BCOM2022-0033BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Building Commercial
Permit Number:
BCOM2022-0033
Property Address:
78065 MAIN ST STE 100
APN:
770121012
Legal Description
Property Zoning:
Valuation:
$27,800.00
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 06/09/2022
ISSUED DATE: 09/22/2022
CALIFORNIA
Owner: OLD TOWN LA QUINTA LLC
78100 Main Street, Suite 203, LA QUINTA, CA
92253
Applicant: D B K GROUP
49499 EISENHOWER DR, LA QUINTA, CA 92253
Contractor: Katy Abel / 771883
78010 MAIN ST NO 203, LA QUINTA, CA 92253
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: 5/13/25 4:43 pm Page 1 of 5
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2022-0033
Property Address: 78065 MAIN ST STE 100
construction lender preliminary notice from that duty.
Printed: 5/13/25 4:43 pm Page 2 of 5
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2022-0033
Property Address: 78065 MAIN ST STE 100
CAFE CALIFORNIA / 351SF STORAGE EXPANSION *** CAFE CALIFORNIA / 351SF STORAGE EXPANSION T.I.
[VA/B-OCC/49-OL/SPRINKLED] NO TUMF ASSESSMENT AS CREDIT IS GIVEN FOR PREVIOUS RETAIL USE. NO DIF ASSESSMENT AS
NO ADDITIONAL BUILDING AREA IS ADDED. 2019 CALIFORNIA BUILDING CODES.
REVISION #2 - REMOVE NEW WALL AND DOOR REPLACEMENT FROM SCOPE OF WORK.
,instruction Dpt;:.
Commercial Work Type Remodel
Building/Unit B: Office, Professional
Gross Square Footage 351
Occupancy
Classification(s)
Conditioned Square 351
Occupant Load 49
Construction Type V-B
Footage
Code Edition 2019
Remodel Area Square 351
New Electrical Square 351
Footage
Footage
Number of Air 1
Number of Plumbing 3
Water System Install Yes
Handling Unit(s)
Fixtures/Traps
or Alteration?
Transportation Uniform No
City Development No
Art in Public Places No
Mitigation Fee
Impact Fee Applicable
Fund Exempt
Applicable
Type Group Sq Ft Value
Printed: 5/13/25 4:43 pm Page 3 of 5
Permit Type
Building Commercial
BUILDING PERMIT
Permit Number:
Property Address
BCOM2022-0033
78065 MAIN ST STE 100
Invoice No. Fee Fee Amount
INV-00000841 Credit Card Convenience Fee $2.93
Plan Check/Permit Extension Processing $117.30
Total for Invoice lNV-00000841 $120.23
INV-00002187 Credit Card Convenience Fee $4.38
Hourly Charge - City Building Staff $175.00
Total for Invoice lNV-00002187
$179.38
PERMIT-BCOM2022-00< WATER SYSTEM INST/ALT/REP
$13.89
3 BSAS SB1473 FEE
$2.00
FIRE COMMERCIAL TI
$167.00
FIXTURE/TRAP PC
$41.67
REMODEL, FIRST 100SF
$56.69
FIRE COMMERCIAL TI PC
$250.00
RECORDS MANAGEMENT FEE - MAJOR
$21.00
FIXTURE/TRAP
$41.67
WATER SYSTEM INST/ALT/REP PC
$13.89
REMODEL, EA ADDITIONAL 500SF PC
$20.01
AIR HANDLER PC
$13.89
SMI - COMMERCIAL
$7.78
AIR HANDLER
$41.68
REMODEL, FIRST 100SF PC
$155.06
FIRE FAILED OR ADDITIONAL FIELD INSPECTIONS (EXCES
$175.00
REMODEL, EA ADDITIONAL 500SF
$25.01
TECHNOLOGY ENHANCEMENT FEE
$5.00
ALTERATIONS/ADDITIONS - NON-RESIDENTIAL
$161.00
Total for Invoice PERMIT-BCOM2022-0033
$1,212.24
Grand Total for Permit
$1,511.85
Amount Paid
$2.93
$117.30
$120.23
$4.38
$175.00
;0-i lasts
$13.89
$2.00
$167.00
$41.67
$56.69
$250.00
$21.00
$41.67
$13.89
$20.01
$13.89
$7.78
$41.68
$155.06
$175.00
$25.01
$5.00
$161.00
$1,511.85
Workflow Step / Action Name
Action Type Start Date End Date
Inspections v.1
06/09/2022 0:00
----------------------------------------------------------------------------------------------------------------------------------------
T/I FINAL v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
T/I FINAL v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FINAL"" v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
T-BAR/OVERHEAD v.3
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH ELEC v.4
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH ELEC v.3
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
T-BAR/OVERHEAD v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FINAL" v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH ELEC v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH PLBG v.4
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
T-BAR/OVERHEAD v.1
Inspection
------------------------------------------------
DRYWALL NAIL v.2
----------------------------------------------------------------------------------------
Inspection
------------------------------------------------
ROUGH PLBG v.3
----------------------------------------------------------------------------------------
Inspection
------------------------------------------------
DRYWALL NAIL v.1
----------------------------------------------------------------------------------------
Inspection
Printed: 5/13/25 4:43 pm Page 4 of 5
BUILDING PERMIT
Permit Type: Building Commercial
Permit Number: BCOM2022-0033
Property Address: 78065 MAIN ST STE 100
FRAMING v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH PLBG v.2
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FRAMING v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH ELEC v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
ROUGH PLBG v.1
Inspection
Revisions v.1
10/31/2023 0:00 11 /07/2023 8:19
----------------------------------------------------------------------------------------------------------------------------------------
Building Revision Review v.1
Receive Submittal
10/31/2023
0:00
11/07/2023 8:19
Inspections - Final v.1
10/30/2023
0:00
----------------------------------------------------------------------------------------------------------------------------------------
Final Fire v.1
Inspection
10/30/2023
0:00
----------------------------------------------------------------------------------------------------------------------------------------
Final Building v.1
Inspection
10/30/2023
0:00
10/31/2023 15:40
----------------------------------------------------------------------------------------------------------------------------------------
Final Building v.2
Inspection
12/27/2023
0:00
12/28/2023 17:05
----------------------------------------------------------------------------------------------------------------------------------------
Final Building v.3
Inspection
01/09/2024
7:21
01/09/2024 7:21
Certificate of Occupancy v.1
----------------------------------------------------------------------------------------------------------------------------------------
Issue Certificate of Occupancy v.1
Create Report
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.
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: 5/13/25 4:43 pm Page 5 of 5
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCI-LTI-01-E Revised 01I20 CALIFORNIA ENERGY COMMISSION AZ
CERTIFICATE OF INSTALLATION NRCI-LTI-01-E
Indoor Lighting (Page 1 of 2)
Project Narne; Enforcement Agency: pre M � D
eM�-')C 7,aI�
Project Address. "--1- 9 r,, I,, IYV I I r� \A- ; 11l ) Ir t i , f 1 r 1 I 1 f1 �-�/'A Zip Code.
GENERAL INFORMATION
DATE OF BUILDING PERMIT:
PERMIT# 9 c omao 2 - 0033
BUILDING TYPE
Nonresidential ❑ High -Rise Res (Common Area) ❑ Hotel/Motel (Common Area)
PHASE OF
CONSTRUCTION
,ts�
❑New Construction ❑Addition -w Alteration ❑Unconditioned
SCOPE OF RESPONSIBILITY
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides Date:
the specifications for the energy efficiency measures for the scope of responsibility for this
Installation Certificate.
In the table below identify all applicable construction documents that specify the requirements for the scope of
responsibility reported by this Installation Certificate (continued).
Document Title or Description
Applicable Sheets or Pages, Tables, Schedules, etc.
E I00.0 ; � ��I, 01 � ICQ. 0
Date Approved By
the Enforcement
Agency
Plus SC,�--�jtur�I
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC-NRCI-LTI-01-F (Revised 01/20) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-LTI-01-E
Indoor Lighting (Page 2 of 2)
Project Name. j�. V, (
1�,
-1�y0
Enforcement Agencv:
P Number,
Protect Address: r,5 f+f CL . .1L Ji 00
Crty: I n , l 1 , ^
Zip Code: 5
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: i�
Documenno Author5na ure:
Documentation Author Company(Naame:
Lx vl v P C1
Date Signed:
I o2
Address: s-(W ,n/'t I, I + ig O3
CEA Certificca]tilon�Ide ti!lcationn'(If ap 'ca le : I 4 ^
City/State/Zip: 1.�+ - Vi info, r} . 9�5 3
Q�
Phone:( 1 (,b t Jo V
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design, construction, or installation of features, materials, components, or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this
Certificate of Installation conforms to all applicable codes and regulations, and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation, and I have ensured that the requirements
that apply to the construction or installation have been met.
5. 1 will ensure that a completed signed copy of this Certificate of Installation shall be posted, or made available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a
completed signed copy of this Certificate of Installation is required to be included with the documentation the builder provides to
the building owner at occupancy.
Responsible Builder/Installer Name: r
11 onsible Builder/1 taller Si nature:
Company Name: Lpstalling Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
x
Address:
E b� scu
_
CSLB License:
Ci /State/Zip
one �� - ^
"�
Date Si ned 3
/J -1-P
-13
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance January 2020
Tjhf 4 �a"
DESIGN & DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7125 FAX (760) 777-7011
PATH OF TRAVEL UPGRADE DETERMINATION
DATE: 19SEP22
STATUS:
PLAN CHECKED BY: Jake Fuson
TELEPHONE NUMBER: 760.777.7081
ADDRESS: 78065 Main Steet Ste100
DESCRIPTION: California Cafe Storage Expan.
APPLICANT: Marvin Investments
PLAN CHECK #: BCOM2022 0033
In accordance with the 2019 California Building Code (CBC) Section 116-202.4, exception 8, the cost of compliance with
Section 1113-202.4 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 cost for proposed project (not including costs of improvements to the path of travel to the area of
alteration): $ 40,000.00 (A)
Cost of alterations to areas on this path of travel undertaken during the preceding three-year period which did not
provide an accessible path of travel to the area of alteration (as applicable): $ 0.0 (B)
Adjusted construction cost (C) = (A) + (B) $ 40,000.00 (C)
PATH OF TRAVEL CONSTRUCTION COSTS:
Elements serving the area of alteration
based on priority
Is element in
compliance with
current Chapter
116? (Y/N)
If not, will element be
upgraded to current
Chapter 11B? (Y/N)
Proposed cost of
compliance with
current
Chapter 1113
1. An accessible entrance
YES
NO
0
2. An accessible route (interior and
exterior) to the altered area.
YES
NO
0
3. At least one accessible restroom for
each gender or a single accessible unisex,
single user or family restroom
YES
NO
0
4. Accessible public telephones
N/A
NO
$
5. Accessible drinking fountains
N/A
NO
$
6. When possible, additional accessible
elements such as:
a. Parking
YES
NO
0
b. Storage
YES
NO
$
c. Signs
YES
NO
$
d. Alarms
N/A
NO
$
e.Other
N/A
N/A
$
Total cost of providing compliant path of
travel elements:
$ (D)
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) Note: This may not be less than 20%
E)
Page 1 of 1
Kav Al R99
COACHELLA VALLEY WATER DISTRICT
CATER
75-515 Hovley Lane East
Palm Desert, California 92211
O/sWGS (760)398-2651
APPLICATION FOR WASTEWATER SOURCE CONTROL PLAN APPROVAL
APPLICANT Submit this form with a cop} of SCALED plot plan (1"-20' to I"-40' SCALE) drawn to District specifications A nonrefundable filing fee is
required when the application is submitted. Check must be made payable to the Coachella Valley Water District. Approval of this application shall remain valid for
a period not to exceed one (1) year from date of payment. NOTE: ALL USERS DISCHARGING FAT, OIL, AND OR GREASE, LOCATED IN A NIULT1-
SUITE BUILDING WILL RFQUIRE A SEPAR %TE LATER %L OFF THE MAIN SEWER LINE FOR GREASE INTERCEPTOR CONNECTION.
CV WD Source Control will inspect the exposed grease plumbing and the installed interceptor. Please call (760) 398-2661 X3710 48 hours in advance
to schedule ins ction(s).
Agent, Contractor. Contact Person
Address City State Zip
Telephone
Stephan Stephanoff
74985 Highway 111 Suite B, Indian Wells CA 92253
442-666-4508
Owner
Address City State Zip
Telephone
Wells Marvin
78065 MAIN STREET La Quinta CA 9225
760-600-0758
Job Site Address City Zip
78065 MAIN STREET STE-100 LA QUINTA CA 92253
Business Type
Doing Business As
COFFEE SHOP
CAFE CALIFORNIA
NOTE: NO PLANS WILL BE APPROVED UNTIL THIS APPLICATION 1S COMPLETE AND PLAN CHECK FEES ARE PAID.
TvDe of Construction: ❑New 12 Remodel Hoursof eration:6AM-SPM Cooling Tower(s) ❑
For Vehicle Service:
For Food Service:
❑ Wand Bays ❑ Trench Drains ft)
❑ Water Softener ❑ Garbage Grinder(s) ❑ Digester(s)
❑ Roll over ❑ Service bay(s)
Multiservice (reusable) % Single Service (disposable)taa %
❑ Tunnel(s) ❑ Parts Washer
Seating Capacity: Internal to External
❑ Spill Containment (Solvent ❑ Aqueous ❑)
Seating with Misters or Heaters
❑ Hydraulic Lifts ❑Work Sink(s)
Bar Seating._Bar Seating with Food Service
OWNER/REPRESENTATIVE DECLARATION: 1 certify that 1 have read the entire application and state that all information is correct. 1
understand that the fee amount is based on my declaration of information on this form and that incorrect information is grounds for rejection of the
submitted plans. 1 also understand that plans maybe discarded if not picked up within sixty (60) days of approval or return and that no District
inspection of myyesttablilishment willbe conducted until all requested information has been received and plans have been approved.
Signature �t'�/"� Date 7-8.21
FOR DISTRICT
USE ONLY
No. of Systems
Type of System(s)
Pretreatment Equipment:
❑ Grease Interceptor ffGrease Interceptor Waived
O
O New ❑ Existing
Connect to Sewer ❑ Addition
❑ Sand/Oil
❑ Lint Trap ❑ Point of Connection Sample Station
❑ Replacement
❑ Clarifier ❑ Digester(s)
Size: als
REMARKS:
No arease interceptor will be required at this establishment at this moment: if future
inspections reveal high grease production, then a grease interceptor will be required: this
location is adding more storage space and relocating 3 comp sink.
encourages r customers to establish and follow good Best ManagementPr
softener3). Only water systems with exchangeable
bottlesyou!
This application is:
�{aallowed.
/�
' (0-1 1 aM
Approved* ❑ Approved Conditionally
PZ !/ 1/� / !� LID `4
"See Remarks
Fee $ S O Check No.
w '
Q
Signature
Date Initial
Date
7-27-2 2
CVWD-921 Rev 620
County of Riverside
DEPARTMENT OF ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Service Request # 54786 Date 6-16-2022
Project Name Cafe California Address 78065 Main Street #100, La Quinta CA 92253
Plans Submitted by Katy Abel Phone 760-600-0758
Owner Wells Marvin Address 78000 Main Street ste 203, La Quinta CA Phone
92253
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
This approval is for adding more dry storage space and relocating the 3-compartment sink.
1. Provide a grease interceptor letter from the sewer agency for the approval of the 3 compartment sink waste.
"ALL ELECTRICAL, PLUMBING, MECHANICAL, AND STRUCTURAL REPAIRS AND INSTALLATIONS SHALL BE DONE
UNDER PERMIT FROM THE APPROPRIATE BUILDING & SAFETY DEPARTMENT (CITY OR COUNTY)"
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
I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during
construction:
Signature t L A _ Date ze 2 -L-.
Company Name
DEH-SAAl-178 (Rev 2/16)
Corona
Hemet
Indio
Murrieta
Palm Springs
Riverside -West
Riverside -East
2275 S. Main St #204
800 S. Sanderson #200
47-950 Arabia St "A"
30135 Technology Dr
544 S. Paseo Dorotea
4065 County Cock
3880 Urnon St.
Corona, Ca 92882
Bernet, Ca 92545
Indio, Ca 92201
#250
Palm Springs, Ca
Riverside, Ca 92503
Riverside, Ca 92501
(951) 273-9140
(951) 766-2824
(760) 863-8287
Murricta, Ca 92563
92264
(951) 358-5172
(951) 955-8982
Fax (951) 520.8319
Fax (951) 766.7874
Fax (760) 863-8303
(951) 461-0284
(760) 320-1048
Fax (951) 358-5017
(951) 955-8988
Fax (951) 461-0245 Fax (760) 320-1470
Department Web Site - www.rivcoch.org
Pr ..R Pr ti d M, E—,,.wr.t
County of Riverside
DEPARTMENT OF ENVIRONMENTAL HEALTH
FOOD ESTABLISHMENT PLAN APPROVAL NOTICE
Service Request # 54786 Date 6-16-2022
Project Name Cafe California Address 78065 Main Street #100, La Quinta CA 92253
Plans Submitted by Katy Abel Phone 760-600-0758
Owner Wells Marvin Address 78000 Main Street ste 203, La Quinta CA Phone
92253
The plans are now approved subject to the conditions listed below and the attached compliance sheet.
This approval is for adding more dry storage space and relocating the 3-compartment sink.
1. Provide a grease interceptor letter from the sewer agency for the approval of the 3 compartment sink waste.
"ALL ELECTRICAL, PLUMBING, MECHANICAL, AND STRUCTURAL REPAIRS AND INSTALLATIONS SHALL BE DONE
UNDER PERMIT FROM THE APPROPRIATE BUILDING & SAFETY DEPARTMENT (CITY OR COUNTY)"
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 Tracev 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
Company Name
DEH-SAN-178 (Rev 2/16)
Corona
Hemet
2275 S. Main St #204
800 S. Sanderson #200
Corona, Ca 92882
Hemet, Ca 92545
(951) 273-9140
(951)766-2824
Fax (951) 520-8319
Fax (951) 766-7874
Date
Indio
Murrieta
Palm Springs
Riverside -West
Riverside -East
47-950 Arabia St "A"
30135 Technology Dr
544 S. Paseo Dorotea
4065 County Circle
3880 Lemon St.
Indio, Ca 92201
#250
Palm Springs, Ca
Riverside, Ca 92503
Riverside, Ca 92501
(760) 863-8287
Murrieta, Ca 92563
92264
(951) 358-5172
(951) 955-8982
Fax (760) 863-8303
(951) 461-0284
(760) 320-1048
Fax (951) 358-5017
(951) 955-8988
Fax (951) 461-0245
Fax (760) 320-1470
Department
Web Site - www.rivcoeh.org
BUILDING ENERGY ANALYSIS REPORT I
PROJECT:
CAFE CALIFORNIA T.I.
78065 MAIN STREET STE 100
LA QUINTA, CA 92253
Project Designer:
STUDIOS 2007
73330 HWY 111
PALM DESERT, CA 92260
Report Prepared by:
BCOM2022-0033
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
,,,09/22/2022 n_I_p
CAFE CALIFORNIA /
351 SF STORAGE
EXPANSION
TITLE 24 OF THE DESERT SERVICES INC.
titlte24ofthedesert@gmail.com
760 278.1840,
Job Number:
21-YAS-006-1R
Date:
8/5/2022
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2019 Building Energy Efficiency Standards.
This program developed by EnergySoft Software — www.energysoft.com.
I TABLE OF CONTENTS I
Cover Page
Table of Contents
Form NRCC-LTI-E Indoor Lighting
2
3
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
This document is used to demonstrate compliance with requirements§ri 10.9, §110.12(c), §130.0, §130.1, §140.6 and §141.0(b)2 for indoor lighting scopes using the prescriptive
path.
Project Name: CAFE CALIFORNIA T.I.
Report Page: (Page 1 of 6)
Project Address: 78065 MAIN STREET STE 100
Date Prepared: 8/5/2022
A. GENERAL INFORMATION
01
Project Location (city)
LA QUINTA
04
Total Conditioned Floor Area (ft2)
402
02
Climate Zone
15
05
Total Unconditioned Floor Area (ft2)
0
03
Occupancy Types Within Project (select all that apply):
06
# of Stories (Habitable Above Grade)
1
• : See Table I
B. PROJECT SCOPE
This table includes any lighting systems that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outliri§?tkli(in6 or
§141.0(b)2 foralterations.
Scope of Work
Conditioned Spaces
Unconditioned Spaces
01
02
03
04
05
My Project Consists of (check all that apply):
Calculation Method
Area (ft2)
Calculation Method
Area (ft2)
❑ New Lighting System
❑ New Lighting System -Parking Garage
® Altered Lighting System
Complete Building Method
351
Complete Building Method
j 0
Total Area of Work (ft 2)
351
0
Registration Number:
Registration Date/Time:
Registration Provider: Energysoft
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance Report Version: 2019.1.003 Report Generated: 2022-08-05 12:36:02
Schema Version: rev 20200601
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
Project Name: CAFE CALIFORNIA T.I.
Report Page: (Page 2 of 6)
Project Address: 78065 MAIN STREET STE 100
Date Prepared: 8/5/2022
C. COMPLIANCE RESULTS
If any cell on this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D. for guidance.
Lighting in
conditioned and
unconditioned
spaces must not be
combined for
compliance per
§140.6(b)1
Allowed Lighting Power per 140.6 b (Watts)
�
Adjusted Lighting Power per 140.6 a (Watts)
Compliance Results
01
02
03
04
=
05
06
07
=
08
09
Complete
Building
140.E c 1
Area
Category
140.E c 2
Area
Category
Additional
§140.6(c)2G
Tailored
140.E c 3
Total
Allowed
( ) Watts
Total
Designed
(Watts)
Adjustments
Total Adjusted
�
(Watts)
*Includes
Adjustments
05 must be >= 08
140.6
PAF Lighting
g g
Control Credits
§140.6(a)2
( +)
( +)
(-)
(See Table 1)
(See Table I)
(See Table J)
(See Table K)
(See Table F)
(See Table P)
Conditioned
281
=
281
>_
270
0
=
270
COMPLIES
Unconditioned
Controls Compliance (See Table
H for Details)
COMPLIES
Rated Power Reduction Compliance (See Table Q for Details)
D. EXCEPTIONAL CONDITIONS
This table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form.
E. ADDITIONAL REMARKS
This table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
F. INDOOR LIGHTING FIXTURE SCHEDULE
This table includes all permanent designed lighting and all portable lighting in offices.
Designed Wattage: Conditioned Spaces
01
02
03
04
05
06
07
08
09
10
Name or Item
Tag
Complete Luminaire
Description
Modular
(Track) Fixture
Small
Aperture &
Color Change'
Watts per
luminaire2
How is Wattage
determined
Total Number
of Luminaires
Excluded per
§140.6(a)3
Design Watts
Field Inspector
Pass
Fail
PL-3
RCL - 16
No
No
16
Mfr. Spec
6
No
96
❑
❑
Registration Number:
Registration Date/Time:
Registration Provider: Energysoft
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance Report Version: 2019.1.003 Report Generated: 2022-08-05 12:36:02
Schema Version: rev 20200601
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
Project Name: CAFE CALIFORNIA T.I.
Report Page: (Page 3 of 6)
Project Address: 78065 MAIN STREET STE 100
Date Prepared: 8/5/2022
F. INDOOR LIGHTING FIXTURE SCHEDULE
PL-4
TRF - 29W
No
No
29
Mfr. Spec
6
No
174
❑
❑
Total Designed Watts: CONDITIONED SPACES
270
'FOOTNOTE: Design Watts for small aperture and color changing luminaires which qualify per §140.6(a)48 is adjusted to be 75% of their rated wattage. Table F automatically makes
this adjustment the permit applicant should enter full rated wattage in column 05.
2Authority Having Jurisdiction may ask for Luminaire cut sheets to confirm wattage used for compliance per 130.0 c Wattage used must be the maximum rated for the luminaire, not
the lamp.
G. MODULAR LIGHTING SYSTEMS
This section does not apply to this project.
H. INDOOR LIGHTING CONTROLS (Not including PAFs)
This table includes lighting controls for conditioned and unconditioned spaces. When a control having a * is shown, the notes section of this table provides more detail on how
compliance is achieved. The lighting controls section of the Compliance Summary Table on the first page will show "DOES NOT COMPLY" if the notes are left blank.
Building Level Controls
01
02
03
Mandatory Demand Response 110.12 c
Shut-off controls 130.1 c
Field Inspector
Pass
Fail
Not Required <= 10,000 SF
Whole Building Auto Time Switch
❑
❑
Area Level Controls
04
05
06
07
08
09
10
11
12
Complete Building or Area
Area Controls
Multi -Level
Shut -Off Controls
Primary/SkySecondary
lit
Interlocked
Field Inspector
Area Description
Category Primary Function
130.1 a
Controls
130.1 c
Daylighting
Daylighting
Systems
Area
130.1 b
130.1 d
140.E d
§140.6(a)1
Pass
Fail
STORAGE
Restaurant
Manual
ON/OFF
Other*
Occupancy Sensor
N/A
N/A
No
❑
❑
Registration Number:
Registration Date/Time:
Registration Provider: Energysoft
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance Report Version: 2019.1.003 Report Generated: 2022-08-05 12:36:02
Schema Version: rev 20200601
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
Project Name: CAFE CALIFORNIA T.I.
Report Page: (Page 4 of 6)
Project Address: 78065 MAIN STREET STE 100
Date Prepared: 8/5/2022
H. INDOOR LIGHTING CONTROLS (Not including PAFs)
*NOTES: Controls with a * require a note in the space below explaining how compliance is achieved.
EX: Conference 1: Primary/Skylight Daylighting: Exempt because less than 120 watts of general lighting; EXCEPTION
to §130.1(d)2
13
Plan Sheet Showing Daylit Zones:
STORAGE * REFRIGERATED AREA
E101.0
I. LIGHTING POWER ALLOWANCE: COMPLETE BUILDING OR AREA CATEGORY METHODS
Each area complying using the Complete Building or Area Category Methods 0140.E b are included in this table. Column 06 indicates if additional lighting power allowances per
§140.6 c or adjustments per§140.6 a are being used .
Conditioned Spaces
01
02
03
04
05
06
Area Description
Complete Building or Area Category Primary
Function Area
Allowed Density
(W/ft2)
Area (ftz)
Allowed Wattage
(Watts)
Additional Allowance / Adjustment
Area Category
PAF
Whole Building
Restaurant
0.7
351
245.7
No
No
TOTALS:
351
245.7
See Tables J, or P for detail
J. ADDITIONAL ALLOWANCE: AREA CATEGORY METHOD QUALIFYING LIGHTING SYSTEM
This section does not apply to this project.
K. TAILORED METHOD GENERAL LIGHTING POWER ALLOWANCE
This section does not apply to this project.
L. ADDITIONAL LIGHTING ALLOWANCE: TAILORED WALL DISPLAY
This section does not apply to this project.
M. ADDITIONAL LIGHTING ALLOWANCE: TAILORED FLOOR AND TASK LIGHTING
This section does not apply to this project.
Registration Number:
Registration Date/Time:
Registration Provider: Energysoft
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance Report Version: 2019.1.003 Report Generated: 2022-08-05 12:36:02
Schema Version: rev 20200601
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
Project Name: CAFE CALIFORNIA T.I.
Report Page: (Page 5 of 6)
Project Address: 78065 MAIN STREET STE 100
Date Prepared: 8/5/2022
N. ADDITIONAL LIGHTING ALLOWANCE: TAILORED ORNAMENTAL/SPECIAL EFFECTS
This section does not apply to this project.
O. ADDITIONAL LIGHTING ALLOWANCE: TAILORED VERY VALUABLE MERCHANDISE
This section does not apply to this project.
P. POWER ADJUSTMENT: LIGHTING CONTROL CREDIT (POWER ADJUSTMENT FACTOR (PAF))
This section does not apply to this project.
Q. RATED POWER REDUCTION COMPLIANCE FOR ALTERATIONS
This section does not apply to this project.
R. 80% LIGHTING POWER FOR ALL ALTERATIONS - CONTROLS EXCEPTIONS
This section does not apply to this project.
S. DAYLIGHT DESIGN POWER ADJUSTMENT FACTOR (PAF)
This section does not apply to this project.
T. DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION
Selections have been made based on information provided in this document. If any selection have been changed by permit applicant, an explanation should be included in Table E.
Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at
https://www.energy.ca.gov/title24/2019standards/2019 compliance documents/Nonresidential Documents/NRCl/
Form/Title
Field Inspector
Pass
Fail
NRCI-LTI-01-E - Must be submitted for all buildings
❑
❑
U. DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE
There are no NRCA forms required for this project.
Registration Number:
Registration Date/Time:
Registration Provider: Energysoft
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance Report Version: 2019.1.003 Report Generated: 2022-08-05 12:36:02
Schema Version: rev 20200601
STATE OF CALIFORNIA
Indoor Lighting
NRCC-LTI-E
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTI-E
Project Name: CAFE CALIFORNIA T.I.
Report Page: (Page 6 of 6)
Project Address: 78065 MAIN STREET STE 100
Date Prepared: 8/5/2022
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Compliance documentation is accurate and complete.
DocumentaEon Author Name:
DocumentaEon Author Signature:
Company:
Signature Date: 00
TITLE 24 OF THE DESERT SERVICES INC.
2022-08-05
Address:
CEA/ HERS Cer®ficaEon Iden®fica®on (if applicable):
®tlte24o®hedesert@gmail. com
City/State/Zip:
Phone:
760 278.1840
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I cer®fy the following under penalty of perjury, under the laws oEhe State of California:
1. The informaEon provided on this CerEficate of Compliance is true and correct.
2. 1 am eligible under Division 3 o®he Business and Professions Code to accept responsibility for the building design or system design iden®fied on this Cer®ficate of Compliance (responsible designer)
3. The energy features and performance specifica®ons, materials, components, and manufactured devices for the building design or system design idenEfied on this Cer®ficate of Compliance conform to the requirements
of Title 24, Part 1 and Part 6 o®h a California Code of Regula®ons.
4. The building design features or system design features iden®fied on this Cer®ficate of Compliance are consistent with the informaEon provided on other applicable compliance documents, worksheets, calcula®ons,
plans and specifica®ons submi®ed to the enforcement agency for approval with this building permit applicaEon.
5. 1 will ensure that a completed signed copy oEhi s Cer®ficate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspec®ons. I understand that a completed signed copy o®his Cer®ficate of Compliance is required to be included with the documenta®on the builder provides to the building owner at occupancy.
Responsible Designer Name: STUDIOS 2007
Responsible Designer Signature:
Company: STUDIOS 2007
Date Signed:
2022-08-05
Address: 73330 HWY 111 SUITE A PALM
License:
City/State/Zip: PALM DESERT, CA 92260
Phone: 760.984.8764
RegistraEon Number:
RegistraEon Date/Time:
RegistraEon Provider: EnergysoE
CA Building Energy Efficiency Standards - 2019 NonresidenEal Compliance Report Version: 2019.1.003 Report Generated: 2022-08-05 12:36:02
Schema Version: rev 20200601
CERT11:1CATE OF OCCUPANCY
DESIGN AND 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: 78065 MAIN ST STE 100
Use Classification: RESTAURANT
Occupancy Group: B: Office,
Professional
Code Edition: 2019
By: Jake Fuson
Date: 1 /9/2024
Building Official: AJ ORTEGA
W Q•
ai&a
GEM ,,fthr DESERT -
Type of Construction: V-B
Sprinkler Installed: YES
Permit No.: BCOM2022-0033
Land Use Zone: VC
Occupant Load: 49
Owner of Building: OLD TOWN LA QUINTA LLC
Address: 78100 Main Street, Suite 203
City, ST, ZIP: LA QUINTA, CA 92253
POST IN A CONSPICUOUS PLACE