07-2848 (RC)P.O., BOX 1504
78-495 CALLE TAMPICO
LA!QUINTA, CALIFORNIA 92253
t,
` Application Number:
Property Address:
APW
r,
Application description:
Property Zoning:
Application valuation:
07-00002848
79485 HIGHWAY 111 STE'2
600-020-027- r - -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
20000
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License Class:
Bey License No.: 845082
Loam
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 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 701.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 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.).
(_ 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:
LQPERA4IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/10/08
Owner:
STAMKO DEV CO
10345 W OLYMPIC BLV 2 FL
LOS ANGELES, CA 90064
p
Contractor:
ANTHONY & ASSOCIATE HNJAN 1 5 2008
78815 LA PALMA DR
LA QUINTA, CA 92253 CI
(760)S78-6441 F ANC QUINTA
Lic. -No.: 845082 EPT
----------------------------------------------—
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 EXEMPT Policy Number EXEMPT
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 forthwith comply with those provisions.
Date:.. Applicant..*
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 issu6d 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 county to enter upon the above-mentioned property fonspectio p rposes.
— P
Date:/�-Signature Applicant or Agent):
r
-- r
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/10/08
Owner:
STAMKO DEV CO
10345 W OLYMPIC BLV 2 FL
LOS ANGELES, CA 90064
p
Contractor:
ANTHONY & ASSOCIATE HNJAN 1 5 2008
78815 LA PALMA DR
LA QUINTA, CA 92253 CI
(760)S78-6441 F ANC QUINTA
Lic. -No.: 845082 EPT
----------------------------------------------—
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 EXEMPT Policy Number EXEMPT
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 forthwith comply with those provisions.
Date:.. Applicant..*
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 issu6d 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 county to enter upon the above-mentioned property fonspectio p rposes.
— P
Date:/�-Signature Applicant or Agent):
Application Number . . . . . 07-00002848
------ Structure Information 1,500SF TI/V-NR/M/8-OL [DINNER
A'FARE] -----
Other struct info . . . . . CODE EDITION
2001/2004/2005
F. FIRE SPRINKLERS
FULLY
MIXED-USE OCCUPANCY
M
OCCUPANT LOAD
8.00
1ST FLOOR SQUARE FOOTAGE
-- ----------------------------------------------------------------------------
1500.00
Permit . . . . . . BUILDING PERMIT
Additional desc .
Permit Fee 207.00 Plan Check Fee
134.55
Issue Date . . . . Valuation . .
. . 20000
Expiration Date 7/08/08
Qty Unit Charge Per.
Extension
BASE FEE
45.00
18.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
162.00
Permit . . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . . 4.5.00 Plan Check Fee
11.25
Issue Date . . . . Valuation . .
. . 0
Expiration Date . . 7/08/08
Qty Unit Charge Per
Extension
BASE FEE
15.00 '
1500.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
----------------------------------------------------------------------------
30.00
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 100.50 Plan Check Fee
25.13
Issue Date . . . . Valuation . .
. . 0
Expiration Date 7/08/08
Qty Unit Charge Per - _
Extension
BASE FEE
15.00 -
9.00 6.0000 EA PLB FIXTURE
54.00
_ 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.
2.00 3.0000 EA PLB GAS.PIPE 1-4 OUTLETS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
_.
1,500SF TENANT IMPROVE/V-NR/M-OCC/8-OL
_
{ [DINNER A'FARE] THIS PERMIT DOES NOT
LQPERMIT ^
.
Application Number
. . . . .
07-00002848
C
Special Notes and
Application Number
. . . . .
07-00002848
Special Notes and
Comments
--- ------
INCLUDE PROVISIONS
FOR COOKING,
BUILDING
SIGNAGE OR GREASE
INTERCEPTOR.
2001 CBC,'
CPC, 2004 CEC, 2005
ENERGY.
January 10, 2008 10:46:50
AM AORTEGA
-------------------------------------------
Other Fees . . .
. . . .
------
ACCESSIBILITY
---------------------'------
PLAN REVIEW
13.46
ENERGY REVIEW
FEE
13.46
Fee summary
-----------=-----
Charged
----------
Paid
--------------------
Credited
----------
Due
Permit Fee Total
352.50
.00
.00
352.50
Plan Check Total
170.93
.00
.00
170.93
Other Fee Total
26.92
.00
.00
26.92
Grand Total
550.35
.00
.00
550.35
Bir; #City
C
of La Quints
Building U Safety Division
P.O.. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: � 0RM (c �'
Owner's Name: �—fZ
I C.WA.Up to
A. P. Number: QQ - 6 ,0� t
Address:
Certificate of Occupancy
LNSD `'4
C OFTiBuilding & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, of 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: 79-485 HIGHWAY 111 STE #2
Use classification: COMMERCIAL ( DINNER A'FARE) Building Permit No.: 07-2848
Occupancy Group: M Type of Construction: V-NR Total Square Footage: 1,500 Land Use Zone: CR
Design Occupant Load: 8 Code Edition: 2004 CBC/CEC/CMC/CPC/05 Energy Codes Sprinkler System: YES
Owner of Building: STAMKO DEV CO. Address: 10345 W OLYMPIC BLVD 2 FL
City, ST, ZIP: LOS ANGELES, CA 90064
By: STEVE TRAXEL
Date: February 26, 2008
Building Official
POST IN A CONSPICUOUS PLACE
jr
v
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: December 17, 2007
From: Les Johnson, Director -Planning Due Date: December 28, 2007
Permit #: 07-2848 Status: 2nd Review
Building Plans: Approval
(This is an approval to issue a Building Permit)
4'
The Planning Department has reviewed the Building Plans for the following
project:
Description: T.I. Dinner.A'Fare
Address or General Location: 79-485 Hiqhway 111 Ste. 2
Applicant Contact- Carl Cox (760)347-4007
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
/...these Building Plans are approved by the Planning 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 Planning Department for review.
Les John n, Director -Planning Date
Li
Plan Check # 9825
RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Project Name DINNER AWARE
Plans Submitted by Veronica MacMillan
Owner Same
Address
Date 1/8/08
Address 79-485 Hwy 111, La Quinta
Phone (760) 391-2234
Phone
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1) All dry storage shelving must be a minimum of 18" wide. (Plans show 12")
Provide a grease interceptor sizing letter from the local sewer agency or Riverside County
Land Use at (760) 393-3390.
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 Dan Blum
Phone (760) 320-1048
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
Palm Springs
Riverside
2275 S. Main St Suite
800 S. Sanderson
47-950 Arabia St
38740 Sky Canyon Dr
2500 N. Palm Canyon
4065 County Cir
204
(951) 766-2824
"A"
(951) 461-0284
Dr
(951) 358-5172
(951) 273-9140
Fax (951) 766-7874
(760) 863-8287
Fax (951) 461-0245
(760) 320-1048
Fax(951)358-
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
4.4
Can -von Lake
Coachella
Desert Hot Sprines
Indian Wells
Indio
Labe Elsinore
La Quinta
Moreno Vallee
Palm Desert
Perris
�-]�ancho Mirage
Rubidoux CSD
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
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
January 4, 2008
Carl Cox
81557 Dr. Carreon Blvd, Suite Al
Indio, CA 92201
RE: TENANT IMPROVEMENT PLAN CHECK
LAQ-07-TI-138 / Dinner A'Fare 79485 Highway 111, Suite 2, La Quinta, CA
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 2000 UBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2000 UBC.
Install Knox Lock Boxes, Models 4400, 3200 or 1300, mounted per recommended standard
of the Knox Company. Plans must be submitted to the Fire Department for approval of
mounting location/position and operating standards. Special forms are available from this
office for the ordering of the Key Lock Boxes. This form must be authorized and signed by
this office for the correctly coded system to be purchased. If the building/facility is protected
with a fire alarm system or burglar alarm system, the lock boxes will require "tamper"
monitoring.
A minimum 2A10BC 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.
ELECTRICAL PANEL BOX:
All breakers must be labeled and a clearance of 36 inches must be maintained around the
panel at all times.
OTHER REQUIREMENTS:
Approved building address shall be placed in such a position a to be plainly visible and
legible from the street. Said numbers shall contrast with their background.
U
11
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 contrasting background.
NOTE: This plan review is for building only. If modifications are necessary to fire
sprinklers or fire alarm systems, please submit plans to be review by our office.
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,
Traci Williams
Fire Safety Specialist
' Sonia Cool
Assistant Fire Marsh I
I
CITY OF LA QUINTA SUB -CONTRACTOR. LIST
JOB ADDRESS PERMIT NUMBER OWNER _ - _ _ ✓BUILDER
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance.,.
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade / Cla ssrficat�on
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zLANDSC'A'.ING'TCr27:1><'>:
John R. Hawkins
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
e. -
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
4.
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
Rubidoux CSD
San Jacinto
4.
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
77-933 Las Montanas Rd. STE 201 Palm Desert, CA 92211-4131 (760) 863-8886 Fax (760) 863-7072
Date
La Quinta
Building Department
RE lmoer . A'lare
The Riverside County Fire Department is granting the fire clearance for the following
location 7 °i- y�5 �w� %�� Sf e o2
Please call if you should have questions. 760-863-8886. Thank You
CD
ly,
JaSOVI Stubble
Fire Systems Inspector
7,7
COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
� " DEPARTMENT OF ENVIRONMENTAL HEALTH
ENVIRONMENTAL HEALTH SERVICES
SUPPLEMENTAL REPORT TO SAN. FORM # DATE
SUBJECT 0 \1 � PERMIT NO.
ADDRESS
INSPECTOR
REMARKS: TA 5 C
CC) j +0 snp.e7 ",:�da(ds n6oj_ Cv54t)e\^-_r r k,? unAs,
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DEH -SAN -118 (Rev 8/02) Distribution: WHITE—Office; CANARY—Owner; PINK—Office
A- h.