BCOM2019-0021Tih
78-495 CALLE TAMPICO 0 D 441Qu&M
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
BUILDING COMMERCIAL/REMODEL
Application Number:
BCOM2019-0021
Property Address:
78480 HIGHWAY 111
APN:
604050042
Application Description:
OKURA / 7,500SF RESTAURANT TENANT IMPROVEMENT
Property Zoning:
Application Valuation:
$185,000.00
Applicant:
STATEWIDE SERVICES INC DBA STATEWIDE CON
73-700 DINAH SHORE DR #405 D D
PALM DESERT, CA 92211 AUG U 2 2019
CITY OF LA QUINTA
DESIGN & DEVEILOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B License No.: 951607
Date: v Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 1, 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 Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/2/2019
Owner:
SSH GROUP, LLC.
78480 HIGHWAY 111
LA QUINTA, CA 92253
Contractor:
STATEWIDE SERVICES INC DBA STATEWIDE CON
73-700 DINAH SHORE DR #405
PALM DESERT, CA 92211
(760)699-5434
Llc. No.: 951607
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-woik for which this permit is issued.
W_Hvve and will maintain workers' compensation insurance, as required by
Se tion 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: -BENCHMARK INSURANCE COMPANY Policy Number: CST5015156
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: allApplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES 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 performed under or pursuant to any permit issued
as a result of this application , the owner, and the applicant, each agrees to, and shall
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above -
mentioned property for inspection purposes.
Date: Z Signature (Applicant or Agent):
Date; 8/2/2019
Application Number:
BCOM2019-0021
Property Address:
78480 HIGHWAY 111
APN:
604050042
Application Description:
OKURA / 7,500SF RESTAURANT TENANT IMPROVEMENT
Property Zoning:
Application Valuation:
$185,000.00
Applicant:
STATEWIDE SERVICES INC DBA STATEWIDE CON
73-700 DINAH SHORE DR
#405
PALM DESERT, CA 92211
Owner:
SSH GROUP, LLC.
78480 HIGHWAY 111
LA QUINTA, CA 92253
Contractor:
STATEWIDE SERVICES INC DBA STATEWIDE CON
73-700 DINAH SHORE DR #405
PALM DESERT, CA 92211
(760)699-5434
Llc. No.: 951607
Detail: OKURA / 7,500SF TENANT IMPROVEMENT [VB/A-2-OCC/267-OL/FULLY SPRINKLED I RECONFIGURE AND RELOCATE BAR AREA, RECONFIGURE
DINING AREAS AND ENLARGE LOWER DINING LEVEL, RECONFIGURE KITCHEN LAYOUT AND EQUIPMENT, UPDATE RESTROOM FINISHES AND FIXTURES,
CREATE SUSHI BAR AND RECEPTION AREA. NO ADDITIONAL TUMF ASSESSMENT PER 2018 HANDBOOK. 2016 CALIFORNIA BUILDING CODES.
ART IN Pim Ir PI ArFC - cnmmFR('IAI Ppmnn
Total Paid for ART IN PUBLIC PLACES - AIPP: $425.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$8.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $8.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF
101-0000-42403
0
$120.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, EA ADDITION 2,000SF, PC
101-0000-42600
0
$32.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF
101-0000-42403
0
$120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NON-RESIDENTIAL, FIRST 2,000SF, PC
101-0000-42600
0
$92.86
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $365.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIAL TI
101-0000-42421
0
$160.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIRE COMMERCIALTI PC
101-0000-42420
0
$240.00
Total Paid for FIRE FEES: $400.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD PC
101-0000-42600
0
$5.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT
101-0000-42402
0
$160.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
OTHER MECHANICAL EQUIPMENT PC
101-0000-42600
0
$160.08
Total Paid for MECHANICAL: $338.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL
101-0000-42600
1
$500.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $500.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$18.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$533.60
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600 1
0
$533.60
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$13.34
Total Paid for PLUMBING FEES: $1,205.94
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($21.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($130.68)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($54.43)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($148.89)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$130.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$229.47
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$288.15
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$54.43
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$148.89
Total Paid for REMODEL: $517.62
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($140.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - COMMERCIAL
101-0000-20308
0
$140.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($5.00)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $0.00
TOTALS:.0 4•
ta (2aL&aPERMIT
# 61�t 2 O 1`} - pQ2
PLAN LOCATION:
Project Address: 78480 HWY 111, La Quinta, CA 92253
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: 604-050-042
Existing one-story commercial restaurant in La Quinta, CA, Tenant
Improvement is for a new sushi restaurant, approx. 7,500 S.F.
Applicant Name: Ruben Coronado
Project consist of main lobby at entrance and reception area, women's
Address: 73700 Dinah Shore Drive, Suite # 405
and men's restroom, main bar & lounge area, main dining room
City, ST, Zip: Palm Desert, CA 92211
general office space. All existing utility infrastructure already has been
Telephone: (760) 892-1494
brought to the space.
Email: Ruben@Statewideinc.net
Valuation of Project $ 5�
I VI.7. OGa FEWL ?A-IH aF 'f7M'bM
Contractor Name: Statewide Services, Inc.
New SFD Construction:
Address: 73700 Dinah Shore Drive, Suite # 405
Conditioned Space SF
City, St, Zip Palm Desert, CA 92211
Garage SF
Telephone: (760) 699-5434
Patio/Porch SF
Email: Oscar@Statewideinc.net
Fire Sprinklers SF
State Lie: 951607 City Bus Lie:
Arch/Eng Name: Alexander Haddad
Construction Type: Occupancy:
Address: 699 S. Calle Petunia
Grading:
City, St, Zip Palm Springs, CA 92262
Telephone: (760) 408-4848
Bedrooms: Stories:
# Units:
Email: Alexanderhaddad@gmail.com
State Lie: C-76351 City Bus Lie:
Property Owner's Name: Jay Lee
New Commercial / Tenant Improvements:
Address: 78370 HWY 111, Suite 150
Total Building 7,500 SF
City, ST, Zip La Quinta, CA, 92253
Construction Type: V-B Occupancy: A-2
Telephone: (
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
POST IN A CONSPICUOUS PLACE
Certificate of Occupancy
Design & Development Department
This Certificate is issued pursuant to the requirements of Chapter 1 Section 111 of the California Building Code,
certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building
Code and the various ordinances of the City regulating building construction and/or use.
BUILDING ADDRESS: 78480 HIGHWAY 111
Use classification: ASSEMBLY - RESTAURANT Building Permit No.: BCOM2019-0021
Occupancy Group: A-2 Type of Construction: VB Land Use Zone: CC
Code Edition: 2016 Sprinkler Installed: YES Occupant Load: 267
By: AJ ORTEGA Owner of Building: SSH GROUP, LLC
Date: 3/30/2020 Address: 78480 HIGHWAY 111
Building Official: AJ ORTEGA City, ST, ZIP: LA QUINTA, CA 92253
SSH GROUP, LLC
ACKNOWLEGEWNT
OF TENANT IMPROVEMENT
08/01/19
To Whom It May Concern,
Please accept this letter as acknowledgement and approval for Statewide Services, Inc. to
perform tenant improvement, per submitted plans, at 78480 Hwy 11 I La Quinta, CA 92253.
Should you have any questions, please feel
free to contact me.
Sincerely,
Jay Lee
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Building Permit Number: 3Coroao L9 — O o
Project Description: SFR
Exempt: h,,
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date
Job Site Address
Owner's Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E-Mail Address
Project Manager's Name
Project Manager's Phone Number
Project Manager's E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage
78480 Hwy 111, La Quinta, CA 92253
SSH Group, LLC
wt
49217 Rock Rose Dr
0
Indio, CA 92201
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(760)564-5820
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lee0kura mail.con'
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Oscar Lua
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(760)699-5434LZ
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oscaO slalewideinc.net
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Statewide Services, Inc
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73700 Dinah Shore Dr. Suite 405
u
Palm Desert, CA 92211
0
7,663
Approval By Burrtec
,
Date of City Approval
Materials To Be Discarded:
Product
Tons
Trash
0.00 Not recyclable
Product
Tons
Asphalt
0.00 Recyclable
Masonry (broken)
0.00 Recyclable
Brick/Block
0.00 Recyclable
Plaster
0.00 Recyclable
Cardboard
0.00 Recyclable
Scrap Metal
0.00 Recyclable
Commingled
0.00 Recyclable
Tile (floor)
0.00 Recyclable
Concrete
0.00 Recyclable
Tile (roof)
0.00 Recyclable
Drywall
0.00 Recyclable
Wood
0.00 Recyclable
Donated / Reuse*
0.00 Recyclable
Landscape Debris
0.00 Recyclable
*Describe Items
Totals: Recycle Trash
Projected Diversion:
0.0
0.0
#DIV10I
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is diverted
from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials
generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is
issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition
project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the
name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are
adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly
reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station.
Owner / Developer! roject Manager / Superinlen i
Date
S� aNMcrat ti
{� County of Riverside
DEPARTMENT OF ENVIRONMENTAL HEALTH
ra.
P.O. BOX 7909 + RIVERSIDE, CA 92513-7909
A
�or> KEITH JONES, DIRECTOR
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Plan Check # 45235 - Date 7-30-19
Project Name Okura Robata Sushi Bar Address 78480 Hwy 111, La Quinta
and Grill
Plans Submitted by Tom Brown Phone 760-972-7656
Owner Jay Lee Address Phone
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 prior to final.
2. Provide an air balance report for the exhaust hoods and make up air prior to final.
3. All existing finishes will be evaluated on site if any floors, walls, ceiling are found in
disrepair, will need to be co rrected/rep laced prior to final inspection.
AUG 0 12019
CM OF LA UINTAFp�R
CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary InsP998h"99i�r�i��PPINT
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.
**ALL ELECTRICAL, PLUMBING, MECHANICAL, AND STRUCTURAL REPAIRS AND INSTALLATIONS SHALL BE
DONE UNDER PERMIT FROM THE APPROPRIATE BUILDING & SAFETY DEPARTMENT (CITY OR COUNTY)*
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 Tracev Ford Phone 760-863-8287
I acknowledge the corrections noted herein and aqndicat on the plans and agree to incorporate them during
construction:
Signature - Date I?
Company Named
Corona
Hemet
Indio
Murrieta
Palm Springs
Riverside -west
Riverside -East
2275 S. Main St #204
800 S. Sanderson #200
47-950 Arabia St "A'
38740 Sky Canyon Dr.
544 S. Paseo Dorotea
4065 County Circle
3880 Lemon St.
Corona, Ca 92882
Hemet, Ca 92545
Indio, Ca 92201
Murrieta, Ca 92563
Palm Springs, Ca
Riverside, Ca 92503
Riverside, Ca 92501
(951) 273-9140
(951) 766-2824
(760) 863-8287
(951) 461-0284
92264
(951) 358-5172
(951) 955-8982
760-320-1048
Office Locations • Blythe + Corona + Hemet • Indio ■ Murrieta + Palm Springs + Riverside
Phone (888)722.4234
www.rivcoeh.org