BCOM2017-0040BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Permit Number:
Property Address
APN:
Legal Description
Property Zoning:
Valuation:
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 10/23/2017
ISSUED DATE: 01/19/2018
CALIFORNIA
Building Commercial Owner: Sprouts Farmers Market
BCOM2017-0040 5455 E. HIGH Street, Ste. 111, Phoenix, AZ 85054
79050 HIGHWAY 111 Applicant: Jennifer Creason
600390029 6800 Antioch, Ste. 300, Merriam, KS 66204
Contractor: ART GAUTREAU INC DBA AGI GENERAL
CONTRAC
8210 KATELLA AVENUE SUITE I, STANTON, CA
$1,000,000.00 90680
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.Ieginfo.ca.gov/calaw.htm1.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 5/9/25 11:50 am Page 1 of 5
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2017-0040
Property Address: 79050 HIGHWAY 111
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
Printed: 5/9/25 11:50 am Page 2 of 5
Permit Type
Building Commercial
BUILDING PERMIT
Permit Number:
Property Address
BCOM2017-0040
79050 HIGHWAY 111
REPLACING OLD EQUIPMENT WITH NEW EQUIPMENT *** NO NEW STRUCTURAL AND NO NEW HOODS #111# REPLACING OLD
EQUIPMENT WITH NEW EQUIPMENT *** INTERIOR TENANT IMPROVEMENT TO EXISTING SPROUTS GROCERY STORE (M
OCCUPANCY) REPLACEMENT OF STORE FIXTURES, NEW REFRIGERATION EQUIPMENT IN SALES AREA, NEW PLUMBING,
ELECTRICAL FOR REFRIGERATION EQUIPMENT IN SALES AND MULTIPLE PREP AREAS. NEW PARTITION IN BAKERY. 2016 CODES.
**PLANS INCLUDE SHELVING ANCHORAGE**
,instruction Det;:.
Commercial Work Type Remodel
Building/Unit
M: Stores, Markets, Gas
Gross Square Footage 26685
Occupancy
Station
Classification(s)
Conditioned Square 0
Fire Sprinkler Square
26685
Construction Type V-B
Footage
Footage
Code Edition 2016
Remodel Area Square
19932
Number of Partition(s) 1
Footage
New Electrical Square 0
Number of
19
Number of 13
Footage
Receptacle/Switch/Lig
Non -Residential
ht(s)
Appliances
Number of 1
Miscellaneous
11
Number of Plumbing 7
Condenser(s) Mechanical Fixtures/Traps
Back Flow Prevention Yes Transportation Uniform No City Development No
Device? Mitigation Fee Impact Fee Applicable
Applicable
Art in Public Places No
Fund Exempt
Type Group Sq Ft Value
Printed: 5/9/25 11:50 am Page 3 of 5
Permit Type
Building Commercial
BUILDING PERMIT
Permit Number:
Property Address
BCOM2017-0040
79050 HIGHWAY 111
Invoice No. Fee
PERMIT-BCOM2017-00� REMODEL, EA ADDITIONAL 500 SF
0 REMODEL, EA ADDITIONAL 500 SF PC
OTHER MECHANICAL EQUIPMENT PC
BACKFLOW DEVICE PC
RECORDS MANAGEMENT FEE - MAJOR
PLAN CHECK DEPOSIT - ADDITION/REMODEL
APPLIANCES, NON-RES
BACKFLOW DEVICE
FIXTURE/TRAP
DEVICES, FIRST 20
CONDENSER/COMPRESSOR
PARTITION
APPLIANCES, NON-RES PC
REMODEL, FIRST 100 SF
PARTITION PC
DEVICES, FIRST 20 PC
REMODEL, FIRST 500 SF PC
BSAS SB1473 FEE
Credit Card Fee
TECHNOLOGY ENHANCEMENT FEE
CONDENSER/COMPRESSOR PC
Total for Invoice PERMIT-BCOM2017-0040
Fee Amount
Amount Paid
$936.40
$936.40
$748.80
$748.80
$429.11
$429.11
$10.40
$10.40
$20.00
$20.00
$125.00
$125.00
$338.13
$338.13
$26.00
$26.00
$48.60
$48.60
$26.01
$26.01
$39.01
$39.01
$78.02
$78.02
$338.13
$338.13
$53.05
$53.05
$143.56
$143.56
$26.01
$26.01
$145.12
$145.12
$40.00
$40.00
$2.70
$2.70
$5.00
$5.00
$26.01
$26.01
$3,605.06
$3,605.06
Grand Total for Permit $3,605.06 $3,605.06
Workflow Step / Action Name
Action Type Start Date End Date
Inspections v.1
10/23/2017 0:00
----------------------------------------------------------------------------------------------------------------------------------------
FINAL"* v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
UNDERGROUND ELEC v.1
Inspection
UNDERGROUND PLBG v.2
Inspection
UNDERGROUND PLBG v.1
Inspection
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Printed: 5/9/25 11:50 am Page 4 of 5
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2017-0040
Property Address: 79050 HIGHWAY 111
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
iurisdiction shall not be valid.
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the buildina official.
Printed: 5/9/25 11:50 am Page 5 of 5
P,crrr mg hql, and,h, Envl. ,—,
County of Riverside
DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. BOX 7909 • RIVERSIDE, CA 92513-7909
STEVE VAN STOCKUM, DIRECTOR
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Plan Check # 40014 Date 11-13-17
Project Name Sprouts Address 78-621 Highway 111, Indio CA
Plans Submitted by Jennifer Creason Phone 913-236-3460
Owner Sprouts Farmers Address 3535Harbor Blvd. #100, Costa Mesa Phone
Market CA 92626
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
1. Provide certified air balancer report for exhaust and make up air units prior to final inspection.
2. Provide a grease interceptor approval from sewer district, contact John Riddle of Riverside County Water
and Land use Division at 760-863-8287 for more information.
3. Provide an approved HACCP plan prior to using the Vario Smoker. Contact Sarah Crossman at Riverside
County Environmental Health at 951-766-2824.
4. Provide approved backflow device on the water line to the Rational combi-steamer unit.
5. Floor sinks under all cabinetry and refrigeration must be half exposed. The back half of the floor sinks
must have a one inch berm (can be concrete or stainless steel).
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
Phone 760-863-8287
1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
construction:
Signature
Date
Company Name
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. Pasco 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
Building Permit Number:
Project Description: New Restaurant
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date 11/28/2017
Job Site Address 79050 Hwy 111
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
City Approval By
Date of City Approval
(Materials To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse'
`Describe Items
Inventrust Property Management
6 Centerpoint Dr. suite 700
La Palma, CA. 90623
714-367-8429
maddona.mcadamainventrustom com
Brian Hoehn
913-262-9095
brian.hoehnobrrarch.com
Spouts Farmers Market
5455 East High St suite III
Phoenix, AZ. 85054
Approx. 17,889 square feet
Renado Gouldiock-DEC/Burrtec Waste
Tons
6.00 Not recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
9.50 Recyclable
0.90 Recyclable
0.00 Recyclable
Totals: Recycle Trash
11.8 1 6.0
Product
Masonry (broken)
Plaster
Scrap Metal
Tile (floor)
Tile (roof)
Wood
Landscape Debris
Tons
0.00 Recyclable
0.00 Recyclable
0.00 Recyclable
0.50 Recyclable
0.40 Recyclable
0.50 Recyclable
0.00 Recyclable
Projected Diversion:
66.29%
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
Owner / Developer / Project Manager / Superintendant Date
Construction Debris Management Plan
Summary of Requirements
As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction
of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in
accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under
certain conditions.
The City of La Quinta is committed to the highest level of environmental respect, to conserving our
precious natural resources and setting an example to provide for a better world for generations to
come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs.
IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise
hauler. If you choose to self -haul any recyclables or trash, you must
provide copies of all weight tickets and/or receipts from the transfer
station, landfill, or recycler as the job progresses. Clean-up companies
and other haulers are not permitted to haul waste or recyclables from the
City of La Quinta. Self -haul weight tickets should be submitted to:
Renado Gouldlock, District Environmental Coordinator -
rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to:
41575 Eclectic Street, Palm Desert, CA. 92260.
Before applying for your permit...
Now Requ'rament
A requirement that applies to every city and
county in California is the 2010 Green Building
Standards Code (CAL Green). Effective
January 1, 2017, most newly constructed
commercial and residential buildings are
required to develop a waste management plan
and divert at least 65% of the construction
materials from landfill by recycling or reusing
them. (Sections 4.408 & 5.408, CAL Green).
Complimenting the state requirement, the City
of La Quinta requires most construction,
demolition, remodel, and tenant improvement
projects to divert a minimum of 50% of jobsite
waste from landfilling. Diversion means
recycling or reusing unwanted materials rather
than disposing of them as trash.
Prior to issuance of a building permit, the
contractor or property owner must submit a
Construction & Demolition Debris Management
Plan to the City. This is accomplished through
these simple steps:
1. Call the City's District Environmental
Coordinator (through Burrtec) at (760)
674-1026. You will receive free
assistance in preparing your C&D
Debris Management Plan and will be
provided guidance toward compliance.
Most plans can be prepared within one
working day of your initial call.
2. Once the plan is prepared, you will
receive a copy to sign and date. Please
submit this to the Community
Development Department and keep a
copy for your records.
3. You may contact the District
Environmental Coordinator anytime
during your project for guidance.
Please note:
Burrtec Waste & Recycling is the exclusive
franchised hauler for the City of La Quinta. It is
illegal for clean-up companies and other
haulers to haul waste from your project. Self -
hauling is permitted under certain conditions.
The District Environmental Coordinator will
explain your options.
Recycling, salvaging, or reusing construction
material can save you money by reducing your
disposal costs. In most cases, the tipping fees
are higher at landfills and transfer stations
than at recycling facilities. Below is an example
of the potential savings:
Total cost: $1,038 $472
RECYCLING SAVINGS: �$566
The rates shown above are representative of
recent costs. However, they do fluctuate
slightly due to market conditions and other
factors. Check with Burrtec's District
Environmental Coordinator prior to starting
your job for the approximate current rates.
Recycling is good for the planet
and your bottom line.
District Environmental
Coordinator, Renado Gouldlock
(760) 674-1026