06-3556 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
f APN:
Application description
Property Zoning:
Application valuation:
Applicant;
06-00003556
—73
476520—WASHINGTON ST STE
643-020-999-3 -30903 -
REMODEL - COMMERCIAL
REGIONAL COMMERCIAL
200000
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with ,
Section 7000) of Division 3 of the Business and Pro ionals Code, and my License is in full force and effect.
.
License Clas �l a Licensee 0 ''846876
Date: � Contractor: / 'y_ u
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 apermit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant forthe
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ I 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 _ 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:
LQPERn11T .
Owner:
WASHINGTON 111 LTD
C/O JACK TARR
30240 RANCHO VIEJO RD. STE. B
SAN JUAN CAPISTRANO, CA 92675
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/04/07
Contractor: D a
DH CONSTRUCTION
4195 CHINO HILLS PARKWAY 2 O APR
q
CHINO HILLS, CA 91709 APR 4 LOO7
(909)592-7068
Lic. No.: 846876 CITY OF LAQUINTA
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 r
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 046-0015130
certify that, in the performance of theworkfor 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 �frth
ct to the workers' compensation provisions of Section
j, 3700 of the Labor Code,h co I withthose provisions.
nte', 1r e' 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 issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil coRSTM%ion, and hereby authorize representatives
of this county-to,enter upon the above-mentioned properly for f ectipurposes_
T
Application Number .
. . . . 06-00003556
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
989.50 Plan Check
Fee
643.18
Issue Date . . .
Valuation
200000
Expiration Date
10/01/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
100.00 3.5000
THOU BLDG 100,001-500,000.
350.00
'Permit . .
ELECT - ADD/ALT/REM
Additional-desc .
Permit Fee
66.20 Plan Check
Fee
16.55
Issue Date . .
Valuation
0
Expiration Date
10/01/07'
Qty Unit Charge
Per
-Extension
BASE FEE
15.00
2560.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
51.20
Permit
MECHANICAL
Additional desc.
Permit Fee
56.50 Plan Check
Fee
"14..13 ,
Issue Date . . .
Valuation
.
"0
Expiration Date".
10/01/07
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH APPL REP/ALT/ADD
9.00
3.00 .6.5000.
EA MECH.VENT FAN
19.50
2.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD'
13.00
Permit .
PLUMBING
Additional desc .
Permit Fee . .
159.00 Plan Check
Fee
39.75
Issue Date . . . .
Valuation
. . . .
0
Expiration Date
10/01/07
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
17.00 6.0000
EA PLB FIXTURE
102.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.0.0 12.0000
EA PLB INTERCEPTOR
12.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
LQPERMIT
LQPERMIT
Application Number
06-00003556
Permit . . . PLUMBING
Qty Unit Charge Per
Extension
6.00 .7500 EA PLB
GAS PIPE >=5
4.50
1.00 15.0000 EA PLB
GAS METER
15.00
-
Special Notes and Comments
-----------------------------------------
tenant improvement pick up stix
resterant.2560 sq. ft.December.11,
2006
3:00:26 PM jjohnson
--------- - - - - --
Other -Fees
-----------
STRONG MOTION
-------------
(SMI) -COM
--------------
42.00
". Fee summary Charged
Paid
Credited
Due
---
Permit Fee Total 1271.20
---------- ----------
.00
----------
.00
1271.20
Plan Check Total 713.61
00
.00
713.61
Other Fee.Total. 42.00
.00
.00
42.00
Grand Total 2026.81
.00
.00
2026.81
LQPERMIT
Bin #
e7co
City of La Quinta
Building 8i Safety Division
� P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #3S�j�o
OFA
foiw 054111
Project Address:
yoNST �
Owner's Name: CA?'L<�0.ST w
A. P. Number:
Address: /33C) CAlk AP e N,4
� u
Legal Description 7, WOIQt>V mow%
Contractor: Cc r S% kL .7G
City, ST, Zips 26
Telephone: N4
Address:/' AAS A - -*626
Project Description:
City, ST, Zip:Go*.//S
Telephone: ao 2_ _ ?06':k- . R.
State Lic. # : City Lic. #:C
Arch., Engr., Designer: G-7 A A R u 2
G rl { AG
%S 1— Z,s
Address: /41//(2 I A- A- z - 44s_
90 / —'S a – 70 b
City, ST, Zip:D4
Telephone: , _ _8
Construction Type: N Occupancy:
State Lic. #: % Z6
Project type (circle one): New Add'n A � Repair Demo
Name of Contact Pers f'TT
Sq. Ft.: 2 z 25
#Stories: /
# Units:
Telephone # of Contact Person:,q;;;-?—.Estimated
Value of Project: 2QQ
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd .
Rec'd
TRACKING .
PERMIT FEES
2
Plan Sets
Plan Check submitted
/� s
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
h.fechanical
Grading plan
2"d Review, ready for correctionsrissue
Electrical •
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
,S.M.I.
H.O.A. Approval
Plans resubmitted..
Grading
IN HOUSE:-
M Review, ready for corrections/issue
Developer Impact Fe
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
2
5pE'C 000-1�9
Total Permit Fees
� v/J /vco "'� vw dvryrcv
7271c,—? oi MAU
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FRESH ASIAn
ILITCMEfI
1330 catte avanzado san demente ca 92673
400.400.STiX PiCKUPSTiX.COM
,October 11, 2006
S7
.1 9 OCT 17 2006
Mr. Burt Hanada.
-Plans-Examiner , ___� -
City
lans-Examiner--
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92247-1504
RE: La Quinta Pick Up Stix
.DearAr.. Hanal
.his letter'is to inform you that GHA is the new Architect of record, their
information iS7 beloW:;-,-.`-.
t H A 'Architecture
14110 Dallas Parkway, Suite 100
Dallas, TX 75254.'
Ph: 972-239-8884""
Fax: 972-239-'5054
Also, I would like to let you know that Rick Dopps of DH Construction will be
acting as the. plan' expeditor and/or agent for Pick Up Stix.
Please let meknow if you have any questions.
SincerLilv_:',-
.�fo i. ', i f ' `� t .._v ,-i � � e. . _ - .,.7: . i ._ T: -u �'' .�.' ..�..ay. �._L >
....;Dick Geiger
b5iiector o °Coh8truction
John R. Hawkins
Fin: Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
Beaumont
Calimesa
:•
Canyon Lake
ee
Coachella
�f •
Desert Hot Springs
Indian Wells
44.
Indio
.
Lake Elsinore
4.
La Quinta ,
Moreno Valley
Palm Desert
Perris `
4.
Rancho Mirage
;.
San Jacinto
.;.
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3 r
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 • (909) 940-6900 • Fax (909) 940-6910, +
October 11, 2006
i P
Rick Depps
DH Construction '
1495 Chino Hills Parkway #626
Chino Hills, CA 91709 '
RE: TENANT IMPROVEMENT PLAN CHECK',*,
LAQ-06-TI-083 / Pick Up Stix at 46520 Washington Ste 3, La Quinta, CA
r u
You'have been issued a release for a tenant improvement on an existing building. THIS IS
NOT AN OCCUPANCY PERMIT: %' . t
It is prohibited to use/processor 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.x ,
r n 1 1
A minimum 2A1066,Fire Extinguisher, (State, Fire Marshal Approved) must be mounted in a
visible location within 75' walking distance frorn 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. • ,f - v I _ I.. I- . '
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.
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.I lo
' EMERGENCY SERVICES DIVISION :PLANNING SECTION • INDIO OFFICE
' 82-675 Highway 111;' 2nd FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 8634072
Yy4 c, t w- �t.A_ + �• i I ••�„
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.
4,
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Area.# IV COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
PLAN CORRECTION
Plan Check # IVN05-075 Date 10/12/05
DBA Pick Up Stix Address 46-520 Washington St. La Quinta
Plans Submitted by Larz Hitchcock Phone 415-543-1399
Owner Pick Up Stix -Dick Address 1330 Calles Avanzado,.San Clemente Phone
Geiger
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1. This plan does not include sewage or water service approval. Prior to the final inspection provide a grease
interceptor sizing form from your local water agency. For more information call County of Riverside Land Use
at (760)863-7000.
2. All floor, wall and ceiling finishes in food service areas must be smooth and easily cleanable including
waitress and self service stations such as drink dispensers. Per Architect Larz Hitchcock on 10-12-05, ceiling
throughout kitchen, preparation, self service areas, etc. will be smooth washable type ceiling panels.
3. The mop sink must be of the floor basin style. Behind all sinks in the splash zone the finish must be water
proof to a height of 8' (e.g. FRP/tile)
4. The trash enclosure must meet current standards and be finished so that the interior floor and walls are
smooth and easily cleanable. Seal these interior surfaces with an approved two part epoxy.
5. All exterior and restroom doors must be self closing. Exterior doors must also be sealed against entry by
vermin. Service windows such as drive through windows must likewise be self closing and if greater than 216
square inches have dedicated air curtains. The delivery door air curtain must deliver air at a velocity of 1600
fpm at a height of 3' above the floor.
6. A construction guide has been issued with this plan correction. All issues not otherwise addressed by this
plan correction must be resolved according to the guidelines set forth therein.
7. The number of lockers provided shall be equal, or greater than the number of workers assigned to a peak
shift
8. The soda line must have an RP style anti -backflow device mounted upstream of the carbonator. From the
RP onward all piping or tubing must be non reactive such as PVC. All other threaded water outlets must have
approved back flow devices ( double check valves ), I.e. Coffee/Tea Brewers, etc.
9. Certified air balance reports will be required for all cooking equipment exhaust hoods prior to final approval.
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 compliance guide is attached to this plan correction sheet. All construction not otherwise addressed on the
plan correction must be performed in accordance with the guidelines set forth therein. A FINAL INSPECTION MUST be made upon
completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to
operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and
PERMIT FEES have been paid.
Request for inspection should be made at least five (5) working days in advance.
PLANS CHECKED BY Jerry Dubin Phone (760) 320-1048
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate
them during construction:
Signature '
Company
Jo
Date �2
Plan Check #
J ,?
R:�..
�p
RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Date 03/23/07
Project Name Pick Up Stix Address'- -.46520 Washington, La Quinta
Plans Submitted by Rick Dopps..` Phone
Owner
Address
Phone
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1) This plan does not include sewage or water service approval. Prior to the final inspection, provide a grease
interceptor sizing form or waiver from your local water agency. For more information, contact Riverside County
Land Use at (760) 863-7000.
2) Provide a certified air balance report for hood exhaust and make-up air prior to final inspection.)
3) All flooring must be smooth under equipment. If abrasive flooring is installed in high traffic, floor drains and a high
pressure cleaning system will be required
4) Install an approved 12" splash guard between hand sink and 3 -compartment sink.
5) Air curtain installed over designated delivery door must be an approved high velocity unit capable of producing a
velocity of air at 1600 FPM as measured 3' above the ground.
6) Install an approved RPP anti -backflow device on water line prior to carbonator. Device must drain via a funnel
drain to an approved floor sink.
7) All sneeze protection will be evaluated during field inspections.
Note: R. Dopps made corrections (report dated 3/20/07) to plans on 3/23/07.
CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary,lnspection 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 (6) working days in advance.
PLANS CHECKED BY Debra Johnson Phone .(320) 1048
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
construction:
SignatureDate . Z /a-
Company Namcr C C) Vti ��r..
DEH -SAN -178 (Rev 2/06)
Corona
Hemet
Indio
Murrieta
Palm Springs
Riverside
2275 S. Main St Suite 204
800 S. Sanderson
47-950 Arabia St "A"
38740 Sky Canyon Dr
2500 N. Palm Canyon Dr
4065 County Cir
(951) 273-9140
(951) 766-2824
(760) 863-8287
(951) 461-0284
(760) 320-1048
(951) 358-5172
Fax (9.51) 520-8319
Fax (9.51)766-7874
Fax (760) 863-8303
Fax (9.51) 461-024.5
Fax (760) 320-1470
Fax (9.51) 3.58-.5017
Certificate of Occupancy
.y. _ ..-
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 909 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 46-520 WASHINGTON
Use classification: COMMERICAL( PICK-UP STIX) Building Permit No.: 06-3556
Occupancy Group: M
Owner of Building: WASHINGTON 111 LTD
Building Official
Type of Construction: VN
Land Use Zone: CR
Address: 30-240 RANCHO VIEJO RD. STE. B
City, ST, ZIP: SAN JUAN CAPISTRANO, CA
By: STEVE TRAXEL
Date: JUNE 22, 2007