07-1913 (RC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
.Application Number: ,_'___67__0__00_01913
Property Address: 46600 .WASHINGTON STSTE 1
APN: 643-020-999-3" -30 03
Application description: REMODEL - COMMERCIAL
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 220'000
Applicant: Architect or Engineer:
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: 10/16/07
Contractor: v 4
SHAY CONSTRUCTION
.4033b'WINCHESTER STE PMB 4 OCT O
TEMECULA, CA 92591 t^�
L909)261-1770
No.": 724247
" LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 -(commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and PrqWsonals Code, and.my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Cla s: B p ense 724247
for by Section 3760 of the Labor Code, for the performance of the work for which this permit is
1C�2_& f c %
ate: tract6rs-�e1M.
issued,
1 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
OWNER -BUILDER DECLARATION
- insurance carrier and policy number are:
'I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND - Policy Number 003543-2067
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I -certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to becomesubjectto the workers' compensation laws of California,
-' •permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I -should beco b'ect to.the workers' compensation provisions of Section .
License Law (Chapter 9 (commencing with Section 7000) of -Division 3 of the Business and Professions Code) or
3700 of the Labor Co I shat orthw4 with those provisions. _
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
`mply
tCiZG r
• any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:ate:
1 V7 licant:`
(_) 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 -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
' DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
. - improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
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 peijury 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
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 informationiscorrect. I agree to comply with all
city and county ordinances and state laws relating to buil g construe , hereby a horize representatives
of thi count/Y/Y/Y/}'ttoo enter upon a above-mentioned propert inspectiDn.purpose
ate: l� —/ signature (Applicant or Agentl: Jr/
LQPERMIT
Application Number .
. . . - 07-00001913
------ Structure Information
2,307SF TI [BOUCHEE]/V-NR/A-3/56-OL
-----
Other struct info ..
. . - CODE EDITION
2001/2005
FIRE SPRINKLERS
YES
MIXED-USE OCCUPANCY
A-3
OCCUPANT LOAD
56.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2307.00
Permit . . .
BUILDING PERMIT
Additional desc -
Permit Fee
1059.50 Plan Check Fee
- 688.68
Issue Date . . . .
Valuation .
. . 220000
Expiration Date
4/13/08
Qty Unit Charge
Per
Extension
BASE FEE
639.50
120.00 - 3.5000
-----------------------------------------------------------------------------
THOU' BLDG•100,001-500,000
420.00
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
61.14 Plan. Check Fee
.` 15.29
Issue Date
Valuation
0
Expiration Date
4/13/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2307.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL 46.14
Permit . .
MECHANICAL
Additional desc .
Permit Fee
39.00 Plan Check Fee
.,. 9.75
Issue Date
Valuation
0
Expiration Date,•
4/13/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
_ 4.50
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 . . . .
156.75 Plan Check Fee
39.19
Issue Date . . .
Valuation
0
LQPERMIT
Application Number . . . . . 07-00001913.
Permit . . . . . PLUMBING
Expiration Date 4/13/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
18.00 6.0000 EA PLB FIXTURE
108.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50 .
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
11.00 .7500 EA PLB GAS PIPE >=5
8.25
1.00 15.0000 EA PLB GAS METER
15.00
---------------------------------------------------
Special Notes and Comments
2,307SF TENANT IMRPOVEMENT [BOUCHEE
FINE FOODS]/V-NR/A-3 OCCUPANCY/56-OL.
^.
THIS PERMIT DOES NOT INCLUDE SIGNAGE
OR OUTDOOR LIGHTING FOR PATIO..2001
CBC, CMC, CPC, 2004 CEC, 2005 ENERGY.
_
October 16, 2007 8:09:02 AM AORTEGA
- ---------------------------------------------------------
Other Fees ACCESSIBILITY PLAN
---------
REVIEW
---
68.87
-ENERGY REVIEW FEE
68.87
STRONG MOTION ( SMI)
-: COM
• 4 6 . 2 0' • ;
�• Fee"'summary Charged',I Paid Credited
Due
------- -7 --------- ---
---•----------
Permit Fee Total 1316.39 . 00 ,.00
-------
1316.39
Plan Check Total 752.91 .00,
.00.
.752.91 `
' Other Fee Total 183.94 .00
00.
183.94`,
Grand Total 2253.24 -. 00-
.00
2253.24, t
LQPERMIT
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City of La Quints
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking.Sheet
Permit #
�� + ��
Project Address: 44p -boo I
Owner's Name:
A. P. Number: `�-ja.�[,g `�
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
i
Address:
Project Description:
City, ST, Zip:
W S
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
F ,
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING. PERMIT FEES
Plan Sets
a
Plan Check submitted b(°� Item
Amount .
Structural Calcs.
Reviewed, ready for corrections IPlan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted 1,0 Mechanical
Grading plan
2nd Review, ready for corrections/issue 8 Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up Q top') S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:=
''d Review, ready for correcti Developer Impact Fee
Planning Approval
Called Contact Person I A.I.P.P.
Pub. Wks. Appr
Date of pe it issue
School Fees
1
I
Total PermitF es
0 7
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Plan Check #
Project Name
RIVERSIDE COUNTY COMMUNITY
OFFARTMENT
ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Bouchee Fine Foods
Date 7/31/07
Address 46-600 Washington St. La Quinta
Plans Submitted by Larry Whyman Phone (760) 776-4068
Owner Tim Degross Address 72-185 Painters Path, Palm Desert Phone (760)340-5311
The plans are now approved subject to the conditions listed below and the attached compliance sheet
1. Provide a grease interceptor sizing letter from the appropriate agency prior to final construction approval. Provide
a certified air balance report for the exhaust hood and make up air.
2. The food preparation sink must be minimum 18" x 18" x 12" deep with at least one integral 18" x 18" drain board.
A change was made by Larry Whyman and emailed via PDF file which was placed into the file. See redline
correction sheet K 1.0.
3. Provide an approved double check valve on the water line to the espresso machine.
4. Provide minimum 12" high metal splash guards on the sides of the hand sinks located within 18" of other
equipment.
5. Provide employee lockers in an approved location with approved finishes. At least one locker shall be provided for
each employee during their shift.
6. Provide stainless steel or light colored smooth ceramic tile on the wall behind the cook line from the bottom of the
hood to the top of the cove base.
7. The trash enclosure must have smooth finishes and be sealed with an epoxy sealer to be impervious to grease.
8. The Sodir "Panini" grill is exempt from hood ventilation with the exception that only one is installed for the heating
of sandwiches and pastries. The "Diablo" model is not. Larry Whyman emailed a pdf file of the Panini grill to be
installed.
9. All sneeze protection will be evaluated and approved at field inspections.
10. Ceramic or quarry tile floor the must be installed with integral 3/8" radius cove base tiles that are compatible. Top
set sanitary ceramic cove "slim foot" shall not be installed on tile floor. Samples issued are of quarry tile and
compatible cove base which are acceptable
11. All floor sinks must be easily accessible for inspection and cleaning. Changes have been made via email of pdf
file to relocate the floor sinks in the front service area Floor sinks shall not be in walk ways.
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
'1 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 Kelly Amon, REHS Phone (760) 320-1048
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
construction:
Signature I/ik',/- �-� Date
Company
DEH -SAN -178 (Rev 2/06) 09
Corona Hemet Indio Murrieta Palm Springs Riverside
'1'17C o Ad..:.. Cr c..«.. 1ne om C C.....].......... A7.nCn A....l.:.. Cr "A" 'lp7An M... !'........,.'1Cm AT T)..1... �'.......... Tl.. A(1LG ('......... /':..
z..
•5
06-27-2007 06:23am From -MI) PD SATELLITE +7603919638 T-798 P.002/002 F-062
CO,A,CHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER
85-995 Avenue 52 _ �� � /)�J► �-/� 2�
Coachdla,. Chit nia 92236
• (760) 3984651-
APPLICATION
98-x651-APPLICATION FOR WASTEWATER INTERM?TOWSEPARATOR APPROVAL
APPLICANT: Submit this form with a copy of a SCALED plot plan (1"= 20' to 1"= 40' SCALE) drawn to District specifications. A nonrefundable filing fee is requi ed
when the application is submitted. Cbwk must be made payable to the Coachella Valley Water District. Approval of this application shall remain valid for a period
not to exceed one (1) year from date of payment.
Plan Check No.
Agent, Contractor, Contact Person Address City State Zip Telepbone
Owner Address City State tip Telephone
M
Job
�M#M
V
PLE&E COMPLETE THIS AECTION FOR REVIEW OF FOOD ESTABLISHMENTS
NOTE: PLANS WILL NOT BE ACCRETED UNLESS THIS APPLICATION IS COMELETE AND THE PLAN CHECK FEE IS PAID.
GENERAL CONSTRUCTION:
Type of Constr uctioa:
New Food Facility —)L Remodel of Existing Food Establishment Hours of Operatim Capacity: Internal —1-1- Rdemal
External Seating with Misters or Heaters Bar with Food Srnice Bar Nonfood SeM water Softener
Stevens:
Multiservice (reusable) Single Service (disposable)
OWNEWREPRESENTATME DECLARATION: I certify that I have read the entire application and state that all information is correct. I undersand that the amormt of fee
paid is based on my declaration of information an this form and that incorrect information is Sm=ds for denial of the submitted plans. I also tmdecstand that plans will be
• discarded if not picked up within sixty (60) days of approval or dadal and that no inspection of my establishment will be conducted, or approval gamed to operatic, until all
proper information rt qn ed has been received and plans have been approved and returned.
Signature
f ::;.�� •<,': FOR:DISTRICT•.USE
No. of SYM& ITY940M39"u(s) No. Dwelling Unita [] Sand/Oil ❑ Grease interceptor waived
a) . W',/L,, .
9 AApproved
*See Remarks
OExisting
Addition
IM Connect to Sewer
0 Denied ❑ Conditional Approval*
7
Fbm= Units
i1mt Trap 13
—
❑ Clarifier
02000 Gal.
��
Fee
Check Na. zq'�,,/
Date 7,1-110-7
Inidal
CVWD-921
COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY,
DEPARTMENT OF ENVIRONMENTAL HEALTH
ENVIRONMENTAL .'HEALTH SERVICES
SUPPLEMENTAL REPORT TO SAN. 'FORM # DATE
SUBJECT �\4 4e PERMIT NO.
Ll (.D"60 0
ADDRESS
INSPECTOR
REMARKS:. 111y\ C. +-f
7, P AekAJ
at 40A 01 Ire- CA
Ij 4�
Prob�C k IV) k-
4yo 0 VI -n <
-c4 j9p ro (>e
IV
(20 1(ec 4S ✓wn 1. 01 pp I'c G. k'v, 4,1\ J q 2 .ov
CllleV 20d s-- rl-ec,ei-Pf IA A ZO 7 r� -7,6 3
10�
DEH -SAN -118 (Rev 8/02j Distribution: WHITE—Office; CANARY—Owner; PINK—Office
' may.... ,..�,o. • y " .s..� .:.4 ....' -..,.- ,5;..; �.. %!c,•.Gif}..
(wPost
Coachella Valley Water District
Office Box 1058, Coachella Ca. 92236
(760) 398-2651 or (800) 262-2651 toll-free within' the Coachella Valley
SOURCE CONTROL PROGRAM . `
INTERCEPTOR/SEPARATOR INSPECTION
Name of discharger
Address of discharger
VIOLATION'OF REGULATIONS GOVERNING SANITATION SERVICE PART 9
(ACCEPTABLE RANGE) (INSPECTION RESULTS)
❑ LOWER EXPLOSIVE LIMIT 10 percent -or less
❑ HYDROGEN SULFIDE 10 ppm or less
❑ PH RANGE 5.0 to 9.5
❑ GREASE AND OIL 150._mg/1.
:L.. ❑ SUSPENDED SOLIDS 500 mg/1 - !
❑ BIOCHEMICAL OXYGEN DEMAND 400 mg/1
Grease interceptor/separator capacity has been exceeded. Interceptor/separator must be completely
pumped to obtain compliance. Pumping receipt is to be provided at the time of the recheck
inspection on
❑ Excessive odor in violation of the Rules and Regulations Governing Sanitation Service Part 9,
section 9,; Subsection 9-1 (9), which states; "Any noxious or malodorous gas or substance in a
.°quantity capable of creating a public nuisance."
0 Oil'and sand separator capacity has been exceeded. Oil and sand separator must be ,completely
pumped to obtain compliance.. Pumping receipt is to be provided at the time of the recheck
inspection' on
❑ Excessive; oil- and/or grease in sample.box. .
❑ Interceptor/separator inaccessible for inspection, in violation of the Rules and Regulations
G&vr ing:Sanitation Services -Part 9, Section 9-5, which'states in part, "All interceptors/separators
r, shall be ,of •a type and capacity approved .by the General Manager, and shall be located as to. be'
readily 'and easily accessible for cleaning and inspection.
MECHANICAL MALFUNCTION DUE `TO:
❑ 1. Missing, sanitary. tee .in the sample box.
❑ 2. Baffle tubes missing.
0,1 Baffle tubes plugged.
❑ 4. Discharge line restricted.
❑ 5. Baffles are submerged due to a restriction in the discharge line, interceptor needs to be pumped to
obtain compliance.
6. Interceptor/separator inaccessible for inspection, in violation of the Rules and.
Regulations Governing Sanitation Services Part 9, section 5, which states in part,
"All Interceptors/Separators shall be of a type and capacity approved by the General'
Manager, and shall be located as to be readily and easily accessible for cleaning and inspection."
/ These. violations must be corrected within 7 days of receipt of this noncompliance order.
In compliance r:
___REMARKS_.. 5
LA -r rLn L_ GWAS -Me=Nf Acc, e A 5 V
c3,v2
RECEIPT OF NOTICE ACKNOWLEDGED BY DISCHARGER
rinted Name and Title Signature
• ���QG1/�'�' LriiyT/'-C� LGD�U��/B�C1/��,;/�6��'
Inspector ' : Date
0
Certificate of Occupancy
Building &Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this. 'structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 46-600 WASHINGTON STE #1
Use classification: COMMERICAL (BOUCHEE FINE FOODS)
Occupancy Group: AA=3
Owner of Building: WASHINGTON 111 LTD
Building Official
Type of Construction: VN
Building Permit No.: 07-1913
Land Use Zone: RC
Address: 30-240 RANCHO VIEJO RD. STE B
City, ST, ZIP: SAN JUAN CAPISTRANO, CA
By: STEVE TRAXEL
Date: January 17, 2008
POST IN A CONSPICUOUS PLACE
CERTIFICATE OF COMPLIANCE (Part 1 of 4)
PROJECT NAME
BOUCHEE FINE FOODS AND MARKET
PROJECT ADDRESS
46-600 WASHINGTON STREET SUITE 1 LA QUINTA, CALIFORNIA 92262
PRINCIPAL DESIGNER -LIGHTING TFI FPMnNF
METHOD OF COMPLIANCE VICTOR LEON'
® LTG -1-C, Parts 1 of 4 and 2 of 4
(760) 340-9005
GENERAL INFORMATION
Certificate of Compliance. Part 3 of 4 submittal is required only if Control Credits are claimed
® LTG -1-C, Parts 4 of 4
DATE OF PLANS 1 9-12-07
BUILDING CONDITIONED FLOOR AREA 2224
BUILDING TYPE
® NONRESIDENTIAL
❑ HIGH RISE RESIDENTIAL
® CONDITIONED SPACES
❑ UNCONDITIONED SPACES
❑ INDOOR/ OUTDOOR SIGNS
PHASE OF CONSTRUCTION
❑ NEW CONSTRUCTION
❑ ADDITION ® ALTERATION
METHOD OF COMPLIANCE
Room Cavity Ratio Worksheet
❑ LTG -8-C
❑ PERFORMANCE ❑ COMPLETE BUILDING ® AREA CATEGORY ❑ TAILORED
STATEMENT OF COMPLIANCE
Line Voltage Track Lighting Worksheet
❑ OLTG-4-C
LTG -1-C
DATE
Building Permit #
Checked by/Date
Enforcement Agency Use
ZONE 1 15
COMMON LIGHTING
This Certificate of Compliance lists the building features and performancespekttfications ne comply 'th Title 24, Parts 1 and 6 of the California Code
of Regulations. This certificate applies only to building lighting requirements.
The documentation preparer hereby certifies that the documentation is to complete.
VICTOR LEON I W ��� I9-12-07
The Principal Lighting Designer hereby certifies that the proposed building design represent et of construction documents is consistent with the
other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building
has been designed to meet the lighting requirements contained in the applicable parts of Sections 110, 119, 130 through 132, 146,148 and 149 of Title 24, Part
6.
® The plans & specifications meet the requirements of Part 6 (Sections 10-103a). ❑ The installation certificates meet the requirements of
Part 6 (10-103a3).
❑ The operation & maintenance information meets the requirements of Part 6 (10-103c).
Please check one: (These sections of the Business and Profesions Code are printed in full in the Nonresidential Manual.)
® I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person
responsible for its preparation; and that I am licensed in the State of California as a civil engineer or electrical engineer, or 1 am a licensed architect.
❑ I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section 5537.2 or 6737.3 to sign this document
as the person responsible for its preparation; and that I am a licensed tractor performing this work.'
❑ I affirm that I am eligible under Division 3 of the Business and P ions de to sign th' d ent because it pertains to a structure or type of
work described as exempt pursuant to Business and Professi e S tin 6737.
PRINCIPAL LIGHTING DESIGNERS NAME I SIGNATUDATE LIC. #
RANDALL V. MOSS4id9-12-07 E13453
IQ M
LIGHTING MANDATORY MEASURES
IN
✓ ® Indicate location on plans of Note Block for Mandatory Measure E1.2
LIGHTING COMPLIANCE FORMS & WORKSHEETS (check box if worksheet is included)
® LTG -1-C, Parts 1 of 4 and 2 of 4
Certificate of Compliance. Part 1 of 4 and 2 of 4 are required for all submittals
❑ LTG -1-C; Parts 3 of 4
Certificate of Compliance. Part 3 of 4 submittal is required only if Control Credits are claimed
® LTG -1-C, Parts 4 of 4
Certificate of Compliance. Part 4 of 4 submittal is required when lighting controls are installed
® LTG -2-C
Indoor Lighting Schedule
❑ LTG -3-C
Portable Lighting Worksheet
® LTG4-C
Lighting Controls Credit Worksheet
® LTG -5-C
Indoor lighting Power Allowance
❑ LTG -6-C
Tailored Method Worksheet
❑ LTG -7-C
Room Cavity Ratio Worksheet
❑ LTG -8-C
Common Lighting Systems Method Worksheet
❑ LTG -9-C
Line Voltage Track Lighting Worksheet
❑ OLTG-4-C
Signs (See OLTGA-C Sign Worksheet in Chapter 6, Outdo i tin nd Signs Chapter)
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRU ON
DA lD
; f
CERTIFICATE OF COMPLIANCE (Part 2 of 4)
LTG -1 -C
PROJECT NAME DATE
BOUCHEE FINE FOODS AND MARKET 9_12-07
'
INSTALLED INDOOR LIGHTING POWER FOR CONDITIONED AND UNCONDITIONED SPACES
NOTE TO
FIELD
SPACE CONTROLLED
Lists the location of
controlled lights
INSTALLED.
NOTED TIME SIMTCH
SHEET E1.1
WATTS
INSTALLED LIGHTING, CONDITIONED SPACES (From LTG -2-C)
3662
PORTABLE LIGHTING (From LTG -3-C)
+ O
LIGHTING CONTROL CREDIT, CONDITIONED SPACES (From LTG -4-C)
_ 274
CONDITIONED SPACE ADJUSTED. INSTALLED LIGHTING POWER
3388
INSTALLED -LIGHTING; UNCONDITIONED SPACES (From LTG -2-C)
—
LIGHTING CONTROL'CREDIT, UNCONDITIONED SPACES (From LTG -4-C)
_ • _
UNCONDITIONED SPACE ADJUSTED INSTALLED LIGHTING POWER
= _
ALLOWED INTERIOR LIGHTING POWER FOR CONDITIONED SPACES
Ej COMPLETE BUILDING METHOD (from LTG -5-C)
AREA CATEGORY METHOD (from LTG -5-C)
® TAILORED METHOD (from LTG -5-C)
ALLOWED
WATTS
ALLOWED LIGHTING POWER
3854
ALTERNATE COMPLIANCE
✓
❑ PERFORMANCE METHOD
COMMON LIGHTING SYSTEM (from LTG -B -C)
ALLOWED INTERIOR LIGHTING POWER FOR UNCONDITIONED SPACE (From LTG -5-C) Waw
MANDATORY LIGHTING MEASURES FOR INDOOR AND DAYLIT AREAS .
MANDATORY INDOOR AND nAVI InNTINr. Al ITnuATIr rnuToni c
CONTROL LOCATIO
(Room #, Area #, or
Description) '
CONTROL
IDENTIFICATION
CONTROL TYPE
(Auto Time Switch,
Dlmming,Photosensor,
etc.)
✓
If Control is
for
Daylighting
NOTE TO
FIELD
SPACE CONTROLLED
Lists the location of
controlled lights
KITCHEN
NOTED TIME SIMTCH
SHEET E1.1
TIME SWITCH
ENTIRE SUITE
DINING
O�DDIMMINGH2 orano
DIMMING
DINING
✓
� f ,
4
CERTIFICATE OF COMPLIANCE (Part 4 of 4) LTG -1 -C
PROJECT NAME
BOUCHEE FINE FOODS AND MARKET
DATE
9_12_07'
Designer:
This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for lighting systems. The
designer is required to check the boxes by all acceptance tests that apply and list all equipment that require an acceptance test. If all equipment of a
certain type requires a test, list the equipment description and the number of systems to be tested in parenthesis. The NJ number designates the
Section in the Appendix of the Nonresidential ACM Manual that describes the test. Also indicate the person responsible for performing the tests (i.e.
the installing contractor, design professional or an agent selected by the owner). Since this forth will be part of the plans; completion of this section will
allow the responsible party to budget for the scope of work appropriately.
Building Departments:
Systems Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a new space -conditioning
system serving a building or space is operated for normal use, all control devices serving the building.or space shall be certified as
meeting the Acceptance Requirements for Code Compliance. In addition a Certificate of Acceptance, LTG -1-A, Forms shall be
submitted to the building department that:
A. Certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of § 10-
103(b) and Title 24 Part6. ,
Test Description
Test Performed By:
® LTG -2-A: Lighting• Control Acceptance Document
- Occupancy Sensor Acceptance
INSTALLING CONTRACTOR
- Manual Daylight Controls Acceptance l
- Automatic Time Switch Control Acceptance
Equipment requiring acceptance testing
OCCUPANCY SENSORS
AUTOMATIC TIME SWITCH
❑ LTG -3-A: Automatic Daylighting Controls Document
Equipment requiring acceptance testing
P
INDOOR LIGHTING SCHEDULE (Part 1 of 2) LTG -2-C
PROJECT NAME
BOUCHEE FINE FOODS AND MARKET
9-12-07
INSTALLED LIGHTING POWER FOR CONDITIONED SPACES
Luminaire
Lamps/Ballasts
Installed
Watts
C
I Q
E
F
G
Name
Type Description
y
m'0
z
mg
c a
3r
m m
x
w
m
z
mg
c
300
w
c
3,x
m m
/
D _
m 0
n T
r Z
3
�Q
Gl m
y o
iv
m
a
v N
1
LOW VOLTAGE RAIL SYSTEM.
MR16
12
50
—
600
1
600
2
LOW VOLTAGE RAIL SYSTEM
MR16
3
50
—
150
4
400
3
L.V. CHANDELIER
MR16
1 .
50
—
.75
12
900
4
L. V. WALLWASH
MR16
1
50
—
50
3
150
5
L. V. CHANDELIER
MR16
1
50
—
50
6
300
6
SURFACE WRAPAROUND
FLUOR.
2
32
1
64
1
64
7
TROFFER
FLUOR.
2
32
1
64
5
320
8
TROFFER
FLUOR.
2
32
1
64
9
576
9
DOWNLIGHT
FLUOR.
1
32
1
32
1 7
224 .
10
WRAPAROUND
FLUOR.
2.
32
1
64
2
128
PAGE TOTAL 3662
BUILDING TOTAL (sum of all pages) + 0
PORTABLE LIGHTING (From LTG -3-C) + 0
CONTROL CREDIT (from LTG -4-C)
ADJUSTED ACTUAL WATTS = 3388
2005 NONRESIDENTIAL COMPLIANCE FORMS . January 2006
LIGHTING CONTROLS CREDIT WORKSHEET (Part 1 of 2) LTG -
4 -CONTROL CREDITS FOR CONDITIONED SPACES
PROJECT NAME DATE:
BOUCHEE FINE FOODS AND MARKET 9-12-07
A
B
C
D
E I F I G
H
I
J
RooMo
ZONE ID
CONDITIONED
AREA
LIGHTING CONTROL
DESCRIPTION
PLANS
REFERENCE
ROOM
AREA
(ft)
DAYLIGH ING
WATTS OF
CONTROL
LIGHTING
LIGHTING
ADJUSTMENT
FACTOR=
CONTROL
WATTS
Mx9
WINDOW SKYLIGHTCREDIT
WINDOW
Glazing EFFECTIVE
RATIO VLT APERTuRE
DINING
DIMMING
E2.0
1407
2350
.10
235
OFFICE
OCC. SENSOR
E2.0
48
64
.20
13
BATH 1
OCC. SENSOR
E2.0
.49
64
.20
13
BATH 2
OCC. SENSOR
E2.0
49
64
.20
13
a
1) From Equation 146-A
2) From Table 146-A
PAGE TOTAL
274
BUILDING TOTAL
>274
Enter in LTG -2-C: Lighting Control Credit
2005 Nonresidential Compliance Forms January 2006
n
COMPLETE BUILDING METHOD - CONDITIONED SPACES
oce
WATTS COMPLETE ALLOWED
BUILDING CATEGORY (FROM § 146 Table 146-B) ra'i Pint' ecce WATTQ
AREA CATEGORY METHOD - CONDITIONED SPACES
B
C
D
AREA CATEGORY (From §146 Table 146-0)
WATTS,
PER (ft)
z
(ft)
ALLOWED
WATTS
DINING
1.1
1407
1548
CORRIDOR, RESTROOMS
.6
183
110
OFFICE
1.2
48
58
KITCHEN
1.6
586
938
CHANDELIERS (DINING 1407 S.F. — (12)3'S & (6)5'S)
'1200
TOTALS
2224
AREA
3854
WATTS
TAILORED METHOD - CONDITIONED SPACES
TOTAL ALLOWED WATTS
TAILORED METHOD - UNCONDITIONED SPACES
TOTAL UNCONDITIONED SPACES ALLOWED WATTS
(From LTG -5-C and LTG -6-C)
2005 NONRESIDENTIAL COMPLIANCE FORMS January 2006
I
I
LIGHTING MANDATORY MEASURES
LTG -MM
PROJECT NAME
BOUCH E FINE FOODS AND MARKET
DATE
9_12_07
DESCRIPTION
DESIGNER
ENFORCEMENT
® §131(d)1
For every floor, all interior lighting systems shall be equipped with a separate
automatic control.to'shut off the lighting. This automatic control shall meet the
requirements of Section 119 and may be an occupancy sensor, automatic time
switch, or other device capable of automatically shutting off the lighting. ,
VICTOR LEON
® § 131(d)2
t
Override for Building Lighting Shut-off: The automatic building shut-off system
is provided with a manual, accessible override switch in sight of the lights. The
area of override is not to exceed 5,000 square feet.
VICTOR LEON
® §119(g)
Automatic Control Devices Certified: All automatic control devices specified
are certified, all alternate equipment shall be certified and installed as directed
by the manufacturer.
VICTOR LEON
0'§111
Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specked
for the project are certified and listed in the Directory. All installed fixtures shall
be certified.
VICTOR LEON
® §131(a)
Individual Room/Area Controls: Each room and area in this building is
equipped with a separate switch or occupancy sensor device for each area with
floor -to -ceiling walls.
VICTOR LEON
® §131(b)
Uniform Reduction for Individual Rooms: All rooms and areas greater than 100,
00-
square
square feet and more than 0.8 watts per square foot of lighting load shall be
controlled with bi-level switching for uniform reduction of lighting within the
room.
VICTOR LEON
® §131(c)
Daylight Area Control: All rooms with windows and skylights that are greater
than 250 square feet and that allow for the effective use of daylight in the area
shall have 50% of the lamps in each daylit area controlled. by a separate switch;
or the effective use of daylight cannot be accomplished because the windows
are continuously shaded by a building on the adjacent lot. Diagram of shading
during different times of the year is included on plans.
VICTOR LEON
❑ §131(e) Display Lighting. Display lighting shall be separately switched on circuits that
are 20 amps or less.
Oct 03 07 12:52p Stueven Engineering 7607358577 p.1
CONSULTING MECHANICAL ENGINEERS
_ 326S. KALMA STREET PH(760)735-8577
ESCONDIDO,CA 92025 FAX(760)735-8578
Kristi Hanson Inc
Larry Whyman
Palm Desert, Ca.
DATE:
PROJECT:
October 03, 2007
Bouchee Fine Foods
La Quinta, CA
SUBJECT: Water Heater
Dear Larry,
In response to the Plan check corrections #07-1913, specifically section labeled "Calculation
Package" Item #3, the water heater that is specified for this project which is designed and located
on the roof structure as indicated on our plumbing plans, will withstand seismic zone 4 forces as
required.
Regards,
Bill Tziouvaras
STUEVEN ENGINEERING CONSULTANTS INC.
I� OCT 0.
8 2007 D
k;ITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA
._..
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-
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The folloavmg information contained m this publicatiori'was developed using standard:.... .... ::......-...:::.:•::.:.:.
...... .
.:
`....' , engmeermg pi -in les:. They are subject to revision as :further experience and mfoirriation . '
.....
{
is'obtained This information. may not-. a valid:if other conditions are..present' and.not .. . '
..'.'accounted for in.a particular;:apphca .. ..Please'consult all federal, state, local and'contract .' .' ... ....:.'.'.'.:.:
..regulations•regarding::specific:.installations.: Lochinvar:Corporation-and other contributors.:...: ;.:*.............:.:. ..:......:
I
.:'..assume no res , onsibiliand''acc'e t'no IiabUi fora licatigns contained',in*'tliis".:.- .--'-: '::'' .: � .........'' :..,: ''.:'_ :::--"..
P.......... P.... '.... PP
. ....' ........
..................:
;.:.......' ....:...:...:publication,
i_.... ..
....... ..:.... -Y.... ..... ..... ....... ......... ....... • ............... ............ ....:....
,.:.'' ....
.......: • ... .. ':.
.. ... .. .. .
'
" ......' ..................:......:.....
.:...:.....:
...... .........
�.................:......:.......................................
.
..... .
.
_............:......:....................... ... .
;'.' .'
.'..'.'. ' .'. Effective Shean FiD ce W. -) ' Maximum,hear force o . one seismic restraint or.'tie=down:.....:..
.. .._
-.....
........'.....::...:...:bolt::....'
..:..- .:...::............:......:..........:...:- ..........,::.:.......:...:...:......,::..'.:.::.......::.:..:.......' ...::......:.. , ....... _ .', ..':.........'.'.'.'.
.• .. ... ... ...
..
. . .
T--
Effeciive'I'ension Focce ('Ie) -:Max= h tension force or'pullout:force.on'one seismic''
` ....
restraint or.tie:down bolt -
............ .
..:..............
.......'..I-
..._.. ... .
Shear Force (V) Force Qenerated at the Iane.of.ahe seismic restraints; it. acts'to. cut the... .... .
'....... ............... ..... ..
... `restraint at.the .base:.... .. '. _ ... ' ..-_ .. _ .... '.. ' ... '...:.� ..- . :...::. . _ .' ......' -.. ....:..-.::................:::.......
' .. ... . . ... ......:......
::...................
. . ... .
:. ' 'Tension�F'orce (T-•Foree:�generated by' overturnmg.rnoments. at the:plane;of the seismic. ... ... .�: :.....'......:
:,'......:......'......'......:..•..
::.... ..........:
..'.......'......
.....:..: ................
"'' ' ,:.......'..' ' .....................:..............'....:..'..........-.......'......'.....:.....:.... .'............'............
' :. restraints; acting to ull out the bolt ...:..............................-'..:.- .....
.... .. .... ............. C7.... ......... ...... ...... ...... ... ... - .. .. ..-.:. . .. .. . ..
- .
' ....:.'..':.'.:
':.'.'. ' . ' 'Static Araaflysis - :' .
.... .. ... .. • ... . .. ... .. ..... ... ... .
Th.6.46....'...............
forces actmb on :the equipment are the tateraL and -Vertical. forces resulting: from the.. .
......:................
earthqu'&e;:the;riiass.of the equipment,.arid the'forces of the restraint holding the . ...' . • .
.
:...equipment in'.place:: The forces:of:the restraint holdino.the:equipment ur.position include;........:..:..:•::...:...::..
..:........
'
...... .
shear and tension:forces:
..• . .. •. . . . .. ;e• : ...''' ' ' ' '•:' ' :D tormnati.o.eorce.:.............:......`.LF'...'.`..........'.....-..... ._........._....
: ....'....
' .. '. ' "":
:. .. ..'....
. .: .. .. .. .
:.'' •The'lateral forceF - developed by an eu quake.is determined by use of the following.... .
..•..'.... ..'........ ....... .F... ...........
.:......' ....
.. . ... .
enation:'' ..::. ..................:......:.. I.'. . .
....' ..q .. .
.......'......
.....................:.
....'....:.....'. ' ..'...........:....... . F ' = ZIG DV ' . ` .
.. ........ - .........................- ....._...,....'...,... p .:... ..p ...p .,.... .....- .
.. .:.
.... ........
..'
.,.w .' .
here :...... ............ .
,. .......
... ...........................
... '
............ ... ... ..... .... ..... .
..... .. ..... .. ...................
�. _... ..
.....:.Z' .' Seismic Zone' Factor (determined from Figu e 1 and.Table.l) .... ...:. ,.. '.
..: .......
,'.....•.'...'...:..:.':..::::.::I.:..'..:...:.importance
- .at.r..... . .............. ....... ........................ ......... .
F c o (set at:1:S)::...............:.'.....:;...............:.......:.......:...:..:;..::..:......;...:.;...
:.
'...
-. .' .' . :. .
C - .. 'Horizontal Force Factor (set at 0:7 . ...: '.. '. ::. ..
P'-......,
:...:..::...
::......:......:.
... .. . ...'. .' . . ... .. ... .
W._..E ui merit Mass (provided by manufacturer):...:.''.. :.. ..:.................:: .......:...:...............:
P:.::...:...:� P .
. .. .j
i .'
Fibure:l=Seismic Zone Factor. Chart
I
Series
Lock --Temp Vertfcaf Round Jacketed Storage Tanks-'RJS/RJA
Model 0
RJS080- RJSO85 RJS120 . IRJA120
JRJA2D0
Input Capacity
-.
Width - {in.):
24.00.
.. 28.00:
28.00(:.
28.00
32.00
Depth - (in.)
24.00 "..
'28.00.
28.00.
.. 28.00
32.00
Height- (in.) ...
58.75 ..
_ 48.50 ..
.62.25.
... 62.50.
" . 81.00 i... .
Weight -Unft - gbs:) :
186.0
190.0
345.0.
350.0.
500.0
Weight - Water -(ibs:)
666.4.
...708.1
999.6.
999.6
1656.0
Weight -Total - (lbs.) , , ...
852:4
898.1.
_ 1344.6
1349.6
2168.0
Center.Gravlty - he g. (n:) ....
. ".....29.4.
; 24.3 ..
31:2
... 31:3.. _
- 40.5
Seismic Zone 1.2,:2$.3;4)
4
4
.4;
. ... 4 .
4
"
No. of bofis in sheer. .
4
.4 :."
. 414
4
4
Sheer force (Ib/bolt)
959
101.0
151:3
151.8
243.7
No. of bolts in tension
2
.2
2
2,
2
Tension farce (lb/boft)
53.6
=15:8
51 A
" 521
156.5
Boli size
Force Lateral - (lb)',
lb) `.
'383.6 '
. 404.1
805:1
_ : 607:3
974.7
Force" Vertical - (ib), . .
127.9
134.71
201.7
202.4
324.9
Overtum Moment - (in lb) .
11260.7
9800.5
18878.2
..18978.8.
39475.4
Resisting Momerrt-.(in -lb)
8694,5.
10687-A
16000.7
..16080.2
29457.6
Tension Force - T - (lb)
1072
-31.7
10.2
104.2
313.1
Zone Factor0.4
0.4
014
0.4
0.4
Importance. _
1.5
1.5
.1.5
.1.5 .
_ 1.5 .
Horiz Force Facinr "
-0.751
0.75 "
0:75
0.75
...0.75
Dmin
24.0
280
28.0
... 28.01
32.0
CHECK WEIGHT
Weight (m'1) ':
4261
449.0
-6723
674.8
: 083.D
Height_(h1). "
.29:4 ..
24.3
31:1
31.3
..._ ".40.5 •".
Weight (m2) -
426.21"
449.0
672:3
674.8
1083.0
Height (K2)
58:8
48.5
6225
" 62.50.
81.00
Weight'(m3) .
Height" (h3)
Weight (m¢)
Height (h4) ..
Weight: -
�8514Total
898.0.
1344.6
.1349.6
2166.0 .
Seismic Restraint Guidelines
The following information contained in this publication was developed using standard
engineering principles. They are subject to revision as further experience and information
is obtained. This information may not be valid if other conditions are present and not
accounted for in a particular application. Please consult all federal, state, local and contract
regulations regarding specific installations. Lochinvar Corporation and other contributors
assume no responsibility and accept no liability for applications contained in this
publication.
Terminology
Effective Shear Force (Vere) - Maximum shear force of one seismic restraint or tie -down
bolt.
Effective Tension Force (Tea) - Maximum tension force or pullout force on one seismic
restraint or tie -down bolt.
Shear Force (V) - Force generated at the plane of the seismic restraints; it acts to cut the
restraint at the base.
Tension Force (T) - Force generated by overturning moments at the plane of the seismic
restraints, acting to pull out the bolt.
Static Analysis
The forces acting on the equipment are the lateral and vertical forces resulting from the
earthquake, the mass of the equipment, and the forces of the restraint holding the
equipment in place. The forces of the restraint holding the equipment in position include
shear and tension forces.
Determination of Lateral Force
The lateral force Fp developed by an earthquake is determined by use of the following
equation:
Fp = ZICPWP
where:
Z - Seismic Zone Factor (determined from Figure 1 and Table 1)
I - Importance Factor (set at 1.5)
CP - Horizontal Force Factor (set at 0.75)
Wp - Equipment Mass (provided by manufacturer)
IS
Y
= Determination of Vertical Force
The lateral force Fp,, developed by an earthquake is determined by use of the following
equation:
Fp,,=Fp/3
Determination of Effective Shear Force (Vert)
The effective shear force is calculated by the following equation:
Veff = Fp / Nbolt
where: Nbolt is the number of bolts in shear.
Determination of Effective Tension Force (Teff)
Calculate the overturning moments at the plane of the seismic restraints, acting to pull out
the bolt(s), using the following formula:
T = [ Fph,g - (Wp - Fp / 3) (Dmin / 2) 1 / Dmin
where: hag is the center of gravity
Dn,in is the minimum distance between anchor points
The effective tension force, where the overturning affects only one side, is calculated by
the following equation:
Teff = Z / Nbolt
ILS ..
..
P:......' :...':. ..:....
~:. . '...... .:.......... ...... ...... ..... ...... .....
.:. ..........................
.
" ... . .:.........
US.150-300ANALYSIS
............ ............
.....................:.........,.....,...
.............:....................:...
.........:......
ZONE 4
_
.
_ .
•
K' .:
EFFICIENCY PLUS 150300 -'.DIMENSIONS AND SPECIFICATIONS
:...::.:....:-....:
.....: .:..Model.#...
:.'Capacity.'
Width.:. ..:.,Depth-.....:...Hei'ht........W.ei
hr-.:--'
.:Weight--..-..
".'.,Center of..-.-
'
'
EBN 150
'f5Q000'"
19'3/4"'
23=3/4"'
—2`8"'"230'
—232'
_–
--
:.... .... "......
...... .:.."
.N200 •-
...109;999.
....23=3/4.`' .. ....
23-3/4"....
....28 ......
.:...
250.... _".
...: 252.::.;
... • .11.4""....:
...... ...... • ......':
�'li ...... ..: .... ......
..: .,: ..
..............
......
.. ......
..... .. ..... ..
..... .. ..... .. ..
...-.. .. ..
t.' ..... .: ......'......'.....:
.::....:..........:......:..........
...
..
.: EBN250
": 250,000:,
27-1/2,,.
I
:.23=3/4"
.
..::.277.::..:...
.11:5":
:.... "...... ......
.......................:......:-............................................-.....
...... .:.. .. EBN300 .: ...300,000.• . ... 31=1/4"... .....23-3/.4"....
"....28"......
.....295....
.
,.....:......,,
.... 297.. .:
..:..:......... ...:-:..................
...• .11.6" ...........: ............
John R. Hawkins
f� Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of:
Banning
Beaumont
Cal:mesa
Canyon Lake
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
Palm Desert
Perris
Rancho Mirage
Rubidoux CSD
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District I
John Tavaglione,
District 2
Jeff Stone,
District 3
ttoy Wilson.
District 4
Marion Ashley,
District %5
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and .Fire Protection
210 West San Jacinto Avenue Perris, California 92570 (951) 940-6900 Fax (951) 940-6910
City of La Quinta
Building Department
CASE # )—A ®17% ! '9-5-9
The Riverside County Fire Department is granting the Fire Clearance for the following
Location 46-600 Lt aA-&c4,r,1-& r . LS4- 5v I
Please call if you should have, any quesqns 760-863-8886.