14-0705 (RC)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
�ty,, 4 lwQu!Rr�,
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RC -14-705
79174 HIGHWAY 111 STE 105
600390029
TI "HABIT" BURGER RESTAURANT
$250,000.00
Applicant:
MATT CLARK - CLARK COMMERCIAL
3500 S. GREENVILLE ST. UNIT C -
SANTA ANA, CA 92704
AUG 19 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B License No.: 973962
�L te: Contractor:
OWNER -B ILDER DECLA TION
I hereby affirm under penalty of perjury empt 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.).
(_) 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
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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/19/2014
Owner:
INLAND AMERICAN LAQUINTA PAV
P 0 BOX 9271
OAK BROOK, IL 92253
Contractor:
EBS CONSTRUCTION SERVICES INC
P 0 BOX 822
TUSTIN, CA 92781
(714)836-7700
Llc. No.: 973962
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 becomes ject to the
workers' compensation provisions of Section 3700 of the Labor CodI shall forthwith
comply with those provisions. , A
� c
te: pplicant:
WARNING: FAILURE TO SECURE WORKERS' CO NSATION 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 Building Official 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 rrect.
I agree to comply with all city and county ordinances and state laws relating to wilding
construction, and hereby authorize representatives of this city to ent upon t e above-
mentioned property for inspection purposes. _
ate: 6b& ig�iature (Applicant or A
/ /
d DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
ART IN PUBLIC PLACES - COMMERCIAL
REMOD
270-0000-43201
0
$125.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forART IN PUBLIC PLACES - AIPP: $125.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$10.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $10.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HOURLY CHARGE - CITY STAFF
101-0000-42600
1
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCITY STAFF - PER HOUR: $143.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK
101-0000-42600
$122.50
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forHOURLY PLAN CHECK $122.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, ELECTRICAL
101-0000-42403
$23.83
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, ELECTRICAL
101-0000-42403
$9.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, ELECTRICAL
101-0000-42403
$23.83
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, ELECTRICAL
101-0000-42403
$52.80
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, ELECTRICAL
101-0000-42403
$35.76
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
f Total Paid for PLAN CHECK, ELECTRICAL: $145.22
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, MECHANICAL
101-0000-42402
$47.66
PAID BY
- METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PLAN CHECK, MECHANICAL
101-0000-42402
$35.76
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, MECHANICAL
101-0000-42402
$47.66
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, MECHANICAL
101-0000-42402
$4.77
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, MECHANICAL
101-0000-42402
$4.77
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, MECHANICAL
101-0000-42402
$35.75
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLAN CHECK, MECHANICAL: $176.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, PLUMBING
101-0000-42401
$274.16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, PLUMBING
101-0000-42400
$11.92
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT,
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, PLUMBING
101-0000-42401
$7.15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, PLUMBING
101-0000-42401
$11.92
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
'4
DESCRIPTION
ACCOUNT
QTY
AMOUNT,
PAID
PAID DATE
PLAN CHECK, PLUMBING
101-0000-42401
$11.92
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
•PLAN CHECK, PLUMBING
101-0000-42401
$23.83
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLAN CHECK, PLUMBING: $340.90
DESCRIPTION.
: ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, REMODEL
101-0000-42600
$132.99
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PLAN CHECK, REMODEL
101-0000-42600
$85.80
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLAN CHECK, REMODEL: $218.79
'DESCRIPTION ..
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - COMMERCIAL
101-0000-20308
0
$70.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $70.00 $0.00
TOTALS:i0
Bin #
Qty of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quints CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit : lob
Project Address: 7a (71 AY (� ��
Owner's Name: 114OWD AWAE91CA0 Mb e -
A. P. Number: . q,447 - 02 p _ (51f f!>
Address: Z8o9 NwTMF.GLD D.4 Zda
Legal Description: Q (}ZO •
City, ST, Zip: QAIK $tCCX( I`, (pO5Z3 -
Contractor:
t�CO�uobd-YNP
Telephone: � 5 Zq S
Address:
510 -
Project Description: 'jEn/�N.i- It`'1QRAVE)A�IE►J-T
City, ST, Zip: a
0
'Tp C-r^v-m / Et4pV' +41T 4S7AC.E /14T0 J\
Telephone:
"<>:>?:>::< z:.'•;i :>:i::<:«:
State Lic. #City :
(�
Lic. #;
It`1Gl.t.�DE Ot (ttkt.'�EG `JnZ�'T't.lc:;vr`
Arch., Engr., Designer: DN -411> UDKOw
,
Address: 013 E• WA sA I'-Je.T o w) --n Z7t0
rti3l fJ is ,
City, ST, Zip:. 0000E7.11 X
Tele hone:Liq,2-t7
Construction Type: Occupancy: 2—
StateState ic. #: C ' aft 12
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: M AT'r
Sq. FL: ��d
# Stories:
*Units: t
Telephone # of Contact Perso . -7l4 Z $ - (1144o
Estimated Value of Project: 1 p tpp
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitte �
Item
Amount
Structural Cates.
Reviewed, ready r corrections 2-J.7
Plan Check Deposit
Truss Cala.
Called Contact Z
Plan Check Balance,
Construction
Titic 24 Calcs.
Plans picked up ( (
Flood plain plan
Plans resubmitted (fj
Mechanical
Grading plan
21d 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
ti
IN IIOUSE:
'rd Rcyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
15/076 --- Aw-"Z- 40-1'7
61.78 -;e ZZI `�-,' ti -I
� .slc . Cyt , (a(► I. 1 r 4
�(2 3 ��� � —
-1 009'x`
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
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
RN RsIDE COUNI Y RRE DEA t i"
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886
• Fax (760) 863-7072
www.rvcfiire.org
June 11 th, 2014
RE: TENANT IMPROVEMENT PLAN CHECK -Non Structural
LAQ-I4-TI-019 The Habit Burger Grill 79174 Hwy 111,Ste.105, La Quinta, CA 92253
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 2013 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2013 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.
Approved suite addresses shall be placed in such a position to be plainly visible and legible from the
street. Said numbers shall contrast with their background. `
EXISTING FIRE ALARM - The existing fire alarm system shall be modified to provide proper
coverage as required by the California Building Code, California Fire Code and adopted standards.
A C-10 licensed contractor must submit plans, designed in accordance with NFPA 72 for review and
approval prior to installation. (Prior to building final inspection)
FIRE SPRINKLERS - The fire sprinkler system within the building or tenant space was approved
for the original layout and commodities of the original or a past occupancy. The sprinkler system
will need to be modified and designed in accordance with adopted standards. A licensed C-16
contractor shall do all sprinkler work and/or certification. Plans shall be submitted for review and
approval prior to installation. (Prior to building final inspection)Also needed in refrigerators.
HOOD/DUCT SUPPRESSION SYSTEM- A UL 300 hood/duct fire extinguishing system
must be installed over the cooking equipment as required by the California Fire Code,
California Mechanical Code and adopted standards. The extinguishing system must
automatically shutdown gas and /or electricity to all cooking appliances upon activation. A
C-16 licensed contractor must submit plans, along with the current $215.00 deposit based
fee, to the Fire Department for review and approval prior to installation. Alarm system
supervision is only required if the building has an existing fire alarm system.
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
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,
c2isa c�attingham
Fire Safety Specialist
4
;r.
DEPARTMENT OF ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
SR# 31191 Date 6-17-14
Project Name The Habit Burger and Grill Address
Plans Submitted by Matt Clark
Owner The Habit Phone
Restaurants LLC
791.74 Hwy 111, La Quinta CA
None listed
Phone
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1. Provide the extra two racks of shelving as per email'dated 6-16-14.
2. The sneeze guards will be evaluated onsite.
3. All lights at food storage and prep areas shall be shatter proof.
4. Provide splash guard at hand sink.
5. The outside dumpster area must have smooth and epoxy sealed interior walls and floor.
6. For the final inspection, provide a certified air balance report for the exhaust and make up air.
7. For the final inspection, provide a letter from the sewer district for grease interceptor approval. Contact John
Riddle for more information 760-863-7570.
8. For the final inspection, contact Hazardous Materials to obtain a bulk CO2 tank permit call 760-863-8976.
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 11.1 Phone (760) 863-8287
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction:.
Signature
Company Name
. DEH -SAN -178 (Rev 2/06)
Date
Corona
Hemet
Indio
Murrieta
2275 S. Main St
800 S. Sanderson_
47-950 Arabia St
38740 Sky Canyon
Suite 204
(951) 766-2824
"A"
Dr
(951)273-9140
Fax(951)766-
(760)863-8287
(951)461-0284
Fax(951)520-8319
7874
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
Bin #
aw
•
Qty of La Q uin to
Building &r Safety Division
Box 1504, 78-495 Calle Tampico .
La Quinta,CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
�� 05
Project Address: 1 t
Owner's Name: I C,?,n m
LIC
A. P. Number: - qyq _ oa Q _ 04
Address: M001g'�O
Legal Description: l y — (' — QL4
City, ST, Zip:Oa L ]L IL a
�Contractor: fYl
Telephone
P -
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Address: -
Project Description:
J
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City, ST, Zip: °la
-z- CS-IT `
Telephone: "1��-}-SJ(o-11d
.:.<.:.:....,:.;;;•:};;r........:.:::-
State Lic. # : �� 3� b
City Lie. #.GJ'
C.
Arch., Engr., Designer: '7 1
00 ptO
Address: D 13 �'
City, ST, Zip: I 50
Telephone: �•� a 1LM 1
'!f4i}i;:'i::ii:4!ii:iii.v�f ..�::i:?h}i: ..
::;r<:;:;>.::: :.=.::s<:f:;; ;<;;<<:
Construction Type:Occupancy
to ic. #
S to L
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: -� LY*_Sq.
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: — OQ — fa
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# -
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person t
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2ed.Review, ready for correctio issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`u Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
•
Pub. Wks. Appr
Date of permit issue
•
School Fees
Total Permit Fees
?f VD
1�
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Community Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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: 79-174 HGIHWAY 111, STE 105
Use classification: RESTAURANT – THE HABIT BURGER GRILL Building Permit No.: 14-0705
Occupancy Group: A-2 Type of Construction: VB Land Use Zone: CR
Code Edition: 2013 Sprinkler Installed: YES Occupant Load: 65
By: KIRK KIRKLAND Owner of Building: INLAND, AMERICAN PAVILION
Date: OCTOBER 10, 2014 Address: PO BOX 9271
Building Official: TOM HARTUNG (INTERIM) City, ST, ZIP: OAK BROOK, IL 60522