05-4134 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
t-�
Y�
Application Number:
0 Property Address:
6A APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
�05-00004134
79410 -HIGHWAY 111 STE
649-820-006- -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
100000
c&-t�v °F 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
112 KL EINE NEIL WAYNE
- 41910 BOARDWALK A-10
-PALM DESERT
PALM DESERT, CA 92211
Contractor:
Architect or Engineer: SABALA CONSTRUCTION
43530 WARNER ROAD
PALM DESERT, CA 92211
(760)779-9681
Lic. No.: 493837
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/06/06
-------------------------------------------------------------------------------------------------
LICENSED CONTRACT 'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under rovisi of Ch r 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Bus' ss nd Pr Sion Is d q' dd en e is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License CIa9�: , �Lic n pSo,f 3 7 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
NNDate:AV�� Zbntractor:
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 (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 f6r 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 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 Name: _
Lender's Address:
LQPERMIT
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 EXEMPT Policy Number EXEMPT
_ I certify that, in the performance of the work for which this perm' 's issued, I shall not employ any
person in any manner so to become subject to the worker compensation sof California,
and agree that, if I sh d become subjec the orkers' m e ion v' ions of Section
70`0 of the Labor e, I all fo comp with th s r i o
Date: D pplicant:
WAR ING: 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.
t. 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 ab information is correct. I agree to comp) ith all
city and county ordinances and state laws relating to buildi c structio a d reby u on elzies ives
of this cou y t enter upon the above-mentioned grope for ' specti po S.
Bete: his
IAPPlicant or Agent): /
Application Number .
. .'. . 05-00004134
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
639.50
Plan Check Fee
415.68
Issue Date
Valuation . .
100000
Expiration Date
8/05/06
Qty Unit Charge
Per
Extension
BASE
FEE
414.50
50.00 4.5000
------------------------------------------
THOU BLDG
50,001-100,000
---------------------------------
225.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
179.55
Plan Check Fee
44.89
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/05/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
20.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
15.00
16.00 3.0000
EA ELEC
APPLIANCES
48.00 Y
2.00 37.5000
EA ELEC
SVC <=600V/>200A/<=1000A
75.00
59.00 .4500
----------------------------------------------------------------------------
EA ELEC
DEVICE/FIXTURE >20
26.55
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
67.50
Plan Check Fee
16.88
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/05/-06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 4.5000
EA MECH
VENT INST/ DUCT ALT
13.50
4.00 6.5000
EA MECH
VENT FAN
26.00
2.00 6.5000
EA MECH
OTHER MECH EQUIPMENT
13.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
192.75
Plan Check Fee
48.19
Issue Date
Valuation . . . .
0
Expiration Date
8/05/06
Qty- Unit Charge
Per
Extension'
BASE
FEE
15.00-
19.00 6.0000
EA PLB FIXTURE
114.00
LQPEILNIIT
Application Number . . . . ., 05-00004134
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 15.0000 EA PLB BUILDING SEWER
15.00
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
1.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH
7.50
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
1.00 .7500 EA PLB GAS PIPE >=5
.75
1.00 15.0000 EA PLB GAS METER
15.00
----------------------------------------------------------------------------
' Special Notes and Comments
COMMERCIAL INTERIOR T.I. SUITE 112,
PIZZA RESTAURANT, A3/B OCCUPANCY TYPE
VN CONSTRUCTION, 193 OCCUPANT LOAD.
2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY
CODES. **PERMIT EXCLUDES PIZZA OVEN AND
EXHAUST HOOD**
----------------------------------------------------------------------------
Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW
41.57
ENERGY REVIEW FEE
41.57
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 1079.30 .00 .00
1079.30
Plan Check Total 525.64 .00 .00
525.64
Other Fee Total 83.14 .00 .00
83.14
Grand Total 1688.08 .00 .00
1688.08
LQPERDIIT
,nt
City of LaQuinta
Building -8I Safety-Division—
P.O. Boz 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit. Application. and Tracking "Sheet
'
Permit
Project Address:
Owner's Name:
'
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Project Description:
Address:
City, ST, Zip:
Telephone:
i
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
l; •
Address:
City, ST, Zip:
3 .
C l
Telephone:
ra
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
`
Sq. Ft.:
# Stories:
# Units:
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
15
Item
Amount
Structural Calcs.
Reviewed, ready for corrections 5•
��
Plan Check Deposit
Truss Calcs.
Called Contact Person
0
Plan Check Balance
A
Energy Cates.
Plans picked up y
l�
Construction
Flood plain plan
Plans resubmitted
�0
Mechanical
Grading plan
.2"d Review, ready for correction ssue
��'�Q ps
Electrical
Subcontactor List
`
•
CallehZon acAt Pmerson 9lCW A&0 %' ^
ILIQI
Plumbing �Y
Grant Deed
Plans picked up
%at
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading `
IN HOUSE:-
t'"' eview, ready fo corrections ssue
3�
Developer Impact Fee
Planning Approval
Called Contact Person
1�3 C
A.I.P.P.
Pub. Wks. Appr
l�i�G►
'
.School Fees
Total,Periliit Fees
q) U-4 via
tz-9 jos ,2FC A' -C-le-
-131h
c
Ble-
PO. BOX 1504 APPLICATION ONLY "
Building�l I I I I n 78-495 CALLE TAMPICO
Address V o� LA QUINTA, CALIFORNIA 92253
Owner
n�f iG A/C BUILDING: TYPE CONST OCC. GRP.
Mailing p
Address r_'�� LA�l��ft�� A_/� A.P. Number
City A� Zip Tel. Legal Description
A=M y F�r�'1 �ZZI i
Contractor "1 Project Description
oris tic
>° I f Z UI
Address
S - o I PNGi 'Pr7td,U-/�11/CW1
Zip Tel.
State Lic. .. City Sq. Ft. No. No. Dw. y(
& Classif. q� _3 �� Lic. # Size Stories Units y�
Arch.,'", _ __---. ._. _.
Designer; New ❑ Add ❑ Alter Repair ❑ Demolition ❑
�.? o G�dl-1�' PST
Address ",�,aite
-�-��® q-. ct ,(� . > .� -3 `
City Zip State
%A QUV&C' , �2 i i Lic. #.
b(CENSED CONTRACTOR'S DECLARATION
\70
by affirm that I am licensed under provisions of Chapter 9 (commencing with Section
of Division 3 of the Business and Professions Code, and my license is in full force and
SIGNA RE D E
OWNER-BUILDER DECLARATION Estimated Valuation
I her y affirm that I am exempt from the Contractor's License Law for the fol }y wing
reason: (S . 7031.5, Business and Professions Code: Any city or county which requires a
permit to co struct, alter, improve, demolish, or repair any structure, prior to its issu ffifice also PERMIT
requires the plicant for such permit to file a signed statement that he is licensed rsuant to AMOUNT
the provisions I the Contractor's License Law, Chapter 9 (commencing with Sect' n 7000) of
Division 3 of th Business and Professions Code, or that he is exempt therefrom, no the basis Plan Chk. Dep.
for the alleged a motion. Any violation of Section 7031.5 by any applicant fora rmit subjects
the applicant to a iwl penalty of not more than live hundred dollars ($500). Plan Chk. Bal.
❑ I, as owner of th property, or my employees with wages as their sole co ensation, will do
the work, and the st cture is not intended or offered for sale. (Sec. 7044, B siness and Profes- Const.
Bions Code: The Con actor's License Law does not apply to an owner of roperty who builds
or improves thereon a who does such work himself or through his ow, employees, provided Mech.
that such improvement are not intended or offered for sale. ll, howe er, the building or im-
provement is sold withi one year of completion, the owner-builder ill have the burden of Electrical
proving that he did not b 'Id or improve for the purpose of sale).
❑ I, as owner of the prop
, am exclusively contracting with licen d contractors to construct Plumbing
the project. (Sec. 7044, Bu 'ness and Professions Code: The C tractor's License Law does S.M.I.
not apply to an owner of pro rry who builds or improves thereo ,and who contracts for such
projects with a contractor(s) II ansed pursuant to the Contract 's License Law.) Grading
❑ 1 am exempt under Sec. B. & P.C. for this re on
Driveway Enc.
Date owner Infrastructure
WORKER'S C MPENSATION ECLARATION
hereby affirm that I have a certific a of consen o self-insure, or a certificate of Worker's
Compensation Insurance, or a certified c y thereo . (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certifie c y is hereby furnished.
CERTIFICATE OF EMPTION FROM TOTAL
WORKERS' COMP NS TION INSURANCE
(This section need not be completed it th permit ' for one hundred dollars ($100) valuation REMARKS
or less).
I certify that in the performance of he work fo which this permit is issued, I shall not
employ any person in any manner so a o become su 'act to Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT.. If, after aking this Certificate f Exemption you should become
subject to the Workers' Comp sation Provisions of the abor Code, you must forthwith
comply with such provisions or his permit shall be deemed evoked. ZONE: BY:
Minimum Setback Distances: ,
CONSTRUCTION LENDING AGEN Y Front Setback from Center Line
I hereby affirm that ere is a construction lending agency to the performance of the work Rear Setback from Rear Prop.Line
for which this permit is ' sued. (Sec. 3097, Civil Code.)
Lender's Name Side Street Setback from Center Line
Lender's Address
This is a buil ng permit when property filled out, signed and va ated, and is subject to Side Setback from Property Line
expiration if wor thereunder is suspended for 180 days.
I certify t t I have read this application and state that the above formation is correct. FINAL DATE INSPECTOR
I agree to c ply with all city and county ordinances and state law relating to building
constructio , and hereby authorize representatives of this city to enter t e above-mentioned
property r inspection purposes. Issued by: Date Permit
Signa re of applicant
at
Maili g Address Validated by:
Ci , State, Zip
Validation:
WHITE ='BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE
1
�A
W
P.O. Box 1504
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Doug Evans, Planning Director
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
To CDD: 09/15/05
Due date: 09/23/05
Status:
Building Plans Approval
a.
(This is an approval to issue a'Building Permit)
The Community Development Department has reviewed the Building Plans for the
following project:
Description: Tenant Addition - Papa Dan's Restaurant
Address or general location: 79-410 HIGHWAY 111 Suite 111 & 112
Applicant Contact: Robert Ricciardi, Architect - (760) 346-2223
The Community Development Department finds that:
...these Building Plans do'not require Community Development Department
approval.
...these BuildingPlans area roved b the Community Development
Pp Y tY p
Department.
0 ...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.
�^a -'D-3 - O's
Doug Evans, Planning Director Date
L
Area.# IV COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
-- —DEPARTMENT OF ENVIRONMENTAL HEALTH
PLAN CORRECTION
Plan Check # IVN05-066 Date 9/7/05
DBA Papa Dan's Pizza & Pasta Address 79410 Hwy 111, La Quinta
Plans Submitted by John Webster Phone 909-825-1012
Owner Jai Nettimi Address 79-390 Paseo Del Rey, La Quinta Phone 760-333-5723
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. 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.
3. 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)
4. 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.
5. 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.
6. 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.
7. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak
shift
8. The soda line must have an RP style anti-backflow device mounted upstream of the carbonator. From the
RP onward all piping or tubing must be non reactive such as PVC.
9. A certified air balance report for the cook line exhaust hood will be required before final approval.
CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately
SOV, 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 Phone (760) 320-1048
1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate
them during construction:
Signature
Compan G. r iS �; 2 Z a 1's c
Date�� 'C)
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the .
Cities of.
Banning
Beaumont
Calimesa
Canyon Lake
44.
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
.,
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion'Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
82-675 Highway "d ., Indio, CA 92201 . 6 . Fax (863-7072
September 19, 2005
Robert Ricciardi, Architect
75-090 St. Charles Place, Ste. A
Palm Desert, CA 92211
Re: Non -Structural Building T/I Plan Review
LAQ-05-TI-086 / Papa Dan's Restaurant
79-410 Hwy 111, Ste. 112
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 issuance of a building permit.
1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Department for review, along with a plan/inspection fee. The sprinkler system will have to
be modified and designed in accordance with NFPA 13, 1999 Edition. A licensed C-16 .
contractor shall do all sprinkler work and certification. The approved plans, with Fire
Department Job card must be at the job site for all inspections.
2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall
have durable and legible tags affixed for identification of the correlating tenant space.
3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
4) Install portable. fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact
certified extinguisher company for proper placement of equipment.
5) Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted,
along with a plan check/inspection fee, to the Fire Department for review.
6) Approved building address shall be placed in such a position as to be plainly visible and
legible from 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 be a minimum of 6" in height. All addressing must be legible and
of a contrasting color with the background.
7) Room capacity shall be posted in a conspicuous place on an approved sign near the main
exit from the room. The Building Dept will determine the maximum occupant -load limits.
Please contact the, Fire Department Planning & Engineering staff for final inspection prior to
occupancy.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2"d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
J
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,
FRANK KAWASAKI
Chief Fire Department Planner
By
4
Walter Brandes
Fire Safety. Specialist
Cc: City of La Quinta — Building Dept.
H:IPEAWP DahLLa Cuda%PROJECTSATMACA5-T)-ON.dx
COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER
85-995 Avenue.52
Coachella, California 92236
(760) 398-2651 ,v
APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL
APPLICANT: Submit this form with a copy of a SCALED plot plan (1"= 20' to I"= 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
.74 ► lI/Gi TIM i
Owner
Address City State Zip
Telephone
.Alu i i w
�
Job Property Address City Zip
AlT �'�- C?22-S-
Legal Description
DBA
Favi L61,13 , 1AIC,PAO
0!14/J A? -z A
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:
Type of Construction- fit, loo At
New Food Facility .; Remodel of Existing Food Establishment Hours of Operation 1'•00 aJ-,� Seating Capacity: Internal. External
External Seating with Misters or Heaters Bar with Food Service L -"--Bar Nonfood Service Water Softener
Service:
Multiservice (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 informationrequ d h been received and 1 ha been approved and returned. .
- - Q
Signature Date
.'' t . T 't `�m:s ..S.'� .t', •t i1 fig•- .U:z'.�&''z+ca..`X3'�.,' `
" FO1USE �rr� � _0ONKimT CT F404 WO �A:
No. of Systems
Type of System(s)
No. Dwelling Units
❑ Sand/Oil ❑ Grease Interceptor Waived
/
[a'New
Fixture Units
®-Ch=e Interceptor
E-] Existing
❑ Lint Trap
❑ Replacement ❑ Addition
❑ Clarifier
❑ Connect to Sewer
.
36 bb Gal.
REMARKS:
� l
T
This application is:
,�,
�l Approved El Denied 13 Conditional Approval*
c77
Fee $G11
•See Remarks
Check No.
DateInitialSignatureDateZ
CV WD -921
Craig E. Anthony
Fire Chief
Proudly•serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
c•
Beaumont
e+
Calimesa
e+
Canyon Lake
e+
Coachella
Desert Hot Springs
e•
Indian Wells
C•
Indio
e+
Lake Elsinore
e•
La Quinta
e+
Moreno Valley
e+
Palm Desert
r.
Perris
Rancho Mirage
e•
San Jacinto
a•
Temecula
Board of Supervisors
Bob Busted,
District 1
John Tavaglione,
District 2
Jeff Stone,,, -
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
September 19, 2005
Robert Ricciardi, Architect
75-090 St. Charles Place, Ste. A
Palm Desert, CA 92211
Re: Non -Structural Building T/I Plan Review
l_AQ-05-TI-086 /Papa -San -s -Restaurant
79-410 Hwy 111, Ste. 112 .
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 issuance of a building permit.
1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Department for review, along with a plan/inspection fee. The sprinkler system will have to
be modified and designed in accordance with NFPA 13, 1999 Edition. A licensed C-16
contractor shall do all sprinkler work and certification. The approved plans, with Fire
Department Job card must be at the job site for all inspections.
2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall
have durable and legible tags affixed for identification of the correlating tenant space.
3) All egress doors shall comply with CBC Sec. 1003.3.1.8 for proper door hardware.
4) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact
certified extinguisher company for proper placement of equipment.
5) Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted,
along with a plan check/inspection fee, to the Fire Department for review.
6) Approved building address shall be placed in such a position as to be plainly visible and
legible from 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 be a minimum of 6° in height. All addressing must be legible and
of a contrasting color with the background.
7) Room capacity shall be posted in a conspicuous place on an approved sign near the main
exit from the room. The Building Dept will determine the maximum occupant load limits.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to
occupancy.
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
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,
FRANK KAWASAKI
Chief Fire Department Planner
By
Walter Brandes
Fire Safety Specialist
Cc: City of La Quinta - Building Dept.
Craig E. Anthony
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of ,
Banning
Beaumont
oe
Calimesa
oe .
Canyon Lake
4•
Coachella
oe
Desert Hot Springs
4•
Indian Wells
4•
Indio
4•
Lake Elsinore
4•
La' Quinta
4•
Moreno Valley
oe •
Palm Desert
.4•
Perris
oe
Rancho Mirage
4•
San Jacinto
h
Temecula
Board of Supervisors
Bob Buster,
District r
John Tavagiione,
, ' District 2
Jeff Stone,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
May 23, 2005
Robert Pitchford Architect
74-835 Fox Hils CL
Palm Desert, CA 92260
Re: Non -Structural Building TA Plan Review
LAQ-05 TI -045/ 79-410 Hwy 111, . g.
Ste;%?103;1.Oti107; ;108;110;111;112
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
issuance of a building permit.
1) . As may be necessary to maintain proper fire sprinkler protection due to constructions changes, fire
sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire
Department for review, along with a planfinspection fee. The approved plans, with Fire Department
Job card must beat the job site for all inspections.
2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have a
durable and legible tag affixed for identification of the correlating tenant space.
3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact certified
extinguisher company for proper placement of equipment.
4) Approved building address shall be placed in such a position as to be plainly visible and legible from
the street and rear access if applicable. In.mutti-•tenant buildings, businesses shall post the
business name and suite number on back doors as well as the front. Suite numbers or letters must
be a minimum of 6" in height All addressing must be legible and of a contrasting color with the
background.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to occupancy.
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,
FRANK KAWASAKI
Chief Fre Department Planner
By \4k9Qs�
Walter Brandes
Fre Safety Specialist
Cc: City of La Quinta — Building Dept
►twexwm o<ou, o rcawaorecrs nas.ax a /.
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
ui!H,tc�
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: 79-410 HIGHWAY 111 SUITE 112
Use classification: COMMERCIAL (PAPA DANS) Building Permit No.: 05-4134
Occupancy Group: A3/B Type of Construction: V -N Land Use Zone: CR
Owner of Building: NEIL KLEINE Address: 41-910 BOARDWALK A=10
City; ST, ZIP: PALM DESERT
By: STEVE TRAXEL
Date: 08-01-2006.
Building Official
PUST IN A GUNSPIGUUUS PLACE