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04402 (CSCS)f G• 4 0 402 P.O. BOX 1504 Addrress 78-085l. La Fonda LA QUINTACCCALIFORNIA 92253 Owner VIM. Wdoiso /Rol== Atlohner. . Mailing I BUILDING: TYPE CONST. OCC. GRP. Address P. 0. BOX 41 , _ . , � ... _ 769"-a62--020 0 027 1 'A.P. Number City Zip MT,Te7l. La Q1L3� nta 92253 � , ti Legal Description Contractor 4.. *► Project, Description �� , ` Restaurant Address ity IZip ITel. State Lic. '• City & Classif. Lic. # Arch., Engr., Designer Address —Te l. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of D;vision 3 of the Business and Professions Code, or thathe 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds .'improves thereon and who, does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason r- a. Date OwnerYt f .l i.. { .ss. - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder Is suspended for 180 days. 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 city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. Size 350 New ❑ No. No. Dw. Stories 2 Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Eno. Infrastructure TOTAL REMARKS $250000 AMOUNT 2 /��� � 1 7yy0.50 20*0 3 20.00 22.00 1• 2 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 8/4/08 Issued by: Date • Permit Validated by: Validation: I WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, 001.09111111190 • &OSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL 50 FT (a S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. 6 FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FTa GAS (ROUGH) METER LOOP GAR SO. FT. Cr POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO FT. 6 GROUT WATER HEATER WALL SO. FT. (d FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO. FT. a = $ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE, Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES I I WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID (g Iii. c SEWAGE DISPOSAL SO.FT.GAR (g 4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ = $ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL T4'tt'4 " 'j L,a Fo.�d Q P.O. BOX 1504 APPLICATION ONLY Building l �{ -D 78-105 CALLE ESTADO Address v LA QUINTA, CALIFORNIA 92253 Mailing Q Address 0"•I. &.x .5.zll City Zip Tel. L � ?s3 Co for A✓ , pkS.h/»iL Lie Address J,Je i ( 6 41* rr City r , I tZiffTel.. State Lic. City & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 clv0 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or Improve for the purpose of sale.) ,1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Ab 9 Ow ec WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. .Company . ❑ Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any ma"soo b come su ject the rke�ompensatn Laws of IifI is.e oI TO P ANI, this Certlfi ate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code.) Lender's 'Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above- mentioned property for Inspection purposes. Signature of applicant Date- .Mailing Address City, State, Zip FINANCE 1, ?iLDING: TYPE CONST. y /J OCC. GRP. _C�l P. Number 7�g-_G� � D-1? Igal DescriptionLonoy, 2j oject Description KO qi IS OF -s 7'>4u 2 .4P -J7 - Sq. Ft.,Y.6b6 Size No. � No. Dw. Stories Units New ❑ Add ❑ Alter Repair ❑ Demolition ❑ Estimated Valuation �b PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. //O . Const. O . S Mech. 020 045 Electrical rn.2.0 . O O Plumbing S.M.I. ?a Grading Driveway Enc. Infrastructure TOTAL O REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: r . 7'0: County of Riverside Department of Health Environmental Health Services Division 3S7S Eleventh Street Mall P.O. lox 1370 Riverside, CA 92502 Attn: Land Use Section Subject: Certify* at 7 F-1 the Existing Subsurface Sewage Disposal System P.W, I r A -RhAl nA. L A (Property AUUress) (Leoal Descr ption and/ or APN) /_ o rs s 61 --� 7 �E �T CPKs 72acr j07 y/ Show design and location (to scale) of the, sewage disposal system in relation to dwellings, structures, wells, etc. I examined the existing subsurface sewage disposal system at the above location on and certify that the septic tank size is _ A000- gallons and the Date leaching area consists of -sq. ft. of leach line/bed or oZ _ seepage P ge No. Yf pits rv` pitsft. diameter and ft. below inlet.-( ft. total , depth) . `�. It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. If there are any.further questions, (6 I°I) _3__S9_--13 S 3 - Telephone No. feel free to contact the undersigned at (Signature) C-42 State -Licence r Septic Tank Contractor State License r F4� • 4 v j 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (6 19) 564-2246 June 29, 1988 County Recorder ,,County of, Riverside P. 0. Box 751 Riverside, CA 92502 SUBJECT: Parcel Merger No. 88-074 Dear Sir: �Q u 1 t( JUL'! 2Y 1988 Attached please find a grant deed for Parcel Merger No. 88-074 and Exhibits A and B. Recordation is requested by and for the City of La Quinta in accordance with Government Code #6103.to insure compliance with zoning requirements prior to any construction taking place. Please record and return a copy of these documents to this office so our records can be updated. Thank you. Very truly yours, MURREL CRUMP PLANNING IRECTOR r J rry erman rinc.ipal � Planner JH: bja Atch: Grant Deed & Exhibits A & B for Parcel Merger #88-074 cc: Roland J. Mitlohner William H. Woolson File: PM88-074 BJ/FORM.013 PLAN NO. l C H E C K E D BY I A � DATE DISTRICT # 22 - RIVERSIDE Z RIVERSIDE COUNTY DEPARTMENT OF HEALTH ,COOM�PLIANCE SHEET FOR FOOD ESTABLISHMENTS JOB SITE �L��1 —O®S L Eay-D:► 44 O'u4LA AI.I work done at the above indicated site must conform to the latest set of Health Department plans plus the detail requirements indicated on this compliance sheet. I. 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 sanitary cove. B. Where floor drains are utilized, the floor surface shall slope to the -floor drains. C. Non-skid flooring shall be limited to traffic areas only.. Floors under equipment and coved bases shall completely smooth. be l'l D. Waitress stations, bussing stations, food and beverage serving areas shall have a continuous, integral coved floor; throughout the area and extend a minimum of 24 inches beyond all equipment in all directions. 2. Walls A. Walls shall be smooth, light colored, easily cleanable, non-absorbent. ,Vinyl wall coverings, wallpaper, block or brick walls, grooved paneling or rough plaster finishes are not acceptable. B. Waitress stations, bussing stations, food and beverage l serving areas shall have smooth, light colored, easily cleanable walls throughout the area. C. Walls adjacent to sinks in bar areas must meet requirements in 2A above. 3. Ceilings A. "Ceilings shall be durable, smooth, light colored, easily cleanable and. non-absorbent. Any perforations or rough surfaces ar.e not acceptable. c E B.. Waitress stations, bussing stations, food and beverage serving areas must have a ceiling finish which is smooth, durable, non-absorbent and light colored. An approved smooth, solid cover may be acceptable. 4. Conduit A. All plumbing, electrical and gas lines shall be concealed within the building structure. Where this is not possible all.runs shall be at least 1/2 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 minimum of six (6) horizontal inches beyond the equipment surface on al l open sides. Canopy -type hoods shall be flashed with metal and sealed to ceiling and adjacent walls C. Make up air supply must be equal to that exhausted and interconnected by a single control switch. 6. Refrigeration. A. Wooden shelves, rough surfaces, metal shelving with uncleanable openings or holes are not acceptable. B. Walk-in refrigerators and non self-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 3/8 inch radius sanitary cove at the floor/wall juncture. 7. Ice Machines A. Ice machines must drain to a floor sink via legal air gap (minimum 1 inch above the overflow rim of the floor sink) 2 8. Floor Sinks A. Al -1 equipment generating liquid waste shall be drained to a floor sink (located within 15 feet) via legal air gap, (minimum 1 inch above the overf.low rim of the floor sink). B. Floor sink shall be level with the finished floors and those located under equipment shall be at least half exposed for cleaning accessibility. A protective enclosure will be required around the back side of half -exposed floor sinks installed under curb or base mounted equipment to prevent any waste water 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 1.8" 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 larg_p 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 installations must 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 See 9A, B, C, D A. Bar sink(s) The minimum compartment size shall be 10" X 14" X 10" deep (or a minimum 140 square inches surface size) with dual integral drainboards a minimum of 18 inches long. Bar sinks shall have a quick drain or a 4th compartment for disposal of drink waste. Har sinks must 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. 3 i 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 adequatly measure applicable chemical sanitizer in the dishwasher/glass washer. 13. Garbage Disposals A. Garbage disposers shall not be placed in or under any sink compartment. Garbage disposers shall be installed in drainboards and the drainboard lengthened to accomodate 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. Free standing janitorial sinks must be provided with NSF type round metal legs. D. A janitorial room or cabinet must be provided for clean- ing 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 at all handwash sinks. 16. General Purpose Hot Water A. Install the hot water heater on four inch high integral coved platform or curb; or on at least 6 inch high round metal Kegs; 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. 4 � . I ,17. Dipper Well A. Dipper wells shall drain to a floor sink via legal air gap (minimun I inch above the overflow rim of the floor sink). 18. Window Screens A. All openable windows shall be screened with not less than 16 mesh screening. 1.9. Food or Utensil Displays A. Displays of unpackaged foods 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. B. Approved self-service food containers shall have self closing, permanently attached, tight fitting lids. C. Disposable beverage cups, straws or utensils on di__splay 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 non-absorbent. Shelves shall be a minimum of 1" away from the wall or sealed to the wall. Bottom shelves must be 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 round metal equipment legs. C. Where tracks or channels are installed as sliding door guides for storage cabinets, they may not be recessed. A minimum 2 inches of the track must be removed from EACH END of the door guide for cleanability. 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. 9 C. Permanently mounted single service soap and single service towel dispensers or hot air blowers shall be at all handwash sinks. D. The restrooms shall be provided with tight fitting self- clos.i...ng doors. E. Restrooms must be provided with exhaust an.d 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 or utensil washing 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. 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 witha 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. L 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. Garbaae 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 drain to a floor drain. C. Outside trash areas shall properly drain so a's not to create a nuisance. 27. Lighting A. A minimum 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. 28. Ventilation A. Adequate ventilation shall be provided to maintain the comfort level 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. 7 B. All equipment shall be placed on minimum six (6) inch high round metal legs, castors or completely sealed in position on a four (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 to maintain cleanability and meet all other applicable N.S.F. Standards. 30. Water A. Th -e water supply shall be from an approved source. 31. backflow Protection A. An approved backflow preventer shall 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, mop sinks, sprayers, dishwashers, coffee makers, etc. 32. Grease Interceptor 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. I COUNTY OF RIVERSIDE -DEPARTMENT OF HEALTH -ENVIRONMENTAL HEALTH SERVICES DIVISION APPLICATION FOR REVIEW OF FOOD ESTABLISHMENT CONSTRUCTION/REMODEL PLANS NOTE: PLANS WILL NOT BE ACCEPTED UNLESS: 1. This Application is complete ESTABLISHMENT NAME ROBI ' JOB SITE 78-035A�ta Fonda ADDRESS LaQuinta, CA 92253 2. Plan Ct�,�ck Fee is aid /� X07 DATE &1 Q 1 Fa 'V) FEE % -� jz� 'ontact Person Bi1lWoolson . RolandMitlohner Bill Woolson )wner/Operator Name Phone kddress968 City Zip :ontractor/Architect Larry Weeks/Day Star Dev. Phone 320-0977 kddress457 N. PalmCanyon Dr. eA City P.S. Zip 92262 .k. GENERAL Convert existing bldg. to permitted food establishment type of constructionX New Remodel of Existing Permitted Food establishment Cotal square footage (including all seating areas) S50 Hours of Operation r1lom-1014/71 ieating capacity for -dining: 16 MAX' Number of workers per shift (incl. mgmt.) 3 SERVICE (Indicate all methods of -food services to public): X On-site preparation (cutting, cooking, assembly, etc.) Soup or Salad Bar Items individually packaged by manufacturer Customer Self-service Dispensers Full -Service Bar Type of customer utensils (cups, plates, forks, etc.) UTILITIES Single Service (disposable) X Multi -Use (re -usable) Water Service: X Public Water System (*) NAME OF WATER COMPANY: Coachella Val.Water Dist. Private Well (Must be potable) /`Xi.rii'c/6 Sewage Disposal: Public Sewer System (*) NAME OF SEWER COMPANY: X Septic System (must be Environmental Heap}th Land Use approved). EXi5i i46 9.0 Ergo/ Septic Tank Capacity: 2000 Gal. W/ 2 - Seepage Pits( EXiSrii r,) kALL NEW CONSTRUCTION REQUIRES a letter from provider stating establishment is or will be connected to utility BEFORE PLANS SHALL BE APPROVED. This utility connection is the responsibility of the applicant/operator and will be verified prior to approval to operate facility. Jrease Interceptor: Connected to public sewer. NOTE: REQUIRES interceptor size requirement or waiver letter from sewerage provider. �X is ri:�JG �l%E Lc X Connected to septic system Capacity of grease interceptor:7 50 Gal. )WNER/REPRESENTATIVE DECLARATION: I understand that the amount of fee paid is based on my ieclaration of information on this form, and that incorrect information is grounds for denial )f 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 :onducted, or approval granted to operate, until all proper information requested has been receive and ans approved and returned. SIGNATURE DATE ....,. ...., ^^n /n--- o /o-7\ 77 'N"I. MEMID IMMEM ® ME30 M ® 13 IEmno ME] EIMME3 OMME] mmmo IMMMIM MODEL C-10 %�-� / *1)/0 Cuber Cuber with self-contained insulated storage bin... up to 48 lbs. of ice per day production. Built-in 35 Ib. storage capacity. C U E MODEL C-10 Cuber with 35 Ib. Storage Bin _ 7 /• / 34 v2 24�-,18� C-10 J ICE MAKING MECHANISM: To have 1/5 H.P. heavy duty, hermetically sealed com- pressor and capillary tube refrigerant control. Ice mak- ing mechanism to be easily accessible for service. To be equipped with thermostatic bin control . tQ turn off icemaker when ice storage capacity is reached. To have 1 year parts warranty. a ORDERING INFORMATION: i Fj 3 Ice Prod. Lbs./24 hrs. Operating Bin Cube p No. Amps Max. Approx. Model Storage Size 70° Air Condensing Comp. Voltage of a Rated Fuse Shipping Number Lbs. %-% thick 50° Water Unit H.P. Characteristics Wires Voltage Size Weight C -101 -1 -A -P 35 %x% 48 Air 1/5 115/60/1 2 4.6 15 124 3 :.. ":,tr;sk,ki+t.' i..w77kr::> a;,'wtt ,,� • • , 'ENERGY MIZER .°'!"nw fx� > • �'r xlr,� ; Arf�jx� �r ._A::L'lr ��J�7i��i tSki. �iy:. " 1[1 MODEL Ll=C DISHMACHINE FEATURES: T EASY INSTALLATION: The OMEGA LI -C Undercounter is ideally suited for compact kitchens: 1. It fits under any standard 30" counter. 2. Drainage is pumped, therefore it does not require a floor drain. ' 3. 115 Voltage (specs on reverse side). �, •. F : � i �. . t ; BUILT TO LAST: ;-s _ • 1. Specially Designed Pump Motors. Life rating is 3 times longer than many other dishmachine pump motors. ) 2. Stainless Steel Precision Spray Arm Bearings. Has the longest life expectancy available in the industry. 3. Dual "Purge/Flush" Cycle. Completely self-cleaning. i 4, Modular Component Replacement Parts. Short "down" time: inex- pensive repairs. 5. Built -In Chemical Injectors. Solid steel rollers that self -lubricate and provide consistent precise chemical•'quantities.'• ! 6. High Grade Stainless Steel. 14-16 gauge, 304 series stainless steel provides long life of non -working parts of machine. Optional Features Available } • Automatic Instant start switch ; V • Dellmer switch • 4th Pump Assembly (silver or other special requirements) • 6" Legs available to raise dishmachine 2 '• t The OMEGA L1 -C Undercounter Dishwashing Machine offers the speed, performance and reliability of a traditional commercial under- counter dishwasher for half the operating and service costs. Chemical Methods Associates, Inc., leaders in low energydishwashin Intro- 11= r 9' ishwasher Ince thehe most efficient, high Industry. An internationalrne work of sales and formance service agents, are in place to provide this unique new system under one of several 1� F` plans ... they include a full service lease and modified full service with a life -time warranty on parts and labor. The OMEGA L1 -C uses only 1.7 gallons of water per cycle (only 7 oz. per glass) and meets all health code regulations for washing and sani- tizing. Fully equipped with three automatic chemical injectors (an I� Industry first) with capability to remote feed, minimizing chemlcai storage requirements. All stainless construction. g ": , � � �' � '"� �` ••' � , � r ' If J !r U.S.A./CHEMICAL METHODS ASSOCIATES, INC. 12700 Knott Avenue, Garden Grove, California 92641. k' < Ph.N714/898-8781 213/598-0901 1-800-854-6417 TWX:285775 EUROPE/CHEMICAL METHODS EUROPE LTD. t, x ir.l Unit 3, First Av., Glove Park, Marlow, Bucks, England SL7 1YA s , .; o ri Phone Number: 284 75771 Telex: 847159 MARLOW G 4h t. t i EVER G Y MIZFR •MSF •` �� �A •—••^ 4• Dishtable Installed To The Right Or Left Of Dishwasheron v 1%" 10 t e Back Splash 20" x 20" Sink / ---- MODEL i O I OPERATING CAPACITY ---1 1 RACKS PER HOUR l I TI I i (NSF RATED) I I i i I i ,� !� OPERATING CYCLE 2 9" I I ! �,' t I WASH TIME -SEC I I ; RINSE TIME -SEC DWELL/PURGE I I I I WASH TANK CAPACITY t�--- ---——'-- ——— — — ---- GALLONS Slant Rack ���"� 50'4 `1 i7 WASH PUMP 42 �� 53't �� CAPACITY GALLONS TO View P PER MIN THERMOMETERS 36" Electrical Hook -Up 231/2' —1. 121/2 20Amp Circuit Overflow Drain Pipe 1" Drain Left View iailable With Adiustable Legs For Bar Installation N on leg it Clearance For Dishes is 121��" T* 12 1/4' Dish Clearance Power Cutoff Switch 30' 24' Front View WASH TEMP WATER CONSUMPTION GAL. PER RACK GAL PER HOUR WATER INLET DRAIN-I.P.S. WASH PUMP MOTOR HORSEPOWER DIMENSIONS DEPTH WIDTH HEIGHT MAX. CLEARANCE HEIGHT FOR DISHES L-1 C 28 120 57 48 15 1.7 60 140° 1.7 47.6 V2- 1- 1 !2"1•• 1 23'� 24* 30" 12 114' STANDARD RACKS DISH 19.- x 191." 1 SHIPPING WEIGHT APPROXIMATE 175x BASIC MODEL ELECTRICAL RATING MODEL VOLTS PHASE AMPS L-1 115 1 13.0 (REQUIRES CLEAN 20 AMP CIRCUIT.) CALIFORNIA DEPARTMENT OF FORESTRY :. ./ i IYERSIDE COUNTY FIRE DEPARTMENT ✓ 210 WEST SAN JACINTO PERRIS, CA. 92370 (714) 657-3183 (619) 347-2480 INSPECTION LOG COMPLIANCE ORDER Page -of Notice No: / t FACILITY NAME 10 i S v u Se-- Date:- 10- g ADDRESS 78-D $ ,CD a City u a Phone: - The items listed below are in violation of one of the following: UNIFORM FIRE CODE >-- UNIFORM BUILDING CODE: RIVERSIDE COUNTY FIRE ORDINANCE CALIF. HEALTH & SAFETY CODE (TITLE j OTHER 101. d J (lo l� �/J� 'eX�� s,h/ l.^ H i i�/ Gi P to , t- �-►�' �--1. ado f 4 r Q. --�,� be-- /&1�e- /I ��l/ ' vAP e,17 rb Measures shall be taken to correct listed violations. A reinspection will be conducted on or about/0"A0., -toOrC %L'' .FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION. Received By /J%i l�c�P Title Fire Inspector FOR FURTHER INFORMATION PLEASE CALL Phone RCO 26.11 (Rev. 1-87) N { Y cl,.�x• s. r,.x++.twh .'Cwt' A" a -...c •�ti;: rw:ii._ ,,,�"'Kr`'�:a''+F��� sl'�`3.�` 4 s;.ja �` �1^� �'y,y�'�y�`,��`'"�?n` "B�'^'�yL��f°"'"�-w'1�f� r ""°" -a• '�- *�rx+��y`�' � drl�: 0 Z 0 0 W CO U) Y Q W W W U) 4 COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION ' ( — 1� 6,12— 012 ®«a 7 PERMIT APPLICATION FORA SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with 'our copies of a scaled plot plan (1.20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of SM is required when the application is submitted. Check must be made payable to the County of Riverside. • _ ooL 5n.d/A-2 Ajd j7Jf +)GII Nt' Building Department Application Log # Name (Owner. Agent. Contractor. Etc.) %G`,-ogs- keP j Gly fq r0jv1 H Mailing Address dress /�•C1. t90 5z// . City �.h' �j Slate Zip Code � Telephone � � ► ur�J�l� 'Job Property Address 7 9 JJF lA0A /A'04/014 ity r<GWM0aay TA Q tl,;✓rZi` 'Legal Description of Property (Lot. PM. TR) , 110rS,5_ 6,4 7 - ZFF 027- l'c (is T-4 e vV' 'Assessor's Parcel No aler A•enc ,SBI r - Q � ( Use of Permit Planrnn9 Case M Lot Size � '']/ _ !;,2 / % 69 —+'� G � � SFO. MH Site Preparation Etc ,;,26.7 � Signature of Applicant Date '7he above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date " Certification of Existing S.D. System inquired. ❑ Yes [2'N • lif.(J - f ^� �-n WQCB Clearance required. ❑ Yes ®'N ,r Soils feasibility report required. ❑ Yes ❑ Special feasibility boring report requited. ❑ Yes Detailed contour plot plans required. ❑ Yes o RN Staff Specialist approval required. a ❑ Yes o Lot Inspection Date Soils/boring report by Project # Date Soils Map Page Soil Type . Approved by Date - Type of System: towofxBedKoomsv— I* EAria4,1 f 6 n v a; (1) Septic Tank tFX 13 r, -Soil'Rate Required ElExisting [3 New Additional ❑ Replacement s 1r+4�• c OOO Gals r�lq: (2) beach line sq. ft. (Bonoench area) Sidswall allowancenstall- ft. rock/ Sq. Ft. Line(s)—Ft. Long, 'Ft. ta-iQ". inches Leach bed Sq. Ft. bo wide w- of per running ft. N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit 81 Seepage Pit total depth -at *"O1 Applicable Max: allowable depth N/A Overbu//r��den factor. [� ca�� . �0/J - _f // � '. � C.P�r t*•�i"�''%�d Y /✓D. +�r�" f� Cl�f%cL/� '�,,r� �.90 'tie " .�:'�•,�''�i"-'P . a�.f.C,, .�. �..� .� ?-r.:....._ ,I Zit ..L.!•C•'yr f.' Gli�t'.� .0 / D ,�.�� amu,•, � ,(/_ '�.R.iLi1 Pd:•...._�GZ.I�Y\ I' -.: n.-. If�l / '-(��, iit /Adm. eCr-G.� This application i�rove enitrd for tae design of a sugsurface dispos2lysystem as indiAt d ori the accompanied plot plan using the requirements set forth in Section B above. A buildiermit is necessary for the installation of the above -designed system. F+I�Ergf '�n!r RL1�PrDt2-:.S (1 .must v;e ,'fro l vh.� .ti,BC„a �(C crasclg, � ral�and se er h e imust be 50' from .an .well drtc'aP4k Z�J �®• (2 Leach lines must be 100' r7in. from any wells including exp nsion area c g (3 Seepage pits must be 150x. min fro an wells icud' a s o are r, �7ex o 'v Signature of Health Official b / ` Date "t RECEIPT N0. ✓ g 3 Issued by r l Date District: ❑ Riverside ©"Indio. ❑ Hemet ❑ Perris ` ❑ Rancho Calif. ❑ Blythe r Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 4/88) , r w kA go .� ... r-�i'. L- ...'ti,.,�..,. i �` '" 's;� � ::ri.i..•t.?,ty.,:-. n.�:'�,`�1F. `. �:: �:tic."�.'Sr,s*� `.. .r y .,.c:� .. J �,', _ , . DIST. 4l ca vZ COU14TY OF RIVERSIDE - DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION } PLAN CORRECTION SHEET .II�J�A��,��0.y��1/:•3fM • /-irr! /7 -- i EA a- �;• �„-,�r �i ! r3� Ute- � Ixt CONSTRUCTION INSPECTIONS: r 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 allowed to operate, until the facility has passed the FINAL INSPECTION, an "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 �i/' JR (j' Phone - G>G J 2 DOH -SAN 178 (Rev. 8/87) W -Office, Y -Applicant, P -Bldg. Dept. Plan Check # Date DBA iC,/j Job Address--?`Qu/j� Plans Submitted b,.. Ior% Phone ( Owner 5tAr,,.Q ' %�oiiaMG /71� -41i— �c Address '1 0 i=a r v" Co. /,k� /►u 1%* Phone ,%„, P., The plans are now approved subject to the conditions listed below; /a,yj) Cyr,/Ah"7UD .II�J�A��,��0.y��1/:•3fM • /-irr! /7 -- i EA a- �;• �„-,�r �i ! r3� Ute- � Ixt CONSTRUCTION INSPECTIONS: r 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 allowed to operate, until the facility has passed the FINAL INSPECTION, an "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 �i/' JR (j' Phone - G>G J 2 DOH -SAN 178 (Rev. 8/87) W -Office, Y -Applicant, P -Bldg. Dept. COUNTY OF RIVERSIEE IEPARTMENT OF HEALTH ENVIRCNME.N'TAL HEALTH SERVICES DIVISION Supplemental Report to San Form M i R Date C"-4--21'01 '1 Mfg Subject ��% Permit No. Address -- AS" Lok FO/4-DA 4A Q(A I ;ig Sanitarian J) Remarks: � c,►z r,9.4,&IL& �, �h,7A C4Q 2� c� XL �J td Wi.. != %n., f e� AQ Pia Q./,�..o�`•�e♦ i��^d.-(�'�.t �d/ln.�-.r•��fd � C•�'!/tel{Z�r... .l��11�C.o,�/sn'i� .f �.! Grr�'J.�.."�i.�, � n� �� I ,Zak G - �1 nvap t ie a &,.A t wzz'aP ¢�) ds� 3rx- DOH SAN 118 (Rev. 5/84) .S',a" in COUNTY OF RIVERSI E IEPARTIT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION Supplemental Report to San Form 7 Date OW14 2 0. 1` 8, Subject 61 Permit No. Address LA, % -bN,6p 4,--\ 9,j i, Sanitarian Remarks: ! n 4 1 I I DOH SAN 118 (Rev. 5/84) COUNTY OF RIVERSIDE -DEPARTMENT OF HEALTH -ENVIRONMENTAL HEALTH,SERVIaCES DIVISION APPLICATION FOR REVIEW OF FOOD ESTABLISHMENT CONSTRUCTION/REMODEL PLANS NOTE: PLANS WILL NOT BE ACCEPTED UNLESS: 1. This Application is complete ESTABLISHMENT NAME ROBI' JOB SITE 78-035A L Fonda ADDRESS LaQuinta, CA 92253 2. Plan C`}ck Fee is aid / /� �Y1 JCC' -T7 C C0 7 DATE &1Q/8'r FEE /-7 Contact Person BillWoolson RolardMitlohner Bill Woolson owner/Operator Name Phone Address968 City Zip Contractor/Architect Larry Weeks/Day Star Dev. Phone 320-0977 Address457 N. PalmCanyon Dr. eA City P.S. Zip 92262 1. A. GENERAL Convert existing bldg. to permitted food establishment Type of constructionX New Remodel of Existing Permitted Food establishment rotal square footage (including all seating areas) Z5o Hours of Operation Seating capacity for dining: 16 MAK' Number of workers per shift (incl. mgmt.) 3 SERVICE (Indicate all methods of food services to public): X On-site preparation (cutting, cooking, assembly; etc.) Soup or Salad Bar Items individually packaged by manufacturer Customer Self-service Dispensers Full -Service Bar Type of,customer utensils (cups, plates, forks, etc.) Single Service (disposable) - X Multi -Use (re -usable) D. UTILITIES Water Service: X Public Water System (*) NAME OF WATER COMPANY: Coachella Val.Water Dist. Private Well (Must be potable) ( �Xr.rTi.(& Sewage Disposal: Public Sewer System (*) NAME OF SEWER COMPANY: X Septic System (must be Environmental Hea}th Land Use approved). EXrsi i�,►G ��� Septic Tank Capacity: 2000 Gal. W/ 2- 48�:6��Seepage Pits EXiSri�.'6l *ALL NEW CONSTRUCTION REQUIRES a letter from provider stating establishment is or will be connected to utility BEFORE PLANS SHALL BE.APPROVED. This utility connection is the responsibility of the applicant/operator and will be verified prior to approval to operate facility. Jrease Interceptor: Connected to public sewer. NOTE: REQUIRES interceptor size requirement or waiver letter from sewerage provider. is rt.'1G A 560 X Connected to septic system Capacity of grease interceptor:750 Gal. OWNER/REPRESENTATIVE DECLARATION: I understand that the amount of fee paid is based on my 3eclaration of information on this form, and that incorrect information is grounds for denial Df 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 information requested has been receive wand ans approved and returned. SIGNATURE DATE