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0112-145 (AC)7 LICENSED CONTRACTOR 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 Da"� Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date i piInc ,Date 2 Signature of. Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 &, Profassioals Code). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). O I am exempt under Section' B&P.C. for this reason Date Signature of Owner 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. (. )� I have and will maintain workers' compensation insurance, as required by SecyNon 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are:. Carrier Policy No. i =KMPT (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 thoseiprovis"idns. D ate: Applicant Warning: Failure to secure Workers' C ,Mpensation cove-ra'ge is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby,made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application: t; 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 applicaton:agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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'State laws relating to the building construction, and hereby authorize representatives of this City to enter "upon the above -mentioned property for inspection purposes. ,Signature (Owner/Agent) Date "-I OWNER V.117 BUILDING PERMIT PERMIT# i VALUATION LOT 0112445 APN CONTRACTOR/DESIGNER/EN e Im CC SEX 1 1.19E OF rcnMIT C,OKU1:1MCIA L, ,° -3 R.EN)00.2 . WAVDI'1'ION (7!0 S-F) )NS:;LfaDI' O EXTERIOR T REM...,[S Pik TTO DTHIN i (1243 a F.,i�'s)AND 0' COMBINATION CMU 'tiVA1,,L PMt APP7.t0Vfti? F7.,"5. PORCHIP,IATIO i, Si .1)0 "T' WAIL I AN) LF cat°C 2,matio. OF CC2N'f'FL&C,'T AMA OU14 P in' fi tlo LS COMMERCIAL 7;{f,(3tj SW , TRACT '7 re? -a 22-€ 01 NEER P:fg°:'R.'�JiU� 91 e slrfi4tnsulfbsy3'�iilkRy F� ft�if� 5 c� Ya (t` frt�va h PIWN CHOCK FE1171 $09. 01 !+" F j?l1-11110i` Z'? 4909100 P1-JJiu H1Nu FR4 101 ­000.41 t'-000 $.39125 ST +.r"JHO h10 dt)X 'R,'9 ^ CORM 100-000-74 i a000 934,65 'Ctif..& fHG FEW 101 _ao()4r e�.�r000DEVELOPER IMPACIT FEE - 3T! '`a`t, F.'3I{!�3!?iC:ff3$!P t3,7414�CJ:.Ci: FEB 2 8 200Z ULr 'n 3 3 S� A1� WYORAQUINTA RECEIPT DATE j BY ,yam . ,+` DATE F 9 INSPECT 3,§�'RLi0�7.J89� INSPECTION RECORD tf`, OPERATION DATE INSPECTOR` OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts _ ► 4 Slab Grade Return Air Steel l Combustion Air } Roof Deck Exhaust Fans a: O.K. to Wrap t F.A.U. } - Framing Compressor f Insulation Vents f Fireplace P.L. j Grills Fireplace T.O. Fans & Controls # +- Party Wall Insulation Condensate Lines ► ; - • Party Wall Firewall # - Exterior Lath Drywall - Int. Lath O + 41 { t Final Final Z POOLS - SPAS ` 1 BLOCtCWAffiF' PROVAL Steel "Set Backs Electric Bond Footings l Main Drain # Bond Beam $ tYl— Approval to Cover } t 'L Equipment Location t Underground Electric I Underground Plbg. Test t + 'Final Gas Piping } PLUMBING APPROVALS Gas Test Electric Final I Waste Lines _ � C Heater Final (r- Water Piping ��Y,(py Plumbing Final t r Plumbing` Top Out ( Equipment Enclosure Shower Pans O.K. for Finish Plaster : I Sewer Lateral -Pool Cover Sewer Connections Encapsulation Gas Piping Gas Test Appliances 7" ; Final -L _d COMMENTS: Final Utility Notice (Ga)I Via �' � • - � �/�Q /vim` , _ ���� �� ' E CTRICAL APPROVALS qq,,,,-�TY-jtltit Temp. Power Pole f Underground Conduit Rough Wiring Low Voltage Wiring Fixtures L� ' Main Service Sub Panels Exterior Receptacles L�O G.F.I.��f�j_ Smoke Detectors 9 Temp. Use of Power 47,Sly l6�3�2 y Final Utility Notice (Perm) % d S �d��/j}Z f� IIA `�� '07 ''""f'1,3'��'�'4'!��'°`"L'1�"�i,L,",�F'`Fi�}T f"^ ��Y�,'�'��1��������,�'�Sw`'+�(�Tii�.?�"`."t!i„`5'iLd�.'�t^`:pp�iY/;Pt47Rrtlile'►4�4fi�'w"`i�' 4' 4 1t i . ; ♦ YMX 1 - fig _. 0sf ff T I � Building Address Owner I _ Mailing' . � Address 1 :1-1 1W f► [A 06 -760 City Zip - 68- State Lic. I City & Classif. Lic. # Arch., Engr., Designerf� Address Tel. (11-1 !ram �,}itiMt�'a �(- City P Zi _ States-a-,j� +� � V!__Aen 111� /�) 19&t l! Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Cf2pter 9 (commencing with Section 70D0) of Division 3 of the Business and Professions Code,. and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractot's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any cfructure, prior to'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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; 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, Buisness and Professions Code: The Contractor's License Law does not Poply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sala) I I I, as owner of the property, am exclusively contractinglwith licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for Such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy theeeof. (Sec. 3800, Labor Code.) Policy No. Company r7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for o-ie hundred dollars ($100) valuation or less.) I certify that in the performance of the work. for whim 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. Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending a3ency for the performance of the work for which this permit is issued. (Sec. 3097. Civil Code I Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 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 the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO 1- `)/>/'`,/tILA QUINTA, CALIFORNIA 92253 611 BUILDING: TYPE'CONST. -V— OCC. GRP. " A.P. Number ! ! o —1 Z2, `cn I Legal Description67,,�I+3 t � t Project Descriptiona�-y'�_.� .- :-,tic- � ,- �.-� l-I►,r.,. Sq. Ft. � No. No. Dw. 1 Size Stories Units New ❑ AddX7 Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMO NT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. , - Grading Driveway Enc....;,� 1 InfrastructuriiW.� ­ _ a1 R UN tI ITH,1 A R� Cj Sy %jr TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Tom Tisdale Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. Banning Beaumont .;. Calimesa 4. Canyon Lake Coachella Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage ❖ San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, . District 2 Jim Venable, District 3 Roy Wilson, District 4 Tom Mullen, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department. of Forestry and Fire Protect -on 210 est San Jacinto Avenue . Perrisj Ca i omla 92570 • 940-6900 • lax ) 940-69 October 10, 2002 City of La Quinta Building Department Re: Fire and Life Safety Clearance The Riverside County Fire Department is granting a fire and life safety clearance for the following address 78-121 Avenida la Fonda, La Quinta. Respectfully FRANK KAWASAKI Chief Fire Depart, By Terry Droucy Fire Safety Inspector EMERGENCY SERVICES DIVISION 0 PLANNING SECTION 0 INDIO OPICE COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH Y ENVIRONMENTAL. HEALTH SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # Ile DATE /0 • iS • 0 2 SUBJECT A1,10, rf6fiC A,r`PERMIT NO. .ADDRESS t. INSPECTOR REMARKS: i 1 t- l_o I,, r'1 yo rL he ol"lve- Lrt^L�]__4 4") "�_o ;,-,I )a /-nnpo .6 'aj c 0 _ �jy?n !/ 27 f i 1 1 ... fit. . DEH-SAN-118 (Rev-2/96) Distribution: WHITE —Office; CANARY —Owner; PINK —Office w . _......: o-u.t. �._.f: , 5,:.-.:;�.$. i ti3.t .:.,,.q• '._ilt__.,.. .u.:. � ...ei'!. .. ,. :b� ;r - ,r. `'..r S1-. ,. .., � ... y;�.�wr ... � t,.,. . L joil IWOICF f l.A rvKiA+�Fti7 NER5..0' PA I T0'd Wd 9Z= TrT ZE z 8T� eD CITY OF LA QUINTA SUB -CONTRACTOR LIT If, JoBIDDRESS ' PERMIT NUMBER OWNER l7/ BUILDER L511%C NE s'� Z1�5 �s This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to / on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building Dermit. For Path nnnlirahla t►ar•la all infnrmatinn rPn11PCYPr'I helnW mimt hP rmmnlatarl ht. nnnlinnnt °rin Min" is not an arnantnhla racnnncP Trade / Classification r Contractor State Contractor's License Workers Compensation Insurance City Business License Company Name `� }f 1VV �e- s�2 'API /c �� / "11. Classification. (e.g. A, B, C-8) �_� •,- License Number (xxxxxx) �� / 1S Exp. Date (xx/xxjxx) �Y Carrier Name (e.g. State Fund., CalCnmp) J%%/��/ �% Policy Number (Format Vaiirs) ��� S Exp. Date (xxl)tzlxx) License Number Exp. Date, (xxxx (xx/,xx/xx) r l EARTHWORK (C 12) CONCRETE IC-81 ,OS?Q qp!,T G��JI, 0 / -� C)FRAMING (C-5) �> C'J �n2 -9� ON- 'C47F3 �a�j'�l 0 /`� 1 04 STEEL (C-51) ArO3 FW& -77STRUCT. 4AD MASONRY IC-291 �0�77'o,y J%dc C-�G�>J� (�[o-'(�i)�5�� 03 y PLUMBING (C-36) J• /1 O U 11 C�� rJl' � � �: - 3 G• c-• �f '� 3 9D-5 _ c oy -ro2 LATH, PLASTER (C-35) �/ 1%L` c C' 3SV 77e qZ 1 41-- e �� q 7 , 7 - VV�G 2Z S3 i 1 � ` v�'4 f� _ - -C DRYWALL (C-9)/ HVAC (C-20) '\ .� i� 3 7 r:% 4 Z/ I6 5 3 /U 7 / =,lo 6 o 'U t ✓S/7�� �IJd < < l �1 2/-l/S-�� . c � ZiZ o f'V 7 ` .r` `j . t ELECTRICAL (C-10) // test aez / C-^ 12 7-•002- gIX-�.3 % Z �tJal/� �f�0� {�D(�O�l l// � { /GOB `; 1 Clit? ROOFING (C-39) (, ot��j ` - � g , ? J?1 611 S�a' �-�����/ �(o (;- a % % SHEET METAL (C-43) FLOORING (C-15) F 41 GLAZING (C-17) C - 1 % 6 C� �� 3 �� ,W iUi� / . G ? ' i ? 5--z--)0 Z$ o l INSULATION (C-2) ZZ �� I % ��30 0 �`/ �G��v glZt ➢�ZS-6t mil- SEWAGE DISP. (C-42) C -.3 3 C.. / L0 2_ v �} "C 4 L��'C�i'Y) / f . -- 067S I 3 PAINTING IC 33) J 1 W, k A�pbi CERAMIC TILE (C-54) se--)q: CABINETS (C-6) F-r-¢; &-- 5LY• C"m/� _ FENCING IC 13) 1 � i7/L) a J(!�.i7 C -2 7 G,�' :� �. Sr '1t► } �'y _ . f + : i �~ C� 3e, C G �y�0 LANDSCAPING (C-27) '_&ID1V ri IG-I� ��-� C '•2,.7 % �v �7 ?l/v�() �� � f-[J/U� �(v P:J i G `7 C/ GU c /l/ 0 POOL (C-53) Ile, v Shjning Brighter Than P.O. BO.x 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 October 3, 2002 Ed Cosek 45-476 Camino Del Rey Indian Wells,'Ca 92210 Andrews Bar & Grill VUP 2001-010 Dear Mr. Cosek: (760) 7 7 7 - 7 0 0 0 FAX (760).777-7101 Pursuant to John Kalogeris' request to consider acceptance of a compact parking stallimmediately south of the newly installed electrical panel, please be advised, the City is unable to honor your request. However, in lieu of your request, we do have an alternative for you to consider. City staff visited the site and determined that there is insufficient parking stall depth for a compact space. Additionally we considered authorizing a new location for the trash enclosure immedialtely . south of the newly installed electrical panel which would then make two parkingi stalls (the ones located on each side of the trash enclosure) questionable instead of just one bad stall. Therefore, staff believes it would be more prudent to utilize the substandard parking space located immediately south of the newly installed electrical panel more efficiently by offering a spacious parking opportunity for an alternative mode of transportation --- more particularly, a bike rack capable of parking six or more bicycles. If you choose to implement the bike paring alternative, please install a permanent bike rack near the west side of the trash enclosure and orient it so the bicycles are parked in an east -west direction when placed in the bike rack. Additionally, the bike parking area should have a couple of bollards three feet from the north edege of the alley to prevent automobiles from illegally parking in the space allocated for bicycle parking. You of course have the option of moving the electrical panel to the location where it was originally, approved for installation if the. bicycle parking option does not suit your needs. If you have questions regarding this matter, please call me at (760) 777-7043. gineer c: Jerry Herman, Community Development Director Greg Butler, Building Department Manager Raoul Martinez, Assistant Engineer II John Kalogeris T:\PWDEPT\STAFF\SPEER\LETTERS\021003a.wpd . Al omwlmy. APPR167OACH le sa INCH 4CCESSOIL7Y I �R WC. 1129ag 4 CF 14ANCAr-AP 4u- CF EXXT.rs. F TILE OP EXISM 7YF. FAYM,h­ T_ SYMBOL FER 5EC. 11.29mb ALL"' STALL T 8TAL3 7 STALL 15 vj^ IU,4_EE_1 61 CM `E-W QJ20F DRAIN — NEW CRICKETY EXI,STW- FERAFET� L "x[5T[NG MID' EXjaTr.\7*CX =,ERAPE�:.-Ij _1wICXEr f EXISTP-Cs TH-E RCS Ws AM .......... ...... ..... L-OAC)ING AREA 'U4 ENCLC' W FLOM S.Lop�N� To ALLEY FCR 01knAGE STA" 04 VrOAQ- I!k F r L.Fv. o•F Cm WALL -3112'AFF. 1CP CIF BUILDN& Rw)• ?�EW BUILT -Up CNeER, FaLY1000D &Lr. 6.6 a Its- 1*4400@900.o go ,F c .N:N.ln:e:m.a ,96 .4 No 2 1 ROOF oil StCOL! GRADIf i.7 V4a,w•-�!v.t.t..3�: ­ `!�-.•..,.:waR,a-,...1:.�r•:.• .-• v'-ti_ .. COUNTY OF RIVERSIDE COMMUNITY HEALTH'AGENCY ASSESSOR'S PARCEL NUMBER DEPARTMENT OF ENVIRONMENTAL HEALTH — — APPLICATION FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid. for a period not to exceed one year from date of payment. LMS # N. Agent, Contractor, Contact Person Address City State Zip Telephone�?4 Q Owner i+ Address city u` State Zip t J aar':Y f ' ir-►7 / /1?�. �• Telephoner)` ` Job Property Address— �y �.� City Zip ^ K 1 , ;=.� , U W Lot Size Water Agency/Well Use of Permit, P/P, SUP,.PUP, etc. Legal Description DBA , .^,. 'Dwelling, MH Site Prep., etc. ure of Applicant - FT Date V r FOR OFFICE USE ONLY CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Other ❑ Staff Specialist Lot Inspection Required Z❑ Holding Tank Agreements Completed ❑ Certification of Existing S.D. System Required Thomas Bros. Page Grid W❑ WQCB Clearance Required ❑ Date Lot Inspection Completed: Initials fn (Attach for DOH-SAN-007, Santa Ana Region Only) ❑ Soils Percolation Report Required Remarks: ❑ Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials' Date Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report By Lic/Project # Date Soils Map Page Soil Type Approved By Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand / ❑ Holding Tank ❑ Replacement 'EL New ❑ Addition Bedrooms,. Fixture. . _ _ __ Grease Intcp/Lint=Trap ❑ Existing ❑ Connect to Sewer Gal. �{, �'"- rGal. Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. Bottom Area Ft. ft. rock/ sq. ft. running ft. Install Lines) ft. long ft. wide of Bottom Area Inlet Tested Depth Cl N/A with min. inches rock below drainlines U Proposed Bottom Tested Depth or Z Leach lines/bed special design for slope: (3) Pit Diameter Pit Below Inlet (131) Seepage Pit aximum Other: 0 Applicable rs Total Depth [Allowable LUU N/A Overburden Factor ❑ 5' ❑ 6' TD pth V Well Review Approved: Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: 1 — , r x ,I Date: jf �... / t-- f 71 REMARKS: ilk � � 'ii i !X", .+J t" This application is APPROVED DDENIED for the category checked in SECTION B above, regarding -the -design of a disposal system as indicated on the accompanied plot plan, using the regiirements set forth in SECTION C above. A building permit is necessary far the installation of the above- %A' / , R_ev_enue Code �ig"3R 7 "�� e_$ / g� w� '_� designed system. No construction is permitted in thereguired reserved , 100% exoansion area. _ Check 1 Y # (1) Septic Tank must be 100' minimum from any wells. 1 (J (2) Leach lines must be 100' from ) r tr Z minimum any wells, including expansion Date /; (�l Initial i area. J (_) (3) Sewer lines must be 50' minimum from any wells. LU (4) Seepage pits must be 150' minimum fron any wells, including expansion RIVERSIDE: 909-955-8980 area. - ' INDIO: 760-863-7000 SOUTHWEST- 909-600-6180 S,ignatu. ; ncu_ce�iaoo Dafer' 3 :o..,, n,nn Distribution: WHITE —Office File; YELLOW —Applicant; PINK —Bldg. Dept.; GOLDENROD—Plans/Records, 1 DIST. # ° ^� Plan Check # j i I I COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH PLAN CORRECTION Date l= ' �f� r DBA ' ' ' '' Address dl • , Plans Submitted by f � � �� 1 >t . (' , r r � rf Phone v Owner Address Phone The11 plans are now approved subject to the conditions listed below and the attached compliance sheet. li r c+ r t I l rr ( n 1, l•i��. , rfC rr��q CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approx- imately 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 L I ' Phone r I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Sienature'-f�` f� —Z' Company Date / = DOH-SANA 78 (Rev 1/92) W-OFFICE — Y-APPLICANT — P-BLDG.DEPT. / CITY OF LA QUINTA SUB -CONTRACTOR LIST JOd ADDRESS r J¢'�/ Z • ERMIT NUMBER 0 V2 - -5 OWNER S C LDER This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. my persons appearing on t or their employees are authorized t work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance ..[ 4...:LA;r ­­;+ C:^r nnnk nnnlinnkln trnrin nil inf^rmntinn ►nnionctcrl kale\A/ mmtet ho nnr•nnlntnrl Iw nnnlirant "r)n Pilo" is not an arrpntahlp rasnnncp_ •a r- Trade Classification Contractor State Contractor's Licenser ` Workers tom erisati' n Insurance City: Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (.x{x/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx) Exp. Date (xx//xx/xx) EARTHWORK (C-12) `T'e �3 7- e 9 1 © lt))a 6 : r17 .a CONCRETE (C-8) S 7•(L. �O g �� l��pLF t� �� I f j/l a FRAMING (C-5) : �� 6��� o'� �t� `a�1 `�. (�) l`�! Q3 Q 2uG) % d STRUCT. STEEL (C-51) MASONRY (C-29) n p,) 6 3 � GL� ( 0 c9- In1/ U_ °i a 7163 Z z' z6 ( (7 b PLUMBING (C-36) �u� fl3e-,T- u W\ iI:J� L^��o ��1 U J /1Ii �-t� v�ib ^ b oOcz Cj I 1 1 03 0 � LATH, PLASTER (C-35) . ^ %? G -3J 2-' ' '"�- C� T`C�O �pi S� i� '�Z. �v'7Z �f 2'3 DRYWALL (C-9) .:.c�mmp. �35 1 4 �Z 2 �— "� it G� I O b HVAC (C 20)> �o l�'�er2- J 1 �-. C' 763 q3 .? 63a :off Sth Y- FL l 40 2-7 15; —0/ No2__ "3Lk4 2 2 0 ELECTRICAL (C-10) ��l� C. G-�l r� %-00 Z ROOFING (C-39) C — O (0Zt4 a 6 0 SHEET METAL (C-43): GLAZING (CA7) C= V6gV tc calp -' l07tl ' lOa / Z`z Z$(O iNSULATION;(C 2) Z �� �vrr✓ b46 '�gp SEWAGE DISi?: (C 42) ,: PAINTING (C733) \. JlW` 2-0©ki (f - 5 3 b �, c� x G'l�� 0 6-7J—/ 2 3 (o 0 . 'CERAMIC JILE. (G54} v� - -� .CABINETS (C 6) �✓ .FENCING (0.1$ I��-I:t: o ��pj G _Z l Q/z/ �6 I '?K �/�� el, LANDSCAPING (C=27) ��, Z { 6 7 `'r'T POOL (C 53) : ` • 1 -- �— : «►�-^. -" _ _ -' �. _0 Certificate of Occupancy City of La Quintaowe g Building and Safety Department Ofmt°`'� This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: 78-121 Avenida La Fonda Use Classification: Commercial - Andrew's Bar & Grill Bldg. Permit No.: 0112-145 Occupancy Group: A-3 Type of Construction: VN Land Use Zone: VC Owner of Building: Ed Cosik Building Official Address: 45-476 Camino Del Rey City: Indian Wells, CA By: Daniel P. Crawford Jr. Date: 11 /4/02 POST IN A CONSPICUOUS PLACE FoyO� CITY OF LA QUINTA SUB -CONTRACTOR LI T�5/is /e JOIN ADDRESS PERMIT NUMBER OWNER 0&%5 BUILDER L.54Z : This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. Trade / Classification Contractor State Contractor's License Workers Compensation Insurance City Business License -.-- Company Name T Classification. (e.g. A, B, C-8) License Number (xxxxxx) (o j4- �3EARTHWORK Exp. Date (xx/xx x) Fr Carrier Name (e.g. State Fund, CalComp) S%i %: Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number (xxxx OCONCRETE Exp. Date (xx/,xx/xx) l (C-12) (C-8) IC-5) _ -- � QFRAMING D7YT ' Q t2 STRUCT. STEEL (C-51) 70',ze-1 A-003 MASONRY (C-29) PLUMBING (C 36) � {-Te 03Z_7 LATH, PLASTER (C-35) e Ma- i/ VO-ce) 2Z j3 % / a DRYWALL (C-9) -2'7G4 q 21 `0��f10 Z 1 G . (� c c 0 0-47 Z t �� HVAC (C-20) &wki.�i' 4t,rL '76 3 31 613olvjr S _F_ r� ELECTRICAL (C-10) ( yle_ �-� % C-" 10 7 00-2- g1K_,P3 , -17:1 A003) Z �1j2-L1p(, Dt�pl l j l 000.71 i ROOFING (C-39) . 0?f-7Pa0 FTk1,- -7 ii / 6T)W % 66 e✓' Z� % 3 SHEET METAL (C-43) Sl-'Q, 60 FLOORING (C-15) Si7¢, ¢miliUi� j s'67 / a 3 J�O 25/ o GLAZING (C-17). -17( 5 Via" li 6 c� 3 INSULATION (C-2) <�< i(J /-1v G- 7r ZZ1 5 I -7 //30 0 n�,e-(en/5g�u��zs-�. �j�3� O r 3 tJ SEWAGE DISP. (C-42) - - - -� - 1 PAINTING (C-33) J lw� z �0�7 P> � ► C - 3 i W;>-v -� 3- CERAMIC TILE (C-54) & _ - CABINETS (C-6) �M- � e�,qo. FENCING (C-13) ,� e-lv� 7�C�Z' G-27 LANDSCAPING (C-27) C -2-7 % ('0l'1 9 '<el.T7I f tJIUto 0 � Cl O� /y 0 POOL (C-53) Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 Date 2/26/02 No. 22988 Owner NameEd Cosek No. 78121 city La Quinta CERTIFICATE OF COMPLIANCE APN # 770-122-001 Jurisdiction La Ouinta Street Avenida La Fonda zip 92253 Permit # 0012-145 Log # Study Area Tract # BLK151 Lot # 1,2,3 Square Footage 750 Type of Development Commercial Addition No. of Units 1 Comments remodel with addition including esterior trellis patio dining At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above -named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of .34 X 750 or $ 255.00 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Cash/Ed Cosek Name on the check By Dr. Doris Wilson Superintendent Telephone Fee collected /exempted by Crystal Scott Payment Received Check No. Cash Signature F $255.00 IOTICE: Pursuant to Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90-day approval period in which you may protest the fees or other payment identified bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to ollect them on the District(s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Aceoynting