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0309-280 (RC)
5 LICENSED CONTRACTOR DECLARATION H=I; 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 C'4w �, Professionals Code, and my License is in full force and effect. O =) M ; License # Lic. Class Exp. Date r -- C3 - `d�Sii a 35Ti'' ~ Z Date ��'Jf. Y� 11,Signature of Contractor CIO p. t,� J U OWNER -BUILDER DECLARATION - W d r- I hereby affirm under penalty of perjury that I am exempt from the Contractor's U License Law for the following reason: Z_ ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting With licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). C`') () I am exempt under Section B&P.C. for this reason N Date Signature of Owner ON 0) Q WORKER'S COMPENSATION DECLARATION < Cc z I hereby affirm under penalty of perjury one of the following declarations: n ~ p ( ) I have and will maintain a certificate of consent to self -insure for workers' K w Y= compensation, as provided for by Section 3700 of the Labor Code, for the nJ Q performance of the work for which this permit is issued. Q () (. ) I have and will maintain workers' compensation insurance, as required by V QSe;tion 3700 of the Labor Code, for the performance of the work for which this L H permit is issued. My workers' compensation insurance carrier & policy no. are: Z Carrier Policy No. , ob ry- _ , V Q (This section need not be completed if the permit valuation is for $100.00 or less). J ( ) 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 fortJwith comply with those provisions. .pate: .:.� �. -j t r_3 Applicant Warning: Failure to secure Workers' Compensation.cove •age is unlawful and shall subject an employer to criminal penalties and civil flnesvup to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. i 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property ((3r`inspection.purposes. Signature (Owner/Agent) f� t ! �' =Y Date i ry -Jud PERMIT PERMIT# YILDING DATE LUATION LOT.. TRACT JOB SITE } ` ADDRESS 791 1 4u.i vrigmwtt in. sall.,n s APN -, OWNER CONTRACTOR / DESIGNER / EN (NEER S T'! � J t 4 !?•, Ka 2,fS�i t:{'1' CO. 3850 k'IADOLCY, t x v ��. G"rm<s`M,)jM'g MAMA.Dull. RAT CA. 90291 ALH104.21RA, 41k 91;F01 ( A.OS 458-8131, USE OF PERMIT t. �7�1t S?��tLT�at I ,ItLlU1Y;+BJH i I (r~'ti?�f 7'ldSro &IS f RO 71) °A34 042:CtTPMICY, OC"CUi9ART 11.- ilt2, M1 C qn VALUATION ,TED COW Of C0 NVITRUCTIM11 CA'CQUAX }��yy���►����gg'�� {{ �-ry y� apt y)Mq_DA ' �.il.'13.1.iY.1/.J. ii�PiC+7.4�17 VJ.9rQ13J).�TL.7[ PLAN CHECK FER 101 -000-4.19-31 S SIVA CONSTRUCTION, N T.",, 101-•000-418-t.?t;O t r q4 m- ME(MAN110'Ali FEE 101 ry ZLfr.;CUICALfiELF 101-000.420-000 pa to x' F3'Mx;Tli'seI Pt;L 901!000-419-00011 VMS'' SUB-!MAL iTrdltT't"r`�7?11MD. PL,fi3OC�'R.Rf.° R." ,OCT 31'2003' ; CITY OF LA QUINTA FINANCE DEPT.. RECEIPT DATE ' F BY DATE 117E I INSP OR i INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing-I/—Ag_S // Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVA S Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final " Plumbing Top Out Equipment Enclosure' Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances_ Z G3 Final ' COMMENTS: ��� 10T8' @T!/Ilts� `C • ?~At, -Dvv L 1A.0- �!/jPy� l3) oiarax� Final p 27�� Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power ITA0110, (/Z Final Q Utility Notice (Perm) X X Bin # Permit # 0161. 1-8v Project 19 Address A. P. Number: Legal Description: Contractor: T (5 -D City of La Quinta R! • -Mg at Safety Division P.O. F, " ' '04, 78-495 Calle Tampico La Qu.iri-_: A 92253 - (760) 777-7012 Bul pplication and Tracking Sheet 4mer*s Name: �12 �4 kPf i W"* - -dress:2.y5-o WjL.LjArjM p. -TA Tr ft*E� '_C ty. ST. Zip: 6(LftevME; , Tx -74 5 f FTcIcphonc--M/4;1*— --xi & F .771-_.:1 rl� Address: IXProject Description: Te-NAMT 1k11DR_DVC—ME1,, I rT City, ST, Zip: Telephone: C -41217N _&(cTKo) State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction T Ype: Occupancy: A -3, State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: r�Py *,fL4 Sq. Ft.: 3. # Stories: I # Units: Telephone # of Contact Person: &.6 ["(Estimated Value of Project: !E� lbo f VVV APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd I TRACKING PERMIT FEES Plan Sets OI Plan Check submitted A item Amount Structural C21CS. Reviewed, ready for 'Corrections Plan Check Deposit Truss Calcs. Called Contact Person q115 Ran Check Balance — Energy C21CS. Plans picked up 9/a(# Construction Flood plain plan Plans resubmitted _? IF !" 1%01 Mechanical &S. 00 — Grading Plan 2" Review, ready for correcti.!:S:/-Ss e Electrical 0 461 1 *k Subcontactor List Called Contact PersonPlumbing AL14 -Grant Deed Plans picked up fil I — H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, readv for corrections/issue Developer Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. — Pub. Wks. Appr of permit issue to +A School Fees [Date /D ZS7V 87 P,77V Ai4477i Total Permit Fees P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (76.0)777-7012 FAX (760) 777-7011 To CDD: 9-12-2003 From: Oscar Orci, Planning Manager Due date: 9-19-2003 Status: 1ST 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: Canton Bistro -7 Address or general location: 79-405 Hi hwU 111, #4 Applicant Contact: Andy Yu 626-458-8111 The Community Development Department finds that: ...these Building Plans do not require Community Development Department approval. 'T% 1) d d -I L 0 i) Ll A)d ��� 5 ❑ ...these Building Plans are approved by the Community Development Department. 09 CXMI-21dAe- �"7iZS ❑ ...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. Oscar Orci, Planning Manager ate COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY ASSESSOR' '% NUMBER DEPARTMENT OF ENVIRONMENTAL HEALTH — — APPLICATION FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. LMS # Agent, Contractor, Contact Person Address City State Zip Telephone b, 6 Q Owner Address City State Zip C W1 Telephone OJob Property Address _ city I - 405 Oki tt #S IA autq'TA Zip Z;3 I— U LU Lot Size Water Agency/Well Use of Permit, P/P, SUP, PUP, etc. Legal Description DBA Dwelling, MH Site Prep., ell. CANTJ+J N JA0 Signature of Applicant L10 Date ✓ -ts FOR OFFICE USE ONLY CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Other ❑ Staff Specialist Lot Inspection Required Z❑ Holding Tank Agreements Completed 0 ❑ Certification of Existing S.D. System Required Thomas Bros. Page Grid W❑ WQCB Clearance Required ❑ Date Lot Inspection Completed: Initials U) (Attach for DOH-SAN-007, Santa Ana Region Only) ❑ Soils Percolation Report Required Remarks: ❑ Special Feasibility Boring Report Required ❑ Maintenance Booklet Provided ❑ Rereview Required ❑ Final Inspection by Department of Environmental Health is required. Initials Date Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report By Lic/Project # Date Soils Map Page Soil Type Approved By Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate _ Grease/Sand i� Vr*rL / ❑ Holding Tank ❑ Replacement ,New C] Addition Bedrooms, Fixture Units /p© Grease Intcp/Ltnt-trap ❑ Existing ❑ Connect to Sewer .AJ Gal. 31, MOLD Gal. Sq. Ft. Total Linear Sidewall Allowance (� Leach Bed sq. ft.+ Bottom Area Ft. ft. rock/ sqft. running ft. Install Lines) ft. long ft. wide of Bottom Area Inlet Tested Depth ❑ N/A with min. inches rock below drainlines U Proposed Bottom Tested Depth or Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (131) Seepage PitMaximum Other: Applicable Total Depth Allowable 1 W N/A Overburden Factor ❑ 5' C] 6' 6' TD rl ✓�t S Kitt-+< 45-- U) ti -F -.of. r w r Well Review Approved: Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: Date: REMARKS: maC411 A44 -4,( U 4 A ki- /m, 4v 1 L O-oy A / cri1.r-x� II�`1TL U �/ ` IIL'Zv IC/�.� ✓ .✓O� % A'C 4,91 r t lam h /1 Z = CL..aP.'L N 1 ✓ff c This application isAPPS COVED/DENIED for the category checked in �r6V -7r7-tf C�esl SECTION B above, regIngt A design of a disposal system as indicated on the accompanied plot-ptan, using the requirements set forth in SECTION C A building above. permit is necessary for the installation of the above- Revenue Code Fee $ designed system. No construction is permitted in the required reserved 100% expansion area. / n y V Check # (1) Septic Tank must be 100' minimum from any wells. Z(2) Leach lines must be 100' minimum from any wells, including / C% d t 1 expansion Date Initial O area. (~j (3) Sewer lines must be 50' minimum from any wells. l� t� / / W U) (4) Seepage pits must be 150' minimum from any wells, including expansion RIVERSIDE: 909-955-8980 area. INDIO: 760-863-7000 S` Signature SOUTHWEST. 909-600-6180 ncu_cnu_»� Date to.., aims .._._ �...•- -. ,.,...�_ ..... _.. .._. . —..,......—...., ,„ vo rnc, I CLwvv—MPPucant; rlrvn—t5tag. uept.; IJULULNKUD—Plans/Records COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # �r/� DATE /1/f)/rf/ (:AM`�it SUBJECT / T,/Y� PERMIT NO. �Zl ADDRESS 779- ygQ5 u II 1A (Qr>>'A)TOL REMARKS: , INSPECTOR 00 ,r DEH -SAN -1 18 (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner, PINK—Office 1y f �' ~t .F 7 r. �k %is• s...s;er.`v"_�S.ta.r;,sas��viLw,.s v-,e,•..,MC 51�:.c..4,r.�.4.:vtw,r.,r.�i_fY.v{�i.�.�A 9s_:�i-3v___u.a..�:1,�.r:.w� �i �ixx,.v �e.� _.:k.:rf... J.,v - .�..L_ �. r..th , l�. 4.'[w..�_iS,Y.....w.!...�•- t t. RIVERSIDE COUNTY FIRE DEPARTMENT _ . IN COOPERATION WITH CALIFORNIA DEPARTMENT OF FORESTRY i AND FIRE PROTECTION INDIO OFFICE RIVERSIDE OFFICE g2-675 HIGHWAY 111 'f 4080 LEMON STREET, 2ND FLOOR 2ND FLOOR !!� lP.O. BOX 1549 INDIO, CA 92201 RIVERSIDE, CA 92502-1549 (760) 863-8886 (909) 955-4777 FAX (760) 863-7072 FAX (909) 955-4886 JOB CARD Cry 3 Z4Z� I I -1-HIS INSPECTION RECORD MUST BE AT JOB SITE i WITH THE APPROVED SET OF PLANS E i ! I Date j1zjvq Location oS u a Case No. L40 03 I i. .Sprinkler Company Ll�n� n 5� IB✓nS Id A Date Inspector Underground Visual j (Joints and Thrust Blocks Must Be Exposed) 147 — Date Inspector Underground Static (200 PSI For 2 Hrs. Prior to Inspection Time) 1A- Date Inspector Underground Flush I,�Date .Inspector Overhead Static „' i (200-PSI-For-2-Hr6- Pri o-lrrspestien Tire) l. Overh ad Final Date Inspector I, l • Fire Main Installer ji Underground Visual Date Inspector f (Joints and Thrust Bloc li Must Be Exposed) "1 Underground Static Date Inspector I(2 00 PSI For 2 Hrs. Prior to Ins ection Time) Underground Flush Date Inspector Tom Tisdale Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning Beaumont .;. Calimesa 4. Canyon Lake Coachella Desert Hot Springs .;. Indian Wells .o Indio Lake Elsinore La Quinta Moreno Valley 9 Palm Desert Perris Rancho Mirage �o San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jim Venable, . 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 • ems, California 9 570 • (909) 940-69 Fax (909) 940-6910 t March 01, 2004 City Of La Quinta Building Department Re: Fire and Life Safety Clearance The Riverside County Fire Department is granting a fire and life safety clearance for the Following address located at 79-405 Hwy 111 ste#5, La Quinta. Please call if you should have any questions. FRANK KAWASAKI Chief Fire Department Planner By Terry De ty Fire Systems Inspector TDrI EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2nd Fl., Indio, CA 92201 9 (760) 863-8886 9 Fax (760) 863-7072 Tom Tisdale Fire Chief RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 82-675 Highway 111, 2^d FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072 September 17, 2003 Infra+Arch 1128 S. Garfield Ave Alhambra, CA 91801 Proudly serving the unincorporated Re: Non -Structural Building TA Plan Review LAQ-03-TI-067 / Canton Bistro areas of Riverside , County and the Cities of- Fire Department personnel have reviewed and approved the plans you submitted for the above referenced project. Please be advised the following conditions apply as a part of the conditions for the Banning issuance of a building permit. . Beaumont 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire 4' Department for review, along with a plan/inspection fee. The approved plans, with Fire Department Cahmesa r. Job card must be at the job site for all inspections. Canyon Lake It. 2) Provide either a separate Knox Key Lock box, Model 4400, 3200 or 1300, mounted per Coachella recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system, the Desert Hot Springs lock boxes will require "tamper" monitoring. Indian Wells 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating.- Contact certified s• Indio extinguisher company for proper placement of equipment. 4. Lake Elsinore 4) Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted, along e.+ with a plan check/inspection fee, to the Fire Department for review. La Quinta 4• 5) Approved building address shall be placed in such a position as to be plainly visible and legible from Moreno Valley the street and rear access if applicable. In multi -tenant buildings, businesses shall post the `• business name and suite number on back doors as well as the front. Suite numbers or letters must Palm Desert be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the q• Perris background. e. Rancho Mirage 6) Room capacity shall be posted in a conspicuous place on an approved sign near the main exit from C. the room. San Jacinto 6• Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy. Temecula All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Board of Supervisors Bob Buster, Sincerely, District 1 FRANK KAWASAKI JolmTavagiione, Chief Fire Department Planner District 2 Jim Venable, District 3 Roy Wilson, By District4 Walter Brandes Fire Safety Specialist Mahon Ashley 'Cc: -C y of La Quinta = Building Dept] District 5 NVEMP o r u. Q*ftWR0JECMTUfi oa1T1 W.ft EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE 82-675 Highway 111, 2n° FI., Indio, CA 92201 • (760) 86348886 • Fax (760) 863.7072 m .. CA�ToN • $is 7r� � . 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S. ,wPS. r .. - .... ... ,.,.rt .�:N: .r y a+ws+,w r,. 7.,.y..n. ...,�.• TENANT IIS PR4 rE�TARA tVT A Jnny' �+rcE s PR' PO LtSE:. "'h �: 0 �';Y RCHI�T �TURAt RESTAURANT ..f _ ;.1 VA-CANTk 4y�=1LCTF2#CAL :NO. r ° TOTAL -F -Lb 0R -AREA: POV1fR A'PPR:OX, 3, 756' S :F. Ej 3 . , LfCi TPLAI N E �� TiTL 2 �aiE 0CCU'PANCY LOAD: D11\kNfNG. AREA: 92 SEATIN.GS"yq _t ,KITCHtN: 8 TOTAL: 10.0 OCCU.PACY TYPE:,' `-4 IiEHN A;E A 3,� ' COfSTRUCTEN TYPE:'" V: N SPRINKLER CODE: 4 , 2001 GBC, .CMC, CPC, CEC f �s; 2'.001° CA. ENERGY CODE Hot and cold running water through Call for inspections. InsoeCMons should be a mixing faucet shall be provided scheduled fare (5) working days in advance. at all. sinks. Permanent approved soapand 'Approval of these Tans ht r{ plans ✓ he County of Riverside dispensers must be installed at Department of Environrn,- : ;I l-alth, does not relieve the all hand washing sinks. "'} Engineer or Architect of the responsibility for the Engineerin 9r Architectural design." 9 CONTACT THE PLAN CHECI:IR FOR A PRELIMINARY ; MATELY 50% COMPLETE. (BEFORE EQUIPMENT IS INSTALLED'.) ADDITIONAL NOTES. 1 ALL QR `EQUAL SUBSTLTUTIOI�'s .'MUST BE SUOMITTED Tor AND -. PI'Rfil BY TH:E BUILDING OFFICIAL PRt01 TO INS1'ALLAT#ON: .,. OF T# IFEtA. 2 PROVIDE INRtTI't+I " EVIDENCE FROit RIVERSDF . COUNTY HEALTH - 7A FOR /tkRPROYAL TO' OPERAT' .PIflR TO [SSU. O.F , s . EERTff1CATE OF DCC.IiRA'(akCY. �µ+ TT ,- _ r 4 PROVIDE YIIl f EN EVIDENCE FROM RIz-ERSIDF ;000t�iTY F IR.E �." DEPARTMENT EOR*LIFE OCC P NCY A`fP ROVAL TO ISSIIAN VI T T A:P' CER tCATE OCC f ALL ELECTRICAL, PLUMBING, MECHANICAL, AND. STRUCTURAL REPAIRS AND INSTALLATIONS SHALL'BE DONE UNDER PERMIT FROM L A�; /7A DEPT OF BUILDING AND SAFETY :. H. FOR PRELIMWARY AND Fes, INSPECTIONS F= T NOTIFY DEPARTMENT OF ENV f TH NiONMENTAL ' kA RF z, PROJECT D'SIG,E A D- INFRA+AR:hi DEVOPMEN lt:Ct 1n128 S.. Grrfitd A°ue-NOTICE- Alh4mbra; GA: 918'n1+ • " A:PERMIT MUST BI.OgTAINED FROM NE z -Tel 626--458=-, x`'11 COUNT OF RIVERSIDE DEPA—;TMr'NT OF ENV.1R0NiV tiTAL HEAL H ax ;6264 PR10R:TO OCCUPANCY OR: USE ►' THIS APPROVAL ODES fVOT`INGLUDESTFdE. SIJ WRFACE SEPTIC SYSTEM, GREASE, iNT EEf�TOR T `'. k j� OR OTHER WASTE DISFORL SYSTEM;ORTIN f v G ti CLEARANCE FROM APPROPRIATE fiGENCY FOR OtJR WAM DIF,%AL SYSTENI4 ry a , x j • <z t w .. _ r kr -_ _r{";1. . ... i, y'pi n� • J' n ./•YF I .:v 'Y - via. ` _ . "3 ,. " .... tr Certificate of Occupancy copy Building &Safety Department ry 3 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 r provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 79-405 Highway 111 Suite 5 Use classification: Commercial Restaurant (Canton Bistro TO Building Permit No.: 0309-280 Occupancy Group: A3 Type of Construction: VN Sprinkled Land Use Zone: CR Owner of Building: Stamko Development Co. Address: 3856 Via Dolce City, ST, ZIP: Marina Del Rev. CA 90292 By: Daniel P. Crawford Jr. Date: 3/3/04 Building Official IN A CONSPICUOUS PLACE