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9607-047 (CSCS)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9'(coInmeocing with Section 7000) of Division 3 of the Business.and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 278221, Ab C-9 C-27 % W28197 'Date , Signature of Contractor � ;,_ ` OWNER -BUILDER DECLARATION t I he�ebyaffirm unde�•penv alty, of perjury thai I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 `issueld. ' workeirs' compensation insurance carrier`••&, policyr no.' ar$: Carrier Policy No. . (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 California, and agree that if I should become subject to the workers' compensation provisions of Section '3700 of the Labor Code, I shall forthwith comply -with those provisions. ,Date: r ) ir. Applicant Warning: Failure to secure Workers'. Compensation coverage is unlawful and shall subject an employer to criminal penalties. and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or'pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and-void.if work is not commenced within 180 days from.date of issuance of such permit, or cessation,of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature `(Owner%Agent).-,/• y-� ' X- Date!` /_, i BUILDING PERMIT PERMIT# 96074147 CONTROL# 3888 DATE I g I,�iY VALUATION.. SB�,39.5.f$U LOT TRACT JOB SITE *rs1 �rYF�ti'4 APN ADDRESS d q77 r J OWNER CONTRACTOR / DESIGNER / ENGINEER T."..V.AULION1 C"ON rRUCT[ON & I'MRV 3405 AtZ.LINca"FON VE. ANA14F OO CA 42130: RM-ERSO CA 92506 7114-5M271.121 f } }f£34r 10 fAFU,ta t\I41) A, 18,CX jATI_3S C;Ltt #! -3142 USE OF PERMIT CC;N4k.48,RC:tAL 17m)2 MITCHELL R"Vihrl: 0A WY71A kQY4 'AVRf1N'I` ' ' E„t,2i�?`a`K:,S,"L'V�11V1c��tJtd`!` I?.2. E8t}�f31/ L.:: • :��;!:' '3iE :P4' '��) C'ua:,);� k :,7F*' gr's Pti '.4`. tYTt�°:t' �N pp(gp 'a•• g�ayy` y+p pp ON!!.V'ZE`)t:'C'iC0414�E 101.MX-418-000 io 4,s AN,,":lll^'t d ^1 E 1{!! •�hdi 1:kA7r 42.E wry .."14, , V f 1,.t.117tt ! 1{i! it+JIR Sit1 }'viE0..tA.t ICA1. FFR 1.01.000-42:11- N111 C?[.f?sl'fFi�';1(:4<"ff ':41it�•ti!)12�.1:�i?-l�t� �,i3�i.IJfD • 1`.1.,R.'�'#S4i�df:ai'rr:dS� •1�1.(N}t;xri9�•(?t.°� �.:";S):'?f9 :rt'1L+Sl4+Esi VSA 1!'iR:1V IT t +.f•i1rt�1• li4t�-1tt�fii�11 •(:lit) $.1++7 (;RAI)tN(.; tjEH 40.11=00423AN) $m(to ART IN PUBLIC 171,ACH011.. r.;ONIA 701 09)25.5-000 $666,03_' €J1 ,r(?I1R:l�='��1t ?"R . fr".t'it?N iC3.l .I't, �?�F` l.F Ct a2,'i��3.3'1 1 t"S t�ttt f't�Ii"C:S _50.00 A� D�e� : ►.afar � 3 EES DUEE-NO .x+11.864.94 AUG, 2 2 1996 1' By. RECEIPT DATE BY DATE FINALED INSPECTOR 1 INSPECTION RECORD f - OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation I Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location :•. Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral — Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: T�,I T2 r lCt s Cr►?%a�✓ ✓�•��t.-� (� r� 3 �NT��;x�� PA ` r0 P -l ,,pp Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole – Underground Conduit —sat Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) P.O.TAiyl Box t5oa76 APPLICATION ONLY Buildinr Addrress `W ! �! �+ QJ I,X"�OL 7&105 CALLE LA QUINTA, CALIFORNIAORNIA 92253 Owner "��05i�OA L C— MailingBUILDING: TYPE CONST. r" OCC. GRP. Address �Vv P")& 61`067,5 A.P. Number (2i 7 ' 0 910 V 77 G City Zip Tel. � YN44eirro"ll, 1711-15iS.'2702- Contractor ('0A% X +Ji;J^ °�$vt� WeS`C- Gulp . Address � {� 17t0��j Cit Zip Tel.. �AJAAC-1VIII 19 State Lic.l �(o ® -3 City &Classif. � .Lic. # Arch., Engr. Designer. 'TCI r1Os 4- Sr: Address - Tel. . 1 � 2 M k.+c V1.et fiq t C fZV p V, -,L Zip ��, a" ii � State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby`a(firm that I aj(n Its ne sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 othe Busies an rofesstons Code, and my license is in full fort and eff/t 6_M, fit S GNATUR II DATE' OWNER -BUILDER DECLARATION 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 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 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, Buisness and Professions 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, 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 of proving that he did not build or improve for the purpose of sale.) I l I, as owner of the property, am exclusively contracting with licensed contractors to con- struct 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 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Il+am exempt under Sec. B. & P.C. for this reason Dater' Owner WORKERS' COMPENSATION DECLARATION 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 rl Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5100) valuation 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 California. Date Owner NOTICE TO APPLICANT:. If, 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 this permit is issued. (Sec. 3097, Civil Code.) . Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and he b authorize rfpresentativis -of this city to enter the above-. mentioned property for in pection burposes. (— Signature of applicant Date 6-�4 '1 v Mailing Address City, State, Zip L-1 A ,AD i Q Cit AI) BUILDING DIVISION Legal Description ^� A,, Project Descrription t�v`c�v... A,y-yp Pe -5 t wo, r t7�— t Sq. Ft. No. No. Dw. Size Stories -Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT * - Plan Chk. Del: Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by: Validation: INSPECTOR __Permit n Julv �v CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FE'F 1ST FL SO. FT. @ $ 2ND FL. SO. FT. 0 POR. SO. FT. (dZ GAR. SO. FT. @ CARP. SO. FT. GC WALL SO. FT. SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11A c SEWAGE DISPOSAL SO.FT.GAR @ 314c HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. g plus xb =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION ,— FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201619-775-3500 CERTIFICATE OF COMPLIANCE Date 8/21/96 No. 14809 APN # 643-080-037/039 Jurisdiction La Quinta Owner Name Boston West, LLC Permit # No. 78-752 Street Highway III City La Quinta Zip 92253 Log # Study Area 123 Tract # Lot # Square Footage 3182 Type of Development Commercial No. of Units 1 Comments 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: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of .30 X 3,182 or $ 954.60 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By cc/Wells Fargo & Co. Name on the check By Dr. Carol McGrew Administrator in Charge Fee collected /exempted by Pauline Pearson Signature �k A 0 P Q'AA 0 Telephone 714-518-2782 r = �. Payment Received 4 `' 1$955.60 Check No. 0628030790 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 Quinta Developers Project Approvals Form Prior to the issuance.of Building Permits for Boston West, LLC Restaurant at 78-752 Highway 111 the following Departmental clearances must be obtained. Please return completed form to the Building and Safety Department at your earliest convenience to ' expedite the permit process. The plans have been revised to reflect the 1994 code change. After the completion of this phase, 18 units will remain of the 54 units approved in Phase 1. Planning -and Development Department Plans submitted Date 4 /CJ� Greg Trousdall, Associate Pla er Date qSt eer' Department' Senior Engin er Date Building and Safety Department Mark Harold, Buildi Health Department Fire Department School Fees Paid Safety Department Manager 2t '6 Date Date o i Date Date Ms. Christine Di.Iorio Planning Manager City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 RE: Boston Market at Highway H] at Simon Drive Dear Christine: Boston West, L.L.C. P0. Box 61083 Anaheim, CA 92803-6183 714 518 2700 Phone 714 518 2718 Fax August 19, 1996 Thank you for your continued help and consideration with this project. Per prior conversation, please accept this letter confirming our understanding this project, although approved by the Planning Commission, as of this date, is within the "appeal period" per City code. Boston West, L.L.C. therefore accepts responsibility for any changes that may be required through the appeal process. Further, Boston West will hold harmless the City of La QuintaJor costs associated with such changes even though the City has issued building permits, allowing construction to commence within this "appeal period". Again, thank you for your assistance. Please contact me if you have any questions or need further. information. ' Sinc r Senior Project Manager cc: Mike Calahan abake r/projects/laquinta/city01 T M9'M0RANDUM T0: Building and"Safety`Department j FROM: Wally Nesbit, Associate Planner I DATE: August 21, 1996 ; RE: BOSTON MARKET In reference to the above permit, please include the following information on the building permit unless it has otherwise been provided by the applicant: • Legal description - Parcel 15 of Tract 25865 • Assessor's Parcel Number - 643-080-024 I -Additionally, the applicant is required to submit a hold -harmless agreement to the CD -Department for any work done prior to the appeal period lapsing for the Planning approval. While this period will likely expire well before the permit issuance, please check with Stan Sawa as part of any corrections. My understanding in talking to the project contractor is that they have 'been told this work could begin today; if the agreement is submitted, then site preparation can begin. c: Planning Manager Principal Planner, Current Public Works Department J�,:, �, MkI/�Iyf.W�WINWII� . 061111(610) XY% r l8i9"tlt wo) t011� IrJ' )19 «Ir1 %440 ro UNMO 901S0$9 QKztomd 90192Q70 NOIJ,tm4na TtIQ -77 to AfUU014 4u8W4.rrd*Q PATd keT40 Si0Sa rH QNOWAVW �ciU h YP�•bR , o . •. w. o0T3�rg buTuurpid �uew;.�wdrQ muT� e4� a�•}ud� o� r�r�Ttey♦j;Qu p r•*etd gra;4vw 4744 nuTPurOeu SWO144Nnb Aue eAly Ptna4s MCA ti PNJTnbeb 4oN srrA PTwd ICN Imazi DSMa! 11rNr� 13NC XOSHZ www�r�MY�WrrrrN.rrrrN.rrr�rrrrr�rrrryM«r�.rrrrr�r �rrrr �rw�wy MYM�M MM r�rw Mr Amuedhzz0 Jok I*uTd lowild trews .Atu0Mg. ar�eW: 4W4WdCX4A4C A&W4J1nj umT �epao�ea teuT� 13NO X33HO M�rrr M, Ob.ti •www.wrrwr,rr�M�rrrrrwNlNur NlM dwwr�rrwrrr•. h�N Mr.rrN.N.-rwrwn.wrww"rwr�r�.ww��w � �sse�rtPp�1 IJBQWnN 601 420 PO id 44 a - 56OW4 t 84 AQNJ4 t yet rq ped 11S t 4 ueu��u�drQ r>o.�Ts# OPtrJ4AT�1 dV,L t E8t�•LrQ (btL) - odnvn 'Siff ma . 4n ki4 Aa m kitAVt .tut vee .. A40WS puw euTpITnd sm l i �a %, udAenanq 4urW4.rNdrQ buTuu•ta�~�� eol 1 reed �11.��$ � ,d�xKD 8�txd X11dt10J 9330 eq 13:56 FAX 714 250 1676 ,4 TARLOS & ASSOC. 444 BOSTON PACIFIC 9002'/008 IVERSIDE COUNTY Y - COUNTY -s-. r FIR+ DEPARTMENT ~RIVERSrE J. M. HARRIS 210 WEST SAN JACINTO AVENUE PERRIS, CALIFORNIA 92570 -.(909) 940-6900 FIRE.CHIEF Juh• 8 1996 Mr. John Baker Boston West, L.L,C. P.O. Bos 61083 Anaheim, CA 92803-6183 Re: Conditional Use Permit 96-027 PLAN CHEF ° Fire Department personnel have completed a review of the plans you submitted for the above referenced project and have no conditions or corrections to be met prior to issuance of building permit subied C The Fire Department is required to set a minimum fire flow for the remodel or construction of all By_ commercial buildings using the procedure established in Ordinance 646. A fire flo-w of 1300 gplr. fora 3 b hour duration at 20 psi residual operating pressure must be available before ani' combustible m2terial is placed on the job site. The required fire flow shall be available from a (Super) hydrant(s) (6x4" x 2-1/2" x 2-1/2") locate:i not less than 25' or more than 166' from alit• portion of the building(s) as measured along approved vehict-dar travel THE MUST BE MET PRIOR TO OCCUP: 1. Install Kaox Ker Lock boxes, Models 4400; 3200 or 1300, mounted per re: om.-n=ded standard.of the Knox Company. Plans must be submitted to the Fire Department for approval of mounting location/position and operating standards. Special forms are available from this office for the ordering of the Key SWItch, this form must be authorized and signed by this office for the correcth• coded system /� to be purchased. J 2. Install panic hardware and exit signs as per Chapter 10 of the Uniform Building Code. 3. Install portable fire extinguisher's per NFPA, Pamphlet 910, but not less than 2AlOBC in rati.ag. Contact certified ei-tiri9Wsher company for proper placement of equipment. 4. Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted, along with a plan che.k/inspection fee, to the Fire Depm-=cnt for re,%iet;. -I- FIM PREVEYnON' DIVISIO\ 0 RIVERSIDE OFFICE PLANNING SECT10N' ZrtND10OFFICE ��---- . - . - ..... •u tau A—. c..-,.. a— '(IQ infun rA 91301 _ .r:..-<4<-.aws.t t-..;�;i.'-�'w...�i.;'f-wt*y�;zj�tl"•d•3kt�L'frti.'�''�`�'+'rtrYi�tits,�i•.+v}'•s�!34�I;t�1ra+�+t,�•A,�i�,7r+ti�FC.W,i:•,,�'~.+k'��v',7f�ti•f`.�{"a.�w;'•Y,'1T+-'wy'v�y=psi-"t�y��} -�r• s+.....-..-...• ASSESSOR'S PARCEL NUMBER COUNTYOF-RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH PERMIT APPLICATION -FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM APPLICANT: Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this applica- tion shall remain valid for a period not to exceed one year from date of payment. LOG #� Agent, Contractor, Contact Person Address City State Zip Telephone Q OkNrier 1 � Address City . stateZip P(goo610¢3 AmaAP.1kACA 92_�03-9/p Telephone Z � Z Job Property Address City Zip Lot Size ater°Agency/Well ! Use of Permit, P/P, SUP, PUP, etc. Legal Description tU JJ U) Dwelling, MH Site Prep., etc. 'Signature of Applicant Data l CHECK BOX IF QEQUIRED� ❑ Holding Tank Agreements C Ipnts C temp ted ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) ❑ Certification of Existing S.D. 4Sys m Required ( ❑ Grading Handout Provided to ❑ WQCB Clearance Required ❑ Staff Specialist Lot Inspection Required Z 0 (Attach For DOH -SAN -007, Santa Ana Region Only . ❑ Lot Inspection ; U ❑ Soils Percolation Report Required ; ❑ Date Lot Inspection Completed: Initials W U) ❑ Special Feasibility Boring Report Required Remarks: ❑ Maintenance Booklet Provided Initials '. Date ❑ Final Inspection by Department of Environmental Health is required. C/42 / Solis Percolation Boring Report by UcJPro)ect If Date Soils Map Page Soil Type Approved By Date No of Systems t Type of System(s) No. Dwelling Units (1) Septic Tank. . Soil Rate Grease/Sand ❑ Holding Tank ❑ Replacement 13 New ❑ Additio'n Bedrooms, Fixture Units Grease Intcp/Unt Trap ❑ Existing Gal. �(/VO Gal. t i Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. of Bottom Area Ft. Bottom Area ft. rock/ sq. ft. running ft. Install Une(s) ft. long ft. wide with Inlet Tested Depth ❑ NA min. Inches rock below drainlines or-- 0 Proposed Bottom Tested Depth Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Other: O ` Total Depth Allowable Applicable Depth W N/A Overburden Factor .O 5' ❑ 6' TD Well Review Approved: ----Date:J Well Drilling Permit # SIGNATURE i Grading Plan Approved: Date: SIGNATURE - j' Sewer Verification Approved:' Date: REMARKS: s' This application ISAPROVED/DENIED for the category checked in SECTION B FOR OFFICE USE ONLY above, regarding thek,design.of�a subsurface disposal system as Indicated on the acompanled plot plan, using the requirements set forth In SECTION C above. A build- l �j no Ing permit Is necessary for the installation of the above -designed system. No construc- Revenue code / .2J Fee $ U 1 . tion Is permitted in the required reserved 100% expansion area. _ (1) Septic Tank must be 100' minimum from any wells. -(] Check (2) Leach lines must be 100' minimum from any wells, including expansion area. DateInitial (3) Sewer lines must be 50' minimum from any wells. Z O_ (4) Seepage pits must be 150' minimum from any wells, Including expansion area. U • W Signature of Health Official ( // ,Date / i DOWSAN 122 (Rev 9/93) Distribution: WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROL=Plans/Records V f' COUNTY OF RIVERSIDE�HEALTH SERVICES AGENCY DEPARTMENT Of- ENVIRONMENTAL HEALTH . ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT !C)(C ks , ' `C +1'-l�e4 PERMIT NO. ADDRESS %� 7S'�fj. / INSPECTOR REMARKS: O / - C � t�(C L e.� C I ,[ o A 1,<S I WS T W �' � � 4✓1 Q,orc-mac �e l �- c 1b�4r e,,� t �lS .��} n, .-� ,oass4` r,, cJ i v\ c>j- IOC-r v �o c� C��, S.1' �ti /4.400 revJ OJ io { C- C i tTQ r' DEH -SAN -lie (Rev 2i96)Distribution: WHITE—Office; CANARY—Owner; PINK—Office :Oct. 18, 1996 !;4 24PMPROENVIRONMENTAL. 818 700 2869' � A m IC Cd iog A maoftwaing Corp. P.O.13= 978 AC QK 744M Tn.; (919) 682.7791 FAX: (913) 682-0134 TO: David CO eANY. uci.luVo. 2449 S: P. 2/2J 1 t IFACSYMII,,E CORRESPONDENCE FROBU LARRY CUNNMGMAM Ceumfolt Sl►s om% Inc. DAM 1018196 FAX 9: SM -7M,2869 sum=: Boston M,0104 Lri Qwnta Namber of paM induAng tW cover sh"t 1 ' For the CUY of L4.Qnin&, CA - Atm: SuildinB Inspocdm To Whom it Wa have wowed dW pzopated ingaila m cfACdl& hUM PNU163Ro fxn on silo subjat SO= and Wo an cm d= that *0 &a wily c"pera�oc =My and prWadY vr& tha fan di4dwp W=ad 46 in abM do mof 4aa and 42 in from a 49 is high pwapoL {{t `itF ACME ENGDlEiAtWO & MANUFACIZ PMO CORP. 7 -7 K. , Manager. Food Sorvics F4WM nt i 1-19-1995 5:32AM FROM C0 WS. ULTANTS P. 1 Richard Plump, P.E., Principal Mark Tomita, &E.,Associate Joe Hoffmayer, S.E., Associate Cons,ulting engineers August 19, 1996 i Stephen C. Jordan Tarlos & Associates 17802 Mitchell North ` Irvine, CA 92714 k RE. Boston Market La Quinta w j PBA Project#960602 } Dear Steve: c PBA Consultants has reviewed the 'Truss Joist' drawings on the above-mentioned project and there are no exceptions taken except at the entry`canopy.. The canopy stops at the building's wall and does not extend over the main roof. Ifou should have any y questions, please do not hesitate to call. F r Sincerely, • Richard Plump, P.E., NCEES Principal I PBA Consultants . i RP/mr i r ?n7ni A w Rirrrh Ct Chit= ? .n Rnnnh t.& 07AAn . r7 IAN d7e_71 n11 . tCAY f71 AN n7n_n7nn DQ AAtci.,....hf?Af1 Certificate of- Occupancy City.of LaQuinta Building and Safety Department 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: BUILDING ADDRESS: 78-752 HIGHWAY 1 1 1 Use Classification: RESTAURANT Bldg. Permit No.: 9607-047 Occupancy Group: A3 Type of Construction: VN Land Use Zone: CR Owner -of Building:. BOSTON WEST, . LLC . Building Offi TEMPORARY - 30 DAYS ONLY Address: P.O. BOX 61083 City: ANAHEIM, CA 92803 By: KIRK KIRKLAND Date: DECEMBER 5, 1996 POST IN A CONSPICUOUS PLACE Certificate o -f Occupancy', City.of La Quinta Building and.Safety Department. 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: BUILDING ADDRESS: Use Classification: RESTAURANT Occupancy Group: A3 Type of Construction 78-752 HIGHWAY 111 Owner of Building: BOSTON WEST LLC Building Official VN Bldg. Permit No.: 9607-047 Land Use Zone:, CR Address: P.O. BOX 61083 City: ANAHEIM, CA 92803 By: KIRK KIRKLAND Date: 8-18-97 POST IN A CONSPICUOUS PLACE