11-1363 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �1-
,3'
Property Address: 78962 HIGHWAY
APN: 643-080-008-10 -000000-
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 25000
111
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MCDONALDS CORP
81544 HIGHWAY 111
ZTDIO, CA 92201
ractor:
Architect or Engineer: O �A� ` K BUILDERS INC
25 WEST KATELLA AVENUE, #3
�pjJ% P' O GE, CA 92867
CXIN �10EOEP� 14)538-8200
LiC. No.: 855822
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:: B License No.: 855822
Date:5�6— ontractor:
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).:
(_ 1 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 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/09/12
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 workerscompensation
insurance carrier and policy number are:
Carrier EVEREST INS Policy Number -760003282111
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.
Dater plicant. �"�`
WARNING: FAILURE TO SEC E WORKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI EN IES 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 td 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 representatives
of this county to enter upon the above-mentioned property for inspection purposes.
,!rate: Si ature (Applicant orCA.�'y
Application Number . . . . 11-00001363
------ Structure Information 4585 SF EXISTING REST.
-----
Construction Type . .
. . . TYPE V, UNPROTECTED
Occupancy Type
ASSEMBLY BLDG <1000
Other struct info . .
. . . CODE EDITION 2010
MIXED-USE OCCUPANCY A2 /
B / S1
OCCUPANT LOAD
96.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
81.00
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check Fee
163.80
Issue Date . . . .
Valuation . . . .
25000
Expiration Date
11/05/12
Qty Unit Charge
Per,
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
37.47 Plan Check Fee
9.37
Issue Date
Valuation
0
Expiration Date
11/05/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
81.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
1.62
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
13.00 .4500
----------------------------------------------------------------------------
EA ELEC DEVICE/FIXTURE >20
5.85
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
75.00 Plan Check Fee
18.75
Issue Date . . .
Valuation . .
0
Expiration Date
11/05/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9.00 6.0000
EA PLB FIXTURE•
54.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB FIXTURE DRAIN/VENT REP/ALT.
3.00
-----------------------------------------------------------------------------
Special Notes and Comments
81 SF DINING ROOM ADDITION AND REMODEL
LQPERMIT
Application Number
. . . . .
11-00001363
----------------------------------------------------------------------------
Special.Notes and Comments
EXISTING RESTROOMS.
2010 -CODES.
ARCHITECT: FRANCIS
ONG C18585
`
--
Other Fees . . . .
. . . . .
ACCESSIBILITY PLAN�REVIEW
16.38
BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE.
16.38
HOURLY PLAN CHECK
175.00
STRONG MOTION (SMI) - COM
5.25
Fee summary
Charged
----------
Paid Credited
------------------"------------
Due
-----------------
Permit Fee Total
364.47
.00 .00
364.47
Plan Check Total
191.92
.00 .00
191.92
Other Fee Total
214.01
.00 .00
214.01
Grand Total
770.40
.00 .00
770.40
1
Bin.#
_
City of La Quinta
Building 8z Safety Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
t' 1�
Project Address: Z
Owner's Name:4ALL DU
A. P. Number:
Address: 6 1jffi
Legal Description:
: City; ST, Zip: G7 '
Contractor:Tglphone:
..,.•{ .- ..
k
Address: CCS �i
Project Description: ® S
City, ST, Zip:
Tele hone:
E.
�--
State Lic. # : City Lic. #c
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
t -...:K:..,-:.:,.-.,.:-... x ,x
'' ``'"'" ' '" '"' ' '`
Construction Type: Occupancy:
_
Pro•ect circle one):' ' New Ad Alter Repair Demo
Name of Contact Person: �j /yl (��
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: - ��'
Estimated Value of Project: �S
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted N,Item
Amount
Structural Calcs.
Reviewed, ready f corrections
tiPlan
Check Deposit
Truss Calcs.
Called Contact Pers
?,
Plan Check Balance
Tide 24 Calcs.
Plans picked up
I
Construction
Flood plain plan
Plans resubmitted
? ly
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:-
�Z
. 7nd Review, ready for correctionsrmuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schpol Fees
r'v
Z r
Total Permit Fees
IN Suac, g4 e,
7 -1/5 ate.
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
Date 5/9/12 La Quinta, CA 92253
No. 31270 (760) 771-8515
Owner McDonalds Corporation
Address 78962 Highway 111
City La Quinta Zip
Tract #
Type Commercial
Q BERMUDA DUNES
C" RANCHOMIRAGE 0
INDIAN WELLS
� PALM DESERT y
LA CUINTA
�PIN0 y�
0
APN # � 643-080-008
Jurisdiction La Quinta
Permit #
No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 78962 Highway 111 81 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not colied fees on garages/carports, covered patiostwalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that 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
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.47 X 81 S.F. or $38.07 have been paid for 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 Cash - Jose Arteaga . Check No.
Name on the check Telephone
Funding Commercial
By Dr. Sharon P. McGehee
Superintendent
Fee collected /exem ed by Sh cGllvr
Payment Recd $0:00
$38.07 ¢a►er�unde�` `
Signature C
Vati
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will servu
that the saday approval period in which you may protest the fees
or other payment identified above will begin to run from the date on which t
installation permit for this project Is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
• .lam P! 0'. BOX 1504 BUILDING & S'ArFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 77 7-70 12
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
r
y
To: Greg Butler, Building & Safety Manager To CDD:_ 11 '4",- f 1
From: Les Johnson, Director -Planning -Due Date:
Permit #: Status:
Building k�lan� Approval
(This is an approval to issue.a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description:. ,�•
Address or General Location: IVn" 00
9(0!;L
Applicant Contact:
Ton Lee 7141111, - 1?% so
The Planning Department finds that:
❑ ...these Building Plan do not require Planning Department approval.
these Building Pla s are approved by the Planning Department.
❑ ...these Building PI ns require corrections. Please forward a copy of the
attached corrections to the applicant: When the corrections are made
pleMe return them o the Planning Department for review.
Johnson, ire r- nning Date
received ; ..
,•
DEC E
City of La 6jinta
Planning DEpar6ment
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUX CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
R 1t�ERSID Co u 1RE -DIE AV` "�u1i �
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
I - -
John R. Hawkins — Fire Chief
210 West San Jacinto Avenue — Perris, CA 92570
(951) 940-6900.— www.rvc.fire.org
February 22, 2012
FIBUILDING
Y OF LA QUINTA
& SAFETY DEPT.
RE: TENANT IMPROVEMENT PLAN CHECK -Non S(�LAQ-I2-TI-006 McDonalds REMODEL 78-962 HuiRWOVED
CONSTRUCTION
TE
You have been issued a release for a tenant improvement on anexisting ui 1ng.
AN OCCUPANCY PERMIT.
It is prohibited to use/process or store any materials in this occupancy that would classify it as'an
"H" occupancy per Sec. 307 of the 2010 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2010 CBC.
A minimum 2AIOBC 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.
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.
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. .
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:
Jason Stubble
Fire Safety Specialist
RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
SR# 24897 Date 1/10/12
Project Name
Mc Donalds
Plans Submitted by Tom Le
Address 78962 Highway 11,1 La Quinta
Owner Richard S. Address Phone
Phone
The plans are now approved subject to the conditions listed below and the attached comuliance sheet.
This approval is for remodel of the customer dining area and restrooms only
1. Provide RP device on water line to soda carbonator. �-�.� G�
2. Equipment at the self service drink station must drain into a floor sink.
3. The soda station must have approved finishes which will be evaluated on site.CITY
G & SAFETY DEPT.
BY Mt"w-
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, EHS III Phone (760) 863-8287
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction:
DEH -SAN -178 (Rev 2/06)
Corona
2275 S. Main St
Suite 204
(951) 273-91.40
Fax(951)520-8319
Signature,
Company Name
Hemet
800 S. Sanderson
(951) 766-2824
Fax(951)766-
7874
ax(951)766-
7874
�T6TOd�r
FEB 072012 IU
By
Date
Indio Murrieta
47-950 Arabia St 38740 Sky Canyon
"A" Dr
(760) 863-8287 (951) 461-0284
Fax(760)863- Fax (951) 461-0245
8303
Department Web Site — www.rivcoeh.org
Palm Springs
554 S. Paseo Dorotea
(760) 320-1048
Fax (760) 320-1470
Riverside
4065 County
Cir
(951)358-5172
Fax (951) 358-
5017