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12-0794 (RC)7r-47=LE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Z `1,2 00000794�� Property Address: 47875 CALEO BAY STE 106 APN: 643-200-001-3 -31248 Application description: REMODEL - COMMERCIAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 36000 Tu!t BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: IJA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License C ass: B �QQ License No.: 588920 katej'�ZZ Contractor: Alto Ig`lw/L;14 R%9 3 -'VG 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 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.). (_) 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 Owner: PHAN STEVE 44139 MONTEREY AVE STE PALM DESERT, CA 92260 ( Contractor: ASARO BUILDERS, INC. 42220 GREEN WAY, H PALM DESERT, CA 92211 (760)776-0043 Lic. No.: 588920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/28/12 NOS/ 2 9 2012 , 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 i� 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 30001642012 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 Cole, I shall forthwcomply with those provisions. it 29 1 L Date: Applicant: 7qS' AILO Qu 1 / I. C45 =.sic. � 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. 1 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 +cqunt tp enter upon the above-mentioned property for i' � nspection purpgges. Date: iZ Signature (Applicant or Agent): �•�IJc Application Number. . . . . . 12-00000794 ------ Structure Information 1,200SF TI/VB/B-OCC/49-OL/SPRINKLED ----- Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS FULLY MIXED-USE OCCUPANCY B OCCUPANT LOAD 49.00 ------------------=--------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1200.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 323.50 Plan Check Fee 210.28 Issue Date . . . '. Valuation . . . . 36000 Expiration Date . . 5/27/13 Qty Unit Charge Per Extension BASE FEE 252.00' 11.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 71.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 1200.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 24.00 Permit . . u MECHANICAL Additional desc . Permit Fee . . . . 52.00 Plan Check Fee 13.00 Issue Date . . . . Valuation . . . 0 Expiration Date 5/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 6.5000 EA MECH AH <=10K CFM 13.00 1.00 6.5000 EA MECH VENT FAN 6.50 2.00 6.5000 ------------------------------------------- EA MECH EXHAUST HOOD --------------------------------- 13.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 82.50 Plan Check Fee 20.63 LQPERMIT Application Number Permit . . . . . Issue Date . . . Expiration Date . . . . . . 12-00000794 PLUMBING Valuation . . . . 0 5/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 1.00 12.0000 EA PLB INTERCEPTOR 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 2.00 .7500 EA PLB GAS PIPE >=5 •-------------------------------------------------------- 1.50 -------------------- Special Notes and Comments 1,200SF TI/VB/B-OCC/49-OL/SPRINKLED (COOKING WITH CLASS - WINE BAR] THIS PERMIT DOES NOT INCLUDE CHANGE TO THE OCCUPANCY OR USE OF THE EXISTING TENANT SPACE SUITE 107 - SUITES ARE BEING TREATED INDIVIDUALLY AS INTERIOR ACCESS IS ONLY BEING PROVIDED THROUGH SERVICE AREAS. 2010 CALIFORNIA BUILDING CODES. November 28, 2012 4:50:19 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 21.03 BLDG STDS ADMIN (SB1473) 2.00 ENERGY REVIEW FEE 21.03 STRONG MOTION (SMI) - COM 7.56 Fee summary Charged Paid Credited --------------------------------------------------------- Due , Permit.Fee Total 497.00 .00 .00 497.00 Plan Check Total 253.66' .00 .00 253.66 Other Fee Total 51.62 .00 .00 51.62 Grand Total 802.28 .00 00 802.28 LQPERMIT Li DEPARTMENT. OF ENVIRONMENTAL FOOD ESTABLISHMENT PLAN APPROVAL NOTICE SR# 26447 Date 7/31/12 Project Name Cooking with Class Address 87-875 Caleo Bay Drive #A107,106 Plans Submitted by ' Jane Angwin Phone None listed Owner Eduardo Nava Address Phone The plans are now approved subject to, the conditions -listed below and the attached compliance sheet. This aDDroval l is for the expansion~into4,he nezfsuite. 1. The hot water heater must be a commercial unit; minimum 50 gallon with 150,000btu. Currently the existing hot water heater is 75 gallons with 75,000btu, this is undersized. Note: According to Ed Narva Wall Die means FRP. 2. The exhaust air must be 100 percent of the make up air. Currently plans show 75%, the make up air must be increased to match the air that is being exhausted as per the Uniform Mechanical Code. The exhaust and make up air must operate on the same single operating switch. 3. Provide lockers for employees, one locker per employee per shift. 4. Provide grease interceptor letter from the sewer agency. Contact 760-863-7570 for more information. 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 Tracey Ford, EHS III Phone (760) 863-8287 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 800 S. Sanderson 47-950 Arabia St 38740 Sky Canyon 554 S. Paseo Dorotea 4065 County Suite 204 (951) 766-2824 "A" Dr (760) 320-1048 Cir (951) 273-9140 Fax(951)766- (760) 863-8287 (951) 461-0284 Fax (760) 320-1470 (951) 358-5172 Fax (951) 520-8319 7874 Fax(760)863- Fax (951) 461-0245. ax(951)358- Fax(951)358- 8303 8303 5017 Department Web Site — www.rivcoeh.org COUNTY OF RIVERSIDE, COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH COMPLIANCE GUIDE FOR FOOD ESTABLISHMENTS' DBA: wn(c ` _ _ _ 1, JOB ADDRESS: CHECKED BY: j (s( DATE: I -3j - I Z-_ All work done at the above indicated site must conform to the latest set of Department of Environmental Health approved plans, the requirements indicated on the plan correction sheet and this compliance guide. 1. FLOORS A. Continuous flooring material shall extend up all walls, partitions, toe kicks or cabinetry a minimum' of 4 inches, forming a minimum 3/8 inch radius integral sanitary cove. B. Waitress stations, bussing stations, food and beverage serving areas shall have a continuous, integral coved floor throughout the area.and extend a minimum of 36 inches beyond the equipment in all directions. C. Non-skid flooring shall be limited to traffic areas only. Floors under equipment and coved bases shall be completely smooth. D. Where floor drains are utilized, the floor surface.. shall slope to the floor drains. 2. WALLS A. Walls shall- be smooth, light colored, easily cleanable, non-absorbent. (Brick, concrete block, rough concrete, rough plaster, grooved paneling,. wall paper or vinyl wall covering finishes are not acceptable.) B. Waitress stations, bussing. stations, .food and beverage serving areas shall have smooth, light colored, easily cleanable walls throughout the area. C. alls behind all sinks.and dishwashers must be protected.by at least an 8 foot high water resistant material measured from ine top oftne cove base, e.g. F :P, stab less steel, ceramic tile). 1. . 3. CEILINGS A. Ceilings shall be durable, smooth, light colored, easily cleanable and non- absorbent. Any perforations or rough surfaces are not acceptable. B. Waitress stations, bussing stations, food and beverage serving areas must have a ceiling finish which is smooth, easily cleanable, durable, non- absorbent and light .colored. An approved smooth, solid cover may be acceptable. . 4. CONDUIT A. All plumbing, electrical and gas lines, soda runs, shall be concealed within the building structure. Where this is not possible all runs shall be at least 1/1 inch away from walls or ceilings and six inches off the floor, and shall not extend across any aisle or traffic area. Where lines enter a wall, ceiling, or floor. the opening around the pipe shall be tightly sealed. 5. EXHAUST HOODS AND DUCTS A. All joints and..seams,-shall. be sealed, welded. or soldered for ease of cleaning. B. The open area of Canopy -Type Hoods shall extend a minimumbf six (6) horizontal inches beyond the equipment surface on all. open sides. Canopy -type hoods shall be flashed with metal and sealed to ceiling and adjacent walls. C. Make up air supply must be at least equal to that exhausted and interconnected by a single control switch. 6. REFRIGERATION A. Wooden shelves, rough surfaces, metal shelving with openings or holes are not acceptable. B. Walk-in refrigerators and nonself-contained refrigerators must have condensate waste drained to a floor sink via legal air gap (minimum 1 inch above the overflow rim of the floor sink). C. Walk-in refrigerators must be installed with a 3/8inch radius sanitary cove at the floor wall juncture, both inside ,and outside the unit. D. Walk-in refrigerators shall be flashed tightly to ceiling and wall surfaces. 2 7. .ICE I\I ^.CHINES A. Ice machines must drain to a floor sink via legal air gap (minimum 1 inch above the overflow rim of the floor sink). 8. FLOOR SINKS A. All equipment generating liquid waste shall be drained to a floor sink (located within 15 feet) via legal air gap, (minimum 1 inch above the overflow rim of the floor sink). B. Floor sinks shall be flush with the finished floor and those located under equipment shall be at least half exposed for cleaning accessibility. A protective enclosure will. be required aroundthe backside of half -exposed floor sinks installed.under curb or base mounted equipment to prevent any wastewater back flow under the equipment. C. Floor sinks in traffic areas or not otherwise protected by overhead equipment shall be provided with easily removable safety grates. 9. KITCHEN UTENSIL SINK A. The minimum compartment size shall be 18" x 18" x 12" deep with minimum 18" x 18" drainboards, however the sink must otherwise be capable of accommodating the largest utensil to` be washed and the drainboards shall be as large as the largest sink compartment. B. Sinks installed next to walls must be equipped with an integral metal back splash extending up the wall at least eight (8) inches. C. Sink installationsmust not have exposed screws or bolts. D. Provide a water -proof seal between sink backsplash and wall, using approved sealers. 10. FOOD, VEGETABLE PREPARATION SINKS A. Food preparation sink(s) must drain to a floor sink via legal air gap. 11. EATING AND DRINKING UTENSIL SINKS u See 9A, B, C, D A. = Bar sinks The minimum compartment size shall .be 1.0" x 14" x 10" deep (or a minimum 140 square inches surface size) v ith dual integral drainboards a minimum of 1.8 inches long. Bar sinks shall have a quick 3 4 drain or a 4`h compartment for disposal of drink waste. Bar sinks shall drain indirectly to a floor sink via legal air gap: B. Provide sanitizing testing equipment and materials to adequately measure applicable chemical sanitizer at sinks for multi -use utensils or glasses. 12, AUTOMATIC DISHWASHER/ GLASS WASHER A. Dishwasher/glass washer must drain to a floor sink or other approved method via legal air gap. B. Dishwasher/glass washer must have 2 integral drainboards at least 18 inches long. C. Provide sanitizing testing equipment and materials to adequately measure applicable chemical sanitizer in the dishwasher/ glass washer. 13. GARBAGE DISPOSALS A. Garbage disposals shall not be placed in or under any sink compartment. Garbage disposals shall be installed in drainboards and the drainboard lengthened to accommodate the disposal unit in addition to the required minimum drainboard size. 14. JANITORIAL SINK AND SUPPLIES A. The janitorial sink shall be located in a separate janitorial room or separated from the rest of the food establishment by a solid partition. B. The janitorial - sink shall be provided with hot and cold running water through a mixing faucet. C. Freestanding janitorial sinks must be provided with NSF type round metal legs. D. A janitorial room or cabinet with a mop rack, must be provided for cleaning equipment & supplies. E. Exhaust and make-up ventilation shall be provided in janitorial room. 15. HANDWASH SINKS A. Permanently mounted single service soap and single service towel dispensers or hot air blowers shall be.installed at all handwash sinks. 4 16. GENERAL PURPOSE HOT WATER A. Install the hot ,vater heater on four inch high integral coved platform or curb; or on at least 6 inch high round metal legs; or cantilevered from the wall with a minimum six inches of clear space below. B. All. sinks must be equipped with hot and cold running water through a mixing faucet. 17. DIPPER WELL A. Dipper wells shall drain to a floor sink via legal air gap (minimum 1 inch above the overflow rim of the floor sink). 18. WINDOW SCREENS A. All op -enable windows shall be screened with not less than 16 mesh screening. 19. FOOD OR UTENSIL DISPLAYS A. Displays of unpackaged food or utensils (glasses, stemware, plates, cups, etc.) shall be shielded so as to intercept a direct line between the customer's mouth and the food or utensils being displayed, or shall be dispensed from approved self-service containers. '8. Approved self-service food containers shall have self-closing; m peranently attached, tight -fitting lids. Individual securely attached scoops are required. C. Disposable beverage cups, straws or utensils on display for public self- service must be stored for use in sanitary dispensers. 20. STORAGE A. Backup dry food storage shelving shall be a minimum 18" deep and 3 tiers high. B. All storage shelving and counters must have smooth and easily cleanable surfaces. All gaps, voids or raw wood are to be sealed so as to be easily cleanable and noriabsorbent. Shelves shall be a minimum of 1" away from at least 6 inches above the floor with a clear unobstructed area below or be the. upper surface of a completely sealed continuously coved 4 inch high curb. Any legs used for support shall be smooth found metal equipment legs. 5 C. Tracks or channels installed as sliding door guides for storage cabinets may not be recessed. A minimum 2 inches of the track must be removed from EACH END of the door guide to facilitate cleaning. D. Backup storage rooms shall open into the food establishment. 21. RESTROOMS A. Handwashing . sinks shall be provided with hot and cold running water through a mixing faucet. B. Toilet tissue shall be provided in permanently mounted sanitary dispensers. C. Permanently mounted single -service soap and single -service towel dispensers or hot air blowers shall be installed at all handwash sinks. D. The restrooms shall be provided with tight -fitting, self-closing doors. E. Restrooms must be provided with exhaust and make-up ventilation. 22. CLOTHING CHANGE ROOM AREA A. 'The change room shall have a standard locker for each employee per shift and may not be. used for office space or food storage. .B. Exhaust and make-up ventilation shall be provided for each change room.. C. Lockers shall be in the designated area for the storage of employee garments. The lockers shall be separated from food handling, utensil washing, or restroom areas. 23. PASS-THROUGH WINDOWS A. Food service pass-through window openings exceeding 216 square inches shall be equipped with an air curtain which will produce an air flow eight inches thick at the discharge opening with an air velocity of not less than 600 fpm across the entire opening at a point three feet below the air curtain. B. Food service pass-through window openings less than 216 square inches shall be. equipped with a self-closing screen or self-closing window. C. The counter surfaces of the pass-through window must be smooth, free of channels and crevices and easily cleanable. 6 4.� D. Pass-through windows must remain closed except during actual exchange of food or money. E. Pass-through windows may not exceed 432 square inches. 24. DELIVERY DOORS A. All delivery doors leading to the outside shall be protected with a door activated overhead air curtain generating a three inch thick (at nozzle.) air flow with an 'air velocity of no less than 1600 fpm across entire doorway as measured 3 feet above the ground. B. Customer entry doors used for deliveries shall be protected by an overhead air curtain. generating an eight inch thick (at nozzle) air flow with a velocity not less than 600 fpm across entire doorway, measured 3 feet above the ground. C. An air curtain is not a substitute device to permit a door to remain open. D. All external opening doors shall open outward and be self-closing. 25. CUSTOMER ENTRANCE DOORS/ INSECT AND RODENT CONTROL A. All doors leading to the outside shall be tight fitting, open outward and be . self-closing, with no gaps exceeding 1/16 inch in width. B. Exterior and interior of building shall be constructed to be insect and rodent proof. 26. GARBAGE AND TRASH AREA A. Surface areas of trash room or outside area shall be smooth, easily cleanable and non-absorbent. No wooden slats, porous block or brick surfaces will be accepted. B. Inside trash areas shall properly slope to a floor drain. C. Outside trash areas shall properly drain so as not to create a nuisance. 27. LIGHTING A. Aminimum of 20 foot candles of light is required for all food handling and cleaning activities. B. Light fixtures in areas where food is prepared, open food is stored or displayed, or utensils cleaned shall be of shatterproof construction or shall be protected with 'shatterproof shields. 7 28. VENTILATION A. Adequate ventilation shall be provided to maintain the comfort lcvcl of employees and insure reasonable shelf life of the food in storage. 29. EQUIPMENT A. All equipment shall be N.S.F. listed or otherwise meet all applicable N.S.F. Standards. B. All equipment shall be placed on minimum six -(6) inch high round metal legs, castors '.gr completely sealed in position% on 'a ..fo.ur (4) inch high continuously 'coved curb, or cantilevered from the wall.* in" an approved manner. C. Counter top equipment shall be provided. ,with-, 4 :=inch high (minimum) round metal legs unless unit may be readily moved by employee for cleaning. D. All equipment must be installed so it: can be easily cleaned and meet all other applicable N.S.F.: Standards. 30. WATER ` A. The water supply •sliall'be from an' approved source. 31. BACKFLOW PROTECTION A. An approved backflow preventor shalt be properly installed up stream of any potential hazard or connection between the potable water supply and, a source of contamination, e.g., all threaded•'water outlets, janitorial sinks, sprayers, dishwashers, coffee makers, etc. 32. GREASE INTERCEPTOR 8/11102 A. The grease interceptor shall not be installed in any part of a building where food is handled or stored or where utensils are washed. 9 I ,- 71-780 San Jacinto Dr. Ste. E2, Rancho Mirage, Ca. 92270 ph. (760) 834-8860 fax (760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 10-25-12 78-495 Calle Tampico City Due Date: ASAP La Quinta, CA 92253 Project Address: 47-875 Caleo Bay, Ste. 106 Attn: Kay Plan Check #: 12-794 Submittal: ❑ 1St ❑ 4th ® 2nd ❑ 5th ❑ 3'd ❑ Other: We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: Descriptions: Includes: # Of Descriptions: Copies: ❑ Structural Plans ® 1 Revised Struct. Plans ❑ Structural Calculations ® 1 Revised Struct. Calcs ❑ Truss Calcs ❑ Revised Truss w/Stamp ❑ Soils Report Update ❑ Revised Soils Report ® 1 Structural P/C Responses ❑ Approved Structural Plans ® 1 Redlined Structural Plans ❑ Approved Structural Calcs ❑ Redlined Structural Calcs ❑ Approved Truss Calcs ❑ Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: Structural content is conditionally approvable; Engineer to replace plan sheet S1 with revised plan sheet S1 with the detail shown on page 16 of the calculations included. Structural Plan Review Time =.75 HR This Material Sent for: ❑ Your Files Per Your Request ❑ Your Review ❑ Approval ❑ Checking ❑ At the request of: Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ OCT 26 2012 JAa '//.t7//Z CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: /! / ZO / V Developer: 5.0yt .� Tract No.: Tract Name: Lot No.(s): Address(s): 7'675 Phone Number: (760 ) !�% _ -» (o S(o The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety Department: 0 CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❑ OMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed y City staff. Recommended by �ti Date: L/� S /� Public Works Dis ribution: ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TAChecklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc O u�i�cv 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 Director To PD: November 26, 2012 From: Les Johnson, Planning -Director Due Date: December 3, 2012 Permit #: 12-0794 Status: 4th Building Pt ...a Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: Tenant Improvement — Cooking with Class (Wine Bar) Address or General Location: 47-875 Caleo Bay, Ste. 106/107 Applicant Contact: Juan Perez — (760) 619-8752 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. 0 ...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. ;` ltfZ��iz Les John o , Director -Planning Date received NOV 2 6 2012 City of La QLMta Planning Department Riverside County Fire Department Fire Protection Planning Section Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955.4777 Fax (951) 955-0886 Murrieta ice: 39493 Los Alamos Rd., Ste A, Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600.6164 Palm Desert Office: 77-933 Las Montanas Rd., # 201 Palm Desert, CA 92211-4131 Ph. (760) 863-8886 (760) 863-7072 Fire Department Clearance/Release Date: To: � flip �• Fax: Tract/Parcel Map #: Permit/Lot #: Job Site Address: Final For Recordation Release For Building Permit(s) Shell Final Only (No Tenant) l ' P Final For Occupancy Building' Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required .t If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. • AuthoriSSignature ror Release 161) 0, -- %(4 �4-U-k— Print Name Form C — Revised 11/21/2012 COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT (` n \ o.n a 1-,\ PERMIT NO..Z tr j H Q' ADDRESS i" i 1 5 C %, < <� R A,yl .� l� �� \ DISTRICT 3� INSPECTOR REMARKS: • T Vj A • � 11 ,r ' ; �, ro Pr L, to h r; \ 'c Coal\./ - co C 1 /� h ►..i i t In ¢. ink •^Q„ \+ /\ S-�G 1 V . G •.1 i = 'C�• 5` • .l C G .. � t , r / C� u n�. G'�C \r. i : �- C� Ci•J ! \ +� • �' <\ S .�...� ' . -t � ' •'1 �e)Aj r.e�\ �a rf i i., r 6r. iA,,. 1 ovt J .k S">< j � \• M } � Q T � C e\ C� �� • S C:: ? D �+ `.f,.... � + � -C�� d 7 �'L \r�. n z- �°�G 1 �• A_ P�,� 1 M � n 33 i h� S �^Gc .�.► .1 ._ \ c, ¢�z nn+ C\'�': T'4n,jfn 1� 1tlM 0 , 0.h r 0, \A 1 t -x� Gtn d iM \S �L� Cmc iQ. o'_1�tcnt t-. fY3 f V t t ( l C�G• c .e. { C �' C C 1'C. � rry CIT 1. Z � V • .. �in . �R C �-'...'S-\ ..c 'S'Ci��i t''• -R. L•.1 .11 '�.r*. � + n + L- \ C. b lig c. i R.�n..�r r-..0 `• p"!' -,- 0 'C + • S`T 1 n F "! 1 , <'1 RECEIVED BY: L DEH -SAN -118 (Rev 8102) 1 ' ✓ Distribution: WHITE—Office; CANARY—Owner; PINK --Office �� tia t.� ►s to'! � Revs te� Bin. #1 City of La Qurnta Building sz Safety Division P.O. Box 1504,78-495 Calle Tampico ta.Qwrita, CA 92253 -:(760) 777-7012 Building a it Application and Tracking Sheet Permit # Project Address: A. P. Number. ... A �� IO wner's Name:. , w . .rAcjdressj r �G Awl Legal Description: City, ST, Zip �� • , (i ��b i . j Contractor: + Telephone: °• Address: ff V e. t • . ba • , : �X, t r y .+ �. ^ y. t j. t n �� ti., fir' ,; i Erojezt DesQFipaon: e J �` r �x, City, ST, Zip: Telephone: _ cl% 1 City Lie. #; -State Lie. #: Arch., Engr., Designer. , Address: Stili b�l" City., ST, Zip: Telephone: t `'� Construction Type: Occupancy: :rte' r;, • ' : �y Project type (circle one): New Add'n Alter Repair Demo State Lie. #: Name of Contact Person: Sq. Ft.: 2,(� # Stories: # Units: Telephone # of Contact Person: �j� - 2 Estimated Valine of Proj (900 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted 7 Item Amount Structural Calci. Reviewed, ready for corrections Plan Check Deposit. . Truss Coles. I. Called Contact Person Plan Check Balance_ 210, Title 24 Calci. Pian' picked up onstruction Flood plain plan Plans resubmitted 8 echarilcal Grading plan P! Rcvlew, ready for correctio issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up H.O.A. Approval Plans resubmitted a5 Grading •IIY HOUSE:- 7id Review; ready. fo correction sae Developer Impact Fee Planning Approval OP Ip S A.I.P.P. Pub. Wks. Appr ' Date of permit issue School Fees Total Permit Fees (o1G V52- . '� `3 `sv r3. • 1V'S 4�C ,G�ct�»t.t� �d�esr��-f ' AO AtUut Oki `may. N'�,�lli q�,a s _.-'� dam- I °% /o/% �' , to -4 " d.�-�.�, �o% l% 8z�.`..�:�.. v' (3A,tj to[ 24 �ul pum&� poke's JQ alzo at�t� IeAUA46, -iv A/40 dam- riga