07-1479 (RC)P.O. BOX 1504 '
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: [0.7-00001479 Property Address: 9174 -HIGHWAY. _11I _STE - 101 i)
APN: 649-820-99.9-
Application description: REMODEL -.COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 90000
Applicant:/ Architect or Engineer:
V'
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that 1 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.: 359596
Date: >>Contrac/tor: 1
OWNER-BUILDE DEC RATION
I hereby affirm under penalty of perjury that I am exempt from th actor'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
permi to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
Lice a Law (Chapter 9 Icommencing with Section 7000) of Division 3 of the Business and Professions Code) or
thehe or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
NU) 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.). -
1 _) I am exempt under Sec. , B.&P.C. for this reason
Dater
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 Address:
LQPERMIT
Owner:
FOURTH QUARTER PROPERTIES
45 ANSLEY DR
NEWNAN, GA 30263
(760)613-3783
Contractor: -
ORANCO CONSTRUCTION
3190-D AIRPORT LOOP DRIVE
COSTA MESA, CA 92626
(714)432-1199
Lic. No.: 359596
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/14/07
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.
1 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 DELOS INS Policy Number 01DKRM1100032
_ 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
I,'11r _3700 of the Labor Code, I shall for twit h comply with those provisions.
Dt ate:.Qrte• [ —Applica� '
. WARNING: FAILURE TO SECURE WORKERS' COMPENSAON C VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IVIL F ES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF CO NSATION, 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 representatives
of this co ty t enter upon the above-mentioned property ori pec ' n purposes.
Dat B r Signature (Applicant or,Agentl:'�
Application Number . . . . . 07-00001479-
------
7-00001479
------ Structure Information. 2,479SF
[CHIPOTLE] - TEN IM/A-3 OCC/57-0-----
Other struct info . .
. . . CODE
EDITION 2001/2005
FIRE
SPRINKLERS YES
-FULLY
MIXED-USE
OCCUPANCY A-3
OCCUPANT LOAD
57.00
----------------------------------------------------------------------------
1ST
FLOOR SQUARE FOOTAGE
2479..00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
594.50
Plan Check Fee
386.43
Issue Date'
Valuation . . . .
90000
Expiration.Date
2/10/08
Qty Unit Charge
'Per
Extension
BASE
FEE
414.50
40.00 4.5000
THOU BLDG
50,001-100,000
180.00
--------------------------
------------
----------- - - - - - -1 - c+
-r
*i------------------
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
64.58
Plan Check Fee
16.15
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/10/08
Qty Unit Charge
Per
Extension
BASE.FEE
15.00
2479.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
49.58
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
82.00
Plan Check Fee
20.50
Issue Date
Valuation
0
Expiration.Date
2/10/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
EA MECH
FURNACE >100K
11.00
1.00 4.5000
EA MECH
VENT INST/ DUCT ALT .
4.50
1.00 9.0000
EA MECH
APPL REP/ALT/ADD
9.00
1.00 •16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
3.00 . 6.5000
EA MECH
VENT FAN
19.50
1.00 6.5000
----------=--------------------------------=--------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit . . . . PLUMBING
LQPERMIT
:-Application-Number 07-00001479
Permit . . . PLUMBING
Additional desc . .
Permit Fee 205'.50 Plan Check
Fee
51.38
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 2/10/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
27.00 6.0000 EA PLB FIXTURE
162.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 12.0000 EA PLB INTERCEPTOR
12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
8.00 .7500 EA PLB GAS PIPE >=5
6.00
------------- ---------------------------------------------------------------
Special Notes and Comments
2,479SF [CHIPOTLE] - TENANT IMPROVEMENT
A-3 OCCUPANCY/57-OL - PERMIT INCLUDES,
GREASE INTERCEPTOR, AND A 250SF PATIO
COVER FOR SHELL BUILDING - 2001 CBC,
CMC,CPC, 2004 CEC, 2005.ENERGY.
July 11, 2007 11:11:36 AM AORTEGA
--------------------------7-------------------------------------------------
Other Fees _ . . . . . . . . ACCESSIBILITY PLAN'REVIEW
38.64
ENERGY REVIEW FEE
38.64
STRONG MOTION (SMI)
- COM
18.90
Fee summary Charged Paid Credited
Due
Permit Fee Total 946.58 .00
.00
946.58
Plan Check Total 474.46 .00
.00
474.46
Other Fee Total 96.18 .00
.00
96.18
Grand Total 1517.22 1:00
.00
1517.22
WF60
.City of to Quinta
. . Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7.012
-Building Permit Application and Tracking Sheet
Permit #
Project Address:'
66-iw w
'Owner's Name: —Thon-5 ZU
A. P. Number:
Address: 45
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address: -
Project Description: ImAe.,j..-
City, ST, Zip:
Telephone:
State Lic. #
Arch., Engr., Designer: ve, ofin-r
City Lic. #:
he J3
Address: 5 UllA f��
10ilef
City, ST, Zip:
Telephone: .Zj.
State Lic. #: C_,9z/ztS
Name. of Contact Person:
Construction Type: V_ Occupancy: WI
Project type (circle one): New Add .'n.CrIter epair Demo
Sq. Ft: 2, -jD A I
# Stories: r
# Units:
J, Telephone # of Contact Person: . '310-_;7j_&j6o .)CII -f
Estimated Value of Project: ?06C.Y)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd.
Rec!d
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted
. Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Plan Check Balance
Truss' CaIcs.
Called Contact Person
Energy Calts. t+.) WA
o$(q1(-,1
Plans picked up
Construction
0-
460A60/5
Plans resubmitted
Mechanical
Grading plan'
2°" Review, ready for c1or�rqfis
slue
Electrical
Subcontactor L I ist.
Called Contact Person
1111101
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.OA. Approval
Plans resubmitted
7/* Grading
IN HOUSE:-
3dReview, ready for corrections4j!ue
fWAA Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
1�7/VV
47bo? - pm" jr
glia SYWM6
Plan Check #
DEPARTMENT
ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Date 7/20/2007
Project Name Chipotle Address 79-174 Highway 111, Ste 101, La Quinta
Plans Submitted by Valerio Architects Phone 323-954-8996
Owner Not provided Address -Not provided Phone Not provided
The plans are now approved subject to the conditions listed below and the, attached compliance sheet.
1. Provide a certified air balance report prior to final approval including make-up air.
2. Provide a grease interceptor sizing letter from the appropriate agency prior to final.
3. Provide a minimum of 32 linear ft. of backup dry storage. Plans show 31ft (soda rack is considered
working storage not backup storage).
4. Floor sink by 3 -compartment sink must be relocated under the sink so that waste line does not cross
any aisle or traffic area.
5. Provide a 6ft high wall partition with approved water resistant finishes (ie FRP) between the mop sink
and the storage shelving unit.
6. Provide an approved air curtain that delivers 1600FPM at a height of 3ft above the floor (ie Mars NHV
model or equivalent).
7. Provide a RPP backflow prevection device to the water line for the soda fountain before the carbonator.
Do not use copper water lines between the carbonator and the RPP device. The RPP device relief valve
must drain to an approved floor sink via a legal air gap.
8. Hot water to restroom handsinks must be from the approved water heater -instantaneous units are not
9. All lighting including pendant lighting must be shatter resistant.l
10. Galvanized base #11 on A210 is not approved. Only quarry tile as per Al 11 is approved. A- p
_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 Rebeca Norwood, REHS III Phone 760-320-1048
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
'construction:
Signature Date �2
CompanyZame
DEH -SAN -178 (Rev 2/06)
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
(951) 273-9140 (951) 766.2824 (760) 863-8287 (951) 461-0284 (760) 320-1048 (951) 358-5172
•, No.: DS -464 A&E-ZONE-EZR
Date: ,. September,2005 :;BERNER� Ambient - Variable Speed
4'.;r^nAT.C.11,AL CORP. Data Sheet
STANDARD FEATURES
• 84z" high x 8" deep
• 115 hp direct driven motor(s)
• Variable Speed Switch
• Aluminum air directional vanes
• White powder coated or stainless steel cabinet
• Wall mounting plate
• Threaded inserts for top mounting
• Aluminum cross-flow blower wheels
• UL listed (United States 8 Canada)
• Five year parts warranty
• Made in the USA
WFHTE
MODEL
Unit Width Max'
Velocity
O tl
Air
Volume
Motor(s)
Power
Rating
Outlet
Velocity
Net �ygt
:Ship Wgt
POWDER
STAINLESS
(1n)
((pm}
V(fpm)tY
(Sctm)
0 h
(kW)
Uniformity re)
Obs)
(lbs)
COATED
STEEL
:
'
EZR1036A
EZR1036A-SS
36.06
3300
1766
[ 1020
1 115
.32
94
35
41......
EZR 1042A
EZR 1042A -SS
42.06
3300
1773
_......:......._......:..._......
1188
1 0 115
_.............................
.32
94
..,..... .
38
47.......-
_._._._;......__...........
EZR 1048A
__.....
EZR 1048A -SS
toot. _....
48.06
<-
3300
.._
1768 ._.....
1360
_ ............
1 0 VS
.32
,.._.........._-...,................._
94 ._
42
.... _ _......_...................
49
EZR1060A
EZRt060A-SS
59.56
__..... , ............._..,....._
3300
1689
1656
1@ V5
.32
94
49
66
EZR1072A
EZR1072A-SS
7281
3300
1725
2031
1 U 115
32
94
56
74
MOTOR VOLTAGES/AMP DRAWS
Volts120
i 208 240.
120 i 240'
Phase
..:.... _... t.........
�.........._ �.... .
Hertz
60 .. 60 60
50...,:... _54...
........
Ams per Motor
3.4 1.7 1.7
2.8 '• . 1.4
- Operation at, 50 Hz vrili generate approximately a i rso
reduction in performance.
VELOCITY PROJECTION Model EZRt036A
Distance from Nozzle .(h)_ ....?..._. _..- 3.__._. .............4...... .
Core Velocity (fpm) 2260 1930 1728
Sound level measured 10'(3m) from the unit in free field:
I PAotor 54 dBA
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
- = " APPROVED
- FOR CONSTRUCTION
C
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En crf9vi ,toiya%�9 Produce
Exceeds the minimum requirements ofASHRAE/IES 90.1-19.99
for thermal efficiency and standby loss.
FEATURES
94% THERMAL EFFICIENCY - Fully condensing design is 16% more
efficient than the ASHRAE requirement of 80%.
FLEXIBLE VENTING — 3" or 4" PVC, ABS or CPVC pipe is
recommended. The CYCLONE XHETM vents vertically,
horizontally and is also approved for direct vent sealed combustion
applications. 50 equivalent feet maximum using 3" vent, 120
equivalent feet using 4" vent.
ADVANCED ELECTRONIC CONTROLS —A microprocessor controls
the ignition and thermostat allowing precise setting of water
temperatures from 110°F to 180°F. A digital display panel shows
the operating mode, all user settings and any failure modes for
ease of service.
PRESET POWER BURNER — Developed for the CYCLONE XHET61
a turbulent jet flame shoots down the submerged combustion
chamber in a spiral action. This turbulence causes a thorough
mixing of the gas and air for optimum combustion and high heat
transfer efficiencies.
SUBMERGED COMBUSTION CHAMBER — Submerging the
combustion chamber in the center of the water storage tank
minimizes radiant heat loss and improves efficiency.
ZERO INCH CLEARANCE —The CYCLONE XHETMjacket is cool and
is approved for zero inches to combustibles for unsurpassed
installation flexibility.
SPIRAL WOUND FLUE TUBE — The continuous spiral flue tube
keeps the hot combustion gases moving at a high velocity. The
combination of high turbulence and velocity causes an enormous
rate of heat transfer into the water.
SCALE FREE —This flue design prevents scale and sediment from
forming on the flue tube and reducing efficiency over time.
GLASS LINED TANK — Proprietary ceramic coating developed by
A.O. Smith's ceramic engineers specifically for this heater is applied
after the complete tank has been assembled to give a seamless
barrier against corrosion by hot water. The maximum working
pressure is 160 psi.
HANDHOLE CLEANOUT—Allows easy inspection and cleaning of
the tank.
FOAM INSULATION — Thick foam insulation protected by a heavy
gauge steel jacket contributes to low standby losses.
EASY INSTALLATION — All components are factory assembled
and 100% tested prior to shipment. Only gas, water, electrical
and venting connections need to be made. No major field
adjustments are required for proper operation. Includes T&P
valve and drain valve.
Revised October 2003
CYC LO N EXHET"'
94% EXTRA HIGH EFFICIENCY
TANK -TYPE WATER HEATERS
BTH-120, 13TH -150, BTH-199 & BTH-250
M!, a
SCAQMD Approved, Rule 1146.2 Low NOx
for California and Texas.
a;. ASM E
(OPTIONAL) I
!.q
ti HW
C &PI us
LIMITED WARRANTY OUTLINE
If the tank assembly which includes the combustion
chamber and flue should leak any time during the first
three years. under the terms of the warranty, A.O. Smith
Will furnish a replacement tank assembly. Installation.
labor, handling and loca delivery are extra. THIS
OUTLINE IS NOT A WARRANTY. For complete
information, consult the written warranty or A.O. Smith
Water Products Company.
Warranty does not apply to product installed outside of
the United States of America or its territorial possessions
and Canada.
PATENTS PENDING
A 104.5
INSTALLATION
h: " (C—I*F-ARANCES
Sides 0"
Front
4"
Rear
0"
Top
2"
Combustible clearances 0". (OPTIONAL)
WATER OUTLET
Approved for combustible floors. IN TOP OF UNIT
WATER OUTLET
1 1/2" NPT
64.50
CLEANOUT
14.30
RECOVERY CAPACITIES. 6.30
ROUGH IN DIMENSIONS
87*
Fy
°w w�
4�
145°
r 120°
4s°—_:�-18°'45°
GAS VALVE PIPING
Q 3r4" (1" on BTH-250)
E) i
T&P 1"
27.75 O.D.
AIR INTAKE 3" PVC, CPVC, ABS, 50'
EQUIVALENT MAXIMUM.
FLUE EXHAUST 3" PVC, CPVC, ABS, 50'
EQUIVALENT MAXIMUM.
AIR INTAKE 4" PVC, CPVC, ABS,
120' EQUIVALENT MAXIMUM.
FLUE EXHAUST 4" PVC, CPVC, ABS,
120' EQUIVALENT MAXIMUM.
64.50
(44.50
BTH ONLY)
55.68 74.50
(35.68 (55.50
BTH ONLY) BTH ONLY)
WATER INLET
rr 1 1l2" NPT
l�
—� 2.93
7.50-
Approx.
.50-
Model
BTU
Input
Approx.
Gallon
Capacity
Ship.
Wt.
30
1 40
Temperature
50
60
Rise
70
- Degrees F
80 90
- Gallons per
100 110
Hour
120
130
140
BTH-120
125,000
60
350
475
356
285
237
203
178
158
142
129
119
110
102
BTH-150
150,000
100
438
570
427
342
285
244
214
190
171
155
142
131
122
BTH-199
199,000
100
438
756
567
453
378
324
283
252
227
206
189
174
162
BTH-250
240,000-1
100
438
912
684
547
456
391
342
304
273
249
228
210
195
'BTH-250 NOT AVAILABLE IN LP GAS.
TWO UNIT MANIFOLD KIT
(PART NO. 78692)
-rte
30"
A 104.6
THREE UNIT MANIFOLD KIT
(PART NO. 78693)
'•'�, �`F; o/ f� ,tel I
,;111.1
r
li
234' 1 r
John R. Hawkins
Fire Chiel
Fra ldh Serving the
of RiNerside
C")ujitN- 'and die
Cities of:
Banning
Beaumont
ajLnesa
Cant on Lake
Coachella
Desert.Hot Springs
Indian Wells
Indio
Lake Elsinore
I Q11 141
Moreno Vilit-,
Pa Lin Desch
Perris
Rancho Mh-age
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District j
john'ravaglione,
Distract 2
District 3
Roy wi)SON
District 4
Manon Ashley, C
Distrito 5
R.IVERSIDF COUNTY
FIRE. I)EPART*MFN?']'
In cooperation with the
California Department of Forestry and Fire Protection
West
San Jar'ntr. A vemif, a Pert Is ., al it of r)i a 92570 !9,1,):-#40-6900 - Fax (951) 40-6910
Date—
Building Department
'I04 - — 6r-,*[
The Riverside County Fire Department is granting the Fire clearance for the followirip,
Please cal.) if you should have questions 7160-863-8886
Respectfully,
Jason bbite
Fire Systems inspector
John R. Hawkins
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of
Banning
4.
Beaumont
.Y
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
eV
Palm Desert
••
Perris
.;
Rancho Mirage
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable, a
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 • (909y940-6900 • Fax (909F9-406910
May 31, 2007
Jake Webster .
1327 Post Ave Suite 4
Torrance, Ca. 90501
RE: TENANT IMPROVEMENT PLAN CHECK -
LAQ-07-TI-039 Chipolle 79-174 Highway 111 Suite 101 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 per Sec. 307
of the 2000 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended 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 Lock Boxes. This form must be authorized and signed by this office for the
correctly coded system to be purchased. If the building/facility is,protected with a fire alarm system or burglar alarm system, the
lock boxes will require "tamper" monitoring.
A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Appfoved) 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.
ELECTRICAL PANEL BOX:
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel at all times.
OTHER REQUIREMENTS:
Approved building address shall be placed in such a position a 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.
Applicantlinstaller 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.
2
Sincerely, f
Tracy Hobday D�: j
Chief Fire Department Planner ff' AUG 0 6 2007
B B
Sonia Cooley James drich
Fire Safety Specialist Fire stems Inspector
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2n° FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
. i
REPORT #
CONTR. JOB #
ARMSTRONG'S INSPECTION SERVICE
SPECIAL DEPUTY INSPECTORS
OBSERVATION REPORT
Building,Permit No. 0') 14-19 Permit Date:,4U6L,&7 Department of Building & Safety - City of
Project Name/Address: C
Structural Engineer/Address:
General Contractor/Address:
Phone (909) 592-2334
Cell (909) 214-8636
Fax (909) 592-9224
R ..
Sub Contractor/Address: `7 L .A -Pe k t a^/
TESTS MADE: TYPE OF INSPECTION:�Weldin
APPROVED MIX DESIGN#: 9 ❑Hi -Tensile Bolting ❑Reinforced Concrete
❑Fireproofing ❑Masonry (]Anchors ❑Epoxy ❑NDT ❑Other:
ELECTRODE:/,JP, Z3 Off -Site Fabricator Address:
Welder
09
Certification No.
Welder
T.
Certification No.
NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT
'zr9R
All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab
work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports
shall be filed with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Metro Inspection on the project,
Client agrees, to the extent permitted by law, that Metro Inspections liability to the Client, in anyway arising out of this agreement, shall be limited to 100% of the total
fees and cost paid for that sp cific work to Metro Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Metro Inspection `
Service, Inc.
Approved By: Company:
Date of Inspection
Inspection Summary
Location of Work, Detail & Sheet No.,
• Material Description - Type, Grade, Research Report No., Work Rejected or Pendin2 Approval
9_ Z 6
O (/�D
n/ 7W,-5_
Z_-
IST
ILZ O
Ma?= D�
, H -40O
E�J C
-7_;V6: ,` E o 6--,v,s
k_;iW Y16",
7' 04AZZ5LTG
JV D
/
GG�i'
G .eal� G L
o7 i-55- ,
/
G 1,J 0 R./ Go
CERTIFICATE OF COMPLIANCE
I hereby certify that I have inspected to the best of my knowledge, with the information provided, all of the above reported work unless otherwise
noted. I have found this work to comply with the approved plans, specif' 'ons, and applicable sections of the governing building code.
Registered Deputy Building Inspector's Certificate Signed by
t
Certification # O4T.�W/- e -T Type S-Gtl- �G. Inspectors Name: (Please Print)�igE,e7 ick ,2Sac/
DATE:
09
HOURS: MON. I TUES. I WED. I THURS. FRI.S
T.
SUN.
NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT
LAB & HOURS SUMMARY: REGULAR TIME HRS. PREMIUM TIME HRS. NDT HRS.
All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab
work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports
shall be filed with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Metro Inspection on the project,
Client agrees, to the extent permitted by law, that Metro Inspections liability to the Client, in anyway arising out of this agreement, shall be limited to 100% of the total
fees and cost paid for that sp cific work to Metro Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Metro Inspection `
Service, Inc.
Approved By: Company:
TERMS: DUE UPON RECEIPT- A late charge of one-half MSrdnt (1 1/2%) per month, (18%) per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in
accordance with the terms herein. Should it become necessary to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party.
WHITE - Building Dept. CANARY/PINK - Office
T,
S a v +
REPORT #
9 .1
CONTR. JOB # �$
Building Permit No.
Project Name/Address:
Structural Engineer/Address:
General Contractor/Address:
ARMSTRONG'S INSPECTION SERVICE Phone (909) 592-2334
SPECIAL DEPUTY INSPECTORS Cell (909) 214-8636
OBSERVATION REPORT Fax (909) 592-9224
Permit Date: Department of Building & Safety - City of: -11901 STA
/Pn%9 -174 AL16
,S,S — c AVS .Z
Sub Contractor/Address: L &Eg ,S CA J:J6 AJ
TESTS MADE:/�T LIA% TYPE OF INSPECTION: m Weldin
APPROVED MIX DESIGN#: g QHi-Tensile Bolting ❑Reinforced Concrete
❑Fireproofing ❑Mas my QAnchors ❑Epoxy i]NDT ❑Other:
ELECTRODE -."R. z Off Site Fabricator- if LAP— k.S zZ;�2,6. Address:
Welder
Certification No.
Welder
Certification No.
C
HOURS:
MON.
TUES.
WED.
Date of Ins ection
p
Ins ection Summar • Location of Work, Detail & Sheet No.,
p Y • • Material Description - Type, Grade, Research Ae ort No., Work Rejected or Pending Approval
P
o
NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT
LAB & HOURS SUMMARY: REGULAR TIME 8 HRS. PREMIUM TIME HRS. NDT HRS.
All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab
(ok(ok% I W2.I '�
shall be filed with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Metro Inspection on the project,
Client agrees, to the extent permitted by law, that Metro Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total
fees and cost paid for that specific work to Metro Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Metro Inspection
SE r-.� �'
Approved By: Company:
x
N_ A
�"K4'' L Lam' !.-J o P-
V&lzi s
CERTIFICATE OF COMPLIANCE
I hereby certify that I have inspected to the best of my knowledge, with the information provided, all of the above reported work unless otherwise
noted. I have found this work to comply with the approved plans, spec' ications, and awlicable sections of the governing building code.
Registered Deputy Building Inspector's Certificate Signed by
M
r
Certification # O S,I$q/ 8S- Type -5,!j Inspectors Name: (Please Print) :�R0/Q��%—Z / G / k5?KJ
DATE:
e ��
HOURS:
MON.
TUES.
WED.
THURS._f�
I FRI.
SAT.
SUN.
NUMBER OF SAMPLES TAKEN: CONCRETE DENSITY PRISMS MORTAR GROUT
LAB & HOURS SUMMARY: REGULAR TIME 8 HRS. PREMIUM TIME HRS. NDT HRS.
All inspection is based on a 4 hour minimum, over 4 hours is an 8 hour minimum. In addition, any inspection extending past noon will be an 8 hour minimum. All lab
work necessary to complete inspections will be paid by owner, engineer or contractor. 4 hour minimum charge for jobs canceled without notification. Final reports
shall be filed with the local building department upon receipt of final payment. In recognition of the relative risks of the Client and Metro Inspection on the project,
Client agrees, to the extent permitted by law, that Metro Inspections liability to the Client, in any way arising out of this agreement, shall be limited to 100% of the total
fees and cost paid for that specific work to Metro Inspection or $1,000.00. Whichever is greater. No warranty, expressed or implied is made by Metro Inspection
Service, Inc.
Approved By: Company:
x
�n rra: vuc ur n nc+ cir r H iare cnarge or one-nan erc t (r 1/2 %) per month, (18%) per annum) will be charged on the unpaid balance from the date of the invoice if payment is not received in
accordance with the terms herein. Should it become nece§sad to enforce the terms of this invoice, reasonable attorney's fees and cost shall be awarded to the prevailing party.
WHITE- Building Dept. CANARY/PINK - Office ,