11-0867 (RC)if P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11=00000'867,
Property Address: 798-15 HIGHWAY 111 STE. 101
APN: 600-020-034- - -
Application description: REMODEL . - COMMERCIAL
Property Zoning: COMMERCIAL PARK
Application valuation: 1750000
T4'!t 4 4 Q"
Applicant: Architect or. Engineer:
C,ojFlT!{ttcieli ?JA
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 B 'ness and Professionals Code, and my License is in full force and effect.'
License Class: B License No.: 693077
x paw te: ' 16 /I .Comet(
OWNER -13 ILDER DECLARATION
I hereby affirm under penalty of perjury t I am exempt f om the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and r 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).:
1—) 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—) 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:
LQPERMIT
Owner:
KOMAR INV
23 CORPORATE PLZ STE 247
NEWPORT BEACH, CA 92660
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/11
Contractor:
ORR BUILDERS n 9
39301 BADGER, SUITE #300j U'
PALM DESERT, CA 92211 1 )
(760)360-6632 10 201,
Lic. No.: 693077
i CITY OFS.:A:aUINTA
-----------------------------------------------
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.
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
insurance carrier and policy number are:
Carrier STATE FUND ' Policy Number 1960920-2011
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree tF�at;•ifish become subject to the workers' compensation provisions of Section
3700 of the Labor Code, hwith comply with those provisions.
-Date: -1' -!b II Applicant:- -
WARNING: FAILURE TO SECURE WORKER �COMPENS TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND IVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000)• IN ADDITION TO TH OST OF OMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTERES , TTORNEY'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. -
1 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 rel ajWQ-ta-baildi0g c9ustwci an, and hereby authorize representatives
�of�this county to enter upon the above-mentioned property f ?`f pection\ urpos
C -Oe :� 2 �+ '� Signa ture.(Applicant_. orAAggn1
Application Number . . 11-00000867
Structure Information 7,SOOSF TI/VB/A=2/332-OL/FULLY SPRINKLED -----
Other struct info . .
. . . CODE EDITION
2010
FIRE.SPRINKLERS
FULLY
MIXED-USE OCCUPANCY
A-2
OCCUPANT LOAD
332.00
-------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
7500.00
---------------
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
2789.50 Plan Check Fee
1813.18
Issue Date . . .
Valuation . .
. . 750000
Expiration Date
6/13/12
Qty Unit Charge
Per
Extension
BASE FEE
2039.50
250.00 3.0000
----------------------------------------------------------------------------
THOU BLDG 500,001-1,000,000
750.00
Permit
ELECT - ADD/ALT/REM,
Additional desc . .
Permit Fee . . . .
165.00 Plan Check Fee
41.25
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
6/13/12
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
7500.00 .0200
------------------------------------------------------.----------------------
ELEC GARAGE OR NON-RESIDENTIAL
150.00
Permit MECHANICAL
Additional desc .
Permit Fee
101.00 Plan Check Fee
25.25
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
6/13/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 4.5000
EA MECH VENT INST/ DUCT ALT
13.50
3.00 9.0000
EA MECH APPL REP/ALT/ADD
27.00
4.00 6.5000
EA MECH VENT FAN
26.00
3.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
19.50
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
316.50 Plan Check Fee
79.13
LQPERMIT
LQPERMIT
Application Number . . . . . 11-00000867
,
Permit . . . . . . PLUMBING
Issue Date . . . . Valuation . . .
. 0
Expiration Date 6/13/12
Qty . Unit Charge Per
Extension
BASE FEE
15.00
43.00 6.0000 EA PLB FIXTURE
258.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
1.00 7:5000 EA PLB WATER HEATER/VENT
7.50
1.00 12.0000 EA PLB INTERCEPTOR
12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
8.00 .7500 EA PLB GAS PIPE >=5
6.00
--------------------------------------------------------------
Special Notes and Comments
--------------
7,500SF RESTAURANT TI W/2,423SF FUTURE
EXPANSION/VB/A-2/322-OL/FULLY SPRINKLED
[BURGERS & BEERS] THIS PERMIT DOES NOT
INCLUDE ALTERATIONS TO THE•BUILDING
SHELL, EXTERIOR SIGNAGE, OR TRASH
ENCLOSURE. A SEPARATE PERMIT IS REQUIRED
FOR FUTURE AREA OCCUPANCY. 2010
CALIFORNIA BUILDING CODES.
December 15, 2011 4:57:18 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW
181.32
ART IN PUBLIC PLACES -COM
3730.00
BLDG STDS ADMIN (SB1473)
30.00
ENERGY REVIEW FEE
-181.32
STRONG MOTION (SMI). - COM
157.50
Fee summary Charged Paid Credited
----------------------------------- -------------
Due
-----
Permit Fee Total 3372.00 .00' .00
77 ---
3372.00
-Plan Check Total 1958.81 :00 .00
1958.81
Other Fee Total 4280.14 .00 .00
4280.14
Grand Total 9610:95 .00 .00
9610.95
Riverside County Fire Department Fire Protection Planning Section
Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955-4777 Fax (951) 955.4886
Murrieta Office: 39493 Los Alamos Rd., Ste A. Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600-6164
Palm Desert Office: 77-933 Las Montanas Rd., # 201 Palm Desert, CA 92211-4131 Ph. (760) 863-8886 (760) 863-7072
Fire Department Clearance/Release
Date: 3115
To:
l
Fax:
Tract/Parcel Map #:
Perm iftot #: A c� — I I t T I~ bz j
Job Site Address: _ �Vrgers E
79,815 r VVV-Ill
Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
AC'( eO I P Final For Occupancy
Building :Plan Check Fees Paid
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required "
If you should have any questions, please contact the appropriate Riverside County Fire Protection
Planning office for further assistance.
Autho z g Signature For Release
Loh
Print Name
Form C — Revised 114/2012
BinoCity
of La Quinta
-Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per 't #
Project Address: 711�iS ltwy
Owner's Name:3r S
A. P. Number:
'Address: WNY 1.0 1
Legal Description:
City, ST, Zip: jA Qu i ri �N CA '3 2 21 :R'
Contractor:v
�US:
Telephone:
Address: Zq- 30 i �A-o6e72!9-4z_e_�-T 3ex
Project Description: �'�A- I IL4p 6j
i6 I" C-0
City, ST, Zip: '?PqVA Q,-;J6_TZJ_
17WO 12', 7yi 23 L, I i
Telephone: 7GO '.360-3_S_51
rvj-)O. 5,?Y2-kj I U2
State Lie. # 613 0 17 City Lie. #.-
Arch., Engr-, Designer: fzIWP4-DI
14 (9" trV"
Address: '-7 S 6 dTLAi-43 (MP
City, ST, Zip: rftx,,A az- r7vj- CA
Telephone: o ' 54 -2-7-2- 3
Construction Type: RmOwi�o_cupancy:' 22q1
State Lie. #:
project type (circle one): re-Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 75--o o
Stories:
# Units:
Telephone # of Contact Person: -7LD 5 7K -
lEstimated Value of Project: 750 000
0
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec1d
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted em
Amount
Structural Calcs.
Reviewed, ready for corrections Jlis g 21 1 Plan Check Deposit
Truss CaIcs.
Called Contact Person lea Plan Check Balance.
Tide 24 Cates.
Plans picked up I Construction
Flood plain plan
Plans resubmitted Mechanical
plan
tGrading
2". Review, ready correction Ss 7"It Electrical
Subcontactor List
Called Contact Person 101 It Plumbing
Grant Deed
Plans picked up to /$ I a S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review, ready(rcorr GZct on ssue 11 124:14et t Developer Impact Fee
Planning Approval
Called Contact Person I L A.I.P.P.
Pub. Wks. Appr
46L,
School Fees
Total Permit Fees la.kv-45'
'
Sm _V47 ro Oft07_ 9S 9& (oil U Ala-5ve lot
4 U
) r4l. 4 �.'IAlV;p
Twif 4 4 Q"
P.O. Box 1504
78-495 CALLE TAMPICO
LA•QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Director
From: Les Johnson, Planning -Director
Permit #: 11-867
BUILDING & SAFETY DEPARTMENT
(760) 777-7012.
FAX (760) 777-7011
To PD: August 11, 2011
Due Date: August 17, 2011
Status: 1 St
Building Plans Approval
(This is an approval to issue a Building Permit),
The Planning Department .has reviewed the Building Plans for the following .
project:
Description:
T.I. Burgers & Beers
t
Address or General Location: 79-815 Highway 111
Applicant Contact: David Narz (760)578-1199
The Planning Department finds that:
❑ , ...these Building Plans do not require Planning Department approval.
...these Building Plas are approved by the Planning Department.
Mese Building P ns require corrections. Please forward a copy of the
a ached correctio s to the applicant. When the corrections are made
pl ale return'the to the Planning Department for review.
es o ior- lanning Date
AUG 12 201`
Cify of to G:infa
Planning Deta`r� VY
November 30, 2011 ' f
City of La Quinta
Attn: Burt Hanada ,
Building & Safety
78-495 Calle Tampico
La Quinta, CA 92253
Subject: Best Burgers In Town, Inc. a California corporation dba Burgers and Beer, 79-815
Highway 111, Building A, Suite 101, approval of Tenant Improvement Plans
Dear Burt: -
4
Komar Desert Properties, LLC authorizes and grants permission to Orr Builders to move
forward with the Burgers and Beer Tenant Improvement project and place the grease interceptor
in the parking lot in front of Suite 101 at 79-815 Highway 111.
Sincerely and respectfully,
Zaven Hanessian
Director of Construction
Komar Investments LLC & Komar Desert Properties, LLC
23 Corporate Plaza, Suite 247
Newport Beach, CA 92660
949-718-4844
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
Rivmsim COUNTY RRE DEPARTmENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
John R. Hawkins - Fire Chief
210 West San Jacinto Avenue — Perris,;.P570
(951) 940-6900 — www.rvcfire.oRj►-VCE1N,,7 D
August 29, 2011 SEP 2 9 2011 .
RE: TENANT IMPROVEMENT PLAN CHECK -Non StructuDy: -
LAQ-I I -TI -026 Burgers and Beers 79-815 Hwy 111 # 101 La Quinta, CA
rYoif have been issued a release for a tenant improvement on an existing building. THIS ISNOT
`AN OCCUPANCY PERMIT. - - _
It is prohibited to use/process or store any materials in this occupancy that would classify it as an
"H" occupancy per Sec. 307 of the 2010 CBC.
THE FOLLOWING CONDITIONS MUST BE MET PRIOR TO INSPECTION:
Install door hardware and exit signs as per Chapter 10 of the 2010 CBC.'
A minimum 2AIOBC Fire Extinguisher, (State Fire Marshal Approved) must be mounted in a
visible location within 75' walking distance from 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.
All breakers must be labeled and a clearance of 36 inches must be maintained around the panel
at all times.
Approved suite address shall be placed in such a position to be plainly visible and legible from
the street. Said numbers shall contrast with their background.
Hood/Duct suppression system plans shall be submitted for above referenced project. The
hood/duct system must be monitored by the fire alarm system if building is currently monitored.
An approved manual fire alarm system shall be provided. A C-10 licensed contractor must
submit plans, designed in accordance with the CFC and NFPA 72 to the Fire Department for
review and approval prior to installation
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.
Each room with an occupancy load of over fifty people shall be posted in a conspicuous place on
an approved sign near the main exit from the room.
Provide key(s) to the tenant space for inclusion in the main building Knox Box. Key(s) shall
have durable and legible tags affixed for identification of the correlating tenant space. Key(s)
shall be provided at time of final inspection.
As may be necessary to maintain proper fire sprinkler protection due to constructions changes, a
C-16 licensed contractor must submit plans, designed in accordance with the CFC and NFPA 13
to the Fire Department for review and approval prior to installation.
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.
ncerely,
By:
Jaso Stubble
Fire Safety Specialist
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
COACHELLA
DESERT�HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
JURUPA VALLEY
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDoux CSD
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVIERSI:b.E COUNTY FIRE DEPAR'i'mENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
August 22, 2011
David Narz
39-301 Badger St. #300
Palm Desert, CA 92211
John R. Hawkins — Fire Chief
210 West San Jacinto Avenue — Perris, CA 92570
(951) 940-6900 — www.rvcfire.org
S
Re: Non Structural Commercial TI
LAQ-II-TI-026 Burgers and Bears
79-815 Hwy 111 La Quinta, CA
Fire Department personnel have completed a review of the plans you submitted for the
above referenced project. Please be advised the following conditions or corrections
must be.completed and approved by the Riverside County Fire Department before a
building permit can be issued.
Corrections:
I . Provide panic door hardware schedule per CFC 1008.1.10
Refer to page TA2 for "red -lined" corrections
2. Provide correct occupancy loads.
Refer to page TAI for "red -lined" corrections
All questions regarding the meaning of these conditions should be referred to the Fire
Protection Planning office at (760) 863-8886.
incerely
Jas n Stubble
Fire Safety Specialist
D
,PV,,,;.er5jde County Fire Department
Riverside Office:
2300 Market Street, Ste. 150
Riverside, CA 92501
Phone: (951) 955-4777 - Fax: (951) 955-4886
New ❑ Re -Submittal #
Fire Protection Planning
Palm Desert Office:
- 77-933 Las Montanas Rd., Ste 201
Palm Desert CA 92211
Phone: (760) 863-8886 - Fax: (760) 863-7072
PLAN REVIEW FORM
Permit No. LA0- //- T1.DZ6
Project Information (Please Print)
Project Name: L ae'os
Address: -IRAI S LiW f fit
City & Zip: k` &u," -,-A c,P+ S 2-2-`( 8
❑ As-builts
Office Use Only
RECEIVED
AUG 1 1 2011
RIVERSIDE COUNTY FIRE
PROTECTION PLANNING
PA ssWdW&J-8886
I have read and understand that Fire Dept. fees are
De�osit-Bass F there may be additional
money due p (or o roject final.
Sign:
Print:
Contact Information • - , w Billing Information
CONTACT PERSON: 6M10 Na -J -Z ILL TO:
57T 3co—
Mailing Address: 25-30 f AI) 6,-11 -3 Mailing Address: _
City & Zip PA -W 9eJ6n-T c.,A, 5 7ZV ( City & Zip
Phone No.:'1(,()-��$_fl �� Fax: 1(pPhone No.:
Same as Contact Info
Fax:
Email: bOA2-z @OP-12pJ4a(1,0ea5 a C 0 M Email:
The person listed on "Billing Information" will receive ALL billing, correspondence and refunds for any work billed to
L H t mthis permit Any changes 1n billing information must be made in writing to our office.
Plari`Revlew Type..:(Gheck`appropnate items.); �, ; V s
ommercial ❑ Industrial ❑ Residential ❑ Special Event ❑ Other
❑ Building Building Tenant Improvement ❑ High Fire Area ❑ Underground Water
❑ Sprinkler System ❑ TI Sprinkler System ❑ Sprinkler Monitoring ❑ Fire Alarm System
❑ Hood & Duct Suppression System ❑ Other Suppression System ❑ Spray Booth ❑ Cell Site
❑ High Pile/Racks ❑ Other:
Storage Tank Submittals: ❑ Dispensers Only ❑ Above Ground ❑ Underground
Office Use•
(,{p, -fee Paid: Reviewed by: Called for Pick -Up
"
Date Paid: ShIll1 Date: By:
PC Review Date:
Check#: 936-3 ❑ Approved ❑ Denied Picked -Up
Received By:'U�j , Plans Stamped: ❑Yes ONO Date: By:
Letter Attached: ❑Yes ONO
Receipt#(OCR) 6j%'L06 Job Card Included: ❑Yes ONO Shipped By / Method
Fonn I — Revised 10/2 7/20 10
Visit us at www.rvcfire.or
County of Riverside
Report ID:
RVARA091
Run Date rime:
8/11/2011 1:09 PM
Official County Receipt
'
Page No:
I of I
Deposit Business Unit: FPARC
Received Date:
811112011
Accounting Date:
811112011
Receipt \ umber a - Payment ID • r . '. I)esenption of payment , c w _. 4� er Pmt Amt
Dir Aid ®' Speed Type, Find-, .. Deparfinent . Accountr Project ID Program , Cle®s
6069-6 2863 LAQ-I I -TI -026; 79815 HWY I 11, LQ - TI PLAN 696.00
21 270020-1112 10000 2700233010 779030
Customer Name: MARCO HAROLD
.......... ..-•---......................................................... ..... •....
Operator: E206432
Total Payment: 696.00
Assigned: E213520
RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY
I � �
DEPARTMENT OF ENVIRONMENTAL HEALTH
.�LotI�
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE ��
f
SR#
Project Name Burgers and Beer Address
Plans Submitted by
David Narz
Date Z
79-815 Hwy 111 Suite 101, La Quinta
Owner Marco Honold Address Phone None listed
Phone 760-578-1199
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1. Provide a grease interceptor letter from the sewer agency.
2. Provide a certified air balance report for the exhaust and make up air.
3. Provide air curtain on delivery door (must span the maximum width of the door) and be at least 1600fps
measured 3'above the ground.
4. Sneeze guard protection will be evaluated on site.
5. Provide Reduce pressure backflow device on water line to all soda carbonators.
6. Outside dumpster area must have approved finishes (smooth walls and epoxy seal walls and floor).
7. Note: The Dex-o-Trex is the 2part epoxy floor as per email from Ramon Guitierrez.
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 least five (5) working days in advance.
PLANS CHECKED BY Tracey Ford, EHS III 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 RECEIVED
DEH -SAN -178 (Rev 2/06)
Corona
2275 S. Main St
Suite 204
(951) 273-9140
Fax(951)520-8319
Company Name.
Hemet
800 S. Sanderson
(951) 766-2824
Fax (951) 766-
7874
Indio
47-950 Arabia St
"A"
(760)863-8287
Fax(760)863-
8303
ax(760)863-
8303
Murrieta
38740 Sky Canyon
Dr
(951) 461-0284
Fax (951) 461-0245
Department Web Site — www.rivcoeh.org
SEP 2 9 2011
Palm Springs
554 S. Paseo Dorotea
(760) 320-1048
Fax(760)320-1470
Riverside
4065 County
Cir
(951.) 358-5172
Fax(951)358-
5017
ax(951)358-
5017
IDE COMMUNITY HEALTH AUL
COUNTY OF RIVERSIDE
DEPARTMENT F ENVIRONMENTAL
Application for Review of Food Establishment Construction/Remodel Plans
For Office Use
Date$ 1 I 1 1, Fee S '1 � 1 1. 0 o Ck. #'D b Trans. # h, Dist. # Area # C/ S R #
Note: Plans will not'be accepted unless this application is complete, and the plan check fee is paid.
Establishment Name:
i
Job Address: "t��i��-`> H � j I i I � �) t 4 10 l City: QV ( 10 F►�. Zip: 2
Contact Person: L1r�V l l`= /�� = Phone: (Zo) q�
E-mail Address: (z. -z•-? ceg bU Co �A Fax: (am) S(00'-4621
Contact's Address: '" 9.36i kt(,10 '3m, i Sy k 30 1) City: �� (,�:� 2;- Zipp-2Z t 1
Owner/Operator Name: mp\zo Phone:
Address: 4-28K C. T� NZ Ov&�--S Zip: X2 3
A. General Construction (Additional operations may be subject to extra fees)
New Food Facility V Remodel or Existing Food Establishment Explain Ren�odeE'7.{;-;uy 1
Total Sq. Ft. (including all seating areas) Hours of Operation :)AO '- I PA
Seating Capacity for dining GI Number of workers per Shift �� �•1 9_-HEC,'h.. $ t ; i • !'''
B. Service (Indicate ALL methods of food service to the public):
Menu: A menu of food and beverages sold at this facility is r quired to be submitted at time of plan submittal
On-site preparation (cooking, cutting, assembly, etc.): Yes No Soup or salad bar: Yes No 1/
Customer Self -Service Dispensers: Yes No • V Full Service Bar: Yes, i,V / No
Type of customer utensils (cups, plates, forks, etc.) Mttlti-service (re -usable) or Single Services (disposable) _
C. Utilities (Will -Serve Letters): n
Nater Service: Public Water System Name of Nater Company: Gy w
Private Well (must be Environmental Health Land Use approved)., P
vi Disposal: Public Sewer System Name of Sewer Company: �i�
r,. �:Xr
-V
t,
Septic System (mast be Environmental Health Land Use approved).
Grease Interceptor: Provide from Sewer District a Grease Interceptor size requirement letter or waiver letter.
Owner/Representative Declaration: I certify that I have read the entire application and state that all information is correct. I understand that the
amount of fee paid is based on my declaration of information on this form; and that incorrect information is grounds for denial of the submitted plans.
I also understand that plans will be discarded if not picked up within sixty (60) days of approval or denial, and that no inspection of my establishment
will be conducted, or approval granted to operate, until all proper information requested has been received and plans have been approved and
returned. I have reviewed the Plan Construction Guide and niy plans follow the guide.
Signat
DEH -SAN -002 (Rev. 2/08)
Date �{l t I I l 1
Distribution: white - Oftice • Yellow - Customer
1.
,r�+7ti0-568-1789 Bir -A 9 �: / � 03:07:25 p.m. 09-13-201
RECEIVED
N
COACHELLA VALLEY WATER DISTRICT ASSESSOR'S PARCEL NUMBER
85-995 Avenue 52 SEP 2 9 2011 — ----
_Coachella,
Coachella, California 92236
(760) 398-2651
APPLICATION FOR WASTEWATER INTERCEPTOR/SEPARATOR APPROVAL
APPLICANT: Submit this form with a copy of a SCALED plot plan ()- = 20' to P = 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
exceed one (1) year from dale of payment. NOTE: ALL BUSINESSES PRODUCING FAT, OIL, AND/OR GREASE LOCATED IN A MULTI -SUITE BUILDING
WILL REQUIRE A SEPERATE LATERAL OFF THE MALI SEWER LINE FOR GREASE INTERCEPTOR CONNECTION.
Plan Check No.
,Agent, Contractor, Contractor, Contact Person :5e.077-
��
Address City State Zlp
39 30/ ISD. qe
Telephone
7&zz
Owner
Address City Stale Zip
�7z— 773 J�,�g S A/`1 �4-
Telephone
fn ca , DGi
]oD'Property Address City Zip
Legal Description
DBA
PLEASE COMPLETE THIS SECTION FOR REVIEW OF FOOD ESTABLISHMENTS
NOTE: PLANS WILL NOT BE ACCEPTED UNLESS THIS APPLICATION IS COMPLETE AND THE PLAN CHECK FEE IS PAID.
GENERAL CONSTRUCTION: 3 L40 —/'--,S% /p�/�t
Type of Construction: "4 — S*r -7 oM _
New Food Facility V Remodel ofExisling Food Establishment Hou of Operation Seating Capacity: Internal External 4'
External Seating with Misters or Heaters Bat with Food Service Dar Nonfood Service Water Softener
Service: r
Multiservice (reusable) Single Service (disposable)
OWNER/REPRESENTATIVE DECLARATION: I certify that I have read the entire application and state that all information is correct I understand that the amount of fee
paid is based on my declaration of information on this form and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be
discarded if not picked up within sixty (60) days of approval or denial and that no inspection army establishment will be conducted, or approval granted to operate, until all
proper information requested hos b n.received and plans have been approved and returned.
f�
Signature liF/ Date 2 ��
FOR DISTRICT USE ONLY.
No. of Systems
Type of Syslem(s)
No. Dwelling Units
❑ Sand/Oil ❑ Grease Interceptor Waived
Fixture Units
K Grease Interceptor
New C] Existing
❑ Lint Trap
'
Replacement ❑ Addition
❑ Clarifier
❑ Connect to Sewer
GoMBA-PLe 166 x
REMARKS:
A.
f
This applicati is; IV a
Approved ❑ Denied ❑ Conditional Approval' Fee S e/� Check No. ,�9JC03
*See Remarks Date Initial]
Signature
Date
CVWD-921
Rev 6/11
7 — 9 / ac�G Zoo Gf TLl 1 /LZ�// 1& d, S
<Ati COACHELLA VALLEY WATER DISTRICT
St7i�21�
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 8/25/2011
SUBJECT: SOURCE CONTROL - BURGERS & BEER - 79815 HWY 111, STE. 101, LA QUINTA
ORR Project: 11-3131
39301 BADGER STREET, STE 300 Project Date: 8/25/2011
PALM DESERT
Amount Due: $115.00
PALM DESERT, CA 92211 GEO: NA
Planner: GILBERT RAMIREZ
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT: SOURCE CONTROL - BURGERS & BEER -79815 HWY 111, STE. 101, LA QUINTA
COACHELIJ.., rALLLY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (7610) 398-2651 Pagel
QUA
OR 2011
O&S
rj
tion
. 1,j• rype A/Rr�7
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rrdns V(�� dJ y c'y�Bc'
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rya paynF�ted 3y�6J 7J
ns date; 111
111,48
V 00
(EIVE
AUG 2 5 2011
D D
== ORR BUILDERS
Builders
Contractors & Developers
TRANSMITTAL LETTER
TO: CVWD DATE: 8/25/11 JOB NO.:
ATTENTION: Gilbert Ramirez
Drawings for fee calculations RE:. Burgers and Beer
WE ARE SENDING YOU: ATTACHED UNDER SEPARATE COVER.VIA THE FOLLOWING ITEMS:
SHOP DRAWINGS PRINTS PLANS SAMPLES SPECIFICATIONS
COPY OF LETTER CHANGE ORDER
,.
COP...IESr;.t
�
NUMBER
RN ",, a Kit �aE ��s� :x 1 , y rr go
'. 1 2101.1.1 l �z � `DESC IPTIO'N�' � t � ; �
r��._0E � _ .0 �. .,.„a
1
CVWD Wastewater Interceptor Application
1
Pro -Cast Cut Sheets for 6,000 gal. Grease Interceptor
1.
set
General Building plans with equipment schedule
These are transmitted as checked below: REMARKS:
FOR APPROVAL
FOR YOUR USE
AS REQUESTED
APPROVED AS SUBMITTED
APPROVED AS NOTED
RETURNED FOR CORRECTIONS
RESUBMIT COPIES FOR APPROVAL
SUBMIT -COPIES FOR DISTRIBUTION
RETURN CORRECTED PRINTS
SIGNED:
Sign:_
Date:
39-301 BADGER S-rREEr, SUITE 300, PALNI DESERT;'CA 92211
(760)'360-6632 • (760) 360-5591 FAX • WWW -ORRBUII DE.RS COAd
STATE LICENSE #693077
f_ .6�:;;�xri:wATER @GISTA�Ii>.
- - ��•CaST• IRC�I fuA4C...�IU CG'.L4 �
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2 :REFER TO`-SPCCIFiCA-noM SPEET NC, -:.S 25Z
'. 3t ;FEFER ;iO SPEr)I-1�AT10?Ir,SH-
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'',-CAP LOC<
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8066
BENTSEN - ENGINEERING
Electrical Engineers
70-141 Sun Valley Drive
Rancho Mirage, Ca 92270
State Licenses: M12357/E10296
Phone (760) 324-7357
Fax (760) 328-4148
March 12, 2012
T0: City Of La Quinta, Building Dept
REF: Burgers and Beers Restaurant
SUBJ: Electrical. Design
During the construction, the owner was very involved in the electrical design. Due to the
abundance of neon signs and television screens, he felt that the facility was over -lit. As a result,
they have reduced the total number of lights by about 45%. They will also be installing
occupancy sensors in the restrooms as well as the daylight controls at the side windows. They
have also installed the relay panel to control the lighting with respect to the hours of operation.
They have also deleted the current limiting transformers for the track lights as the owner has no
;attention of adding any more lights. /1
ac Bentsen, Engineer
Robert Ricciardi, Architect
G
. a ot�.wa�f 5a���z•� ,�,�5
19,931 SQ.FT. SHELL BUILDING "A", TYPE V -N CONSTRUCTION. B & M PROPOSED OCCUPANCY.FIRE
SPRINKLER &-2 YARDS FOR ALLOWABLE AREA INCREASE = 8,000SF X 3 X 1.5=36,000SF FIRE SPRINKLER &
2 YARDS FOR ALLOWABLE AREA INCREASE = 8,000SF X 3 X1.5=36,OOOSF. FIRE SPRINKLER & 2 YARDS FOR
ALLOWABLE AREA INCREASE = 8,000SF X3 X 1.5=36,000SF ALLOWABLE.
2001CBC,CMC,CPC,2004 CEC, 2005 ENERGY.
**PERMIT DOES NOT INCLUDE TEMPORARY POWER, BLOCK WALLS, TRASH ENCLOSURE.AND SITE
LIGHTING.** SUITE 101 INCORPORATES LIGHTING & HVAC DUCTING.
CERTIFICATE OF ACCEPTANCE 1;iC-2A
Lighting Control Acceptance Document Pu e t of 3)
Project Name/Address:
BURGERS & BEERS, 79-815 HWY. 11.1 SUITE 101., .LA. QUINTA, CA 9224.8
System Name or Identification/Tag:
System Location or Area Served:
Enforcement Agency:
Permit Number:
Nate: Submit one Certificate of Acceptance: for eoch system that
must demonstrate compliance.
Enforcement Agency Use: Checked by/Date
FIELD TECHNICIAN'S DECLARATION STATEMENT
• f.ceniil' under penalty of perjury. under the la+as of the Shite of C ntifornia. tine infot-mtion provided on this Ran is tnnc anti correct.
I am the person wlto perl'amted the acceptance requirements verification reported ion this Certificate of Acceptance (Wield "Technician).
• 1 certify that the cxnsintctiun/installation identified tin this fann complies with the acceptance requirements indicated in the plans and
specifications approved by the enforcement agency. mid contlomis to the applicable acceptance requirements avid procedures specified
Reference Nonresidential Appendix: NAT
• 1 have confirmed:thrit the Installation (.ceriificatc(s) tiertite roustructinn/installation identified on this Ibno has becu cornpleted anti is
posted or made a ailahle With the buildinr; neninit(s) issued for the huildino.
Company Name:
COVE. ELECTRIC, INC.
Field'rechniciatl s Name:
Field Technician's Signature:
COREY BLACKBURN?!
4
Hate Signed:
Position With Company (Title):
C-10 (#197002 I'"a
PRESIDENT
GENERAL FOREMAN
RESPONSIBLE PERSON'S LECLARATION STATEMENT
• 1 ecnik. under penalty ofpctjury. under the laws of tltc State of.C:alilbroia, that I am the Fiel(I T&hnician. of the Field 'rechnician is acting
on any lxhull';ts nnv enptlovee or nl�c agellt and I hate r•:vietcd the intamnation provided on this tium.
• f am a licensed contractor architect. hr eq.,in r, who is elibrbh.,untIcr Division 3 of the Business mid Professions Code. in lite applicable
classilication. to take responsil; lity ibrthe scope of work specified rm tins docmnent mid attest to the.declarations in this statement
(responsible person).
• 1 certify that the infrn•mati6n provided on this lbrm substantiates that the construction/installation identified on this fiunn complies with the
acceptance requirements indicated ill. the plans and specifications approved by the enforcement agency. and conforms to the applicable
acceptance rcqunrentcnts aril procedures specified in Retcrencti Nonresidential Appendix \A7.
+ 1 have cointirMW that the Installation Ceniticatc(s) kir the cotnstntetinn/installation identified ()it this k)rrrn has been cinipleled and is
posted or made available with the buildntg permit(s) issued for the building.
• I will ensure that a completed. signed copy oithis certiticate ol'Acceptnnce shall be posted. or tirade available with the building pennit(s)
issued for the building. and made available. to tine enforcement agency for nil applicable inspections. I ondenutrnd that a signed copy of IItis
Ceniticate of Acceptance is required to Ix: included tcith the documentation fire builder protides to lite buildim-, owner at occunanry
C'ontpahny Nacre:
.COVE ELECTRIC, INC..
Phone:
760-360-0036
Responsible Persons Natne:
Responsible Person's, itignr re
GAR PULSI.,ANDER
License: pal st mete
Position With Company (Title):
C-10 (#197002 I'"a
PRESIDENT
Occu ant Sensor, Manual Dayli ghtin g Control, and Autonuitic Time Switch Control
intent: Lights are turned 61Twhen not needed her Section 119(d)&'131(d).
Construction Inspertian
I Instrumentation to perform test includes, but not limited to:
- ------..........._.___..-......----__....._...__._....
It. antjtcrag, and voltage_meter __......_.
[Hand4ieldi.__._...........-
b. Power ntett:r
Continued on next pace
20H08r1'aruesirlcntiul rlcce/rtuncd: !brnrs :frrrr.nt?1Jf19
CERTIFICATE OF ACCl,r rANCE LTG -2A
[.i �tttin Control Acee stance Document (Page 2 of 3)
Project Name/Address:
BURGERS & BEERS,. 79-815 HWY.•117. SUITE 101, LA QUTNTA, CA 92298
System Name or Identification/Tag:
System Location or Area Served:
`-'
Occupancy Sensor Construction Inspection
}
—M
Occupancy sensor has. been located to minimize false signals
_............. _...
_ .-�....._.._..._.._
Light meter - -
_..-..........-..._............-.... _-.__
ff
_ _,.. _ ........... ........... .......... ............. _... _-_.......___........... .....__.......... _�
Ultrasonic occupatlev sensors do not emit ltldible sound (I 19a) S legit from source
_ 3
1%-lanual Day.lighting Controls Construction Inspection
-..... _.._....__ .....I—._.....__........_........ ._..._...._.._.__..........-__ �......._._....................................-....._............-.............._ -........_...
If dimming ballasts are spe6fed for light fixtures within the daylit area, make sure. the} meet all the Standards
requirements, including; "reduced flicker operition" for manual diinrninr, control systems
! Automatic Time Switch�Controls Construction -Inspection
a.
( Automatic. time. switch control is programmed t"or.(check all):
_.._ ..._-_....... _..........
! Weekdays
Weekend.._.___............ ,........_...._.-._—..
--
..-_...............
.-...........b:......._.I
—---
---
... Holid ty_S._..�......__........:._ programming t _ __ .._._ _._... __........._.__........ - --
_........:.......:.u.....c wilc --_._-......:....._____-..........--
uocurnent for.the owner autom.... umt s�aUch(heck illi:
Qg Weekdays settings
... ................... ......._..........-..._........................ ..::................ _..._..._....._...._._...._......... __..�_ _.._..... . — - -_ _ ___..._..--- ---- .......-............. _...... _.......... _................. .... _............... _.._.... _._...........
1t'eekend settings'
._......_.......... _............................................... _-_.._........... _.....................
Holidays settines
fSet-up
—�
settings
.._._......__.._._
(`
....................__................................... _... _._._......... _----
['reference program setting
L
Verify the correct time and (tate is properly set in the time switch
Verify the battery is installed and energircd
Override time limit is no more than 2 hours —
_........__..................
._..................._..__....._.�
Occupant Sensors and t�utolnatic `I into Switch Controls have been certitied to the. Lulergy Commission in
accordance with the applicable provision in Section 119 oft lie Standards, and model numbers for all such controls
are listed on the Commission database as Certified Applianceand Control Devices
A.
Select Acceptance "fest (Indicate lighting control systems Names/Designations by the applicable tests below)
L
Occupancy Sensor
2
ts'lanual Daylighting Controls
29
3
Automatic Time Switch Controls
B. Equipment "Testing Requirements
Check and verify those items applicable,to selected system:
Applicable Lighting
Control Systems
Occupancy Sensor - Step l: Simulate in unoccupied condition
1
2
3
a'
Lights controlled by occupancy sensors turn off within a inaxinu in of 30 minutes front
start'of an unoccupied condition per Standard Section I I9(d)
}' N
,
Q
Y N
b
•fhe occupant sensor does not trigger a false "ort" lronl movement in and arca adjacent
to the controlled space or from HVAC operation
(D N
�Y N
}' N
C.
Signal sensitivity is adequate to achieve desired control
}' N
}' ' \
Y N
Occupant Sensor - Step 2: Simulate an occupier[ condition
It.
Status indicator or annunciator operates correctly
}� N
} N
}• r N
b.
L.ights controlled by occupancy sensors turd oil when Immediately upon an occupied
co
condition OR this requirement is mufuall y exclusive with Ste 2.c.)
}, ; N
}, N/�+
} ,
c.
Sensor indicates space is "occupied, x111(1 lights turn on luallually
Y / N
Y % N
YIN
continued -on next page
c.Mmiiiitu rJ(;t:V tuner r-urnrs rlrrgun 2009
CERTIFICATE E Off` ACCEPTANCE LTG -2A.
Lighiting Control Acu tante Document (Page 3 of 3)
Project Name/Address:.
BURGERS & BEERS, 79-815 H.41Y. 111 SUITE 101, LA QUINTA, CA 92248
System Name or Identification/Tag:
System location or Area Served:
Occupant Sensor - Step 3: System returned to initial operating conditions
Y -
Y / N6
Y TN
Occupant Sensor - Step 4 - Sensor is also a multi -Level Occupant Sensor used to qualify
for a Power Adjustment Factor in Section 146(n)2D of lite Standards. If yes, then a.' 'b,`
and V must also be yes.
YE) \
1' \
YE)
a.
The first stage activates between 30 to 70% of the Lighting either manually or
automatically.
Y IN
1' 1`N
Y ! N
b.
A reasonably uniform level of illuminance is 'achievcd by dimming ofall lamps or
luminaires; or by switching alternate lamps in luminaires; alternate luminaires: or
alternate rokvs of luminaires.
Y / N
Y / N
Y / N
c.
After the first stage occurs, manual switches have been provided to activate the
alternate set of lights, activmte 100% of the fighting power. ,and manually deactivate all
of the lights.
Y./ N
Y / N
Y ! N
Manual Daylighting Controls -'Step 1: Manual switching control
a. At least 50%of lighting power in daylit:areas is separately controlled from other lights Y / N Y� N
Y / N
b. The amount of light delivered to lite space is uniformly reduced Y /N =-N
F Y 1-N
Manual Daylighting Controls - Step 2: System returned to initial operating conditions Y IN I rY IN
I Y /N1
Automatic Time Switch Controls - Step 1: Simulate occupied condition
a.
All lights can be turned on acid off by their respective area control switch
1' ' \
Y \
1` N
b
Verify the switch only operates lighting in the ceiling -height partitioned arca in which
the. switch is located
�,1 �,
y, ,N
�; N
Automatic Time Switch Controls - Step 2: Simulate unoccupied condition
a.
All non-exempt lighting turn off per Section 13l(dH
Y \'
Y N
b.
Manual override switch allows only the, lights in the selected ceiling height partitioned
space where the override stitch is loc.atcd,.to turn on or.remain on until the next
scheduled shut off occurs _
1' . N
.N
N
(DIN
c.
All non-exempt lighting turns -off
Y' N
Y N
, N
Autonlatic Time Switch Controls —Step 3: System returned to initial operating conditions
Y N
Y N
Y 114
Note: Slraded areas do unt applvfarpartic'utar test pracedglre
C.
PASS / FAIL Evaluation (check. one):
754,
PASS: All applicable Construction Inspection responses.:are complete anti sill applicable Equipnt.ent Testing
Req uireme' uts responses areositive (Y - {es)
L7
FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or more negative (N - no)
responses in any applicable Equipment Testing Requirements section. Provide explanation below. Use and attach
additional ages if necessary.
2008 fVCJII!'4.�fq!( lll►al ACCLj1/g7I14C' f (Jl71fS rIl(gucv 2O09
EERTFICAT'E OF ACCEPTANCE LTG -3A
Autontutic Day i Ittin i Contrdl Acceptance Document (Page I of 1)
Project Name/Address:
BURGERS & BEERS, 79-81.5 -rlidY. 111 SIOTE 101, LA QUINTA,• CA '92248
System Name or Identification/Tag: -
System location or Area Served:
Ent'orcement Agency:
Permit Number;
Arora: Sahmit one C" ertif ir.cr e t felec.yepfairce frar each sy.vicin 1hot
nrrrsr clenurna•rrcae r:wuplinrrce.
Enforcement.Agcnry Use: Checked by/late
F'IELD'FECHNICIAN'S DE CLAFLITION ST iVI'LMENT
• 1 certify under penalty of'perjury, under the inti!,, of the State of Calilcrmin. the infimnation provided on this form is into and correct.
• 1 art the person who performed the acceptance requirements verification reported on this Certificate of Acceptance (Field Technician).
• I certify that the constructionlinstallation identified on this fonn complies with the acceptance requirementsindicated in the plans and
specifications apprpved.by the enforcement;igency, and conforms to the applicable acceptance requirements and procedures specified in
Rererence Nonresidential Appendix NA7.
• I have continued that the Installation Certificates) for the construction/installation identified on this form has been complete;( and is
posted or made available with the building permit(;) issued for the building.
Company \tame: COVE ELECTRIC, INC.
Fleld'rechnician's Name:
COREY BLACKBURN
Field rCCIlntClat}'S Signature:
COVE ELECTRIC, INC.
Dale Signed:
����
Position With Company (Title):
GENERAL FOREMAN
RESPONSIBLE 117EkSON'S DECLARATION S"f *l'E11*H'NT
• I certify tinder penalty of perjury, ithdcr the laws of the State of California, that I am the Field Technician, or the Field Technician is actino
on mybehalf as my employee or my agent ancf E have reviewcti the iihfihrmntion provided on this faun. -
• i am a licensed contra ctor, architect, or engineer, % ho is eligible under Division 3 of the Business and Prolessirms Code, in the applicable
classification, to take responsibility for the scope of work specified on this document and attest to the declarations in this statement
(responsible person).
* 1 certify that the information provided on this form substantiates that the constriction/installation identified on this form complies with the
acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable
acceptance requirements anti procedures specified in Reference Nonresidential Appendix NA7.
• I have confirmed that the Installation Cenificate(s) for the construction/instal tat ion identifier; on this font has been completed and is
posted or made available with the building. permit(s) issued for the building.
• I will ensure that completed.. signed copy of this Certificate of Acceptaurce shall be posted, or made available with the building pen-nit(s)
issued for the building, and made available to the enkireement agency for all applicable inspections. I understand that a signal copy of this
Certificate of Acceptance is required to he included with the documentation the builder provides to the building owner at occupancy.
Company Nante:
0
Phone:
COVE ELECTRIC, INC.
❑
760-360-0036
Responsible Persons Name:
❑
iter onsible Person's Signan1
GAR HULSLANDER
❑
LTG -3A fate i & 8
License:
DateSigued:
LTG -3A Page 9 & 10
Position with Company (Title):
C1:0 ((397.002
3 I -aa
Ira
PRESIDENT
Cheek bo%es for all pages of this L'rG-3A completed and included in this submittal
0
LTC; -3A Page 2
t - Ccrostnution inspection. This page is required for all submittals.
❑
l-"rG-3i1 Page 3 a
II - Functional Perfonth;uhcc `I"csting 1=or Continuous Dirhtnhin; System - (watt -meter or arnp-rneter
measurement) 4
❑
Ul-G-3A Page 5 & 6
ill - Fttnet onat Perfortnnnce'resting For Stepped Switching) Stepped Dimming Systems - (;suit -meter or amp-
meterrneasurement)
❑
LTG -3A fate i & 8
IV -Functional Pertbrmance resting For Continuous Dimming.Control - (light dieter power measttrerncnt, and
default took -up table of fraction of rated power versus fraction Of !rated light output.)
Q
LTG -3A Page 9 & 10
V - Functional .Perlbrmance Testing For Stepped Switching/ Stepped Dimming - (based on tight output)
2008 A'nnresfderrrihl fl cceptctrrce roi-ins December 2010
CERTIFICATE OF ACCEPTANCE LTG -3A
Automatic Daylighting Control Acceptance Document (Page 2 of 2
Project Name/Address:
BURGERS & BEERS, 79-815 HWY.. 111 SUITE 101, LA QUINTA, CA 92248
System Name or Identification/Tag:
System Location or Area Served:
I. Construction Inspection NA -7.6.1.1
l Draming of Daylit Ares(s) must be shown on plans or attached to this form. Select one or both of the following:
13 Shown on plans page #'s E3
0 Daylit area(s) drawn in on as -built plans (attached) page #'s
Check box beloti+? if sampling method is used in accordance with NA7.6.1.2. /f bar is checked attach a page with names of other controls in
sample (Sampling alloired onlrfor buildings with > S daYlight control systems, sample group glazing must be the same orientation)
Control
System System Name
Plans Page Sampling: Check If Tested Control is
Number Representative of Sample
A LIGHT SENSOR E3
B
C
App liable Control System
2 System Information
Zone Type: Skylit (Sky), Primary Sidclit (PS), or Secondary Sidelit SS
PS
Control Type: Continuous Dimming (having mon: than 10 light levels) (CD), Stepped
Dimming (SD). Switching SW
SW
Desi n Footcandles: enter number or Unknown Unk
UNK
3 Sensor and Controls
Control Loop Type: Open Loo (OL). Closed Loo CL
CL
Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In
Controlled Zone CZ
C2
Is Sensor Location Appropriate for Control Loop Type? (Y/N) as follows:
If control loop type is Open Loop (OL): Enter yes (Y) if location = Outside (0), Inside
Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N).
If Control loop type is Closed Loop (CL): Enter yes (Y) if location = In Controlled Zonc (CZ);
otherwise, enter no .
Y
Are Control Adjustments in Appropriate Location? (Y/N) as follows:
Yes, If Readily Accessible or Yes if in Ccilin <_ 11 ft , No for all other.
Y
4 Has documentation been provided by the installer? Y/N as follows:
Installation Manuals and Calibration Instructions Provided to Building Owner:(Y/,N)
Y
Location of Light Sensor on Plans: YN
Y
Location of Light Sensor on Plans: (Page Number)
E3
S Are there Separate Controls of Luminaires to Daylit Areas? (Y/N) as follows:
Are luminaires controlled by automatic daylighting controls only in daylit areas: (Y/N)
Y
Separately circuited for daylit areas by windows and daylit areas under skylights: (V/.N)
Y
6 Dayiighting control device certification
Daylighting control has been certified in accordance with § 119: (Y/N)
Y
Construction Inspection PASS/FAIL. If all responses on this Construction Inspection page arc
omplcte and all questions have a Yes (Y) response, the tests PASS; If any responses on this page
rc incomplete OR there are any No N responses, the tests FAIL I
PASS
L
2UU8 Nonresidential Acceptance Forms December 2010
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CME --7 A-0961
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 2170 17e14, BY -.5W_ I
ps►��ti►l 2 : l�wkr��t G �t�otg
AJ Orteaa
From: Gar Hulslander <ghuIsla nder@coveelectric.com>
Sent: Tuesday, March 20, 2012 3:38 PM
To: David Narz
Cc: Corey Blackburn
Subject: Burgers and Beer new Lighting Control Panel schedule
Attachments: Burgers and Beer revised lighting control panel per on site meeting with City March
12th 2012 .pdf
Importance: Low
Dave,
I have E -Mailed to you for approval by Authorities having jurisdiction new Burgers and Beer Lighting Control Panel
schedule. This new LCP schedule represents direction provided at the March 12`h 10:30 am on site meeting with Orr, City
of La Quinta, Architect, Tim Scott and Cove Electric.
The new LCP schedule represents reducing the 12 original circuits to 5 circuits, this will allow a combined total of 300
watts per track maximum.
Once Orr Builders approves new attached LCP schedule Cove electric will proceed with adjustments.
Thank you,
Gar Hulslander
President
Cove Electric, Inc.
77-824 Wildcat Drive
Palm Desert, CA 92211
Phone 760-360-0036
Fax 760-360-7895
E -Mail: ghulslander0coveelectric.com
.'COVE
CTR
i OVE
TRIC
Inc.
1
Certificate of Occupancy
-Twif 4 412" -
Building &Safety 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: 79-815 HIGHWAY 111. SUITE 101
Use classification: RESTAURANT — "BURGERS & BEERS"
Occupancy Group: A=2 Type of Construction: VB
Code Edition: 2010 Sprinkler Installed: YES
GREG BUTLER
Building Official
Building Permit No.: 11-0867
Land Use Zone: CR
Occupant Load: 332
Owner of Building: KOMAR DESERT PROPERTIES
Address: 23 CORPORATE PLAZA DR 247
City, ST, ZIP: NEWPORT BEACH, CA 92660
By: AJ ORTEGA
Date: MARCH 27, 2012
5 PLACE