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FS2020-0006ADDITIONAL SITES CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL AARON HICKSON 5/21/2020 5/21/2020 EMAIL TO CONTRACTOR WITH BL APPLICATION REQUIRED BEFORE ISSUANCE. Kohl, Per the email below. I have uploaded revised plans for the system to be Ansul instead of Buckeye to the online portal for permit FS2020-0006 Thank you Jason Pivnik 7356 Fulton Ave. North Hollywood, Ca. 91605 (818) 764 7990 Off (818) 764 7852 Fax Description: PIEOLOGY/ FIRE SUPPRESSION SYTEM FOR A KITCHEN HOOD AND DUCT Type: FIRE SUPRESSION (WEB)Subtype: HOOD & DUCT Status: FINALED Applied: 5/20/2020 EPRS Parcel No: 600390029 Site Address: 79024 HIGHWAY 111 STE 103 LA QUINTA,CA 92253 Approved: 6/2/2020 KHET Subdivision: PM 29351 Block: Lot: 11 Issued: 7/8/2020 Online Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 9/10/2020 KHET Valuation: $1,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: Printed: Thursday, February 16, 2023 3:33:50 PM 1 of 5 Permit Details City of La Quinta PERMIT NUMBER FS2020-0006 E-MAIL KOHL HETRICK 8/13/2020 8/13/2020 ---------------------- Hello Jason, You may attempt to access the permit currently applied for FS2020-0006 and follow the ability to attach the revised plans. The action of attaching more documents will notify me and I will review for completeness prior to assigning a 1 - week plan review timeframe. If you have any issues please let me know. KOHL HETRICK ------------------------ Mr. Hetrick, Regarding the above referenced project for the hood fire system. I was informed last week that the hood manufacturer (Captive Air) is including with the hood a prepiped Ansul R-102 fire suppression system. The plans that I submitted and got approved was for a different manufacturer (Bukeye Kitchen Mister). As a result I need to revise the hood fire system plans to the new system manufacturer. How do I submit that for review and approval? Jason Pivnik 7356 Fulton Ave. North Hollywood, Ca. 91605 (818) 764 7990 Off (818) 764 7852 Fax Printed: Thursday, February 16, 2023 3:33:50 PM 2 of 5 Permit Details City of La Quinta PERMIT NUMBER FS2020-0006 CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT Jason Pivnik 7356 Fulton Ave.North Hollywood CA 91605 (818)764-7990 jpivnik@deltafireprote ction.com BILL TO Jason Pivnik - Delta Fire Protection 7356 Fulton Ave.North Hollywood Ca 91605 (818)764-7990 jpivnik@deltafireprote ction.com CONTRACTOR Delta Fire Protection 7356 Fulton Ave.North Hollywood Ca 91605 (818)764-7990 jpivnik@deltafireprote ction.com OWNER INLAND AMERICAN LAQUINTA PAV P O BOX 9271 OAK BROOK IL 92253 (818)764-7990 CONDITION TYPE CONTACT DATE ADDED DATE REQUIRED DATE SATISFIED STATUS REMARKS NOTES READY TO ISSUE CHECKLIST AARON HICKSON 5/21/2020 5/22/2020 COMPLETE CONTRACTOR NEEDS CITY BL LIC-768751 NOTE JACK LIMA 7/9/2020 7/9/2020 UNPAID BUSINESS LICENSE CHARGE OF $29.00 UNDER HOURLY CHARGE - CITY BUILDING STAFF ACCOUNT # 101- 0000-42600 AND TRANSFERED IT TO LIC-768751. CONDITIONS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY FIRE PRE-ENGINEERED FIRE SUPRESSION SYSTEM PC 101-0000-42420 0 $483.00 $483.00 5/20/20 WEB5223 00982G CREDIT Jason Pivnik EPRS FIRE PRE-ENGINEERED FIRE SUPRESSION SYSTEMS 101-0000-42421 0 $322.00 $322.00 5/20/20 WEB5223 00982G CREDIT Jason Pivnik EPRS Total Paid for FIRE FEES: $805.00 $805.00 Printed: Thursday, February 16, 2023 3:33:50 PM 3 of 5 Permit Details City of La Quinta PERMIT NUMBER FS2020-0006 BOND INFORMATION INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES FUNCTION TEST KHET 9/10/2020 9/10/2020 APPROVED REMOTE VIDEO INSPECTION FIRE FINAL**KHET 9/10/2020 9/10/2020 APPROVED REMOTE VIDEO INSPECTION REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST PERMIT TECH (1 DAY) AARON HICKSON 5/20/2020 5/21/2020 5/21/2020 COMPLETE 1ST FIRE (2 WK)KOHL HETRICK 5/20/2020 6/3/2020 6/2/2020 APPROVED SEE ATTACHMENTS 2ND FIRE (1 WK)KOHL HETRICK 8/13/2020 8/20/2020 8/13/2020 APPROVED CHANGE OF SYS MODEL REVISION TO CHANGE SYSTEM MODEL FROM BUCKEYE TO ANSUL. SEE CHRONOLOGY FOR ADDITIONAL DETAIL. PARENT PROJECTS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 $10.00 5/20/20 WEB5223 00982G CREDIT Jason Pivnik EPRS Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 5/20/20 WEB5223 00982G CREDIT Jason Pivnik EPRS Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 TOTALS:$820.00 $820.00 Printed: Thursday, February 16, 2023 3:33:50 PM 4 of 5 Permit Details City of La Quinta PERMIT NUMBER FS2020-0006 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 8/13/2020 EtrakitContractor Revised plan for change of system manufacturer 79024 Hwy 111 - HFS plans - Ansul.pdf 1 DOC 8/13/2020 EtrakitContractor Installer and designer certification for Ansul Ansul Cert.pdf 1 DOC 8/13/2020 EtrakitContractor Manufacurer design manual for revised plan Ansul R-102 Manual.pdf 1 DOC 5/20/2020 EtrakitPublicReg CONTRACTOR LICENSE Delta C16 pocket card.pdf 1 DOC 5/20/2020 EtrakitPublicReg INSURANCE Evidence of Insurance 2020 -2021.pdf 1 DOC 5/20/2020 EtrakitPublicReg letter of authorization to pull permits Delta letter of authorzation and notary.pdf 1 DOC 6/2/2020 KOHL HETRICK FS2020-0006 - COA and JOB CARD.pdf FS2020-0006 - COA and JOB CARD.pdf 1 DOC 8/13/2020 KOHL HETRICK FS2020-0006 - REVISED APPROVED PLANS.pdf FS2020-0006 - REVISED APPROVED PLANS.pdf 1 Printed: Thursday, February 16, 2023 3:33:50 PM 5 of 5 Permit Details City of La Quinta PERMIT NUMBER FS2020-0006 03/23/2020 Tutton Insurance Services 2913 S Pullman Street License #0B89376 Santa Ana CA 92705 Certificate Department (949) 261-5335 (949) 261-1911 Madgriff Corporation, DBA: Delta Fire Protection and Equipment 7356 Fulton Ave. North Hollywood CA 91605 Hudson Excess Insurance Company 14484 Ins Company of the West 27847 20-21 GL/WC/UM/Prof A FSL00033101 01/31/2020 01/31/2021 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 Errors & Omissions 1,000,000 A 10,000 FSLU00015601 01/31/2020 01/31/2021 2,000,000 2,000,000 B Y WSD503314804 03/14/2020 03/14/2021 1,000,000 1,000,000 1,000,000 A Work Site Limited Pollution Coverage FSL00033101 01/31/2020 01/31/2021 Each Occurrence $1,000,000 Deductible $2,500 RE: Evidence of Insurance Evidence of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERALAGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'LAGGREGATE LIMITAPPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY OFFICE OF THE FIRE MARSHAL – LA QUINTA 78495 Calle Tampico, La Quinta, CA 92253 • Phone (760) 777-7074 • www.rvcfire.org June 2, 2020 Delta Fire Protection Jason Pivnik 7356 Fulton Ave. North Hollywood, CA 91605 Re: Kitchen Suppression System Plan Review – PIEOLOGY FS2020-0006 / 79024 HIGHWAY 111, LA QUINTA, CA 92253 The plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department and are approved with the following conditions: o Operation instructions must be posted in a visible location. o The hood/duct system must be monitored by the fire alarm system if building is currently monitored. o In a pre-engineered system, only listed components from a single manufacturer shall be used. o When hood/duct system is activated, the gas supply, electric supply, and make up air must automatically shut off. The hood exhaust fan shall remain on after system activation. o A “K” rated extinguisher must be mounted in the kitchen area. The “K” rated extinguisher shall not substitute for the required conventional dry chemical extinguishers in the kitchen. The following inspections/tests shall be witnessed by the Fire Department: o System operation checkout and final test to be performed by the installer. Alarm company representative must also be present at the time of hood/duct inspection. The Fire Department approved plans and conditions letter must be at the job site. Applicant/installer shall be responsible to contact the Fire Department to schedule inspections. Requests for inspections are to be made at least 48 hours in advance and may be arranged by calling (760)777-7131. All questions regarding the meaning of these conditions should be referred to the Office of the Fire Marshal staff at (760)777-7074. Kohl Hetrick - Fire Safety Specialist 78495 CALLE TAMPICO, LA QUINTA, CA 92253 / 760-777-7000 / INSPECTION HOTLINE: 760-777-7131 RIVERSIDE COUNTY FIRE PROTECTION PLANNING RECORD OF INSPECTIONS / PERMIT CARD THIS CARD IS TO REMAIN ON SITE AT ALL TIMES. INSTALLING CONTRACTOR MUST BE PRESENT FOR ALL INSPECTIONS. SEE NOTES ON REVERSE SIDE. JOB ADDRESS: 79024 HIGHWAY 111 PERMIT#: FS2020-0006 DATE ISSUED: 6/2/2020 DESCRIPTION: HOOD & DUCT SUPPRESSION SYSTEM CONTRACTOR: DELTA FIRE PROTECTION HYDRANT SYSTEM DATE INITIALS SPECIAL SUPPRESSION DATE INITIALS Thrust block pre-pour Door fan test UG rough piping Abort test UG hydro Mechanical shutdown Flush Detector test Final E F Deluge/pre-action SPRINKLER U.G. Final E F Thrust block pre-pour UST/AST TANK UG rough piping Installation UG hydro Removal Flush Emergency shut off Final E F Primary piping FIRE SPRINKLER Secondary piping Weld inspection Dispensers & shear valves Overhead rough piping Final E F Overhead hydro MISC. INSPECTIONS UG flush / OK to connect Spray booths Main drain/inspectors’ test Hood/duct extinguishing High pile storage High pile rack storage In-rack sprinklers H.P. vents/access/corridors Hose racks Tract access/hydrant verification Final E F Access & Address verification HOOD EXTINGUISHING OTHER CONST. PERMIT Detection system Function test Gas/electrical shut-off Nozzle model/placement Fire alarm connection Final E F SPRAY BOOTHS FIRE CODE PERMIT(S) Installation Air flow test Mechanical interlock Extinguishing system Fire alarm connection Final E F FIRE ALARM KNOX SYSTEM Rough-wire inspection Building Knox box Function test Gate access Knox box/padlock Duct detectors/velocity BUILDING INSPECTIONS 24 hr. battery test T/I final Sprinkler monitoring Shell final Final E F Final for occupancy FINAL INSPECTION DATE: INSPECTORS SIGNATURE: **WHEN CALLING FOR AN INSPECTION PLEASE HAVE PERMIT NUMBER READY. SEE NOTES ON REVERSE SIDE** 78495 CALLE TAMPICO, LA QUINTA, CA 92253 / 760-777-7000 / INSPECTION HOTLINE: 760-777-7131 INSPECTION NOTES 1. Sway bracing and hangers will be inspected at the time of rough piping inspection. 2. All required hydrostatic pressure tests shall maintain 200 psi for a 2-hour duration. (EX: Residential Fire Sprinkler Systems) 3. Fire sprinkler system remodels: if indicated on plans or this card, a hydrostatic pressure test shall be required. 4. All underground joints and thrusts blocks shall be exposed and readily visible during the hydrostatic test. 5. Contractor shall supply all testing equipment, access and operating instructions at time of test. 6. All systems shall be inspected, tested, and approved by a Fire Inspector before any work is started that may cause the affected system to be covered or hidden. POLICIES ON FIELD INSPECTIONS A. INSPECTION REQUESTS: Inspections are made subject to availability. Please have the permit number available when scheduling inspections. For City of La Quinta inspections call: (760) 777-7131. B. APPROVED PLANS: Shall be kept on the job site at all times that work is in progress. Work shall NOT commence without approved plans. C. INSPECTION REQUESTS: As required by the California Fire Code, the appropriate installing contractor shall be required to schedule the necessary inspections and be present on site for inspections. D. RE-INSPECTIONS: Will be charged against a permit when an inspection has failed, is not ready, the responsible party not on site or where previously noted corrections have not been completed. E. COMMODITIES: Unless otherwise noted on approved plans or letter of conditions, no commodities shall be entered into the structure until clearance has been granted by the Fire Dept and Building Official. F. OCCUPANCY: Buildings shall NOT be occupied by persons other than construction workers until a Final Fire Clearance has been granted by the Fire Dept and a Certificate for Occupancy has been issued by the Building Official. INSPECTION NOTES: THIS CARD IS REQURIED TO BE POSTED AT THE CONSTRUCTION SITE. THIS CARD AND APPROVED PLANS MUST BE AVAILABLE AT THE CONSTRUCTION SITE FOR ALL INSPECTIONS. THIS PERMIT SHALL EXPIRE AND BECOME NULL AND VOID IF THE WORK AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS OR MORE. THIS PERMIT IS FOR FIRE DEPARTMENT APPROVAL ONLY AND DOES NOT INTEND TO ABROGATE MORE RESTRICTIVE REQUIREMENTS OF OTHER AGENCIES HAVING RESPONSIBILITY.