04-3622 (RC)0
bUILD1N:G-dt-b Ff _Y4_rVP.O.
Box 1504
�1;
.(760)•777-7012
OF 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS •(760) 777-7153
BUILDING PERMIT
Application Number .
. . . 4-00003622 Date5/10/04.
Property Address
47150 WASHINGTON ST SUITE B
APN:
643 -200 -026 --
Tenant nbr, name
BOBBY J'S BBQ REST.
Application description REMODEL - COMMERCIAL,
Property Zoning
�.° COMMUNITY COMMERCIAL
Application valuation
82000 -
Owner
=Contractor.
DR KOURI
CONSTRUCTION DESIGN'SYSTEMS, I
1 REGENCY LANE:
78401,HIGHWAY 111, SUITE F-2
RANCHO MIRAGE CA
LA QUINTA CA 92253
RANCHO.MIRAGE CA 92270 (760) 771-3593
WCC: STATE FUND.
WC: 1709785-03 02/01/05
CSLB: 767086 08/31/05
CCC: B HIC A _
---------------------------
-Structure Information -------------------------
Construction Type . .
. . . .TYPE V - 1HR
Occupancy Type
ASSY BLDG <300 NO STAGE
Fl.00d Zone . . . . .
. . . .NON -AO FLOOD. ZONE
Other s.truct.info
CODE EDITION 2001
"
FIRE SPRINKLERS -YES.
OCCUPANT LOAD 57'00
---------------------------------------------------------------------------
FIRST'FLOOR SQ FTG 35'80:00
Permit BUILDING PERMIT
Additional desc
Permit Fee . . .
558.50 Plan Check'Fee : *363.03
Issue Date . . .
Valuation . . 82000
Qty Unit Charge
Per Extension
BASE • FEE' 414.50
32.00 4.5000
THOU BLDG 50,001-100,000. 144.00
-Permit, MECHANICAL
Additional desc
Permit Fee
186.00 Plan Check Fee 90.38
-Issue Date . . . .
Valuation 0
Qty Unit Charge.
Per Extension
BASE FEE 15.00
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: 01-- 3GZ Z
Applicant:
CON
Applicant's Mailing Address:
VOICE (760) 777 -7012 -
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:.5—/Z— 01
Architect or Engineer:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
I hereby affirm under penalty of perjury that I am lic sed nder provisions of C per 9
Code, and my License is full force and effect.
lLicense Class I — License No.
Date 4 ` *OJ 1v Contractor )
DECLARATION
with Section 7000) of Division 3 of the Business and Professionals
2�A
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am Iter
m the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alterove, demolish, or repair any structure,. prior to its Issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the psions of the Contractors' 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 the from 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).):
U 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 or 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.).
U 1, 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
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
45'tion Inslicy
Cartier oiy Number v S
f 1 certify that, in the perform a of a work for which this permit is issue h II not employ any person in any manner so as to become subject to the workers'
compensation laws of C ifomi and agree that, if I should become subjec to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with tho a pr 'sions.
Date Applicant
J
WARNING: FAILURE TO SECURE WO S' COMPENSA ION GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THO ND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INT ST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of pe ' that there is a construction lendingagency for the performance of the work for which this
i tender's Name 1
N 9e cY pe permit is issued (sec. 3097, civ. C.>.
i
Lender's Address
APPLICANT
ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of'Building Buildin Safety for athe
permit subject to tconditions 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 ea agre o; -a hall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or orris ' relate the work being performs or following issuance of this permit.
2. Any permit issued as a result of this application omes n nd void if work is not commenced W1 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject pe t to cance 'on.
I certify that I have read this application and state that the bove inf tion is correct. I agree to comply with all city nd county ordinances and state laws relating to building
construction, and hereby authorize representatives of this c unty r�pon•ttta8ppe rstioned property for in on purposes.
'Date 05, Signature (Applicant or A •m"—�
Page
C 2` .
Application
Number
04-00003622 Date
5/10/04
Qty Unit'Charge
Per.
Extension
3.00
9.0000`EA
MECH FURNACE <=100K
27.00
3.00
9.0000
EA
MECH B/C <=3HP/100K BTU
27.00
1.00.
6.5000
-EA
MECH EVAP COOLER-
6.50
3..00
6.5000
EA
MECH VENT FAN,
19.50
2..00
6.5000
EA
MECH EXHAUST. HOOD
.13.00
.12:00
6.50.00
EA
MECH OTHER MECH EQUIPMENT
Permit,
ELECT
- ADD/ALT/REM
Additional
desc
Permit Fee
105.10
Plan Check Fee
21.65
Issue Date
Valuation
0
Qty Unit Charge
Per
"
Extension.*
BASE FEE
15.00
3580..00
0200
ELEC GARAGE•OR NON-RESIDENTIAL
71.60
1.0.0
18:50D0.
EA
ELEC. SVC <=600V/<=200A.18.50
...Permit
. . .
PLUMBING
. Additional
desc
Permit Fee
. . . .
153.75
Plan Check:Fee..
38.44
Issue Date
. . .' .
Valuation . . .
0
Qty Unit
Charge
Per
Extension.
.
BASE FEE'
15.0.0
18.00
6.0000
EA
PLB FIXTURE'
108.00
1.00
7.500'0
EA
PLB .WATER HEATER/VENT
7.50,
`'1.00
3.0000
EA
PLB WATER INST/ALT/REP
3.00 -
1.00.,
3.0000
EA -*PLB
GAS PIPE 1-4.OUTLETS-
3.00
3.00
.7500.
EA
PLB GAS PIPE >=5
2.25
1.00
15.0000.
EA
PLB-GAS.-METER
15.00
Special Notes
and Comments
COMMERCIAL
INTERIOR.T.I.
-
3,580 SQ.FT.
SUITE B - BOBBY J'S BBQ'-
RESTAURANT
A3
-OCC. TYPE V
1HR, '57 OCC.
2001
CODES
- Other,Fees
. . .
. . .
. ENERGY' REVIEW FEE
36.30
Fee summary
i
Charged
Paid Credited
Due`
rage .i
. Application Number
04=00003622
Date 5/10/04
Permit Fee Total-
1003.35
00
.00:.
1003.35
Plan Check Total
513.50
.00
.00
513.50
Other Fee Total
36.30
.00
.00'
36.30
Grand Total
1553.15
00
.00
1553.15
R / .. � � • _ . x -
3
Oc0
cerriqqa to copanqy
- of
f &Safety -DOp#dment.
of
y wilding
:. --
�` - r J7 � ^� � � S, r .y .rr-.. y ° ,y. ... c i•.t'1 ` �' � � �S:
a." �._ . L'S}
ThIs:Certificate is issued pursuant to the requirements' of Section'109 of4he�California,Building
4
Code; certifyingy that, at 'the time of issuance, this structure was in compliance .:with the
.
-,Provisions of `the ' Buildings `Code and the -various ordinances of the City regulating building ' r.
ti
- construction and/o'r:u
S��jSj y` r VW
BUILDING ADDRESS: ,47-150:,Wasliington ;Street Suite B
.ry
•"�' _ Sit - Y .ti r '(a '....
.. ° 1 rZI
�i
Comericial'Restaurant "Bobby Xs" TI �`_ , Building` Permit No.: 04-3622
Use classification m
,
aOccupancy-Group A3'-_'_; , Type of Construction: VN Sprinkled - Land UseZone: CR
N .s '% � � � ir�fJJ � - i �• - �
1
t. ^ y=,l .. �' - r ;/' V ` ti ^ - r L r S3v i• P J ... .? � - L,� r �'' ]
Owner of Building:,-Dr.,Kouri " �_ - V + Address:"1 Regency Lane " `y
'. � .. � �" _ . r t- Y�' �'] •• , c
: City, ST,`ZIP:Rancho Mirage, 'CA 92270 °
C
By:"Dann VP Crawford Jr. `
., _
r� �: Date: 3/25/05
1 .� Building Offi +al
L
Cy
•�• yr
,fir~ �.' , l - ^ '. rP t°? Y� i h`.� ,. ._ - r�(2S
POST IN A CONSPICUOUS PLACE