06-4305 (SOTB) IIIIIIII�IIIIIIIIIIIIIIII 31
P.O. BOX 1504 IE 4_ � VOICE(760) 777-7012
78-495 CALLE TAMPICO A FAX (760) 777-7011
.LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/18/06
Application Number: 06-00004305 Owner:
Property Address: 80908 CALLE AZUL JOYCE•ABELLIA
APN: 762-240-003-33 -300961- 80908 CALLE AZULE
Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 300 '
Contractor: 2006
Applicant: Architect or Engineer: TOP' DOG CONSTRUC 0 DEC L {8
78365 HIGHWAY 11 S E. 8
LA QU I NTA, CA 9 2 5 3 CaTY OF LA QUINTA
(760)574-6364 FINMCEDEPT
Lic. No. : 828373
-------- --- --- - - -- =- ------------ - ---------- ------ --------- -- --- - ----------- -------- -----------
LICENSED CO TRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of p ry that I am it
and ovi ' of Chapter 9 commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000 of Divi'on 3 of a Business an d my Licens in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
Licens Clas. B n No.: 82 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Dat / (Qntractor: - '_ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor
Code,for the performance of the work f ich this pe it is issued. My workers'compensation
OWNER• ILDER DECLARATION insurance carrier and policy numb re:
I hereby a
um
under penalty of pe jury that I am exempt from the Contractor's State License Law for the Carrier GUARD INSURANCE olicy Number MAWC7 5603
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the perform a of the k for hich this pe mit 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 as to be a sub' t to the wor rs'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 an agree that,if I ould be bj o the work 'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3 00 of the Labo Code,I i comply those provisions. '
that he or she is exempt therefrom and the basis for'the alleged exemption. Any violation of Section 7031.5 by a -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date: /�! pplicant:
(_) I,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 WAR ING: FAILURE TO SECURE 0 S'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 C 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 be s null and void if work'isof commenced
within 180 days from date of issuance of s permit,or cessation of work for i days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I aver ad this application and stat at the above' is Fre I agr to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and cou y or nances and state laws rel at g to building n d he y a orize representatives
of this cou y to nter upon the above-mentio ed property i purp s.
Lender's Name:
Dat - ignature(Applicant or Ag
Lender's Address:
LQPERMIT
Application Number . . . . . 06-00004305
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee . 9.75
Issue Date . . . . Valuation . . . . 300
Expiration Date 6/16/07
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
cs
Permit . . .. PLUMBING
Additional desc . .
Permit Fee . . . . 18.00 Plan Check Fee 4.50 '
Issue Date . . . . Valuation . . . . 0
Expiration Date 6/16/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3 .0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
----------------------------------------------------------------------------
Special Notes and Comments
FIRE RING PER APPROVED PLAN
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW" FEE .98
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 33 .00 .00 .00 33.00
Plan Check Total 14.25 .00 .00 14.25
Other Fee Total ' .98 .00 .00 .98-
Grand Total 48.23 .00 .00 48.23
• r
LQPERMIT
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CITY OF LA QUINTA '�S 6
BUILDING &SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY S7
92z53
Vrev
FIRE RING TO BE SIZED. 13Y SPECS.
GAS RISER TO BE PER CPC
q.
CITY OF LA QUINTA
BUILDING &SAFETY DEPT.
ISLAND - APPROVED
SIDE ELEV.
ID BBQ FOR CONSTRUCTION
DA U� BY
#4 TIE -
STEEL AT 36" DIAM.
TOP COURSE — WATERPROOF
INSIDE DIMENSION MEMBRANE
GAS FIRE RING: TYP. INTERIOR
I.C.B.O. # SURFACES)
ANSI # - — #4 BAR
BTU VERT AT
U.L. APPROVED. 32" O.C.
• (TYP.)
TYP.)
7A
7B
�� o 6x8x8 OR
LENGTH OF GAS PIPE f 8x8x8 CMU
DIAM. OF GAS PIPE � " � ` OUTDOOR FIRE RING SOLID GROUT
7
GAS LINES SHALL BE INSTALLED
PER CPC FOR DEPTH,
COVERAGE, AND PLACEMENT.
12" 8" 36" DIAM. 8" 12"
AP GAS SHUTOFF
iTEEL VALVE
14BAR VERT. AT 32" O.C. LOCATED
WITHIN 36" k'
B.CMU; SOLID GROUT OF UNIT '
(TYP.) •
/1✓ 4
F. a
AS FIRE RING: '
C.B.O. #
.NSI # — METAL GAS
TU RISER GRAVEL SUMP
J.L. APPROVED. 2" DRAIN OR PROVIDE 12" DIAM. 3 CU: FT.
OPENING IN FOOTING CRUSHED ROCK
OUTDOOR FIRE RING - BOULDERS
Bin# City Of La Quinta .
1 Building USafety Division qJ-
Permit# P.O. Boz 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building, Permit Application and Tracking Sheet
Project Address: — Owner's Name:
A.P.Number: Address:
—90
Legal Description: City,ST,Zip: �LZ
7
Contractor: 12,12 Telephone;
Address: - V / Project Description:
City,ST,Zip:
Telephone:
State Lic.#: City Lic.#:
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: Occupancy:
State Lic.#: Project•type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq.Ft.:. #Stories: #Units:
Telephone#of Contact Person: —�j (p Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd :. Rec'd TRACMG PERMIT FEES
Plan Sets Plan Check submitted 96 Item Amount
Structural Calks. Reviewed,ready fors Erections Plan Check Deposit.
Truss Cala. Called Contact Person Pis
u Check Balance
Energy Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading.plan 2-Review,ready for corrections!issue Electrical
Subcoutactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- M Review,ready for.correctionstissue 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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