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04-3640 (RC)s U ,�-------���"--x�1SO"� BUILDING &SAFETY DEPARTMENT b P.0''.Bo_4 (760).777-7012 w 78-495 CALVE+, TAMPICO " OFT` 11 FAX (760) 777-7011 LA QUINTA`YCIALIFORNIA 92253 INSPECTION REQUESTS. ,(760)'.777-7153 cjFIN AF ffiUpT" . ; BUILDING PERMIT • , Application Number . . . 04-00003640 Date 9/21/04 Property Address . . . . . :� 78902 HIGHWAY 111 J APN: --643-080-051- - - Tenant nbr, name . . . . . . THAI SMILE REST. T.I. Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . . REGIONAL COMMERCIAL Application valuation . . . . 300000 Owner Contractor --=--------------------- ------------------------ ONE ELEVEN LA QUINTA OWNER C/O SABBY JONATHAN 42620 CAROLINE CT STE 102 PALM DESERT CA 92211 -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . ASSY BLDG <300 NO STAGE Flood Zone . . . . . . . . NON-AO FLOOD ZONE Other struct info . . . . . CODE,EDITION 2001 FIRE SPRINKLERS .� YES • OCCUPANT LOAD 265.00 FIRST FLOOR SQ FTG 5306.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 1339.50 Plan Check Fee 870.68 Issue Date . . . . Valuation . . 300000 Expiration Date 9/21/05 Qty Unit Charge Per Extension BASE FEE 639.50 200.00 3.5000 THOU BLDG 100,001-500,000 700.00 ---------------------------------------------------------------------------- Permit ELECT.- ADD/ALT/REM Additional desc . . Permit Fee . . . . 121.12 Plan Check,Fee,. 30.28 Issue Date . . . . Valuation 0 Expiration Date 9/21105 Qty Unit Charge Per Extension BASE FEE 15.00 5306.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 106.12 ---------------------------------------------------------------------------- s P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: z3id - 36av Applicant: Applicant'sMailin !Address: /Zo ors ale Date: -Architect or Engineer's Addres 77//S� 1,494 Qyass: P/1. /!✓P,(,4V 4IC&S Coa gzv o Lic. No.: BUILDING PERMIT DECLARATIONS 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 Class License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 thea icant to a civil penalty of not more than five hundred dollars ($500).): 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 or 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.). U 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.). U I am exempt under Sec. , B.8 P.C. for tl is:�Son Date 2L WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the fo wing 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 Policy Number _ 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 Applicant 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 ($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. 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 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 Ouinta, 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 1 have read this application and state that the above information is 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 upon the e -mentioned property for inspection purposes. Date 9 LZ O Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00003640 Date Permit . . . MECHANICAL 19/21/04 Additional desc'. Permit Fee . . . . 359.00• Plan Check Fee 89.75 Issue Date Valuation . . . . 0 Expiration Date 9/21/05 Y Qty Unit Charge Per Extension BASE FEE 15.00 9.00 9.0000 EA MECH SUSP/WALL HEATER 81.00 5.00 4.5000 EA MECH VENT INST/ DUCT ALT 22.50 10:00 6.5000 EA MECH VENT FAN 65.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 26.00 6.5000 < EA MECH OTHER MECH EQUIPMENT 169.00 ---------------------------------------------------------------------------- ` Permit . . . . . PLUMBING ' ,. Additional desc Permit Fee . . . . 266.25 Plan Check Fee 66.56 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/21/05 Qty, Unit Charge Per Extension BASE FEE 15.00 35.00 6.0000 EA PLB FIXTURE 210.00 ' 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 25.00-. .7500 EA PLB GAS PIPE >=5 18.75 1.00 15.0000 EA PLB GAS METER 15.00 Fee summary- Charged Paid Credited Due Permit Fee Total 2085.87 .00 .00 2085.87/ Plan Check Total 1057.27 .00 .00 1057.27 Grand Total 3143.14 .00. .00 3143.14 i/ ceit, U 4 o ���1NIN OF I To: Greg Butler, Building & Safety Manager To CDD: 3/17/2004 From:Oscar Orci, Planning Due date: 3/30/2004 L Status: 1 stReview 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: THAI SMILE RESTAURANT-T.I. (Use) Address or general location: 78-902 Hwy 111 APN and/or legal description: 643-080-051 The .Community Development Department finds that: q ...these Building Plans do not require'Community Development Department approval. _ 1 ...these BuildingPlans area roved b the Community Development pp Y Y p Department. . Planning Date CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS OZ �j PERMIT NUMBER'.36�/t7 OWNER 911A/ Si�i/l6 BUILDER This or shalla os o e Bu' in s e io card es ' c s a Only persons appearing on this 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 will result in a stoppage of work and/or the voidance -- _ .. -'_--- _--- �---�_�_._J �.., ......�:.....♦ -ri Ciln^;c not an acCantahlA rBsnnnse. permit. For each applicable trade, all information requested below mu5t uc cVn1N1cacU vy 0PJJ— L. -- --- - -- - of building erm PP 1!SA... ccor:<s: aoe.n; Exp. Date license Number Exp. Date IxxXX) (xxlxxlxx) #'`•"»i:::•:: me Classification license Number Exp. Date Carrier Name Policy Number ss,:s^ Company Na (e. . A, B, C-8) Ixxxxxx) State Fund Ca1Com) (zz/xx/xxl .(e.g. P Format xx xx �y = 'FTt1LiV4)RI6<li:..�,zl:€r�'�" EA 411,4 • .r GQNCRE7?'!.381''.r '; �z /X I 7'ZS-0 zO s75 //0 SG HAM IJGT�"STEELYlC=5`.1`1<'A� <VfAClNR, - 3� x/90 3 �/ y 301-6 Z-4991 ✓ Ot 9L / /ZOO zq Z©Z ID/��/Of/ 8/ �� Z �Y 'PL ��FMIBINGi'.Cs�:6„.>`'i: /A! •�, e✓ASL o i✓ lD/ �� / / os srA �,� K/Ns 1�v 3 P � o 6- 000v/3 i z oz�y7 3/z�, os c r / � Z 9 �,. �- aIZ �o 5 !o � 04/ O 5 P z/�� 0 5.83 z%zgo - 0 K o � 3 8 �� �o i a fa Fel 5 � 9 3 S LEC'GRIGAL (C`ti01z ECE D c. d� r €RQOF NG�.I.. 2 - ZD O Z °/ 7 % 0 51- S G aoo 7-q ?0 !! v� Sids - ;SHEET (NErtA Ux � r 15 °.'IC'►s` GLAIN. WAL <2i` € INS:tJ1TlU•ItF�G4., y 7 ,e Ca D Te l�� -S - 0000 �.�3 / i oS 00 00 o/ /s' o ( ►IiIPSC6►F. NC iC 2X ...:,:r<.: Sm RIM its COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER 85-99$ Avenue 52 D Coachella, Calffornia 92236 0 60)398-2651 A,YPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL... APPLICANT: Submit this & me'w th a copy of a. SCALED plot plan (1 ° a 20'to 1" -44 SCAM drawn to . District specifications. A nomdandable filing fee is required when the app4cation is submitted. Check must be made payable to the Coachella Va q Water District. Approval of this application shall remain valid for a period not to exceed one (1) year from date of payment Plan Check No. Contact Person 64 ConftctorW 1L Address city state zip 4*0 ,�RAM6 1 AQAH A A 1x2"3 fthm WT 83201 e)Nt- tLMN tAalti-a I,I,G te zip `rAFi ►RISK R, M16 GAAddress cityS JZM I" 'Tdqphm 324-548 JobAddress City zip le 02 ow LAQ41KVkL�1 Mw, LA C4 I HLA CA ctzZ r� Legal �nMIL iN PQR. �i-. 62, Ar! X72. D21'12� DBA PLEASE CONWLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS NOTE: PLANS wmL NOT BE ACCEPTED IINLESS THIS APPLICATION IS COMPLETE AND TTI�IIfi PLAN COCK FEE IB PAID. GENERAL CONSTRUCTION: Type of Construction: 1(� ( New Food Facility.,X_ Remodel of Existing Food Establishment Hours of Operation' t0 eating C gacfW. Internal External in External Seating with Mon or Heetas Bar with Food Service ,14, Bar Nonfood Service Wates Sot3ener Service: Multiservice (rausable) X_ Single Service (disposable) OWNER/RBPRHSEfrATM DECLARATION: I cel t)r that I have read the entire awlication and state that all information is correct I understand that the amount of fee A is based on may declaration of imfcmation on this form and that inconect i = is gonads for denial of the submitted plans. I also nndamtemd that plans will be scarded if not picked up within sixty (60) days of approval or denial and that w inspection of my establishment will be conducted, or approval granted to operate, until all proper... }esti. has ban received and plans have beam approved and retmmed Signature Date t' I No. of Systems Typo of Systems No. Dwelling Units ❑ ,Sand/OIl ❑ Crease Interceptor Waived Fixture Units [it3rease Iatereeptor ,W&-jV Oraonyp& 6 -OX LRew ❑ g ❑ 04wzA" lrr�L, / ❑ Replacement 13Addition E3 Chuifier ❑ Connect sewer � to REMARKS: �,�iitvaa aye � eaae� � �4C,Gu-tJtJ Ala U Tbisr. is: ' A'p'proved 13 Denied ❑ Conditional Approval• Fee $U aD 60 %f fL',� �0� 25 Check Na "See Remarks Date INtld O S S1 a ...................................................................................... ....................................................... ....... SEP-21-2004 TUE 12:02 PM SHOVLIN COMPANIES FAX NO. 7607714431 P. 01/02 One Eleven La Quinta, LLC MICHAEL J. SHOVLIN 71-084 Tamarisk Lane Rancho Mirage, CA 92270 TEL: (760) 324-s4as FM: (780) 321-2831 September 21, 2004 City of La Quinta DEPT OF BUILDING & SAFETY 78-495 Calle Tampico La Quinta, CA 92253 SUBJ: THAI SMILE / One Eleven La Quinta Center Please be informed that Brandon Wood, as representative of the Tenant for the above-referenced Project, is hereby authorized by the Property Owner, One Eleven La Quinta, LLC, to pull any permits in connection with the tenant improvements for the Project. Sincerely, Dave Smole Project Manager for Michael S J. h Win, Managing Member, Tom Tisdale Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning Beaumont Calimesa .. Canyon Lake Coachella 4. Desert Hot Springs .;. Indian Wells Indio Lake Elsinore 4. La Quinta 44. Moreno Valley Palm Desert 4. Perris 4. Rancho Mirage. 41. San Jacinto 4. Temecula. Board of Supervisors Bob Buster, District I 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 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 March 3, 2004 To: City of La Quinta Building Department �0 �g Re: Release for Permit LAQ-03-BP-091 / Thai Smile; The Riverside -County Fire Department hereby releases the above referenced project for issuance of a permit for construction, at the discretion of the Building Department. Respectfully, 6C 1, Dale A. Evenson Fire Safety Specialist HAPEZGENERAUFORMSUft PermG Release- LO.doe EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2"d Fl., Indio, CA 92201 . (760) 863-8886 • Fax (760) 863-7072 JAMES 0: WALL -ACE AQdWttuol Comrnisslam Daeclm of Weights & Meosures OFFICE OF THE AGRICULTURAL COMMISSIONER P.O. BOX 1089 RIVERSIDE CA 92502-1089 PHONE (909) 955.3000 FAX (909) 955.3012 82-675 HIGHWAY 111, RM 14 INDIO, CA 92201 WEIGHTS .& MEASURES P.O.: BOX 1480 RWERSIDE; CA 92562=1`4e01' PHONE 4909)'955-'3d34."-:. FM19001 55-3d34.- FAX{9001 276.4728,,, ' (760) 863-829 I DATE . l Z. I S /q3 CAST: NO... _' ' Z 0 0 3 A DEVELOPER'S NAME: a.�osgrf CI It Q5 2Vle /OR *Iea-t ADDRESS: s Sf q 27s3 TELEPHONE: %`GCf) -Z-71 ` 33 lig Ili to. au 44.0!'` -4t HWf/Paot(✓-2 ,.. .. '.Dear Developer% At IF "" V* 5"ILe — &,Y /9_ 3: After reviewing your landscaping plants, all plant material -1 sted is not in violation of quarantine laws goijerning the Coachella Valley.'., Iffsubatitutions do occur and they differ %-f.rom plant material listed, this office must be notified immediately... Thank you for. protecting:°.:and preserving the Coachella Vdlley,'.s,°Peat-free environment. Agricultural Commis :o``-r'.S Office cc: Indio and 'Riverside Tom Tisdale Fire Chief RIVERSIDE COUNTY FIRE .DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • Perris, California 92570 • (909) 940-6900 • Fax (909) 940-6910 March 22, 2005 Proudly serving the To: La Quinta Building Department unincorporated areas of Riverside County and the Cities of: Banning Re: Final fire Clearance Beaumont Calimesa The Riverside County Fire Department is granting a fire life safety clearance for Thai Canvon Lake Smile Restaurant 78-902 Highway 111 LAQ-03BP091 Coachella Desert Hot Springs If you have any questions contact me at 760-345-6954 Indian Wells Indio Lake Elsinore espectfully, La Quinta Moreno Vallev Palm Desert Neal Stephenson Fire Systems Inspector Penis Rancho Mirage San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tava0ione, District 2 Jim Venable, District 3 Roy Wilson, n:,...:,.. n I Certificate of Occupancy OFT9� 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: 78-902 Highway 111 Use classification: Commercial Restaurant "Thai Smiles" TI Building Permit No.: 04-3640 Occupancy Group: A3 Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: One Eleven La Quinta Address: 42620 Caroline Ct Ste 102 City, ST, ZIP: Palm Desert, CA 92211 By: Daniel P. Crawford -Jr. Jam Date: 4/20/05 Building Official POST IN A CONSPICUOUS PLACE LOV, Temporary Certificate of Occupancy 0 ot G tis Building& Safet Department Y OF 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: 78-902 Highway 111, 30 Day Temporary, Certificate of Occupancy Use classification: Commercial Restaurant "Thai Smiles" TI Building Permit No.: "Permit numberl" Occupancy Group: A-3 Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: One Eleven La Quinta Address: 42620 Caroline Ct Ste 102 See attached correction list; City, ST, ZIP: Palm Desert, CA 92211 By: Daniel P. Crawford Jr. Date: Expires 4/22/05 Building Official POST IN A CONSPICUOUS PLACE sit Ill