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BCOM2017-0024'78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (;i� � -4 4. aw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BCOM2017-0024 Property Address: 79680 HIGHWAY 111 STE 102 APN: 600030016 Application Description: YOU GRILL KOREAN BBQ Property Zoning: Application Valuation: $80,000.00 Applicant: JASON PENG 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. n License Class: B License No.: 1021133 I Date: / / Z7 II /- Contractor OWNER -BUILDER DECLARATIOIJ 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 v Owner: E5 DUNES BUSINESS PARK z PO BOX 1216 t7 n HERMOSA BEACH, CA 93 OO M M Contractor: AS BROTHERS CO'NSTRLPW1�1 17921 ROWLAND ST CITY OF INDUSTRY, CA 9!q/48 M (626)643-0849 Llc. No.: 1021133 C /> M C CA N O M 'a WORKER'S COMPENSAT•ON 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 370C of the Labor Code, for the performance oche wo for which this permit is issued. 11 tev I have and will maintain workers' cc npensation 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 COMPENSATION INSURANCE FUND Policy Number: 9205187 V vN_J I certify that in the performance of :he 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 3 P00 of.the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOJ COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINI4L PENALTI S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED 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 perform,' d under or pursuant to any permit issued as a.result of this application , the owne4 and the applicant, each agrees to, and shall defend, indemnify and hold harmless the p=ity 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 i..suance 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 -mention . pr perty for inspection purposes. Date:Signature* (Applicant or Agent): Date: 9/8/2017 Application Number: BCOM2017-0024 Owner: Property Address: 79680 HIGHWAY 111 STE 102 DUNES BUSINESS PARK APN: 600030016 P 0 BOX 1216 Application Description: YOU GRILL KOREAN BBQ 1 •HERMOSA BEACH, CA 92253 Property Zoning: Application Valuation: $80,000.00 Applicant: Contractor: JASON PENG AS BROTHERS CCNSTRUCTION 79915 PARKWAY ESPLANADE N 17921 ROWLANC• ST LA QUI NTA, CA 92253 CITY OF INDUSTRY, CA 91748 (626)643-0849 Llc: No.: 1021133 Detail: COMMERICAL T.I. 2,700 SF NEW COOKING EQUIPMENT UNDER EXISTING HOOD; NEW DINING AREA, ADD BBQ COOKING TABLES, NEW EXHAUST HOOD SYSTEM FOR DINING COOKING. PER 2016 CALIFORNIA BUILDING CODE. PERMIT DOES NOT INCLUDE RESTAURANT SIGNAGE. 0 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $4.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCES, NON -RES 101-0000-42403 0 $177.31 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCES, NON -RES PC 101-0000-42600 0 $177.31 DESCRIPTION ACCOUNT QTY AMOUNT ' DEVICES, FIRST 20 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $111.32 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $27.72 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $75.99 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $38.01 Total Paid for ELECTRICAL: $658.32 DESCRIPTION ACCOUNT QTY AMOUNT FIRE COMMERCIAL TI 101-0000-22811 1 $614.00 Total Paid for FIRE COMMERCIAL TI: $614.00 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD 101-0000-42402 0 $25.34 DESCRIPTION ACCOUNT QTY AMOUNT EXHAUST HOOD PC 101-0000-42600 0 $10.14 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT VENT FAN PC 101-0000-42600 0 $5.07 Total Paid for MECHANICAL: $205.22 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $63.35 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 .$63.35 DESCRIPTION ACCOUNT'- QTY AMOUNT ACCOUNT GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $38.00 0 DESCRIPTION ACCOUNT QTY AMOUNT AMOUNT GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 • $25.33 DESCRIPTION DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42400 WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.67 QTY DESCRIPTION ACCOUNT QTY AMOUNT $141.36 WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $215.37 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400. 0 $136.80 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 5F PC 101-0000-42600 0 $109.44 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $141.36 Total Paid for REMODEL: $439.28 DESCRIPTION ACCOUNT QTY AMOUNT SMI - COMMERCIAL '101-0000-20308 0 $22.40 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $22.40 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 9 Bin City of La Quinta Building 8i' Safety Division Calle Tampico La Quinta, CA 92253.- (760)777-7012 Building Permit Application and Tracking Sheet ,Permit #78-495 l Project Address: ' b0L Wi �� i O Owner's Name: Q12 -In^ A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: Address:le Project Description: -7 W SOK ToK City, ST, Zip:Y / l I t �Yt&V, -74,4P4404-rT . Telephone: o e. 2 i r s 7r N z nA.�.-e.. � 1a 3 S /�M State Lie. # City Lia #.- ;Arch., Arch.,Engr., Designer. -\9\ VC Address: KV6i G VN1 City, ST, Zip: l.) t Telephone: /•Lb o l� S • f>...StateLie. # Name of Contact Perso : Z�j� yt Construction T V'— Occupancy': Type: 2 Project type (circle one): New Add'n AIter Repair Demo Sq. Ft: # Stories: # Units: �Z Telephone # of Contact P j Estimated Value of Project: go •»a APPUC : DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES 3 Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construcdon , Flood plain pian Plans resubmitted Mechanical Grading plan 2wd 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 HOUSE:- '"' 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 City of La Quinta o Design and Development Department 78-495 Calle Tampico La Quinta, CA 92253 Telephone: (760)777-7125 Fax: (760)777-1233 cFMoe www.la-quinto.ora •� UD Riverside County Fire Department JUL 14 2017 DATE PAID STAMP Riverside office CITY OF LA QUfNTA ` 2300 Market Street, Ste. 150 Riverside, CA 92501 ESIGN AND DEVELGPP.4ENT DEPARTMENT (951)955-4777 FIRE REVIEW APPLICATION ❑ NEW KTENANT IMPROVEMENT PERMIT NO.6COt44 L1. _(XQ2� PROJECT INFORMATION (Please Print)'/ Project Name: ��r l l Kpt(P� {'1 gzs�vnx4tSign: Site Address: l Ci�pf �� Print: 9L 11 City & Zip: La c,)u I'1f,_ C -A 1 have read and understand that fees are DEPOSIT BASED FEES and there may be additional money due prior to or after project final. • Pursuant to a Cooperative Agreement to Provide Fire Services, the Riverside County Fire Department serves as the City's fire department, and •the.County designee serves as the City's fire chief. Applicant recognizes this contracted arrangement and shall comply with Countv Fire Department directions. APPLICANT/CONTACT_ INFORMATION .!BILLING INFORMATION: []'Same as Applicant info Applicant Name: J 45Dn Ten Contact Person: P Bill To: Gi S�� -Per ` Mailing Address: (/!� TvtailYi g AA dress City 8 Zip: City &Zip: � Phone Number? Fax: Phone Number -)& Fax: Email: Email: i The person listed on "Billing Information" will receive ALL billing, correspondence and refunds for any work billed to this permit. Any chances in billina information must be made in writing to our office. A. APPLICATION TYPE (each application type includes a $5 technology enhancement fee) FIRE SPRINKLER SYSTEMSTORAGE TANKS ❑ COMMERCIAL TI - 1-9 HEADS NO FEE ❑ DISPENSERS ONLY $217 ;POCOMMERCIAL TI - 10 + HEADS $619 ❑ ABOVE GROUND -f" TANK $217 ❑ RESIDENTIAL - TRACT HOME - MODELS $619 ❑ ABOVE GROUND - EACH ADDITIONAL $32 ❑ RESIDENTIAL - EACH ADDITIONAL UNIT $126 EA ❑ UNDER GROUND $217 ❑ RESIDENTIAL - CUSTOM HOME $619 MISC FIRE ALARM SYSTEM ❑ HAZMAT $589 ❑ COMMERCIAL - SPRINKLER MONITORING $192 ❑ HIGH PILE RACK STORAGE $353 ❑ COMMERCIAL - FIRE ALARM SYSTEM $632 ❑ NEW COMMERCIAL - UNDERGROUND WATER $701 SUPRESSION SYSTEM ❑ FIRE FLOW REPORT $178 ❑ HOOD & DUCT $215 ❑ TECHNICAL REPORT RESEARCH $589 ❑ SPRAY BOOTH ,.. $215 ❑ SPECIAL INSPECTION $126 ❑ CELL SITE ❑ OTHER SUPRESSION SYSTEM $215 $215 ❑ ITEMS NOT LISTED ARE ON A SLIDING SCALE STARTING AT.-------------------------- $197 -. These are Deposit Based Fees. There may be additional money due prior to.or after project final. uruxicu 0-17-1/