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SOTB (05-4668)55420 Medallist Dr 05-4668 P.O. BOX 1504 -78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tlit!t ", .4_4aaakm Application Number: CO- 0005 _0466_8- Property Address: 55420 MEDALLIST DR APN: 767-510-020- - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/17/05 Owner: GRAY 55-420 MEDALLIST DRIVE LA QUINTA, CA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with . Section 7000) of Division of the Business and Professionals Code, and my License is in ff I force and effect. License Class: C S- License No.: yQ (Z8 /Date: Contra: ✓ v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 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 Contractor's State .License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 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).: (_) 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, 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 burdenofproving that he or she did not build or . improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State -License Law.). (_) I am exempt under Sec. B.&P.C. for this reason 'Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT A POOLS & SPAS SEABRIGHT INS BB1050510 01/01/06 656128 10/31/06 V ------------------------------------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - - - 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 insurance carrier and policy number -are: Carrier C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - -- _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 2 3700 of the Labor Code, I shall forthwith comply with those provisions. - Appli ant: 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is 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 theCity 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 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned prop y for inspection purposes. Data' QSignature (Applicant or Age Application Number . .. . . . 05-00004668 Permit BUILDING PERMIT Additional desc . .Permit Fee . . . 99.00 Plan Check Fee 64.35 Issue Date . . . Valuation 8000 Expiration Date 4/15/06 Qty Unit Charge Per 'l Extension BASE FEE 45.00- 6.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 54.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 16.80 Plan Check Fee 4.20 Issue Date . . Valuation 0 Expiration Date 4/15/06 Qty Unit Charge Per Extension BASE FEE 15.00 4..00 .4500 ------------------------------------------------------------------------------ EA ELEC DEVICE/FIXTURE >20 1.80 Permit . . . PLUMBING Additional desc . Permit Fee . . . 18..00 Plan Check Fee 4.50 Issue Date . . . Valuation . . . . 0 Expiration Date.. 4/15/06 Qty, UnitCharge• Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------- Special Notes and Comments BARBEQUE #Z21-58-1995 AND OUTDOOR FIREPLACE ONLY. - Other Fees ---------------------------------------- . . . ENERGY REVIEW FEE 6.44 Fee summary Charged" Paid Credited Due Permit Fee Total 133.80 00 ;00 133•.80 Plan Check Total 73.05 .00 00 73.05 Other.Fee Total 6,44 .00 00 .6.44 Grand Total .213.29 .00 .00 213.29 LQPERbflT Bin # City of La Quinta Building U Safety. Division P.O. Box 1504, 78-49$ Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking. Sheet Permit # Sr X06 Project Address: Owner's Name: C A. P. Number: Address: S5'-C/20 —07.z— 2 _ Legal Description: Legal City, ST, Zip: 57.3 Contractor \S Telephone: k Address: D. 1 (7©. Project Description: City, ST, Zip: c' yr 0. C / Telephone-02 7,422— q State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 1 Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Z,50 t/C/, '= 6.2/ y Estimated Value; of Project: $ © d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . PERMIT FEES Plan Sets Plan Check submitted Z Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Se T/J Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for corrections/issue Electrical ' /xTiJIRES Subcontactor List Called Contact Person I Plumbing 0drum Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctio is a Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue . School Fees Total PermitTees .SHOW CHIMNEY CLEARANCES TO ADJACENT STRUCTURES PER CBC TABU 31-B. CLAY FLUE LINER — PLASTER 4' CONC SLAB #3 BARS AT 12' O.C. EACH WAY #4 BAR HORIZ. CONT. 8' CONC. BLOCK SOLID GROUT TM I : 12' CONC. BLOCK TOP COURSE ONLY #4 BARS VERT, 0 SAW CUT AS REQUIRED 16' O.C. TYP. ' 4 #4 BARS NORIZ. FIRE 4WX31W STEEL ANGLE 'O AT 32' O.C. ;. BRICK #4 BARS VERT. @ I& O.C. TYP. CONT. TYP. STONE HEARTH ' rrrrrrr •; _ #4 BARS @ 16' O.C. UP. • ..s a . , • •-'moi • •.. •; — • a ' s PATIO SLAB #4. BARS 12' O.C. EA. WAY 6A KIVA FIREPLACE SECTION FIREPLACE: ' wA I.C.B:O. # ANSI # BTU e4• eX7c U.L. APPROVED. VERIFY SETBACK AND ' ' ' - ' • • •' : ; .' HEIGHT REQTS. PER ' • • . • • • • •- CITY OR COUNTY ORD. • • • ' ** USE LP OR NATURAL GAS ONLY!" ** NO WOOD -BURNING OR COMBUSTIBLE MATERIAL ALLOWED!* KIVA ELEVATION STAINLESS STEE GRILL (LSNKL LIGHT.' TONE OR TILE - R / - peso PROVIDE •VENT, WASTE, AND PLUMBING -FOR SINK ON SEPARATE CONSTRUCTION DOCUMENT. OFI UTLET & LIGHT' SWITCH (WATERPROOF) BB4: LENGTH -VARIES I.C.B.O. # __ •zz i -sem iQg r ANSI # FREE-STANDING OUTDOOR KITCHEN'- FRONT ELEVATION BTUyoa' 1/211=11-011 U.L. APPROVED. r W ILIGHT a I GRILL RE SI GFII ADAPT DIMENSIONS njA FREE-STANDING 'OUTDOOR KITCHEN-1PLAN *TO FIT APPLIANCES 6x8xI6 CMU- GROUT CALLS WITH STEEL. #4 BARS VERT. AT 240 0. C. (TYP. ) r NO I w w BBQ LAYOUTS MAY VARY. I a FOOTING SIZE & REINF. ARE TYPICAL. > L LENGTH VARIES FREE-STANDING OUTDOOR KITCHEN-- FOUNDATION PLAN >.S': nr )' ,..i: a.>j i. p s.Fi.•r' :9 •"•r'"i•e•:x.:: •'fir ^try'x;''' ; gr• STONE CAP, TILE OR POURED CONC. #4 BAR HORIZ. AT r ...,. >;- art•:: ` /-yTCLLS:'=WITH :S .: :f = TESL.. :0 tV' ..;: i -•J ra *7`T j:. . A FtT X • . ... •::. •2 4N o TY P ) "F .0 .. r ~._ .:.. { 2-#4 BARS HORIZ. CONT. 6 : •. , ,,_; 6N L VARIES • 6N P ` FREE-STANDING BBQ - WALL SECTION II aI l -0 N 1/211=11-0,1 GASI FIRE' GAS :. F ' '•. '•7•; •: • ?!:•• a i :}9o- . L p II aI l -0 N 1/211=11-0,1 GASI FIRE' GAS :. ' '•. '•7•; •: • ?!:•• a i :}9o- . L p 4)2,' PJIMID►ti►cl OR b rowr, (1V - I,-IvD w BRANCA-04%1 c N PcN SYS 1? -5i- 1,i Ish CoLoR_ol--o PCIS tow 149 'DgA1a`WR4 CN /T'lovrl lr h + 2' 1 Zq ; PC 1.•0 I Ag . $Itq rIU•1•I NCS r. -----,. CALIFORNIA. POOLS & SPAS vr/ LANDSCAPE DIVISION 86-100 AVE. 54 Coachella CA.92236 ( ) 7 0 si L v 1 -1 (9) 1 +%Bus: 760 398-9222 Fax: 760 398-9255 License# 656128 C2 f --(ID . ri T) - n o `✓/ 1; LOW rAr $IZANCHINq\ 411 WAN 1. , r (, ! . 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M 88 •T7r t . l•C _ I L 1 / CAP, AIM SYM KEY COMMON NAME QTY SIZE CH CHAMAEKOP5 HUMILLI5 MEDITERRENEAN FAN PALM 5 24" BOX TREES SYM KEY I BOTANICAL NAME COMMON NAME QTY SIZE PCN PRO5OP15 CHILEN515 CHILENEAN MESQUITE $ GOtJ$M"ICH /-STl 48" BOX PCH PRO50PI5 CHILEN515 CHILENEAN ME5QUITE LOW 82tr4emi 2 3G" BOX QV QUERCUS VIRGINIANA SOUTHERN UVE OAK ' $7,D 1 52" BOX OLF OLEA EUROPA FRUITLESS OLIVE MvH.- I 3G" BOX CIT CITRUS SEE PLAN FOR VARIATIES 2 24" BOX SHRUBS S KEY BOTANICAL NAME COMMON NAME QTY SIZE PC PRUNU5 CAROLINA CAROLINA LAUREL CHERRY 49 5 GAL " LL LEUCOPHYLLUM FRUTESQEN5 TEXA5 RANGER 23 5 GAL GJ GARDEMAJAWINOIDE5 GARDENIA 4 5 GAL 0 1' CBB CARI55A MACROCARPA BOXWOOD BEAUTY 32. 5 GAL \ HH riEMEROCALL15 DAYLILY - I I 5 GAL PF PHOTINIA FRA5ERI FRA5ER'5 PHOTINIA 1,2 5 G/AL BU a .BOUGAINVILLEA BUSH LA JOLLA 7 5 GIAL .B5 '. BOUGAINVILLEA SPECIES RA55ERRY ICE 9 5 GAL L EU_ EUONYMOU5 JAPONICA MICROPHYLLA BOX LEAFED EUONYMOU5 17 5 GAL . t EUV EUS'3N "MOUS,JAPpNICd4-1/ (RfEC A't`A DlW7 R,F1<I.RYOPS.., _ .. 15 . _ 5 GAL Y' CAV CALLISTEMON VITAMINAUS .BOTTLE BRUSH 20 5 GAL LJT UG17S` BW-J' PMCU1l%I` EXANIUM WAXLEAF.PRIVET ,. 7 5 GIIAL ) RHI RHAPHIOLEP5151NDICA INDIA HAWfHORNE 8 5 GIAL NO NANDINA DOME5TICA HEAVENLY BAMBOO 10 5 GIAL PTV PITT05PORUM TOBIRA VARIEGATA CARIEGATED PITTOSPORUM 5 5 GAL s R— . _ -- ROSE . _ __ RED R05ES 9 '5 GAL 1*'' i SYM KEY BOTANICAL NAME . COMMON NAME QTY SIZE "! ` + CI CAWANDRA TWEEDI PINK POWDER PUFF 10 5 GAL BBK BOUGAINVILLEA BARBARA ICAR5T 4 5 GAL fGROUND COVER SYM KEY DESCRIPTION SPECIFICATIONS QTY G PEBBLES 3/8" ARIZONA SUN PEBBLE5 3 TON15 DG DECOMPOSED GRANITE 3/8" MINUS DESERT GOLD 10 TON15 50D HYBRID BERMUDA 2,500 SOFT HB HEADER BOARD 174" BENDABLE BOARD 350 FEET AC ANNUAL COLOR 40 FLAT5 LJGHTIN SYM KEY DESCRIPTION SPECIFICATIONS QTY I PL PATH LIGHTS 15 WL WELL UGHT5 13 MISC SYM KEY DESCRIPTION SPECIFICATIONS QTY CONC. BROOM FINISH COLORED CONC. COLOR TO MATCH EXISTING goo 50FT PADS CONC. STEPPING PADS 2'X 2' COLOR TO MATCH PATIO G9 EA PADS CONC. STEPPING PADS 2`X I G" COLOR TO MATCH PATIO 5 EA BBQ BARBEQUE WITH STONE COUNTER TOP SEE PLAN FOR NOTES I K KEVA 5EE PLAN FOR NOTES I ' ' .,' ,• - ee r+;l•, i^. ,•, r '},i.L . yCP r' ^1nr• .'v • ; .H7e•', '* rn,.. . ' S, ' . DATE RESIpENTIAL I.ANpSCAK PIAN FqR: OMY RE$1DFwNCF— S5—k20 MFpA LIST DF. LA CjUINTA, CA. 822&3 t spLp BY. D$vELopMENj PARCEL " ry GRFG H. No. :. _ ` „ ►, :. DfSIGN BY: GREG NORMAN COURSE DoT NO. Y JQ$E G. SMELT NAME pI2A VN 01(: GREGORY I. PLANTINO Pt"A QRFG H. .7 , J013 No. 811.3 /' DATE: Q8,05•Q5 SCALE; 1 /all y SHEET NO