08-1638 (RC)I+
"P.O. BOX 1504
78-495 CALLE TAMPICO
iLA QUINTA, CALIFORNIA 92253
I
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
0 8 =0;0`0"016 3
78962 -HIGHWAY 111
643-080-008-10 -000000-
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
30000
c&ty/ 4 4
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
pla
--------------------------------------------------
XanfessionalsCode,
TRACTOR'S DECLARATION
I hereby affirm under penalty of perjury under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busiand my License is in full force and effect.
License Class: B License No.: 855822
Date/ Z - ntractar:
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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
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 Addre .
r
LQPERMIT
Owner:
MCDONALDS CORP
81544 HIGHWAY -111
INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/12/08
Contractor: Q
C C K BUILDERS INC !,
625 WEST KATELLA AVENUE, 3'LY 11 ZOn�
ORANGE, CA 92867 U /
(714) 538-8200 Cl 0):
Lic. No.: 855822 F�NAA,�QLUa.�_
-----------------------------------------------
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.
P\ I have and will maintain workers' compensation inswence, as required by Scction 3700 of the Labor
i Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier LINCOLN INS. Policy Number CWC0040701
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 be ome subject to the workers' compensation laws of California,
and agree -that, if I should bec a subject to the workers' compensation provisions of Section
>> 37� of the Labor Code, 1 11 forthwith comply with those provisions.
ate�i6 icon:
WARNING: FAI URE URE 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. ,
• 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 tha
tation is correct. I agree to comply with all
city and county ordinances and state laws relating toion, and hereby authorize representatives
of this c ty to enVuponbove-mentioned prn purposes.
D e: #1 pplicant or Agent):
Application Number .
. . . . 08-00001638
------ Structure Information
MCCAFE REMODEL - POS/DRIVEUP/COFFEE
BAR -----
Other struct info . .
. . . CODE EDITION
2007CODES
FIRE SPRINKLERS
NA .
MIXED-USE OCCUPANCY
A3
OCCUPANT LOAD
.00
1ST FLOOR SQUARE FOOTAGE
.00
--------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
.00
-------------
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
284.50 Plan Check Fee
184.93
Issue Date
Valuation . .
. . 30000
Expiration Date
5/11/09
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
32.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
67.65 Plan Check Fee
16.91
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
5/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
1.00 .30.0000
EA ELEC PWR APP >50 TO <=100
_
30.00
17.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
7.65
Permit . . .
MECHANICAL
Additional desc .
-Permit Fee . . . .
19.50 Plan Check'Fee
. 4.88
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
5/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
----------------------------------------------------------------------------
EA MECH VENT INST/ DUCT ALT
4.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
54.00 Plan Check Fee
13.50
Application Number . . . . . 08-00001638
Permit . . . . . . PLUMBING
Issue Date . . . . Valuation . . .
. 0
Expiration Date 5/11/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 6.0000 EA PLB FIXTURE
36.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
MCCAFE REMODEL - COFFEE BAR/POS/DRIVEUP
WINDOW/SODA FOUNTAIN. THIS PERMIT DOES
NOT INCLUDE BUILDING SIGNAGE OR
IMPROVEMENTS TO THE EXTERIOR OF THE
BUILDING. 2007 BUILDING CODES. •
October 10, 2008 8:56:55 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . ACCESSIBILITY PLAN REVIEW
18.49
ENERGY REVIEW FEE
18.49
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 425.65_ .00 .00
425.65
Plan Check Total 220.22 .00 .00
220.22
Other Fee Total 36.98 .00 .00
36.98
Grand Total 682.85 .00 .00
682.85
Bin #
City
Project type (circle one): New Add'n Alter) Repair Demo
of La Quints
#Stories: I
Building & Safety Division
Telephone # of Contact Person: (02(0. C , �$� Estimated Value of Project: 3o,0 ) T! r = i -GOO S r.
APPLICANT: DO NOT WRITE BELOW THIS LINE
Permit #
P.O. Box 1504, 78-495 Calle Tampico
�3"
O�t
La Quinta, CA 92253 - (760) 777-7012 .
TRACKING p
Plan Check submitted F40
Building Permit Application and Tracking Sheet
Project Address: 79 -qb
Owner's Name: �o>V e^ it�$8>^�4-TIF
A. P. Number:
Address: 78_ �Z
Legal Description:
City, ST, Zip: A, Qt -II rA �� 9255
Plan Check Deposit
Contractor: "t 17
Telephone:
� {
Address:
Project Description: T TO C =gvla:
City, ST, Zip:
Plan Check.Balance
T AGC 'fE 1J4'619MEO ,ti/ES
Telephone:
ftay F-- NPI >'Y TI SESI D N
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address: 60 5. 010<E )kqL s 17E (�i5�
City, ST, Zip: TN5AVEA14 6Ad, (oI
Tele hone: (� r
Flood plain plan
000
State Lic.
Name of Contact Person: (M '(Z ND L.
Construction Type:VN Occupancy: y: A 3
Project type (circle one): New Add'n Alter) Repair Demo
Sq. Ft.:3 $57
#Stories: I
#Units: /
Telephone # of Contact Person: (02(0. C , �$� Estimated Value of Project: 3o,0 ) T! r = i -GOO S r.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Reed
�'
TRACKING p
Plan Check submitted F40
PERMIT FEES
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check.Balance
Energy Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" 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 correctio s/ ssue
Developer Impact Fee
Planning Approval
Called Contact Person
I,p,p;
Pub. Wks. Appr
Date of permit issue
School Fees
./�r—SGTotal Permit Fees
j4 /�
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
4.
Beaumont
.;.
Calimesa
..
Canyon Lake
4.
Coachella
4.
Desert Hot Springs
4.
Indian Wells
4.
Indio
Lake Elsinore
4.
La Quinta
14.
Moreno Valley
4.
Palm Desert
4.
Perris
4.
Rancho Mirage
.-
Rubidoux CSD
San Jacinto
4.
Temecula
Board of Supervisors
Bob Buster,
District l
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
November 7, 2008
Jim Rader
80 S. Lake Ave #650
Pasadena, CA 91101
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-08-TI-060 McDonalds 78-962 Hwy 1112 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.
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 2A1OBC 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 REOUIREMENTS:
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 of the correlating tenant space. 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.
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.
l
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.
Sincerely,
By:
Jas n Stubble
Fire afety Specialist
NI
•
Plan Check # 12388
RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL. HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Project Name McQonalds
Plans Submitted by Jim Rader
Date 10/23/8
Address 78-962 Highway 111, La Quinta CA 92255
Phone
Owner Ron Gilbreath Address _ 78-962 Highway 111 La Quinta Ca Phone
92255
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
This is approval for the coffee counter and relocation of soda station only
1) All equipment must be NSF commercially approved.
2) On page P-2 the smooth machine according to the plans is to be connect to the CO2. This must have an
approved RP back flow prevention assembly on the water line to the carbonator. Relief valve must drain
to an approved floor sink via a minimum one inch air gap. Also the espresso machine will need a double
check valve.
3) Provide a grease interceptor letter from the sewer agency.
4) Interior of all cabinets to be light in color.
5) Customer self service station to have approved finishes that extend 3' in all directions.
6) Sofit above the new coffee counter, to be smooth, light in color and nonabsorbent.
CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is
approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for
inspection should be made at least five (5) working days in advance.
A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to
operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL
INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid.
Request for inspection should be made at least five (5) working days in advance.
PLANS CHECKED BY Tracey Ford Phone (760) 863-8287
I acknowledge the corrections noted herein and as indicated on the plans and agree to. incorporate them during
construction:
Signature
A
DEH -SAN -178 (Rev 2/06)
Date
Corona Hemet Indio Murrieta Palm Springs Riverside
2275 S. Main St Suite 204 800 S. Sanderson 47-950 Arabia St "A" 38740 Sky Canyon Dr 2500 N. Palm Canyon Dr 4065 County Cir
(01,1)171-0140 (051) 7M, )R74 (7f01 Rh2.R7R7 10511 461-01R4 (7F,0) 270-104R !0511 25R-5171