.37
MR;'i s)11PU?LIC;KAM, COW 70 -000-255.000 41,102<1S
MR-TMAL COR-TR13�'''iSC'9 AN D PLAN i''MINC
$6,928.99
0
'I<P�Za ' � '.P) 0`f JLY E.z`ifB�411i�
S5,428,%k
AUG 161001
CITY OF LA.AUINTA
BY DA IN ED INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Norms & Footings4009T%
SI(b Grade
_
_
CJ/' T%�
Ducts
Return Air
_
Sfel _
R f Deck 9� / _ -
O.h. to Wrap ����
Framing _
Insulation /jl� 91�
Fireplace P.E. ff
Combustion Air
Exhaust Fans
F.A.U.
Compressor
Vents
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall -• Int. Lath
Final �a�/ �L/�
BLOCKWALL APPROVALS
Final
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
_
Waste Lines
Water Piping_
Gas Test
Electric Final
Heater Final
Plumbing Final
Plumbing Top Out
—
g///
Equipment Enclosure
Shower Pans
!
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Gas Piping
_ _
Encapsulation
Gas Test
Appliances
Final
COMMENTS:
/QL , tow"
C��Underground
�� lwwr
jjT�� G Al".
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Co,.iduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
t . _ �s_e i-• .�•.rr '.'►'y`+rb^ + �'"*7 "SMR /'{:f�+�.:.ireC^t'r a:- r� as .+m�.- nrr ���M • c ^„ - r'�.. +.- -ru - ' . „ . , L
r� �� •
P.O. BOX 1504 APPLICATION ONLY
Buildingr
p 78-495 CALLE TAMPICO
Address 0 t e . %' LA QUINTA, CALIFORNIA 92253
Owner
Am ; (( DJ o,LI, z i,s
Mailing - r BUILDING: TYPE/"CONST. OCC. GRP.
Address o x f S a A.P. Number h d
City ZipTel.
��Gse� y_ a:ZS Legal Description rit�ljt�C / rar c:�t xG—G �^tAl, ate
Contractor ! ne- L A e- -m ;�• 3 9-3
Project Description
Address
City Zip Tel.
State Lic. City
& Classif. Lic. # Sq. Ft.q No. / No. Dw. /
Arch., Engr.,
Size /� '7 Stories / Units /
Designer Newx Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
t
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section tL-�Il Q...Ct C 0
effect.
Division 3 of the Business and Professions Code, and my license is in full force and /
effect.
SIGNATURE c DATE /\w C. �(. JL a � k`, A. Q ( /
OWNER-BUILDER DECLARATION Estimated Valuation \ (J
I hereby affirm that I am exempt 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 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 that. he is exempt therefrom, and the basis e `
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. rx) r
subjects tha applicant to a civil penalty of not more than five hundred dollars ($500).
49\d\ 1: I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
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.
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 Electrical
of proving that he did not build or improve for the purpose of sale.)
,>I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
stiuct 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 S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
1-1 I am exempt under Sec. B. 8 P.0„for this reason
- Driveway Enc.
Date5/5/6/ Owner`”-""�- / ���N� Infrastructure
tgR EK RS' 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 No. Company
r7 Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of th@ 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: It, 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 thistgg itt issued. (Sec 3097, Civil Code.)
Lender's Name C �... G A P r 7'vt L
Lender's Address f0!Jo6 iUE 4V 7"'S7 4�1.#, ee 4.00 f4cfJVlw:Ac
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. J goe)Y
1 certify that I have read -this application and state that the above information is correct.
I agree to comply withvall city and countyordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above•
mentioned property for inspection purposes//
Signature of a0plicant s. Date �> I,,Mailing Address i` / ' /
City, State, Zip ice' .. /;,�s � f{�. i e" n.
Y•' V r /
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. L
Side StreetSelto
FINAL DATE
Issued by:_
Validated by:
Validation:_
WHITE = FINANCE YELLOW = APPLICANT
Side Setba Proper inl
PECTOR
PINK = BUILDING DIVISION
LA
Notice:
Document Cannot Be Duplicated
Date 6/26/01
No. 22170
Owner Name3 Amigos Properties
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
APN # 604-050-036-2
Jurisdiction La Quinta
Permit #
No. 78-468 Street Hwy. '111 Log #
City La Quinta Zip 92253 Study Area
Tract # Lot # Square Footage 2969
. Type of Development Commercial No. of Units 1
Comments
ial bldg. is a Del Taco
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying school fees at this time due to the following reason:
Commercial Building
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
.33 X . 2,969 or $ 979.77 the property listed above and that building
-4
permits and/or Certificates of Occupancy for this square footage in this proposed project may now .be issued'
Fees Paid By CC / First Community Bank - Jerry Walker Telepha
Name on the check
r. -
By Dr. Doris Wilson'��
Superintendent
Fee collected /exem ted by Annette Barlow
Signature
ko,
Payment Received $979.77
Check No. 101083
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the data on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the DistrictCs)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
'City of La Quin'ta
Developers Project Approval Form
Prior to the issuance of -Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval. Contact applicant for resolution of conditions preventing or delaying app�'�!�
Project: Del Taco @ Point Happy
78-468 Highway 111
Applicant Contact: Jerry Walker - 760 772 2984
Application / Circulation Date:
Community Development Department
I
hris me Di Iorio, Planning M ager
Public Works Department
s
Steve Speer, Senior Engineer
Building and Safety Department
o
Greg Butler, Building and Safety Department Manager
(SivaIND
0103NgISSd
(31d0)
9NISS3008d 803 OA0N
Nickie Gormley
Counter Technician p
Building & Safety ��► S w <<-�—, 8� c ►.�
05/14/2001
Date
/v
Date J
Date
Date
City oQuintaLa
Developers Project Approval Form
Prior to the issuance of Building Permits for the project listed below, the following Departmental
clearances must be obtained. Please return this form to the Building and Safety Department only
after approval: Contact applicant for resolution of conditions preventing or delaying appy!
Project: Del Taco @ Point Happy
78-468 Highway 111
Applicant Contact: Jerry Walker - 760 772 1984
Application / Circulation Date: 05/14/2001
Community Development Department ■�
Christine Di Iorio, Planning Manager Date
Public W rksDe art ent
Steve Speer, Senior Engineer Date
Building and Safety Department
Greg Butler, Building and Safety Department Manager Date
Nickie Gormley
Counter Technician
Building & Safety
YOUNG ENGINEERING SERVICES
Engineering Architecture•Surveying• Building & Safety Services
Letter of Transmittal
To: City of La Quinta Date: 6/18/01
Project: PC #0105-044 (2" check)
Del Taco
Attn: Greg Butler W.O.:
Tel No.: Tract No.:
We are forwarding:
No. of Copies
1
1
1
1
1
X By Messenger By Mail Your Pickup
Description:
Plans (1" submittal)
Plans (2nd submittal)
Structural calculations (15L submittal)
Structural calculations (addendum w/PC responses)
Truss calculations
Comments: All structural plan check comments have been addressed adequately.
Structural plans are approvable.
This Material Sent for:
Your Files
Your Review
Checking
Other
By: John W. Thompson
Phone # 760-342-9214
X Per Your Request
Approval
At the request of:
47-159 Youngs Lane, Indio, CA 92201 (760) 342-9214
Bronz Young
ASSESSOR'S PARCEL NUMBER
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
APPLICATION, "EOR WASTE WATER DISPOSAL APPROVAL
APPLICANT Submidt'Al`krx'm� -with four copies of a SCALED plot plan (1 20' 1"=40' SCALE) drawn to County specifications as indicated on the attached
*'filing
check list. A non-refundable ' fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this
application shall remain valid for a period not to exceed one year from date of payment.
LMS #
Agent, Contractor, Contact Person
Address City State Zip
Telephone
<
Owner Address State Zip
'> City
) e v) CO X n
Telephone
"iu - 'i -A
0
1--
Job Property Address City
n.4-) )A tll\ 1-111,.0 .
Zip
cm;0 -7
0
U-1
Lot Size
Water Agenify/Well
Use of Permit, P/P, SUP, PUP, etc.
Legal Description
DBA
U)
CLl \'A
Dwelling, MH Site Prep., etc.
Signature offApplicdnt
e
Date
FOR OFFICE
USE ONLY
GH/ECK BOX IF REQUIRED
If any box is checked, this application shall be considered rejected until the
Q Detailed Contour Plot Plans Required (1 to 5 foot interval)
information is provided and the fee paid. Resubmittals later than 90 days
after date noted below may require repayment of fees.
❑ Other
❑ Staff Specialist Lot Inspection Required
00
Z
Q. Holding Tank Agreements Completed
LD
(J Certification of Existing S.D. System Required
Thomas Bros. Page Grid
1--
L)
LU
Q WQCB Clearance Required
❑ Date Lot inspection Completed: Initials
(Attach for DOH -SAN -007, Santa Ana Region Only)
Remarks:
El Soils Percolation Report Required
Q Special Feasibility Boring Report Required
❑ Maintenance Booklet Provided
❑ Final Inspection by Department of Environmental Health is required.
❑ Rereview Required Initials Date
Please call 24 hours PRIOR to inspection.
C/42 Soils Percolation Boring Report By Lic/Project # Date
Soils Map Page Soil Type Approved By Date
No. of Systems
Type of System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate
(jl;gase1,Sand.
NQ Holding Tank Replacement
(D
Bedrooms, Fixture Units
Grease Intcp/lf'I?Tt1T-r8p
%
a New C] Addition
❑ Existing Connect•to Sewer
(D
'T
Gal.
Gal.
Sq. Ft.
Total Linear
Sidewall Allowance
Leach Bed sq. ft.
Bottom Area
Ft.
ft. rock/ sq. ft. running ft.
Install—Line(s)_ft. long ft. wide
of Bottom Area
y
Inlet Tested Depth Q N/A
with min. inches rock below drainlines
0
Proposed Bottom Tested Depth .
or
Z
Leach lines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below Inlet (131)
Seepage Pit
Maximum
Other:
0
P:
Applicable
I
Total Depth
Allowable
Q
N/A Overburden Factor
C1 5' LI 6'
TD
Depth
U)
Well Review Approved: SIGNATURE Date: Well Drilling Permit#
ISN
If
Grading Plan,,Apl5roved: kv 'A
Date: -r
SIGNATURE
I
Plan C heck`6 n I y'App roved: Date:
REMARKS! ("A i (AN 1'( 'k
P4'0* 0 V7
This application iqAPPROVED/DENIED for he category checked in
'I.
SECTION B above, regarding the design of a disposal system aslindicated
on the accompanied plot plan, using the requirements set forth in SECTION
C above. A building is for installation
permit necessary the of the above-
Revenue Code Fee $
designed system. No construction is permitted in the required reserved
100% expansion area.
Check # 7 h V4 C T 6
(1) Septic Tank must be 100' minimum from any wells.
(2) Leach lines must be 100' minimum from any wells, including expansion
Date I' i i 4 Initial )c_
Z
0
area.
_s
(3) Sewer lines must be 50' minimum from any. -wells.
LU
U)
UU
(4) Seepage pits must be 150' minimum from any wells—in-cluding expansion
RIVERSIDE: 909 -955 -0,999 -
area.
2
-INDIO: 760-863-7000
SOUTHWEST: 909-600-6180
SighaturO
6, u tv
Date
DEH-'Sttry- I ZZ Imev I VIYU) uistribution: VVFII I E—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROD—Plans/Records
DIST.# COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
PLAN CORRECTION
Plan Check # D) ^ 0 -�-7 Date S
DBA. Address %
Plans Submitted by a r i ' �� (� ` Phone 7 ? 2 '
Owner
Address /.9 rn /J�.y '' Phone
/The plans are now approved subject to the conditions listed below and the attached compliance sheet.
r I r
0 / ✓i n �, n i • ft I r l^.0 r (, r, _�1 4 (� Csti C.. ✓ J ' i± C:, t r C ( r ' Y id (' ( C_
4
!�( lrtY�(.4,
C/ o n/ (? 1 . n A Y <f / r C l iCN
111k;ri!�(d'fi "l�fIC
I
CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approx-
imately 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 fmade at least five (5) working days in advance.
PLANS CHECKED BY ✓ t `^"` Phone
I acknowledge the corrections noted'herein and as indicated on the plans and agree to incorporate them during construction:
Signature-
Company-
Date
ignature`
Company -
Date 1"r A i
DOHSANA78(Rev 1/92) W -OFFICE — Y -APPLICANT — P -BLDG. DEFT
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply. //
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours;
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta-104 92253
SIGNATURE/DATE
�POERTY ADDRESS
(9 10-5
PERMIT NUMBER(s)
• �// p / CITY OF LA QUINTA SUB -CONTRACTOR LIST
LO JOB ADDRESS-1iR 7 (,// D ,�Z1.) �� PERMIT NUMBER OWNER -77-5A, /�'� - q e SP` ;:�U1LDER 9< <"v
Wince..a nicuous Only persons appear list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply wig result in a stoppage of work and/or the voidance
Q_ of bui 5nV =iL For each 22plicable trade, all information r uested below must be completed by applicant. 'On File' is not an acceptable response.
. Tr.ti i ry.�tiML.i.. _ .Cennfef.r .lr.►.'a......�;.:.:✓_ i ,.
CD
m
CS)
m
M
Company Nsrm
Classification
la.p A. B, C�1
Lieanss Number
lnucsal
Exp. Dm
(xahuhud
Csrrisr Nam&
la.g. Sub Fund, CalOasnp)
Posey Number
Wonnxt varves)
Exp. Dab
icshs/aa)
Lkvms Mm
lxx]Lxl
w�iijl �c i .
zs C� Cvc�s'<e� . c tion
(�
7aSa.S3
7 t o Z
elA eEn W n
b.3 K� t3 5.38
U011
7 3/
S'tR't"�,
\kz`-kOC10a-o1
Co 30
OQ917
siklln. aim IC s11
(013'7044{
(31 02
�ti-�-Una -C�
C'I- Sc, ES
t 02
0085
4A80 WV it 2,=
P<wWi,+o (C:361
G
3(030L);1
731
-XraemIr\%N Zlv
lowc of i (.qz-pp
ar
6sas _ /6 bf
wiN: itAdTBt {ca6)
B C. oma? nr c`
- 1
.2 l 3 ! O 1i
q 3.:. 3y
LJG � D53
� e 3 o t
� y
444/1 `
""ALL tc s► :.
��nst�uC ori
CoS1
7 1 Oa
Ck,_e-kn tsoy\
0i-csa
t
�-1fa9
9
mt��ea=n
ntoiog 3
t i �a
q IECTgcx K-110 ..
o LEC
C1 d
5 `7 a y o
g 3
�S lib �-�.�
p o o V. -A 7- 5 o
S 116-1.
O I a s`7
S/ -4k z
1100F1Ne1 ,l99._.: ':r7)/c,.S
lc�c;+sL7
of
3e3FY
tiles
+ n
/ 02
/�ZO
iizYo
ii4w,Biu {+ s3i : ` .
V -•- l .�n
G - Y5411
SY
) 03
S r6 -Te )C --S
')'6'f l
D 12:FAi
f) a o Y-5
sa
t Ltioi+li+o trri5l ._
L i �0 01:. r -4 ,tip
S i a y oz
�F�.,� n c.,,,,
I,> k 10 qZ G Y 1
I t O L
615/z-
o3
i IC -171"
L.,1DM oe:- >
o!. 1ScsLl
337
at]-7aL
3x31
la.Q.1-1. ob CC&
t3c,�DlloUS-[�o 1 t oZ
% G 2
OSv45mko2
sEVINy6iE Oq►: (C -a21 ,
�—Ll/3,)/03
v s
TG sT u 0 ► s a 1504
"It
ei�uwc tLF.e�aa)
'R&'D 'C�ns
-7�Sas�.
7 O
C!C eEn C1on
03Dc.eoo 1 -
4 1 0
/O � 9 �?
813-02
catiiMrs (e► ':- : =:: °:-t-ton
C3
-� rasa
31Oz
C'l a earl 60,1
03 k eoa 3
9 o
(a 9 9
y - 01
FElICIIlO IG733
'
LJINOdfGJIPBIO tC;2T1
�
—
_
T_i
L--L�
i3'7��3 531�L
�ND�.,.��,t
tvc�roc3aea
1�•o/I
C) y6L
ar7
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT.OF ENVIRONMENTAL. HEALTH
ENVIRONMENTAL -HEALTH SERVICES
SUPPLEMENTAL REPORT TO SAN. FORM # DATE
SUBJECT Oe n *k;;' c� PERMIT NO.
ADDRESS' Isf" y< d C
REMARKS:
INSPECTOR
�V_IPIID kill,.
0.0 C_ (I 01 4- (y)
C c-(
-C I , f fir)
-A
IF
to
DEH -SAN -116 (Rev 2M)
Distribution: WHITE—Office; CANARY --Owner; PINK—Office
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
4.
Beaumont
Cahmesa
❖
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
❖
Indio
Lake Elsinore
La Quinta
Moreno Valley
40
Palm Desert
•r
Perris
40
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson;
District 4
Tom Mullen,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, California 92570 • (9M) 940-6900 e Fax 909 940-6910
June 20, 2001
To: City of La Quinta
Building Department
Re: Release for Building Permits
SDP 2000-680 / Del Taco — La Quinta
The Riverside County Fire Department hereby releases the above referenced project for
issuance of a building permit at the discretion of the Building Department.
Respectfully,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
H:IPE2AWPDATAMAOUINTA%PROJECTSIBLDG_PCISDP2000-680 SP Release.doc
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
DEC- 5-0`1 WED 11:43 AM RIV. .CO, FIRE P&E,INDIO FAX N0, 1 760 863 7072 P. 2
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
2t an Jacinto Avenue • Verris, Califom a 925 Xu. ax 891
Tom Tisdale
Fire Chief
Protidly serving the.
wiincorpora tcd
areas of Riversid¢
County and the
Cities of
Banning
o,.
Beaumont
Calimosa
P
Canyon Lake „
r,
Coachella
Posen i lot Springs
00
Indian Wells
bidio
Lake Elsinore
La Quinto
Moreno Vallcy
44
Palau Desert
Penis
Rancho Mange
San Jacinto
Temecula
Board of Supervisor
Bob uustor,
DWict 1
Jolut Tavapjione, +
Distrid 2
Tun Vcnable,
Distrid 3
y
Roy wilson,
DiOrid 4
Tom Multcn,
Di«rid 5.
December 05, 2001
City of La Quinta
Building Department
Re- Fire and Life Safety Clearance
The Riverside County Fire Department is granting a fire and life safety clearance for the
occupancy of Del Taco.
' l '
4
Respectfully,
FRANK KAWASAKI
Chief Fire Department Planner
By Terry DeSoucy
Fire Saf�pector
EMERGENCY SERVICES DIVISION 9 PLANNING SECTION • INDIO OFFICE
0
September 28, 2001
CITY OF LA QUINTA
78-495 Calle Tampico
La Quinta, CA 92253
Dear Sir:
As requested, I have observed structural components and am satisfied that it has been
constructed in compliance with the intent of the plans for the Del Taco #881 at 78-468
Highway I I I/Washington.
If you have any questions or need more information please call me at (209) 522-8031.
Sincerely,
THOMAS J. OWENS, P.E.
o PRO F ESS/ON
J. 0
~� �L
rn
No: 53530
EXP. P
Jjq C/VJL \P
TF OF CALF 3
6111 1 701 slrvv[. tiuitr �)• 1, Sluilrsl i. ("A 9;53: i•1 Ph 120) 51228113.! fx. 1211!1: 2-47:)S
0
tD
OWENS DESIGN CONSULTANTS
August 22, 2001
City of La Quinta
Building & Safety Department
- P.O.-Box 1504 _
78-495 Calle Tampico '
La Quinta, California 92253-.1504 '
To Whom It May Concern:
In regards to the Del Taco building, 78-486 Hwy. 111, permit #0105-044. It is approved for the
building slab to be 6" PCC with fiber mesh reinforcing and # 3 rebar at 18' on center placed over
native soil. Please feel free to call if you have any questions.
Sincerely,
Thomas J. O , P.E.
O Q�OFESS/pN�l
<z-
Q.)
z-
Q.
No.53530
EXP JUN 3 0 20
sT C1V1L
qTF OF CAV�F�P
801 17th Street, Suite D-1, Modesto, CA 95354 Ph. (209) 522-8031 Fx. (209) 522-4738
•, I
ool T
O �p •
v S
• ' 'mow
C�hf OF
9�V
DATE: (JULY 27, 2005
TO: GREG BUTLER, BUILDING & SAFETY MANAGER
FROM: FRED BAKER. PRINCIPAL PLANNER
SUBJECT; Site Development Permit 2003- 765 r Certificate of Occupancy
for Point Happy Plaza multi -tenant building
Staff .has field inspected the above referenced building for occupancy and has the
following comments:
1. Landscaping in the landscape setback area along north property line of Del Taco
and along the CVWD property edge (which is to the north of the entire Point Happy
Commercial Center).. Requires the following:
• The California Laurel. Cherry Shrub is to be maintained at a five foot
height along north property line of Del Taco. The dead plants.
shall be replaced prior to Final Occupancy.
• Bougainvillea is to be installed-, per the approved landscape plan,
along the CVWD property edge prior to Final Occupancy.
The Community Development Department can approve -a Temporary Certificate of
Occupancy for this building .
C: Rick Wilkerson, Project Manager for Point Happy Commercial Center
Jerry Walker, Del Taco Franchisee/Mans er
Danny Crawford, Building Inspector
PAFRED\MEMO SDP 03-765 OCCUPANCY.DOC
Certificate of OccupancyOj
City.of La Quintal
Building and Safety Department
. w
This Certificate issued pursuant to the requirements of Section 109 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: s
BUILDING'ADDRESS: 78-468 HWY 111
Use Classification: COMMERCIAL RESTAURANT - DEL TACO Bldg. Permit No.: 0105-044
Occupancy Group: A-3 Type of Construction: VN Land Use Zone: CC
Owner of Building: 3 AMIGOS PROPERTIES Address: PO BOX 11527
Building Official
City: PALM DESERT, CA., 92255
By: RICHARD R. KIRKLAND
Date: 12/6/01
POST IN A CONSPICUOUS PLACE