07-2912 (SOTB)58440 Aracena
IIIIIIIIIIIIIIIIIIIIIIIII 09 !
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P.O. BOX 1504 -- - — - -' ^ VOICE(760) 777-7012
78-.495 CABLE TAMPICO 4 FAX (760) 777-7011
LA QUINTA, CALIFORNfA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760) 777-7153
BUILDING PERMIT
Date: 11/07/07
Application Number: 07-00002912 Owner:
Property Address: 58440 ARACENA LEHEMAN RESIDENCE iJ Q
APN: 764-200-999-43 -316812- 58-440 ARACENA
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 V
Property Zoning: LOW DENSITY RESIDENTIAL A1nn
uV
Application valuation: 400 O 2oQJ lgj
Contractor: t .ld .LA
Applicant: Architect or Engineer: LINDLY'S POOLS OF CALIFORNIA
30805 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
1 II (760)343-0600
NI1 Lic. No. : 833313
--- --- - -- - - -- - - ---- - ---- - - --- -- - -------- ------ ------ ---- ---- - - - --- - - --- -- ------------- ------- ----
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the Business anZPf onals Code,and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License Class: C53 License No.: 833313 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date: Contractor: _ I have 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. My workers'compensation
OWNER-BUILDERMECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FLTND Policy Number 1769855-2007
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become ubject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Code,I shall fo wi comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date:/1 7 01 Applicant:
1_1 1,as owner of the property,or my employees with wages as their sole compensation,will do the work,and
the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECU ORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon,. SUBJECT AN EMPLOYER TO MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
one year of completion,the owner-builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_1 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_1 I am exempt under Sec. ,B.&P.C.for this reason 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.
Date: Owner: - 2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above informs on is orrect. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building constructio ,and ereby authorize representatives
of this county to enter upon the above-mentioned propertyAr inspectio urp as.
Lender's Name:
Date: 7-07' Signature(Applicant or Agent):
Lender's Address:
LQPERMI'f
Application Number . . . . . 07-00002912
Permit . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee 9.75
Issue Date . . . . Valuation . . . . 400
Expiration Date 5/05/08
Qty Unit Charge Per Extension
BASE FEE 15..00
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Permit . . . •PLUMBING
Additional desc .
Permit Fee . . . . 18.00 Plan Check- Fee 4.50
Issue Date Valuation . . . 0
Expiration Date 5/05/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.•00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3 .00
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Special Notes and Comments
FIRE PIT PER APPROVED PLAN/GAS LINE
Fee summary Charged Paid Credited Due
----------------- -----=---- ---------- ---------- ----------
Permit Fee Total 33 .00 .00 .00 33.00
Plan Check Total 14.25 .00 .00 14.25
'Grand Total 47.25 .00 .00 47.25
LQPERMIT
?CASTER,;PEBBL•
-GAS LINES TO BBQs, FIREPLACE, OR CR TILE
FIRE RING TO BE SIZED BY OTHERS. x BENCH OR `>
16 BAR STOOL
GAS RISER TO BE PER_CPC SPECS. BAC #3 VER
(TYP AT,12"-
0.CQ! (TYP
CITY OF LA QUINTA
ST.
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BUILDING & °C _
SAFETY DEPT. ,
BQ ISLAND - SIDE ELEV. APPROVED (Tti `� a oX o
(/2"=1'-0" FO C NSTRUCTIO �O Na `
y'
#4 TIE
STEEL AT AT 36" DIAM.
� TOP COURSE
GAS FIRE RING: INSIDE DIMENSION 00, WATERPROOF LAP #3 BARS
MEMBRANE 18" MIN.
I.C.B.O. (TYP. INTERIOR
. ANSI #_ �__ ;�_vl(o SURFACES) APPLIANCES)
BTU _�' 6u�__ #4 BAR
M VERT AT CON,,
L. APPROVED.
U 32" O.C. BUIL,
(TYP.) CAL
7A cA
co
713 ST Y
PL MUST `BE ACCOMPANIED
OCATION, LENGTH
LENGTH OF GAS PIPE `� _^ 6x8x8 OR AM T:Q BBQ, FIREPLACE,
DIAM. OF GAS PIPE 8x8x8 CMU ,
OUTDOOR FIRE RING SOUR GROUT AM ^ tk
7 I/2..=1o„
wo �4
S^THAT HE/SHE HAS READ
ALL BE INSTALLED CU DZHEREIN.
DEPTH, REPRODUCED, COPIED, OR OTHERWISE USED
0 PLACEMENT. ANION.
12" L $° 1 36° DIAM. $" L 12" b NG CITIES ONLY:
MIRAGE, THOUSAND PALMS,
GAS SHUTOFF 'e A %I Al I GY AND INDIO
Bin # City of La Quinta
Building ax Safety Division
P it# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 . -
1 Building Permit Application and Tracking Sheet
Project Address:' LILP ��C,&A,J� a Owner's Name:
A.P.Number: Address: — I2-'✓
Legal Description: City,ST,Zip:
cA el
Contractor: U 0096 Or ''CAC k , D4. Telephone:
Address: s \Jt.S � Y�`�J' 1 I/!� J p
��-��jS 1 Pro'ectDescri tion: z
City,ST,Zip: `_ftiSkN� _flAOS LA
Telephone: '�Ii�—b�DD w
State Lic.# City Lic.#:
Arch.,Engr.,Designer: LM
S �-
Address:
City,'ST,Zip:
Telephone: Construction Type: Occupancy:
State Lic.#: /.L14 Project type(circle one): New Add'n Alter Repair Demo
�r
i Name of Contact Person: Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: �A UA i f0 tr1 Estimated Value of Projectl 400 _
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING. PERMIT FEES
Plan Sets Plan Check submitted 11 O Item Amount
Structural Calcs. Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact'Person Plan Check Balance
Energy.Cates. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2"d Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I. '
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
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