SOTB (07-2937)P.O. BOX 1504 ^�
78=495 CALLE TAMPICO
° LA QUINTA, CALIFORNIA 92253'• BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
CApplication Number: 07 -7_0.0_00.2.937 - Owner.
Property Address: MESA CT SHEA LA QUINTA
APN: 764-280-999-66 -300237- C/O JEFF MCQUEEN
Application description: STRUCTURES OTHER THAN BUILDINGS 8800 N GAINEY CEN E
Property Zoning: MEDIUM. HIGH DENSITY RES SCOTTSDALE, AZ 852
Application valuation: 500
Contractor:
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
,n COACHELLA, CA 92236
(760)398-9222- 656 Lic. No.::'656128
LICENSE , NTRACTOR'S.DECLARATION - -
I hereby affirm under penalty of perjury that I am lic d under provisions of Chapter 9 (commencing with
Section 7000) of -Division 3 of the Business ro s 'onals Code, and my License is in full force and effect.
License Cie s: CQ C27 C29 License No.: 656128
I
ate:
DFCor.
ntracto-
--
�am.empt'
UILDER DECLARATION '
I hereby affirm under penalty of perjury ihfrom 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 emptoyees, 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 he or she did not build or
improve for the purpose of sale.). -
1 _ I 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 contractor(s) licensed
.pursuant to the Contractors' State License Law.).
I—) 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
1",,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/13/07
A/div 14 c�®
V0\ ' l
—-——--------———--—
WORKER'S COMPENSATION DECLARATION
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 nuL
Carrier SEABRIGHT er BB1070510
I certify that, in the performance which this permit is issued, I shall not employ any
person in any manner so as t to the workers' compensation laws of California,
and agree that, if
I shout ecothe workers'' compensation provisions of Section
a I _ �7f40 of the Labor Cod , I shalply with those provisions.
Date:
WARNING: FAILURE TO SECURE WORKECOMP SATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 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 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 a ve information is correct. I agree to comply with all
city and county ordinances and state laws relatinikf' ction, and hereby authorize representatives
of this c/o /t�yust/oEn✓tteerr upon the above -mention pr er inspection purposes.
Date/ `-LL I� v signature (Applicant —�
Application Number . . . . . 07-00002937
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 15.00
Plan Check
Fee
9.75
Issue Date
'Valuation
. . .
500
• Expiration Date 5/11/08
Qty." Unit Charge Per
Extension
BASE FEE
15.00 .
Permit . . . PLUMBING
Additional desc .
Permit Fee . . 18:00
Plan Check
Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date 5/11/08
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
------------
------
---------------
FIREPIT PER APPROVED PLAN
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
0. #4 -TIE
-STEEL AT 36" DIAM.
TOP COURSE
GAS FIRE RING: INSIDE DIMENSION WATERPROOF
MEMBRANE
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U.L. APPROVED. VERT
32" O.C.C.
(TYP. )
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ILENGTH OF -GAS -PIPE---- t 8XSX8 CMU
DIAM. OF GAS PIPE
OUTDOOR FIRE RING SOLID. GROUT
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GAS- SHUTOFF GAS LINES SHALL BE INSTALLED
VALVE GRAVEL PER CPC FOR DEPTH,
LOCATED COURSE COVERAGE, AND PLACEMENT.
WITHIN 36° LIGHTER
LOSAND WATER PROOF -
OF UNITMEMBRANE
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Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0�1
Project Address: 61--7307
Owner's Name: S ��
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: A-
Address: 0 0
Telephone:�g § ,
Project Description:
City, ST, Zip: CNr'~ Lrk Ct�, zz--� v
' /T
Telephoner
State Lic. # : S
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: ,x°
State Lic. #: s>.
F
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:~
Estimated Value of Project: 5700
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
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
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:-
''d 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