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BCOM2020-0010DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Building Commercial Permit Number: BCOM2020-0010 Property Address: 79024 HIGHWAY 111 STE 103 APN: 600390029 Legal Description Property Zoning: Valuation: $160,000.00 BUILDING PERMIT eca Qa�&a CALIFORNIA Owner: PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 02/06/2020 ISSUED DATE: 06/11/2020 INLAND AMERICAN LAQUINTA PAV P O BOX 9271, OAK BROOK, IL 92253 Applicant: PETER PUN - J P SERVICE INC DBA J P CONSTRUCTION CO 2714 STINGLE AVE, ROSEMEAD, CA 91770 Contractor: J P SERVICE INC DBA J P CONSTRUCTION CO 2714 STINGLE AVE, ROSEMEAD, CA 91770 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.leginfo.ca.gov/calaw.html. 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 application does not relieve that person of the requirement to give 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 3:33 pm Page 1 of 6 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2020-0010 Property Address: 79024 HIGHWAY 111 STE 103 construction lender preliminary notice from that duty. Printed: 5/9/25 3:33 pm Page 2 of 6 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2020-0010 Property Address: 79024 HIGHWAY 111 STE 103 PIEOLOGY / 2,843 SF RESTAURANT TENANT IMPROVEMENT *** PIEOLOGY / 2,843 SF RESTAURANT TENANT IMPROVEMENT W/ NE PATIO EXPANSION [VB/A-2-OCC/96-OL/SPRINKLED]. THIS PERMIT DOES NOT INCLUDE BUILDING SIGNAGE OR HVAC EQUIPMENT REPLACEMENT. PATH OF TRAVEL UPGRADES INLCUDE PARKING CHANGES AND DETECTABLE WARNING INSTALLATIONS. TUMF ASSESSMENT NOT TRIGGERED PER 2018 HANDBOOK. 2019 CALIFORNIA BUILDING CODES. ,inntructinn Det;:. Commercial Work Type Remodel Building/Unit A-3: Churches, Gross Square Footage 5100 Occupancy Gymnasiums Classification(s) Conditioned Square 2843 Fire Sprinkler Square 5100 Number of Floors 1 Footage Footage Occupant Load 96 Construction Type V-B Code Edition 2019 Remodel Area Square 2843 New Electrical Square 2843 Number of 1 Footage Footage Condenser(s) Number of Ventilation 4 Number of Exhaust 1 Miscellaneous 1 Fan(s) Hood(s) Mechanical Number of Plumbing 15 Number of Water 1 Water System Install Yes Fixtures/Traps Heater(s) or Alteration? Number of Gas 3 Transportation Uniform No Number of Dispensing 1 Outlet(s) Mitigation Fee Units - Gas (TUMF) Applicable City Development No Art in Public Places No Impact Fee Applicable Fund Exempt Type Group Sq Ft Value Printed: 5/9/25 3:33 pm Page 3 of 6 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2020-0010 Property Address: 79024 HIGHWAY 111 STE 103 Invoice No. Fee Fee Amount Amount Paid PERMIT-BCOM2020-00, NON-RESIDENTIAL, EA ADDITIONAL 2,000SF PC $10.73 $10.73 0 REMODEL, EA ADDITIONAL 500SF $144.90 $144.90 REMODEL, FIRST 100SF PC $149.73 $149.73 BSAS SB1473 FEE $7.00 $7.00 NON-RESIDENTIAL, FIRST 2,000SF $120.75 $120.75 RECORDS MANAGEMENT FEE - MAJOR $21.00 $21.00 HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEE $190.00 $190.00 FIXTURE/TRAP $201.30 $201.30 CONDENSER/COMPRESSOR PC $26.83 $26.83 EXHAUST HOOD $13.42 $13.42 GAS SYSTEM, 1-4 OUTLETS $13.42 $13.42 PLAN CHECK DEPOSIT - ADDITION/REMODEL $125.00 $125.00 WATER HEATER/VENT PC $8.05 $8.05 VENT FAN PC $21.48 $21.48 ART IN PUBLIC PLACES - COMMERCIAL REMOD $300.00 $300.00 FIRE COMMERCIAL TI PC $242.00 $242.00 TECHNOLOGY ENHANCEMENT FEE $5.00 $5.00 REMODEL, EA ADDITIONAL 500SF PC $115.92 $115.92 WATER SYSTEM INST/ALT/REP PC $13.42 $13.42 EXHAUST HOOD PC $5.37 $5.37 SMI - COMMERCIAL $44.80 $44.80 FIXTURE/TRAP PC $201.30 $201.30 GAS SYSTEM, 1-4 OUTLETS PC $26.83 $26.83 OTHER MECHANICAL EQUIPMENT PC $40.25 $40.25 OTHER MECHANICAL EQUIPMENT $40.25 $40.25 WATER HEATER/VENT $13.42 $13.42 ALTERATIONS/ADDITIONS - NON-RESIDENTIAL $161.00 $161.00 FIRE COMMERCIAL TI $125.00 $125.00 WATER SYSTEM INST/ALT/REP $13.42 $13.42 FIRE COMMERCIAL TI $36.00 $36.00 NON-RESIDENTIAL, EA ADDITIONAL 2,000SF $40.25 $40.25 CONDENSER/COMPRESSOR $40.25 $40.25 NON-RESIDENTIAL, FIRST 2,000SF PC $93.38 $93.38 REMODEL, FIRST 100SF $54.74 $54.74 HOURLY CHARGE - CITY BUILDING STAFF $161.00 $161.00 VENT FAN $53.68 $53.68 Total for Invoice PERM IT-BCOM2020-0010 $2,880.89 $2,880.89 Grand Total for Permit $2,880.89 $2,880.89 Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 02/06/2020 0:00 FINAL" v.2 Inspection ........................................................................ PLANNING FINAL v.1 Inspection ....................................................................................................................................... FINAL" v.1 Inspection Printed: 5/9/25 3:33 pm Page 4 of 6 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2020-0010 Property Address: 79024 HIGHWAY 111 STE 103 T/I FINAL v.1 Inspection --- ---------- T-BAR/OVERHEAD v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- GAS LINE/TEST v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- FRAMING v.6 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- DRYWALL NAIL v.3 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- OVERHEAD ROUGH PIPING v.2 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- ROUGH MECH v.2 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- ROUGH-WIRE INSPECTION v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- FRAMING v.5 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- ROUGH MECH v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- SLAB v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- FOOTINGS v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- FRAMING v.4 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- OVERHEAD ROUGH PIPING v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- DRYWALL NAIL v.2 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- DRYWALL NAIL v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- FRAMING v.3 Inspection -------------------- - - - - - - ROUGH PLBG v.1 Inspection -- - - - - - - - - - - - - - - - - - - - - - - - - FRAMING v.2 Inspection -- -- -- -- -- -- -- -- --......................................................................................................... ROUGH ELEC v.2 Inspection ------------------------------ UNDERGROUND PLBG v.2 ............................................ Inspection ------------------------------------------------ UNDERGROUND PLBG v.1 Inspection ----------------------------------------- - - - - -- FRAMING v.1 Inspection ------------------------------ - - - - -- ROUGH ELEC 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. 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. Printed: 5/9/25 3:33 pm Page 5 of 6 BUILDING PERMIT Permit Type: Building Commercial Permit Number: BCOM2020-0010 Property Address: 79024 HIGHWAY 111 STE 103 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 building official. Printed: 5/9/25 3:33 pm Page 6 of 6 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: 79024 HIGHWAY 111 STE 103 Use classification: ASSEMBLY_- RESTAURANT Occupancy Group: A-2 Code Edition: 2019 LIM Date: Building Official: JAKE FUSON 9/15/2020 AJ ORTEGA Type of Construction: VB Sprinkler Installed: YES Building Permit No.: BCOM_2020-0010 Land Use Zone: CR Occupant Load: 96 Owner of Building: INLAND AMERICAN LAQUINTA PAV Address: City, ST, ZIP: POST IN A CONSPICUOUS PLACE P 0 BOX 9271 OAK BROOK, IL 92253 County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. BOX 7909 • RIVERSIDE, CA 92513-7909 KEITH JONES, DIRECTOR FOOD ESTABLISHMENT PLAN APPROVAL NOTICE Plan Check # 47138 Project Name Pieology Plans Submitted by Peter Pun Date 2-6-2020 Address 79024 Highway ste. 103 & 104. La Quinta Phone 626-572-9181 Owner Michael Sheehan Address same Phone The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. Provide radius cove base at soda station. 2. The hot water heater must be a minimum 50 gallon. There is discrepancy on page P-0 _ and K1 as to which hot water heater ou will be using. Please clarify prior to install. 3. Provide air balance report for exhaust and make up air. 4. Provide grease interceptor letter from sewer agency, 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 "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 Tracey Ford Phone 760-863-8287 I 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 Sprints Rivemide-west Riverside- Ex -it 2275 S �latn -it e204 tilltl S Sanderson a'LKI 4 950:1raU1a SCW 1874t1 Fky Canyon I1r Ca 92 W i44 S PAWO PM)tei Palm spring%. C i AIM C ounic L irdc WO Lemon %L Riverside. CA 92103 RNc111dc, Ca 92 V I C.orunA, Ca 92802 HcmeL, a 92145 Indio. CA 92201 (951) 271-9140 (9511766.2824 176o)363.8287 %lumcta, (951) 461 0284 92164 (9511 M W2 19ih 95i S982 W 120 1048 Office Locations • Blythe • Corona a Hemet a Indio • Murrieta • Palm Springs • Riverside Phone (888)722-4234 www.rivcoeh.org zo� COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: Jun 5, 2020 Subject: PM 2935s , THE PAVILION AT LA QUINTA, 79024 HIGHWAY 111. LA QUINTA STES 102 8,103, PIEOLOGY MICHAEL SHEEHAN Project: 20-11037 79024 HIGHWAY 111, Project Date: 05J0712020 STE'S 102 & 103 Amount Due: $3,604.21 LA QUINTA, CA92253 GEO. 05-07-29-2 Planner: SARA LOPEZ TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK Units CD Fee Type Description Charge Total Amount Amount 1.00 SA APP/WAIVER FEE SOURCE CNTRL $50.00 $50.00 1.00 MR METER REMOVAL_ S110.00 $110.00 0.71 FJ SCC-TREATMENT $2,436.00 S1.729.56 0.71 FF SCC-COLLECTION $2.415.00 $1.714.65 $3,604.21 Paid 3 p 1 Development Services Department GK#�035 JUN 112020 CO&Ct011la Valley Water D+aui ct 75-515 Ha" Lane Palm Cie AC i111 Subject: PM 29351, THE PAVILION AT LA QUINTA, 79024 HIGHWAY 111. LA QUINTA STIES 102 & 103. PIEOLOGY COCHELLA VALLEY WATER DISTRICT P.O BOX 1058, COACHELLA. CALIFORNIA 92236 (760) 398-2651 # y30 COACHELLA VALLEY WATER DISTRICT 75-51S Hovley Lane Ea3t Palm Desert, California 92211 (760)398-2651 APPLICA770N FOR WASTEWATER SOURCE CONTROL PLAN APPROVAL APPL1CAMr Str6 mt Ilus farm wtlh a tbpy of s SCALLll plot plant 1 "-:0' to I' - 40 SCALE) lrawn w Distract spccltlutitev A nortrerl rwublc filing Ctx is mgw:ed "fwn the epphaotron +s subrntttod Ch" mutt be made payable to the CwheUn Veil W¢1er Ralnct I tried na to tvtecod one it)) -au from date of vmrnt 14OTP: ALL' j Approvat Atha spill WCA rED N k'1 va id Len W t1S.ili6 Dit,CJ1AR�PtG FAT.Ol1-. Al�'i7�?It_ y`£. LQCA7'ED [N �i►1ti1.TJ- S• '1`fzBLTLp1NG yyLtl is�lEQIIiRE A Si P�l�2ATE L 1on:M21 ndgaxD)y �i S�WE1i UNEFORACAFASt RCEFTOR CVWD Saunas Coslrt►l will lorptct tAc iilpot d Orax plarobing and IMt installed laurieplor. Please can (760) 392-�.bi1 )0136 4d lsozlo sddi-aact to srbrda4 im Hfeel s �K •aorer•r, omn ,• �dQret. 4161C lip i[Irpmm IkIv I l; nt►r c>..._—_ -- - .. i r— - GI S_An_i9�����a.� 1v 7��cAsq 9� GA-111 o 0-A,t �IG:-ltalrb CA 9 Z 3 . N T� Ue.r� nurmeq u NOTE: NO PLANSWILL. BE APPROVED t1NT11. T1115 APPLICA170V I5 COMPLETE AND PLAN CHECK FEES ARE PAID. ryp. of Coasttvetlan: :ew ❑Remodel Hours of nstian: 0 For Vehkit Service; —• Coolitts Toerer(s) O 0 Wand Bays D Trench Drains ( fl For Food Strvlrx. D Water Softener D Garbayc Grinder(s) O Digetter(s) D Roll over O Service bay(s) __ Muhiservict (reusettia)_� �o Single Service (disposable) (36% O Tunacl(s) O Pam Washer Seating Capacity. Internal _ e. External- 0 O Spill Containment (Solvent D Aqueous ❑ ) Seating with Mi.tcrts or Ntaten T - '- 0 N dnaulicLifl s OWorit Siok(t Aar Seatin Bar Sealing with Food Servioc All OUNFA/U PRESEWATIVE DECLARATION: I waif) that I huva rAd the entire application and state ;ha: all lnforntallon iscomccL 1 that the fee amount is based on my deolantion of lalomtation un chit form and that incurs ct infonnatwa is grounds for rrtijccti I of the understand submitted plsane. I also understand that plans ma) be discmded if not picked up µithin sixty (60) da)s of approval rat return and that tin District inspection of my criWM*meni will be conducted tin 61 Al rcqucsted infon luln has been received and Plans have been approved. Signature - _ �- ()ate _ � ' C?-(d a ofSysurris EMA RKS: _ Pi tASt� inn t Now w1 E 71' ""rAomt9► I Pcatmcnt Lqutpntcnt O New tt7Exisring (W Grease Interceptor ❑ G-ase In ercefAor,,'rived O C0r1nCC( to Sewer O Additinn D Sund/011 D Replacement O Lint Tmp O Point of Cunnet:tian Sample Station O Clarifer D D• asters) Ph Vv r r 1N Mil—p5Ak3 �- 1lhlcs� cal�asirK5,Poor n19 appucauon rat: 3( Conditionalh' Appm%ed• ev..'o__.--I._ SI nature D fl"r a- - ZO ZO j ^i- Gli (ow PA ❑ Approved P1 LIT) V1\ D l0 _ fer S Checl No. Date 1-� — Initial _ 7/10/2020 noname City of La Quinta SPECIAL INSPECTORS REPORT ADDRESS: 79024 Highway 111 Suite 103 PROJECT NAME: TI P1eology Pizza BUILDING PERMIT NO: BCOM2020-0010 This certifies that I performed special inspection on the following portion of the work at the above address: Located at exterior foundation level, proper installation was completed of #4 epoxy slab dowels @32" o.c. Total of 36 dowels, Installed with Simpson Set XP Epoxy Adhesive ICC/ESR No. 2508. Inspection passed. Bandon Irry�lVarSn1�dM�nfepOrl�lflf��nikt�myp�g'larl �al�erdK�llf4es pe�lr�ldo�ebesld�ykurbfaoge�aorn�aoeu�l �a�ilo�p�� ors �lheap�excrE.�xsq�� Go wgBuiany lode. 7 Sp I Inspector's Signature Ismael Cordero 310-930-5515 Please Print Name cc: ClienVOwner ArchitectlEngineer OW INTERNATIONAL CODE COUNCIL 07/09/20 _ Date ICC No. 1010614/San Diego No. 1236 Deputy Inspector Number https://mail.google.com/mail/u/2/#inbox/FMfcgxwJWjFCJtwtWJxXSQcvNtXbgmXs?projector-1 &messagePartld=0.0 1/1 `14 4 441114a PATH OF TRAVEL UPGRADE DETERMINATION DATE: 7 20z0 ADDRESS: -7lgo2-+ CA -lit ij !ZTO�j 0) STATUS: DESCRIPTION:—fAit�An�. T `, PLAN CHECKED BY: APPLICANT: �Fi—i� (� ILI t, S TELEPHONE NUMBER: PLAN CHECK #: In accordance with the 2016 California Building Code (CBC) Section 11B-202.4, exception 8, the cost of compliance with Section 118-202.4 is allowed to be limited to 20% of the adjusted construction cost of the alterations, structural repairs or additions when the adjusted construction cost does not exceed the current valuation threshold. Construction co4 fu proposed project (not including costs of improvements to the path of travel to the area of alteration): $ - i " (A) Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not provide on accessible path of travel to the area of alteration (as applicable): $ �� (B) Adjusted construction cost (C) = (A) + (B) $ OU c (C) PATH OF TRAVEL CONSTRUCTION COSTS: Elements serving the area of Is element in alteration based on priority compliance with current Chapter 11B? (Y/N) 1. An accessible entrance 2. An accessible route (interior and exterior) to the altered area 3. At least one accessible restroom for each gender or a single accessible unisex, single user or family restroom 4. Accessible public telephones 5. Accessible drinking fountains 6. When possible, additional accessible elements such as: a. Parking b. Storage c. Signs e. Other Total cost of providing compliant path of travel elements: If not, will element Proposed cost of be upgraded to compliance with current Chapter current 11B? (Y/N) Chapter 118, l5 FA —Fla COST OF PATH OF TRAVEL UPGRADES AS PERCENTAGE OF ADJUSTED CONSTRUCTION COST: Compliance of path of travel upgrades as % of adjusted construction % / cost: (E)% = (D) / (C) �, a Note: This may not be less than 20% Non -Residential Plan Check Correction List Page 4 of 4 OfP) I �ItiD10 A(It Ir NiA rQA 71i County of Riverside 4I9S0 "",A St. 1Er DEPARTMENT OF ENVIRONMENTAL HEALTH vamp tttes) 722-4234 • rivcoch.or[ thvs,na U8/ 1 Oi2020 000001 Uepartteent of F:n%ironmental llealth Fite 99465 4 2wo IlWa I oo02 P.O. Box 7909 TVA 774600 $1106. 00 Iliverside. CA 92513-79M Sit. 8106 E1L5 CIIEU( s1 3Oe• 00 APPLICATION TO OPERATE A FOOD FACILITY 1 Jr ( •aunty Code 4.52 and the Calitomia Hcalth and Safct7 Code I THIS APPLICATI N IS FOR: [.� NEW OPERATION Q RE-(JPETi1T1G A Cl cnfl) F At 11-1TY _ 1Q ANNUAL RENEWAL. Q t.IIIANOE OP OWNERSHII NAMES OF OWNER: Anki iG LB& _PEA . ADDRESS OF DBA: Sat, I03 cmr: L�(�r:nt?� v sTATe: zip: QzK'3 BILLING ADDRESS: 7q0 l'iW (lt 45,jotp_ 10a CITY. L•Q 4J.A' - _ STA7E-<_ft ZIP. Qu`3 PREVIOUS NAME OF ESTABLISHMENT AT THIS LOCATION (IF ANY) - DATE YOU PLAN TO OPEN: 912.-q (2-02.0 DID YOU OPERATE THIS BUSINESS LAST YIP-Alk' NO FOOD FACILIT% P FOOD FACILITY TYPE 1-2.000 Sa R 2.001.5.ON SOX � ROOD MARKET ................................. _ S687 477 ESTAURANT ... $734 41.1 ❑ BAR .... 1, ..... .._.._—--....- S 1.399 $734....................I......_ ❑ i00% PRE-PACKAGED$550................................... Sa28...... 46 100% PRE -PACKAGED NON PHF - LESS THAN 300 SO FT................. 2 ❑ ADDITIONAL FOOD OPERATIONS WITHIN A FOOD FACILITY ....-. ............ +��_. S2rJ4 ❑ PRODUCE STAND ................... ....... ..... ...................... $374 -1] FAFUAB? ^_.....� .........5280 ❑ COMMISSARY. ....................................................................................................................».........................................._. S6 50 ❑........................._...... S39I NON-PROFIT SEASONAL SNACK BAR ..._..........._..... - ..•_ _.................--.•-..- ❑ RESTRICTED FOOD SERVICE (88B WITH 20 ROOMS OR LESS - sy OF ROOMS _) .••••••••••••••• 5127 ❑ HOLIDAY OPERATION (OPERATES 30 TO 45 DAYS) .. _.. ........... MACHINES )X 512 EACH = S ❑ VENDING MACHINES,... ' .... T -EXTENSIVE FOOD PREPARATION 5502 n .5524 NOTEIUMOTElFIED RN100 � PREPACKAGED ..................... 5265 ❑ HOTEUMOTEL -LIMITED FOOD PREPAFtATI 590�4 ❑ $451 ❑ SCHOOL EX E [] PUBLIC/PRIVATE SCHOOL ........................ . [] SENIOR NUTRITION SITE ❑ CHARITABLE NON PROFIT FACILITY - NON PROFIT C Limited and extensive food preparation categones will be cetermmed by tNs Department Please be adv�5ed that Food W31`141 Certificates are G A tjE to R CLOSED o1 va food facilities located in Riverside County UNTIL ALL APPROVALS HAVE BEEN OBTAINED IN THE EVENT THE DATEtTOF THE PERM TD A PENP AN ENVIRONMENTAL HEALTH PERMIT APPROVED BY U REPRESENTATIVE OF THIS DEPARTMENT IS REQUIRED BEFORE OPENINGis No'T A NEW OR CLOFOR Ol SE R ThE EXPIRATION FACILITY YOU ARE �IQT AUTHORIZED TO OPERATE NOT RENEWED WITHIN THIRTY (30) DAYS OF THE DATE OF THE OPENING OF THE FOOD FACILITY R MLL BE ADDED E THE PRICE OF THE PERMIT. PERMT� FEE OF 2095 WILL BE ADDED TO THE PRICE OF THE PERMtT IF THE PpEM�TM FOE OF FOR OR NOT RENEWED WITNIN SIXTY (80) DAYS OF THE f NOT OPENING ORT E EXPIRATION DATE OF THE CURRENT PERMIT ABOVE F000 FACILITY IN THE COUNTY OF RNERSV I HEREBY APPLY FOR A RECEIPTIPERMIT. WTH APPROPRIATE FEES INCLUDDEjDD TOOOOPERAT � t_ _ COO- 0 DATE: /�/% / ` -- DRIVERS ICE�•SEuEXP QA1 q j2q ( Z)20 OWNERr OPERATOR. tiIG\ATLlRE (".?A3pp 200-T HOME TELEPHONE: 3USINESS TELEPHONE: ( � • •MAIL ADDRESS: ✓fl TBSITE ADDRESS: UV COUNTY NOTES AlwCounty of Riverside ftT—MENTOF ENVIRONMENTAL HEALTH Piso/ogy ubmitted by _ ner Alike Sheen P O. BOX 7909 • R1Vt1tS1Dt.C-A 9zS13 7904 KrITH/o"t%.041ttC 0" FOOD ESTABLISHMENT INSPECTION Address Onto 910-20t0 Highway 111. Le QuintaCA Phone Address Msheehan0330Zgm8i1mr^ Phone 1. No corrections needed at time of inspection ,minor corrections w eTe Note: air balance report received exhaust measured 1303cfm and MAU 12AScfm. Note: Within 60 days of opening must obtain a food mannagmisst obtain the Riversv All food service employees within 2 weeks of emp yn ent Coun 's food safety card. raved 6-4-2020. Note: 1500 gallon grease interceptor app This facility is approved to operate pending approval from all other agencies. � must comply Y I with the most current health advisories, see our website facility facility advisories nt www.rivcoeh.or Signature Company Name /*0/ r az C/ Hemet Indio Murrieta !04 SOO S. San,dason *2CV 4T-950 Arabia St 'A" 38740 Sky CanyonDr u..,,.r r-2 4Z 5 _Rio, Ca 9L01 Murricm Ca 92563 ---- -_) 461-0284 Date C711vIzo Palm Springs Riverside• 544 s. Pasco Dorotea► 4065 Count) PalmSprings,Ca %Vcc Ck C 92264 (951) 35i 760-P-a10Q