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09-0225 (RC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: S -09=00000225-D ` Property Address: 78902 HIGHWAY 111 APN: 643-080-051- - Application description: REMODEL - COMMERCIAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 149000 Tit�v 4 Xfv Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: 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.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , B.&P.C. for this reason ate: wner: CONSTRUCTI(JYLENDING 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: f yn�� Lender's Address: r I LQPERMIT Owner: ONE ELEVEN LA QUINTA C/O SABBY JONATHAN 42620 CAROLINE CT STE 102/0 PALM DESERT, CA 92211 VOICE (760) 777-1012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/12/09 Contractor: Owner A410 f 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 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 �Q 3700 of the Labor Code, I shall forthw' h co m ly with those provisions. a0 tey/l Z—V pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPENALTIESAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS. ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any 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 county ordinances and state laws relating to building construction,and hereby authorize repres tatives of this county to enter upon the above-mentioned prop r inspection p If s Date• '/lJ /S'ignature (Applicant or Agent): Application Number . . . . . 09-00000225 ------ Structure Information EXISTING 5306 SF REST. BLDG ----- Other struct info . . . . . CODE EDITION 2007 FIRE SPRINKLERS YES MIXED-USE OCCUPANCY A2/B OCCUPANT LOAD 283.00 1ST FLOOR SQUARE FOOTAGE ---------------------------------------------------------------------------- 5306.00 Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee 811.00 Plan Check Fee 527.15 Issue Date . . . . Valuation . . . . 149000 Expiration Date . . 9/08/09 Qty Unit Charge Per Extension BASE FEE 639.50 49.00 3.5000 THOU BLDG 100,001-500,000 171.50 ---------------------------------------------------------------------------- Special Notes and Comments TENANT IMPROVEMENT FOR "ROCKIN' BAJA COASTAL CANTINA" 5306 SF INTERIOR, 1493 SF OUTDOOR DINING. 2007 CODES. TYPE V -B CONSTRUCTION. A-2 OCCUPANCY. OCCUPANT LOAD:134 DINING, 64 WAITING, 5 KITCHEN, 2 OFFICE/RECEPTION = 205 OCCUPANTS. OUTDOOR DINING = 85 OCCUPANTS.' -7 -------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 6.00 Fee summary. Charged Paid Credited ----------------------------------------------- Due ----------) Permit Fee Total 811.00 .00 .00 811.00 Plan Check Total 527.15 .00 .00 527.15 Other Fee Total 6.00 .00 .00 6.00 Grand Total 1344.15 .00 .00 1344.15 0 LQPERMIT Bin # C City of La Quinta ,w 3.,3.0? � 1. Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project -Addresses %0—qOJ, t4w `r Owner's Name: )2i 1 �5�1'� LLG A. P. Number: Address: 7 Legal Description: �Contrac or: Gt.U��e� w; j�9f7 City, ST, Zip: (,/ U1,0 7 -A Cof Telephone: Address: Project Description: , 12�SfiGt �>�� ca pne,,t'i' C City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person:. = �a�1 0.� Telephone # of Contact Person: -7G 0 � � �_ 935' � 3�6 air tiYL Estimated Value of Project: (Li Dob . APPLICAN . DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd- . - TRACKING . PERMIT FEES Plan Sets o2 Plan Check submitted319/ Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy1Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i4 Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Violations are those, violations that do not pose an imminent public health risk, but do warrant correction. ',GRADES REPRESENT THE FOLLOWING RANGES: A v 100-90 Passed inspection / meets minimum health standards; B = 89-80 Did not pass inspection / does not meet minimum health standards; C = 79-0 Failed inspection / conditions exist which may pose a potential or actual threat to the public health and safety. This facility is required to display a grade card in a conspicuous place selected by the Enforcement Officer. The grade card shall not be concealed and can only be removed by the Enforcement Officer. Per County Ordinance 492 / County Code Section 8.40.020 OFFIGES IN: KIVLKJIUt, ULT II1C, UUKUNA, MrnRCI, INUIU, IVIUKKICIA ANU rAL1Yl JrR11Vl7J l V f iM--tinn rail (RAM 799-A93d nr visit the Denartment Web Site — WWW.rivCoeh.OrFq OBSERVATIONS AND CORRECTIVE ACTIONS LQ t K2 �P CI /1 04�fr Q / L • v� lear,>1� f ��� �� a ( < 0/ GO / j/, D �� pfnntd pv'C r r � �1 ► p� �2 .S /L �. ;' P Una ro J d [ �J ! i � S Q <� r ,bii l �i'a t/ , Q a rO, "'J/1 -IM o ctrafn c 4,1e t. Je, 4axa , P J •(' r 0 41 1 0.4 Si rV I A a• "i )raj-( 1 fio n / ,� �n G/ n r i '6 i'L to tO �Y �a'er 'o > o Ji 1 ..l '> r i r Aar �Ja -� 1. > Job r o eh a � - a ' 0/ 044 Az! 5'LI 0y v r RECEIVED Y� DATE 3 n V JEHSINITIALS 2 of.� i OFFIGES IN: KIVLKJIUt, ULT II1C, UUKUNA, MrnRCI, INUIU, IVIUKKICIA ANU rAL1Yl JrR11Vl7J l V f iM--tinn rail (RAM 799-A93d nr visit the Denartment Web Site — WWW.rivCoeh.OrFq R€1. BDX 2448 • Va HAMMERI%W s► www 1mmmerpnmpin$-cow 7691380-7443 7601321-7448 FAX 7WM4.64U ,os SERVICE p BACK UP CONMCT © iIfABRENANCE p REPAIR MANTEMANCE © ESTWATE p CONSTRUCTMN p OMER rCard —IIS I MU EXPIM%W dq auHmew MMMW ftmo & tnc. fe � my a and for INC almm charges. ersiand"toy Wow 1 ass mead 10 ft aB degas [Marred on /Jds and Ia%" 4wa lonw a a a 8 ft C a0M j (f MCA.24a - LIC#60018 JM OWE:/�r-,n M rlt AlEf7liP. w H O =eve t s�rr a�rE: Boa oast N I N . m m �m COMMENTS w G /SERVICE AMOUNT TOTAL MEXT SERVICE A ..._� { i� � 11�n 0%&% DUE ON 9 TOTAL AM UWD ❑ A sw,Am loge of S2DvAt be due onall tehamd diads, 18% per ]seer vid be charged an past due accounts.. . m Problem Solved! w 136ach ftston Fwili m ❑ Roots ❑ swessive tihx4dweaft SERVICES COMPLETED PR IG PLUMBING CONSTRUCTION SERVICE s"MC ❑ iWater Line ❑ Leach Line Q Snake I hooter SEEPAGE Pri Swa er Line p Swpap Pit p Hydra M GREASE Gas 0 p sem �O° p video Ir tion DRyVjELL ❑ VM" Heater ❑ Ta�dc � © C-42 ❑ CATCH BASIN ©Hose Bib p Landscape Drains p Products Farts ❑ OTHER © FFUU e ❑ Otter Leak Detection /SERVICE AMOUNT TOTAL MEXT SERVICE A ..._� { i� � 11�n 0%&% DUE ON 9 TOTAL AM UWD ❑ A sw,Am loge of S2DvAt be due onall tehamd diads, 18% per ]seer vid be charged an past due accounts.. . m Problem Solved! w �, t� } ` . :, z.'; ::��. ��i ' r i .' � - John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning 4. Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs :- Indian Wells :• Indio Lake Elsinore 4. La Quinta :• Moreno Valley Palm Desert 4. Perris Rancho Mirage 4. Rubidoux. CSD San Jacinto Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jeff Stone, 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 • (951) 940-6900 • Fax (951) 940-6910 March 11, 2009 Brian Kaufmon 53-540 Avenida Mendoza La Quinta, CA RE: TENANT IMPROVEMENT PLAN CHECK LAQ-09-TI-006 Rockin Baja Coastal Cantina 78-902 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. THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION• Install door hardware and exit signs as per Chapter 10 of the 2007 UBC. Check approved set of plans for. clarification! If this facility.has existing supervised automatic fire sprinklers and if more than 20 sprinklers are relocated / added plans are required and shall be submitted for approval 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. OTHER REQUIREMENTS: If changes are made to the original cooking appliances under the Hood/Duct suppression system plans shall be submitted for above referenced project. The hood/duct system must be monitored by the fire alarm system if building is currently monitored. 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. Key(s) shall be provided at time of final inspection. Approved building address shall be placed in such a position to be plainly visible and legible from the street. Said numbers shall contrast with their background. r 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. 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. cerely, By. Jas Stubble Fire afety Specialist 1 X1 Riverside County Fire Department Fire Protection Planning Section QL T , Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955.4777 Fax (951) 955.4886 Murrieta Office: 39493 Los Alamos Rd., Ste A, Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 606.6164 Palm Desert Office: 77-933 Las Montafias Rd., N 201 Palm Desert, CA 92211.4131 Ph. (760) 863-8886 (760) 863-7072 Fire Department Clearance/Release Date: 3 To: Lt_4 UUIhL R✓,��irlti� Sdte Fax: Tract/Parcel Map #: Permit/Lot #: 1 I / 1 Job Site Address: 1` 4� K )V1 U.l I.J l p Od Al 1 l a h J (hj Lj HVVV Final For Recordation Release For Building Permit(s) Shell Final Only (No Tenant) Final For Occupancy Building Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. Au o 'zing Signature For Release LoN Print Name Form C — Revised 3/11/2009 CoilCertificate of Occupancyo ot. Ivcni'ID Iver 5 G� OF T9� Building & Safety Department This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the 2007 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: COMMERICAL ("ROCKIN BAJA COASTAL CANTINA") Building Permit No.: 09-225 Occupancy Group: A-2 Type of Construction: V -B Land Use Zone: CR Sprinklers Installed: YES Sprinklers Required: YES Occupant Load: 290 Owner of Building: ONE ELEVEN LA QUINTA Address: 42-620 CAROLINE CT # 102 City, ST, ZIP: PALM DESERT, CA 92211 By: STEVE TRAXEL Building Official Date: MARCH 13, 2009 POST IN A CONSPICUOUS PLACE