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BPLB2015-003678-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 c&r °& lwQmrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application'Number: BPLB2015-0036 Property Address: 79680 HIGHWAY 111 STE 102 APN: ` 600030016 Application Description: 1,000GAL GREASE INTERCEPTOR I Property Zoning: I certify that in the performance of the work for which this permit is issued, I Application Valuation: $15,000.00 Applicant: compensation laws of California, and agree that, if I should become subject to the CALFORNIA OCEAN GRILL workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith 79680 HIGHWAY 111 #102 LA QUINTA, CA 92253 Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ATION ��'AR042014 COMMUNITY DEV�ELOPME�MI NT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: DUNES BUSINESS PARK P 0 BOX 1216 HERMOSA BEACH, CA 92253 Contractor: YGB CONSTRUCTION INC 2453 STROZIER AVENUE SOUTH EL MONTE, CA 91733 (626)350-8181 LIc. No.: 985216 Date: 3/5/2015 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B License No.: 985216 �7 A of the work for which this permit is issued. z J !k I have and will maintain workers' compensation insurance, as required by Dilt Contractor: �►' Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILD CLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Dat�/ �f Appli�t: -- basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a irr ii permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE W0 . OMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_ _) I am exempt under Sec. . B.&P.C. for this reason. 2. Any permit issued as a result of this application becomes null and void if work is 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: 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. Dated? Signature (Applicant or Agent)': DESCRIPTION FINANCIAL .• 1. ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/5/15 PAID BY METHOD RECEIPT # ., CHECK # CLTD BY YGB CONSTRUCTION DEBIT R3898 MFA " Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.06 $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 3/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY YGB CONSTRUCTION DEBIT R3898 MFA Total Paid for PERMIT ISSUANCE: .$91.8S $91.85 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE GREASE INTERCEPTOR 101-0000-42401 0 $36.26 $36.26 3/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY YGB CONSTRUCTION DEBIT R3898 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GREASE INTERCEPTOR PC 101-0000-42600 0 $12.09 $12.09 3/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY YGB CONSTRUCTION DEBIT R3898 MFA Total Paid forPLUMBING FEES: $48.35 $48.35 TOTALS: Description: 1,000GAL GREASE INTERCEPTOR INSTALLATION Type: PLUMBING Subtype: Status: ISSUED Applied: 3/5/2015 MFA Approved: 3/5/2015 MFA Parcel No: 600030016 Site Address: 79680 HIGHWAY 111 STE 102 LA QUINTA,CA 92253 Subdivision: PM 31143 Block: Lot: 4 Issued: 3/5/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: 9/1/2015 MFA No. Buildings. 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: 1000 GALLON GREASE INTERFEPTOR PLUS DRAIN PIPING. PERMIT DOES NOT INCLUDE ANY CHANGES TO KITCHEN EQUIPMENT PER 2013 CALIFORNIA BUILDING CODE CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT CALIFORNIA OCEAN GRILL 79680 HIGHWAY 111 LA QUINTA CA 92253 #102 CONTRACTOR YGB CONSTRUCTION INC 2453 STROZIER AVENUE SOUTH EL CA 91733 MONTE OWNER DUNES BUSINESS PARK P 0 BOX 1216 HERMOSA CA 92253 BEACH FINANCIAL INFORMATION Printed: Thursday, March 05, 2015 4:15:34 PM 1 of 2 Cff?w1mrmS PARENT PROJECTS Printed: Thursday, March 05, 2015 4:15:34 PM 2 of 2 CR SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/5/15 R3898 DEBIT I YGB CONSTRUCTION MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 3/5/15 R3898 DEBIT YGB CONSTRUCTION MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 GREASE INTERCEPTOR 101-0000-42401 0 $36.26 $36.26 3/5/15 R3898 DEBIT YGB CONSTRUCTION MFA GREASE INTERCEPTOR 101-0000-42600 0 $12.09 $12.09 3/5/15 R3898 DEBIT YGB CONSTRUCTION MFA PC Total Paid for PLUMBING FEES: $48.35 $48.35 TOTALS: $141.20 $141.20 PARENT PROJECTS Printed: Thursday, March 05, 2015 4:15:34 PM 2 of 2 CR SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" PARENT PROJECTS Printed: Thursday, March 05, 2015 4:15:34 PM 2 of 2 CR SYSTEMS t, COACHELLA VALLEY WATER DISTRICT 85-995 Avenue 52 Coachella, California 92236 (760) 398-2651 APPLICANT* Submit this form with a copy of n SCALED plot plan (1' - 20' to 1' = 40' SCALE) drawn to District specifications. A nonrefundable filing fee is required when the application is submitted Check must be made payable to the Coachella Valley Water District Approval of this application shall remain valid for a period not to o:cceed one 0) year from dale of payment NOTE: ALL USERS DISCEARGING FAT, OIL; ANDIOR GREASE, LOCATED INA MULTISME BUILDING WILL REQUIRE A SEPARATE LATERAL OFF THE MAIN SEWER LINE FOR GREASE VMRCEpTOR CONNECTION. CVWD Source Control will iarpect the exposed grease plumbing and the instolkd interceptor. Please Call (760) 398-2661:3536 48 hours is advance to scheduk inspediong eaa ntractor,ContactPerson , Address City State Zip ►1`OTe)ryhotu 1..� ''SCP �`t�'1 Coo, . �-� a Address City State Zip elephone Y'1 � l„•1 V 0 ,� U ' � Job Site A „ ` . Co - City Zipd s ION L' NOTE: NO PLANS WILL BE APPROVED UNTj0L THIS APPLICATION IS COMPLETE AND PLAN CHECK FEES ARE PAID. Type of Construction: New emodel Hours of0peration For vehicle Service; Cooling Tow g Wald bays _ Roll Trench drain ( R) For. Food Service: Water Softener a Garbage Grinder(.) over Service fray(.) Multiservice (reusable _SS Single Service (disposable) -A_ runnel(:) Pmts wanner Spill Co tituinmeat (Solvent QAquews Seating Capaeig': Internal 49 _ Emma( Hydmuhc Lifl(s) _ F]) work ..us Sing with Misters or Heaters Bar seating Bar seating with Food Service OWMOURBPRESENTA2IVE DECLARATION: I certify rued I have read the entire application and state that an information u correct I understand that the fee amount is based oa my de bndion of mformttion on this form and that incorrect information is 9munds for rejection of the submitted plans I also undastaod thu piens maybe discarded if not picked up (60) days of approval of Tatum and that no District inspection W been received and of my establishment will be conducted until all have approved. requested iaformatima Signature Date "Z -� %TOR 11S�11111 F: U i®ONLY r - - No. of Systcros Type of Systems) r - - -�- retreetmeat Equipment 1 New Grease InWceptor FIC --8 Sand/OilFIC--Intercept-Waived Connect to SewerAddition Lim Trap MReplacement Clarifier( Sia' v` J� gals REMARKS: rnu uppncauva u ]Canditionally Approved, Approved PZ •See Remarks ' l Fee S (' Check No. J7 . g Date Lou Date / c� CVWD-921 Rev 5n4 �' a ♦ J t .' v !xa ., lka �-{� a .. 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NEN 4" 4 &ZME UW VOE: 2% — 6FMLRE NEW 4" 0 WE: 3 ----4 i rA . ..... .. ....... 1p .............. . ..... . . EXIST 64" (P SEWER -1 — - ------------ + aaT-- 2% 11 SCALE: 1/4" =1'-0" I N5TALE LEAN OUT/..' 24" D.C. AWAY FROM BUILDING 2'-0" INSTALL CEAN OUT. 24" O.C. AWAY FROM BUILDIN CITY OF LA QUINTA TRAF BUILDING & SAFETY QE TO BE INSTALLED AOCORDDINO Ac ,-F:--=AP.P CURRENT GTO ` ~ ' FOR CONSTRUCTION SEE DETAIL DATE BY o TO' F.O.C. MAIN'51EHER LINE Alllw VISIONS NOTES- INTERCEPTOR/SEPARATOR: (I.E., GREASE, OIL, SAND, AND LINT) INTERCEPTOR/SEPARATOR SHALL BE PROVIDED WHEN, IN THE OPINION OF THE GENERAL MANAGER, THEY ARE NECESSARY FOP. THE PROPER HANDLING OF' LIQUID PSIA5TE5 CONTAIN6 OREA5E IN EXCE51VE AMOUNTS, OR ANY vl- FLAMMABLE PSIA5TE5,5AND, OR OTHER HARMFUL INGREDIENTS: -EXCEPT THAT SUCH INTERCEPTOR.5/5EPARTOR5 SHALL NOT BE REQUIRED FOR DWELLING' UNITS. ALL INTERCEPTORS/SEPARATORS SHALL BE OF A TYPE OR CAPACITY APPROVED BY THE GENERAL MANAGER, AND SHALL BE LOCATED AS TO BE READILY AND EASILY ACCE51BLE FOR GLEANING AND INSPECTION. INTERCEPTORS/SEPARATORS SHALL BE MAINTAINED IN CONTINUOSLY EFFICIENT OPERATION AT ALL TIMES BY THE U5rzR.ANr,> AT U5ER'5 EXPENSE. • SHEET TITLE: APPROVED'FIFE now O '• RETURNS TO BUILDING FOR ------------------------------- PROPER VENTING SOURCE. ---------------------------- -------------------- Lu HATER RESISTANT SEALED METAL . COVER AND RING le I N5TALE LEAN OUT/..' 24" D.C. AWAY FROM BUILDING 2'-0" INSTALL CEAN OUT. 24" O.C. AWAY FROM BUILDIN CITY OF LA QUINTA TRAF BUILDING & SAFETY QE TO BE INSTALLED AOCORDDINO Ac ,-F:--=AP.P CURRENT GTO ` ~ ' FOR CONSTRUCTION SEE DETAIL DATE BY o TO' F.O.C. MAIN'51EHER LINE Alllw VISIONS NOTES- INTERCEPTOR/SEPARATOR: (I.E., GREASE, OIL, SAND, AND LINT) INTERCEPTOR/SEPARATOR SHALL BE PROVIDED WHEN, IN THE OPINION OF THE GENERAL MANAGER, THEY ARE NECESSARY FOP. THE PROPER HANDLING OF' LIQUID PSIA5TE5 CONTAIN6 OREA5E IN EXCE51VE AMOUNTS, OR ANY vl- FLAMMABLE PSIA5TE5,5AND, OR OTHER HARMFUL INGREDIENTS: -EXCEPT THAT SUCH INTERCEPTOR.5/5EPARTOR5 SHALL NOT BE REQUIRED FOR DWELLING' UNITS. ALL INTERCEPTORS/SEPARATORS SHALL BE OF A TYPE OR CAPACITY APPROVED BY THE GENERAL MANAGER, AND SHALL BE LOCATED AS TO BE READILY AND EASILY ACCE51BLE FOR GLEANING AND INSPECTION. INTERCEPTORS/SEPARATORS SHALL BE MAINTAINED IN CONTINUOSLY EFFICIENT OPERATION AT ALL TIMES BY THE U5rzR.ANr,> AT U5ER'5 EXPENSE. • SHEET TITLE: Bin #City Of lid Q uin to . 1. 5Buiiding $t 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: ©� wner's Name: A. P. Number: Address: 1fP I co Legal Description: City, ST, Zip:C30i Contractor:.Telchone: ' :.><:•;;:;••;:;:;;;::;;.::;•a:>. ..........................::.......... Address: - .5HM I .el X V Q Project Description: C=V-e eA'Cie C City, ST, Zip: S ��1 Ci9-CI /, 3 t� tE�.l S► LI Telephone: Zb—__A/ •>:>g:.:,:,:N,.;;:.....::;-.:::<rs>;>:<�%;< -'• state Lic. city Lie..:#.;;; Arch., Engr.,ignc .Address: t✓ t; City., ST, Zip: Telephone: `� C Azws� >:>.w,:_ State Lie. # ConstructionType: Occupancy Project` c circle one): New Add'n Alter Repair Demo Name of n Contact Person: n� - Sq. Ft.:. - # Stories: # Units: Telephone # of Contact Person: + ' Estimated Value of Project: IOU APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rce'dTRACICJ7VG PERMIT FEES. Plan Sets Plan Check submitted Itcm Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. < Called Contact Person Plan Check Balance • Title 24 Calcs. P12ns picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2'a Review, ready for eorrectionsrssue Electrical Subcontaetor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A..Approval Plans resubmitted Grading IN IiOUSE:- = 'rd Review, ready for corrcctionsrissue Developer Impact Fee Plammng'Approval Called ContactTerson A.I.P.P.', :Pub. Wks. Appr Date of permit issue School Fees Total Permit ices