SOTB (07-0122)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:OL 7-00.000.12_2
Property Address: 58365 MIJAS
APN: 764-200-999-56 -316812-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8000
Applicant: Architect or Engineer:
1r
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-=----------- ---------------
SED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perj y that I a ensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the usiness n Pro sionals Code, and my License is in full force and effect.
License CI ss: C8 C27 C29 License No.: 656128
ate:J&/ntracto,:
WNER-BUILDER DECLARATION
'1 hereby affirm under penalty of perj ry that exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busin rofessions 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 s e is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with S coon 70001 of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the ba is for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicalxto a civil penalty of not more than five hundred dollars ($500).:
1 _ 1 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 burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 1, 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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:
LQPERA11T
Owner:
WILM
58365 MIJAS
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/16/07
Contractor: D A
PEOSER OX 1280 JAN 17 �00]
COACHELLA, CA 92236
(760) 398-9222 CITY OF IA QUINTA
Lic. No.: 656128 FINANCEDfiPT
-----------------------------------------------
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.
1 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
Carrier SEABRIGHT P is Number BS1070510
I certify that, in the performance of t k for which this permit is issued, I shall not employ any
person in any manner so as to om su ' ct to the workers' compensation laws of California,
and agree that, if I should b om su ject to he workers' compensation provisions of Section
/ 3700 of the Labor Code, 1 11 f rt ith co ply with those provisions.
pAfe: plicant:
/WARNING: FAILURE TO SECURE-WORK6CWFENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE C ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTERES , 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, a shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employee r any act or omission related to the work being
performed under or following issuance of this p r it.
2. Any permit issued as a result of this application 3 comes null and void if work is not commenced
within 180 days from date of issuance of su it, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read thisif
applicati and state that e a o e in rmation is correct. I agree to comply with all
city and county ordinances and s laws relating to ' din nstr tion, and hereby authorize representatives
of thisyduunty to enter upon above-mentioned pro rt spe ion purposes.
U mature (Applicant or Agent):
Application Number . . . . . 07-00000122
Permit . . .
BUILDING PERMIT
Additional desc .
Permit _Fee . . . .
99.00 Plan Check Fee
64.35
Issue Date
Valuation . . .
. 8000
Expiration Date
7/15/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
6.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
54.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25 Plan Check Fee
4.31
Issue Date
Valuation . . .
. 0
Expiration DatE
7/15/07
Qty Unit Charge
Per
Extension
BASE FEE
15'.00
3.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20.
2.25
Permit
PLUMBING
Additional desc .
Permit Fee
21.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation
0
Expiration Date
7/15/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
6.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ - Z21758-1995 & FIREPIT,
AGAL 496
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
6.44
STRONG MOTION (SMI) - RES
.80
Fee summary Charged Paid Credited
Due
Permit Fee Total
----- ---------- ---------- ----------
137.25 .00 .00
137.25
Plan Check Total
73.91 .00 .00
73.91
Other Fee Total
7.24 .00 .00
7.24
Grand Total
218.40 .00 .00
218.40
LQPE%NITT
Bin #
City of. La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet ,
Permit # v
Project Address: s—
Owner's Name: \` M
A. P. Number:
Address: j M
Legal Description:
Contractor: F_: :5 F=7
Address:
2
City, ST, Zip: k, JS, QU ^per
Telephone:
Project Description:
City, ST, Zip:60Ct--G i-L.CJS
Telephone: ,3� g ZZ Z i
IF
State Lic. # : �p S�D ,�
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
i
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. F' L:
# Stories:
# Units:
Telephone # of Contact Person:
. -2_(57,C)_ .2.
Estimated Value of Projec $
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACINGPERMIT
FEES
Plan Sets
Plan.Check submitted`(�
O
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°" Review, ready for correctionsrissue
Electrical
-
Subcontactor List
Grant Deed
Called Contact Person
Plans picked up
Plumbing I '
So
%�TJf?N�S
1N
L
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
1r° Review, ready for correction issue
Y(ip—f
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Ul I Y UF LA
)v1
1,TotalJPermitFeesLi
BUILDINU & 6AFL I Y UI=P 1.
APPROVED
FOR CONSTRUCTION
DATE —BY�_
LtNG I H VANIM LC.B. D. #
ANSI
I FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION BTU 5L64- a -a
U.L. APPROVED.
(LIGHT I °�
GRILL REF. SIRIK I >
IA FREE-STANDING OUTDOOR.KITCHEN� - PLAN ADAPT DIMENSIONS
�E TO FIT APPLIANCES
6x8xi6 CMU' GROUT CELLS WITH STEEL
#4 BARS VERT. AT 24` O.C. (TYPJ
I 1-4
7/ .IW
w ' BBQ LAYOUTS MAY VARY.
FOOTING SIZE & REINF. ARE TYPICAL.
ANDING OUTDOOR KITCHEN - FOUNDATION PLAN
N 16'
NE CAP, TILE
K,POURED CONC.
4 BAR HORIZ. AT
' O.C. (TYP.)
3`
I6 CMU
MT CELLS WITH STEEL
AR
. AT
F.S..C. (TYP.)•
4 BARS HORIZ. CONT.
-a-
� VARIES 6'
IC FREE-STANDING BBQ - WALL SECTION
n BBQ ISLAND - SIDE ELEV.
IV
i/2"=1'-0"
#4•TIE
STEEL AT
TOP COURSE
rGAS FIRE RING: t fj
I.C.B.O. #
ANSI # �--c --
U.L. APPROVED.
L 36" DIAM.
JUL vn ,L w
LENGTH OF GAS PIPE
DIAM. OF GAS PIPE
7 OUTDOOR FIRE RING
GAS - SHUTOFF
VALVE GRAVEL
LOCATED GAS LOG
WITHIN 36" LIGHTER
` OF UNIT
(TYP.)
3-1/2'
�o a
F.S.
WATERPROOF
MEMBRANE
(
SURFACES) IOR
— #4 BAR
VERT AT
3Z" O.C.
(TYP.)
6X8X8 OR
8X8X8 CMU
SOLID GROUT
GAS LINES SHALL BE INSTALLED
PER CPC FOR DEPTH,
COURSE COVERAGE, AND PLACEMENT.
4bA.NU WATER PROOF
STONE CAP
#4 TIE STEEL
#4 BAR VERT. AT 32" O.C.
8X8X8.CMU; SOLID GROUT
� F.S.
CLR
METAL GAS RISER GRAVEL SUMP
3(CU. FT.
2" DRAIN OR PROVIDE 12' DIAM. CRUSHED ROCK
OPENING IN FOOTING
7A OUTDOOR FIRE RING - STONE CAP
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86-100 AVE. 54 COACHELLA GA. 92236
Pt9: (760) 398-9222 FAX: (760) 398-9255
CA LICENSE No. 656128
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86-100 AVE. 54 COACHELLA GA. 92236
Pt9: (760) 398-9222 FAX: (760) 398-9255
CA LICENSE No. 656128