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BCOM2015-0068VOICE (760) 777-7125 78-495 CALLE TAMPICO V, LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/30/2015 Application Number: BCOM2015-0068 Owner: Property Address: 78772 HIGHWAY 111 ONE ELEVEN LA QUINTA APN: 643080037 46753 ADAMS STREET Application Description: PIZZA FACTORY / TI ADDING FLOOR SINK LA QUINTA, CA 92253 Property Zoning: Application Valuation: $13,000.00 Applicant: - P D Contractor: JCK CONSTRUCTION JCK CONSTRUCTION 43-640 BORDEAUX DRIVE O E C 3 0.2015. 43-640 BORDEAUX DRIVE LA QUINTA, CA 92253 _ LA QUINTA, CA 92253. CITY Oi- LA OUINTA COMMUNITY DEVELOPMENTDEPART!,".ENT (760)399-2359. Llc. No.: 968577 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 968577 Date: P "3 20�S Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any. applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for'sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (� 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 Lender's Address: 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 th r which this permit is issued. e and will maintain workers' compensation insurance, as required by Se ion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity number are: Carrier:— Policy Number: _ I certify that in the performance of the work for.which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: `230 "20'ISApplicant: 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 ASPROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. Date: / 2— —V- 2 - ignature (Applicant or Agent): DESCRIPTION ::. FINANCIAL INFORMATION ACCOUNT. QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # . CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00. DESCRIPTION ACCOUNT. QTY : AMOUNT PAID PAID DATE FIXTURES, FIRST 20 101-0000-42403 1 $24.17. $0.00 PAID BY METHOD RECEIPT # <: CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURES, FIRST 20 PC 101-0000-42600 1 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # .CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT CRTY;; AMOUNT PAID PAID DATE ` FIXTURE/TRAP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD" RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY`.:' AMOUNT. - PAID. PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42606 0 $12.09 $0.00 PAID BY. METHOD RECEIPT # .`... CHECK # CLTD BY ' Total Paid for PLUMBING FEES: $48.36 $0.00 DESCRIPTION ACCOUNT -.QTY AMOUNT PAID : PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD _ RECEIPT # CHECK # _ CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for REMODEL: $184.19 $0.00 Description: PIZZA FACTORY / TI ADDING FLOOR SINK Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 12/17/2015 SKH Parcel No: 643080037 Site Address: 78772 HIGHWAY 111 LA QUINTA,CA 92253 Approved: 12/29/2015 JJO Subdivision: PM 25865 Block: Lot: 13 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $13,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMOVE AND CAP PLUMBING AT REAR BAR AREA. ADD NEW FLOOR DRAIN AND REMODEL BUFFET AREA. ALL WORK IS PER 2013 CBC CODES ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE ..STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 12/17/2015 12/17/2015 RECEIVED - CONDITIONS CONTACTS NAMETTYPE NAME ADDRESS1- CITY STATE ZIP PHONE FAX EMAIL APPLICANT JCK CONSTRUCTION 43-640 BORDEAUX LA QUINTA CA 92253 JCKCONST@YAHOO.CO DRIVE M CONTRACTOR JCK CONSTRUCTION 43-640 BORDEAUX LA QUINTA CA 92253 JCKCONST@YAHOO.CO DRIVE I I M OWNER ONE ELEVEN LA QUINTA 46753 ADAMS STREET I LA QUINTA CA 92253 FINANCIAL INFORMATION Printed: Wednesday, December 30, 2015 8:34:31 AM 1 of 3 CWSYSTEti1S DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: FIXTURES, FIRST 20 101-0000-42403 1 $24.17 $0.00 FIXTURES, FIRST 20 PC 101-0000-42600 1. $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 FIXTURE/.TRAP 101-0000-42401 0 $12.09 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $12.09 $0.00 WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES:. $48.36 $0.00 REMODEL, FIRST 100 SF 101-0000-42400 ` 0 $49.31 $0.00 REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 PC Total Paid for REMODEL: . $184.19 $0.00 TOTALS:00 INSPECTIONS PARENT PROJECTS Printed: Wednesday, December 30, 2015 8:34:31 AM 3 of 3 ' CRWSYSTErAS Bin # City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #f l 5— Project Address: Z W f / Owner's Name: A. P. Number: Address:�V/ / Legal Description: City, ST, Zip: r. Telephone: Address: y 3— o "T o V Project Description: City, ST, Zip: /."t Q 1 Dnn o o 01 J Pf Teleph neS73S ` . StateLic.#: city Lic..#:..,•.. QV t ✓, Fkp p f',L s'/yam N Arch., Cngr., Designer: I N Address: City, ST, Zip: Telephone: ne• anc • Construction lion TY P e• Occupancy: P Slate Lic. #: Add'n Alter Repair air DemooJ Prect type one): New Name of Contact Person: h 2� s I Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 8 3 Estimated Value of Project: 43 000 r— APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections. Plan Check Deposit Truss Calcs. Called Contact Person r Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IIOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees 3 1 8 0 G T U 8 A I Ilk December 10, 2015 Lampost Pizza 111 La Quinta Center La Quinta, CA 92253 RE: Occupancy load for conversion of existing bar / eating are to arcade To whom it may concern: The above referenced will undergo a partial conversion of an existing bar / seated eating area to a new arcade. Per California Building Code Table 1004.1.2 of Section 1004.1.2 the maximum floor area per occupant is 15 new square feet for the new conversion. The floor area being converted is 1580 square feet. Therefore, the new occupancy load at the converted bar to arcade area is approximately 1580 divided 15 for an occupancy of 105 persons. Therefore, the total allowable occupancy of the 1580 square foot converted area is 100. Please feel free to contact me with any questions you may have regarding this matter. Sincerely, Kris Collins, PE 7817 Wilton Road, Joshua Tree, CA 92252 • Phone: 760-218-7450 kcollins.pe@gmail.com r.. „% County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. BOX 7909 a RIVERSIDE, CA 92513-7909 STEVE VAN STOCKUM, DIRECTOR FOOD ESTABLISHMENT PLAN APPROVAL NOTICE Plan Check # Date 12-15-15 Project Name Pizza Factory Address 78772 Highway 111, La Quinta CA Plans Submitted by Loren Johnson Phone Owner Loren Johnson Address 78772 Highway 111, La Quinta CA Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. Provide a grease interceptor letter from sewer agency. 2. The finishes at the. new salad/soup bar must extend 3' in all directions. The finishes will be evaluated on site. Note: The kitchen will not change under this approval all equipment remains the same. The finishes will be evaluated onsite. If anv eouioment or finishes are found in disrepair must be reDlaved or reDlaced. Note: The bar and brewery equipment will be removed and capped off, this will be evaluated onsite CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80%-complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE” has been completed and PERMIT FEES have been paid. Request for inspection should be made at leastfive(5) working days in advance. PLANS CHECKED BY Tracey Ford REHS111 Phone. 760-863-8287 I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature Date Company Name Corona Hemet 2275 S. Main St #204 800 S. Sanderson #200 Corona, Ca 92882 Hemet, Ca 92545 (951) 273-9140 (951) 766-2824 Indio Murrieta 47-950 Arabia St "A" 38740 Sky Canyon Dr. Indio, Ca 92201 Murrieta, Ca 92563 (760) 863-8287 (951) 461-0284 Palm Springs Riverside -west 544 S. Pasco Dorotea 4065 County Circle Palm Springs, Ca Riverside, Ca 92503 92264 (951)358-5172 760-320-1048 Riverside -East 3880 Lemon St. Riverside, Ca 92501 (951) 955-8982 Office Locations o Blythe Y Corona o Hemet o Indio ® Murrieta s Palm Springs • Riverside Phone (888)722-4234 www.rivcoeh.org Permit Number: BCOM2015-0068 Description: PIZZA FACTORY / TI ADDING FLOOR SINK Applied: 12/17/2015 Approved: Site Address: 78772 HIGHWAY 111 Issued: Finaled: City, State Zip Code: LA QUINTA, CA 92253 Status: UNDER REVIEW Applicant: JCK CONSTRUCTION Parent Permit: Owner: ONE ELEVEN LA QUINTA Parent Project: Contractor: JCK CONSTRUCTION Printed: Thursday, 17 December, 2015 1 of 1 SYSTEMS COUNTY OF RIVERSIDE .DEPARTMENT OF ENVIRONMENTAL;HEALTH. SUPPLEMENTAL REPORT TO.SAN. FORM # DATE�� I G SUBJECT �', 7? �; Fc� �c\ � . / l __ PERMIT NO. ADDRESS `5� l,_DISTRICT' INSPECTOR V . 0 ` L REMARKS: db 5 , RECEIVED BY: -- DEH-SAN-118 (Rev 03/13 ` :Distribution: WHITE -Office; CANARY -Owner :0j) -�� Certificate -of Occupancy -OF Community Development Department This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 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: 78772 HIGHWAY 111 Use classification: ASSEMBLY - PIZZA FACTORY Building Permit No.: BCOM2015-0068 Occupancy Group: A-2 Type of Construction: VN - SPRINKLED Land Use Zone: CR Code Edition: 2013 Sprinkler Installed: YES ' . Occupant Load: 208 By: JAKE FUSON Owner of 'Build.ing: ONE ELEVEN LA QUINTA Date: 2/8/2016 Address: 46753 -ADAMS STREET - Building Official: BURT HANADA City, ST, ZIP: LA QUINTA, CA 92253 POST IN A CONSPICUOUS PLACE