06-2757 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
r--- --- -
Application Number: _06-015902 57---
06-00002757` ;_,
Property Address: 79255 HIGHWAY 111 STE 6.
APN: 649-030-999-8 -30420 -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: - 75000
44a
BUILDING & SAFETY. DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
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 d Professionals Code, and my License is in full force and effect.
License Class: B License No.: 690043
te: �7 acto,
/ NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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—) I am exempt under Sec. , BAP.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.I.
Lender's Name: ,1
Lender's Address: {J
Pic
LQPERMIT
Owner:
STAMKO DEV CO
C/O PROVIDENT FINANCIAL MGMT
10345 W OLYMPIC BLVD 2 FL
LOS ANGELES, CA 90064
Contractor:
KNEISLEY-COCITA CONSTRUCTI
525 N. ANDREASEN DRIVE
ESCONDIDO, CA 92029
(760)735-6446
Lic- No.: 690043
VOICE (760) 777-7012.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/13/07
------------------
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.
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 STATE FUND Policy Number 7560000021
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in anymanner so as become subject to the workers' compensation laws of California,
and agree that, if I should _me subject to the workers' compensation provisions of Section
3700 of the Labor Cod , I hall forthwith comply with those provisions.
3 ��7p rcant:
WARNING: FAILURE TO SECURE WORKERS' C PENSATION 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 that th'e above ormation is correct. I agree to comply with all
city and county ordinances and state laws relating to building c ruction, and hereby authorize representatives
of this countyenter pon the above-mentioned property pection purposes.
_12i g Applicant or Agent):
•� fes:•
LQPERMIT
Application Number
. . 06-00002757-
6-00002757Permit
Permit.
BUILDING PERMIT'
Additional desc .
Permit Fee . . . .
527.00
Plan Check
Fee -
342.55
Issue Date . . .
Valuation
75000
Expiration Date
9/09/07
Qty Unit Charge
Per
Extension
BASE
FEE
.414.50 .
25.00 4.5000
THOU BLDG
50,001-100,000
112.50
----------------------------=-•
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
63.40
Plan Check
Fee
15.85
Issue Date
Valuation
0
'Expiration Date
9/09/07.
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2420.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
48.40
Permit . . . .
MECHANICAL
Additional desc .
Permit'Fee
70.50
Plan Check
Fee
'17.63
Issue Date . . . .
Valuation
0
Expiration Date
9/09/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE <=1QOK
18.00
2.00 9.0000
EA MECH
B/C <=3HP/100K BTU
18.00
2.00 6.5000
EA MECH
VENT FAN
13.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
138.00
Plan Check
Fee
34.50,
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
9/09/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
11.00 6.0000
EA PLB
FIXTURE
66.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 12.0000
EA PLB
INTERCEPTOR
12.00
LQPERMIT
Appli.cation•Numbe'r . . . .
06 -00002757 -
Permit . . . '. . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB
WATER INST/ALT/REP
3.00
4.00 3.0.000 EA PLB
GAS PIPE 1-4 OUTLETS
12.00
1.00 15.0000 EA PLB
GAS METER
15.00,
----------------------------------------------------------------------------
-Special Notes and Comments
tenant improvement tortilla express.
2420 sq. ft. ste #6.
------------------------------------------
Other Fees . . . . . . . .
STRONG MOTION (SMI) - COM
15.75
Fee summary Charged
Paid Credited
Due '
Permit Fee Total 798.90
.00' .00
798.90
Plan Check Total 410.53
.00 .00
410.53.
Other Fee Total 15.75
.00 .00
15.75
Grand Total 1225.18
.00 .00
1225.18.
LQPERMIT
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City La Quinta
Building 81 Safety Division
P.O: Box. 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
2�La
Project Address:` , �,�
1
Owner's Name:
ress: .- Irs)
3
A. P. Number:.
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address:
Project Description: Q
,
'
City, ST, Zip:
-ten Av
Telephone:
•'�i` ., i
State Lic. # :
City Lic. #±
Arch., Engr., Desi iE�Ref_: . � L
Address:
City, ST, Zip: I
Telephone:. - 8 . 'r
State Lic. #: i'
Name of Contact Person:
Construction Type: < Occupancy:
Project type (circle one): New Add'n Alter Repair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd_
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
p(�
Item
Amount
Structural Calcs.
Reviewed, ready f r correction
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
nergy Calcs.
Plans picked up
t
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correction /issueElectrical
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 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 ees
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' 4TH �`i-.r •' C.
-` RIVERSIDE°COUNTY•'FIRE DEPARTMENT
. hi cooperation with the
Cabfo7nta Department ofForestry and Fare Protection
venue • • • Fax
(909) 9404WG—
Tom O'Keete
Flr
Me Chief
July 28, 2006 2 0 It='
E
D fs V
D
Ply ming the
Gabriel Lujan & Associates AUG r 12006
Areas ofRiversWe
45175 Panorama Drive, Suite A ciTY FLAGUINTA
COMMUNITY DEVELOPMENT
County and Ifie
Palm Desert, CA 92260 DEPAWMENT
Cities of
Fimmin
t•
RE: TENANT IMPROVEMENT PLAN CHECK
Beaumont
LAO -06 -TI -056 / Tortilla Express at 79255 Hwy 111, Suite 6, La Quinta, CA
Calimesa
You have been issued a release for a tenant improvement on an existing building. THIS IS
�
NOT AN OCCUPANCY PERMIT.
Canyon Lake
O
Coachella
It is prohibited to use/process or store any materials in this occupancy that would classify it
Q
as an "H" occupancy per Sec. 307 of the 2000 UBC.
Desat Hot Springs
e'
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Indian wells
4116
rrzaio
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
H
Lake amore
Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard
La Quinta
of the Knox Company. Plans must be submitted to the Fire Department for approval of
H
mounting location/position and operating standards. Special forms are available from this
Moreno valley
office for the ordering of the Key Lock Boxes. This form must be authorized and signed by
o
this office for the correctly coded system to be purchased. If the building/facility is protected
Palm Desw
with a fire alar system or burglar alarm system, the lock boxes will require "tamper"
#
monitoring.' g
h
Rancho Mugge
A minimum 2A10BC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
10
visible location within 76 walking distance from any point in your building or suite. Fire
San Jacinto
extinguishers can be installed by a licensed extinguisher company with a State Fire Marshal
Temecula
service. tag attached to the extinguisher, or purchased from a retail store with a sales receipt
attached. A licensed fireextinguisher company must service extinguisher yearly.
Board of Supavivors
ELECTRICAL PANEL BOX:
Bob Bu",
All. Rakers must be labeled and a dearance.of 36 Inches must be maintained around the
Dishid t
panel at a(I Mmes.
John Tava&me.
Distid2
y' '
OTHERREQUIREMENTS. .
Jim Womble,
Dishid3
Approved roved buildi address shall be ced in such'a sitionta to be lain) visible and
PP ._ ... n9 P� Po plainly
legible from the street Said numbers shall contrast with their background.
;
Roy WI=6
n;da
A durable:sign stating "This door to. remain unlocked during business hours" shall be placed
moa Ashley,
on or adjacent to -the fronte)dt door. The sign shall be in letters not less than one inch high
DiAdd 5
on a contrasting background.
Applicanfrnstaller shall be responsible to contact the Fire Department to schedule
inspections. 'A re-inspe &jqgW%&Wspection is necessary.
-82-615 HW rvay 111,'2'° fl.; bilk; CA-92201�o°(760)'863-8886. Fit (760) 863-7072
v
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,
Tracy Hobday
Chief Fire Department Planner
By: od
Sonia Cooley
Fire Safety Specialist
Proudly serving the
unincorporated
areas of Riverside
County and the .
Cities of:
Banning
4.
Beaumont
4
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
4.
Lake Elsinore
La Quinta
4.
Moreno Valley
Palm Desert
4.
Perris
4.
Rancho Mirage
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
Date
City of La Quinta
Building Department
)L
IAO (9 . -7"( 0 54
The Riverside County Fire epa ent is gran
location q Q ,- ��; �u
Please call if you should have que*s 760-E
Ig the Fire Clearance for the following
2�& �a
-8886
Respectfully
By�
Terry DeSoucy
Fire Systems Inspector
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2"d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
Certificate of Occupancy
4
a
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 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: 79-255 HIGHWAY 111 STE# 6
Use classification: COMMERCIAL (TORTILLA EXPRESS) Building Permit No.; 06-2757
Occupancy Group: B Type of Construction: VN Land Use Zone: CR
Owner of Building: STAMKO DEV CO
_Building Official
Address: 10345 W OLYMPIC BLVD,2FL
City, ST, ZIP: LOS ANGELES, CA 90064
By: STEVE TRAXEL
Date: AUGUST 2. 2007