05-0702 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: � 500000702
Property Address: W1493_0-5]JHIGHWa1Ch l'[STE1F1%6_
APN: 649-030-999-7 -30420 -
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 45000
Applicant: Ar_cJlJ1&pt or Engineer:
D//
JUL 0 6 2005
/ I -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----- - - - - ------nii�u`r.---- ----LARATION ------------
ONTRACTOR'S DEC
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.
Lic rise Class: B License No.: 516625
Date: � Contractor:
t 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 ISec. 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 155001.:
(_ 1 1, 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.). _
( 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 Address:
LQPERMIT I
Owner:
STAMKO DEV CO
C/O PROVIDENT FINANCIAL MGMT
10345 W OLYMPIC BLVD 2 FL
LOS ANGELES, CA 90064
Contractor:
FLORES BUILDERS CONST, FRANK
61125 PIERSON BLVD
WHITE WATER, CA 92282
(760)251-7957
Lic. No.: 516625
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/06/05
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.
7C 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 1640796-2005
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 C tde, I shall forthwith mply with those provisions.
Date: - : ~ Applicant ,gam wD
WARNING: FAILURE TO SECURE 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 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 c my to�en`ter upon the above-mentioned propert . for inspection purpo/s/e/S/,
Da e: - J Signature (Applicant or Agent):// Y
ti
_ AF
Application Number . . . . . 05-00000702
a
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . ASSY BLDG <300 NO STAGE
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
A3/B
OCCUPANT LOAD
101.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2700.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
382.00 Plan Check Fee
248.30
Issue Date . . . .
Valuation . .
. . 45000
Expiration Date
12/28/05
Qty Unit Charge
Per
Extension
BASE FEE
252.00
20.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
130.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
69.00 Plan Check Fee
17.25
Issue Date
Valuation
0
Expiration Date
12/28/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2700.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
54.00
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
61.50 Plan Check Fee
15.38
Issue Date . .
_ Valuation . .
. . 0
Expiration Date
12/28/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
2.00 4.5000
EA MECH VENT INST/ DUCT ALT
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
.2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
J
LQPERAIIT ..
LQPERAIIT `
` Application Number . . . . . OS -00000702
Permit . . . . . PLUMBING
Additional desc . .
Permit Fee . . . . 168.75 Plan Check
Fee
42.19
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 12/28/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
18.00 6.0000 EA PLB FIXTURE
108.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
7.00 .7500 EA PLB GAS PIPE >=5
5.25.
1.00 15.0000 EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes -and Comments
COMMERCIAL INTERIOR T.I. - 2,700 SQ.FT.
RESTAURANT "MAXCY'S GRILL" A-3
OCCUPANCY, TYPE V-N•CONSTRUCTION, 101
OCCUPANT LOAD, 2001 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
24.83
ENERGY REVIEW FEE
24.83
STRONG MOTION (SMI)
- COM
9.45
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 681.25 •.00
.00
681.25
Plan Check Total 323.12 .00
.00
323.12
Other Fee Total 59.11 .00
.00
59.11
Grand Total 1063.48 .00
.00
1063.48
LQPERAIIT `
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
OFT9 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 4-15-2005
From: Doug Evans, Director -CDD Due date: 4-28-2005
Status:2"d Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for the
following project:
Description: MAXCY' S RESTAURANT
�s
Address or general location: 79-305 HIGHWAY 111 STE #1
Applicant Contact: FRANCISCO AGUILAR 760-251-7198
The Community Development Department finds that:
� J
❑ ...these Building Plans do not require Community Development Department
appr gal.
these Building Plans are approved by the Community Development
Department.
❑ ...these Building Plans require corrections. Please forward a copy of the attached
corrections to the applicant. When the corrections are made please return them to
the Community Development Department for review. '!
ans, Director -CD Date
• COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER
'85-995 Avenue 52
Coachella, California 92236
(760)398-2651
APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL
APPLdCANT: Submit this form with a copy of a SCALED plot plan (1" = 20' to 1"= 40' SCALE) drawn to District specifications. A nonrefundable filing fee is required
when the application is submitted.' Check must be made payable to the Coachella Valley Water District. Approval of this application shall remain valid fora period
not to exceed one (1) year from date of payment.
Plan Check No.
Agent, Contractor, Contact Person
Address City State Zip
Telephone
USO
?® S Fs U C4 92-1!C�j77S
5V/ 7
Owner
Address City State Zip
Telephone
l C'7ZG G L� fzU� O
S L
Job Pro �joS City Zip
�/ S�o 3 STS a �o 6111v T 72,
Legal Descnp on
PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS
NOTE: PLANS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION IS COMPLETE AND THE PLAN CHECK FEE IS PAID.
GENERAL CONSTRUCTION: 0
Type of Construction: 7 U'
New Food Facility ✓ Remodel of Existing Food Establishment Hours of Operation Seating Seating Capacity: Internal External 1� .
External Seating with Misters or Heaters Bar with Food Service Bar Nonfood Service Water Softener
Service:
Multiserbice(reusable) Single Service (disposable)
OWNER/REPRESENTATIVE DECLARATION: I certify that I have read the entire application and state that all information is correct. I understand that the amount of fee
paid is based on my declaration of information on this form and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be
discarded if not picked up within sixty (60) days of approval or denial and that no inspection of my establishment will be conducted, or approval granted to operate, until all
proper informatio requested has been received and plans have been approved and returned.
Signa Dates
�^,r ' • ` L�a�..,. t
A
,. � 6-yq��L ��i S•g` s .� �`Y2�'[ t.�.r� .`
rt
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No. of Systems
Type of Systems)
No. Dwelling Units
❑ Sand/Oil a Interceptor Waived
Fixture Units
❑ Grease Interceptor
New ❑ Existing
❑ Lint Trap
❑ Replacement ❑ Addition
❑ Clarifier
❑ Connect to Sewer
z000
REMARKS:
V � s
g
'supplication is:
,.,
LFA Approved ❑ Denied ❑ Conditional Approval*
Fee S
Check No.
*See Remarks
Date
Initial
Signatjw���_ 900�0,�
�S
CV WD -921
COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
ENVIRONMENTAL. HEALTH SERVICES
Ar,
SUPPLEMENTAL REPORT TO SAN. FORM # DATE
SUBJECT -PERMIT NO.
ADDRESS i - L4
INSPEbTOR,.* _1,_O,► ,
REMARKS: k/%C, LAVee, fl,k.)
L, sT llu bqc t" d64r TO CAH sLr-*-
4r bc�G�ce crgort
T-Ael-Celf-or le+kl- kocetv
49c,(
A0 15-r"eS
o
DEH -SAN -118 (Rev 8/02)
Distribution: WHITE—Office; CANARY—Owner; PINK—Office
WDEPARTMENT
RIVERSIDE COUNTY
FIRE DEPARTMENT
210 West San Jacinto Avenue Perris, California 92570 (951) 940-6900 • Fax (951) 940-6910
Craig E. Anthony
Fire Chief
r
Proudly serving the January 05 , 2005
unincorporated
areas of Riverside
County and the
Cities of: City Of La Quinta
Banning Building Department.
Beaumont' RE. Maxcis Grill
4.
calimesa The Riverside County Fire Department is granting the clearance for the following
Canyon Lake location, 79305 Hwy 111 Suite 1, La Quinta. Please call if you should have
Questions.
Coachella
4.
Desert Hot Springs
4.
Indian Wells
Indio
4. Respectfully
Lake Elsinore
La Quinta
TRACY HOBDAY
Moreno valley Battalion Chief / Fire Marshall
Palm Desert'
Perris
4.
Rancho Mirage
4. By
1JSan Jacinto �
.y
Temecula Terry D Soucy
Fire System Inspectors
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson
District 4
Marion Ashley,
District 5
L_a Qt
AV
ISITNG 4 x 6
I BEAM
XISITNG 2 x 6
I RAFTER
XISITNG 4 x 6
BEAM
I XISITNG 2 x 6
I RAFTER
JOIST
2'-0'1
PLAN VIEW
3/4"= 1'-0"
9935 /410 -"--/
HA &4NGE <11
HA 2 x 6
RAFTER
m
m
0
0
XISITNG 4 x 6
ci BEAM
w
x
x
Ci XISITNG 2 x 6
w
w RAFTER
w
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4 x 6
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PLAN VIEW
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CONDITION 1A o ro
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HA &4NGE <11
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RAFTER
XISITNG 4 x 6
ci BEAM
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Ci XISITNG 2 x 6
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Area;.# r' COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
PLAN CORRECTION
Plan Check # IVN05-012 Date 2/7/05
DBA Maxcy's Grill Address 709-305 Hwy111, Ste01 La Quinta
Plans Submitted by Francisco Aguilar Phone (760) 409-7186 _
Owner Guillermo Angulo Address Phone 760)775-7331
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1. This plan does not include sewage or water service approval. Prior to the final inspection provide a grease
interceptor sizing form from your local water agency. For more information call County of Riverside Land Use
at (760)863-7000.
2. Provide an approved 12" high splash guard between hand sink -item #A.05 and work table -item #B.22. See
correction on page K3.0
3. All floor, wall and ceiling finishes in food service areas must be smooth and easily cleanable including
waitress and self service stations such as drink dispensers.
4. The mop sink must be of the floor basin style. Behind all sinks in the splash zone the finish must be water
proof to a height of 8' (e.g. FRP/tile)
5. The trash enclosure must meet current standards and be finished so that the interior floor and walls are
smooth and easily cleanable. Seal these interior surfaces with an approved two part epoxy.
6. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by
vermin. Service windows such as drive through windows must likewise be self closing and if greater than 216
square inches have dedicated air curtains. The delivery door air curtain must deliver air at a velocity of 1600
fpm at a height of 3' above the floor.
7. A construction guide has been issued with this plan correction. All issues not otherwise addressed by this
plan correction must be resolved according to the guidelines set forth therein.
8. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak
shift
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 compliance guide is attached to this plan correction sheet. All construction not otherwise addressed on the
plan correction must be performed in accordance with the guidelines set forth therein. 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 Jerry Dubin 1<7 Phone (760) 320-1048
1 acknowledge the corrections noted herein a d s indi to on th p ns nd agree to incorporate
them during construction:
r
Signature
r
Com n Tc
Date
Cozy . VOW
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APR 1 4 2005
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PAGE 2
)P 7&8-----------------------
NM NO. 2
TW= 30.0 FT ATRIB=1350. FT -2
DL= 1 6 . PSF LL= 1 2 . PSF A/j
IP1 =1 1760. # (R1 BM#
6720.# (DL ONLY)
--------------------------------
oho -F r!
I--W_-840__PLF-(-480_-DL-ONLY)--I (Je %� t
V i
4.0 FT 45.0 FT
°1
R1(MAX=35215.#) R2(MAX=18217.#) ,
(DL= 20123.#) (DL= 10117.#)
CRIT
SHEAR
@
RIGHT
SIDE OF
R1:
MAX
MOMENT
@
23.31
FT FROM
R1:
+--------------
IUSE 5.125 X33.0 GLBA9.1
C1= 0.000 C - 1.375
+ ------------
ALTERNATE: 6.750 x 30.0
CA1= 0.000
* BEAM NO. 3 *****
TW=
DL=
VMAX = 17785.# AR= 129.3 IN -2
MMAX= 197542. FT -LBS SR= 790. IN -3
CV = 0.862 IN -2
_C*1-5---2 063--
AR = 133.9
CV = 0.847
CA = 1.375
CA * 1.5 = 2.063
C, - Z"
30.0 FT ATRIB=1350.
16. PSF LL= 12.PSF
-------------------+
CV*S = 802. IN -3 I
-C2= 0.000
--- ----------+
A = 202.5 IN -2
CV*S = 857. IN -3
CA2 = 0.000
FT -2 1jF'
O---------------+
I W= 840. PLF- (-480 _-DL-ONLY) _= I
45.O FT
R1(MAX=18900.#) R2(MAX=18900.#
(DL= 10800.#) (DL= 10800.#)
CRIT.SHEAR = 16380.#
MAX MOMENT @ 22.50 FT FROM R1: MMAX= 212625. FT -LBS
•oyx
�/2vvirrG
AR= 119.1 IN -2
SR= 851. IN -3
------------------
+-----------------------------= 184.5 CV = 0.830 IN -2 CV*S =
I USE 5.125 X 36.0 GLB. A _
C1= 0.000 C = 1.250 C 1.5 -1_875------C2=
------------------------------------*----- A =
+- AR = 123.7
ALTERNATE: 6.750 x 31.5 CV = O,g19
CA1= 0.000 CA = 1.375
CA * 1.5 = 2.0
(�3/(f� 3 3 r -- Zkk
919. IN -3 I
0.000
--+
212.6 IN -2
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Certificate, of Occupancy
4 4i�
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: 79-305 Highway 111 Suite 1
Use classification: Commercial "Maxcy's Grill" TI
Occupancy Group: A3 Type of Construction: VN Sprinkled
Owner of Building: Stamko. Dev. Co.
Building Official
Building Permit No.: 05-0702
Land Use Zone: CR
Address: 79-305 Highway 111
City, ST, ZIP: La Quinta, CA 92253
By: Daniel P. Crawford Jr.
Date: 2/2/06
POST IN A CONSPICUOUS PLACE