09-1155 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
09-00001155
79167 CETRINO
Tit!t44Q"
772-110-050- - -
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
300
Architect or Engineer:
W11
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 3 of the Business and Professionals Code, and my License is in full force and effect.
License Cate:lCl���assss::�/�B-C27-053- License No.: 475700
4r5//}c/
�_ 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 ISec. 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).:
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.).
(_) I, as owner of the property, am exclusively contracting witfi licensed contractors to construct the project ISec.
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.).
(_) 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: `
LQPER.MIT
Owner:
STEVE & SUSIE PERRY TRUST
F0
Contractor:
ELITE BUILDERS LANDSCAPE
PO BOX 1718
SAN JUAN CAPISTRANO, CA
(949)496-4586
Lic. No.: 475700
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/05/09
CST°f j1:14TA
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.
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 DELOS INS Policy Number 01DKRM22007594
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
3700 of the Lab r Code, I shall forthwith co y ose provisions.
e: icant:
WARNING: FAI RE 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 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 above information is correct. I agree to comply with all
city and co ty ordinances and state laws relating to building construction, and hereby authorize representatives
of this n y t enter upon the pPve-mentioned prop for ins
ate: Si cure IA licant or Agentl:
Application Number . . . . . 09-00001155
Permit . . . BUILDING PERMIT
' Additional desc . .
Permit Fee . . . . 15.00
Plan Check Fee
9.75
Issue Date . . . .
Valuation . . .
. 300
Expiration Date 5/01/10
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 5/01/10
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
PRE -BUILT OUTDOOR FIREPLACE (GFRC -
MARIPOSA STYLE) AND GAS PIPING. 2007
CALIFORNIA BUILDING CODES.
November 2, 2009 8:15:23 AM AORTEGA
--------------------------------------------------------------------=-------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
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 1.00
.00. .00
1.00
Grand Total 48.25
.00 .00
48.25
LQPERMIT
Din #
City Of L1 QuiCita
Br>gaig 8L Safety Division
P.O Box 1504, 78-495 Calle Tampion,IO
La Qrmita, CA 92253 - (760) 777-7012 �\
Bur ift Permit Application and Tradmg.,_Simt
Permit #
ProjedAddress:
A- P. Number 'oip gl—
Add
Adder
Legal Dw,.ptioa J4 --
City, ST, Zip:,
,c ,/
Address: f% / !%� d
:,or.'.4 •,--
Project DescriOon:
City, ST, Z,5,t --,ZAJ CCAPAS/�v %5
J�l� �� 5 4/v -&-
Telephone: /T"! 6
State Lia # : 5. ��(j City Lir. #c
�-
Ate., Bog estJ "
Ad&cw. 2 C1fi
TeIhone 3983-�
State Lia #:
•. -�,- �i>>�
_ .....
Construction T (ccupanW
Project type (carole one): New Add'n Alter Repair Demo
Name of Com Pelson:( 04 / �li
- Sq. FL:
# Stones
# Units
Telephone # of Contact Person : 5)b --�2-4D
Estes Value of Project
APPLICANT: EM NOT 1NEtITE MMOW THIS UM
#
Submittal
RWd
Reed TRACMM
PERIIMf' FP S
Plan Sets
Pian Cke& sabnitted
Item
Asomit
Structural Cafes
Rcview[d, readq fur mrreefloffi
Ptah Cheep Deposit
Nass Caics.
IF Called Contact Person
Plan (3mck Balance
Tithe 2d Cates_
Plans parked up
Cousbaetion
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"! Review, ready for corretionsl%ae
Eleelrital
Subeontaetor List
Called Contact Person
Ph—bing
Grunt Deed
Plans picked up
H.O.A_ Approval
Plans resubmitted
Gradin
IN HOUSE:-
'°' Review, ready for correetionsRs ae
Developer Lnpact Fre
Pia ming Approval
Called Contact Person
A.LP.P.
Pab. Wks. Appr
Date of permit issue
School K? T
Total Permit Fees
N; 0'! /
ICHARLES,RATHFON� .,
DBA BATHFO GAR'D.BN DESIGN
i
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVED
FOR CONSTRUCTION
/DATE a
No.
l
140> Lu•"'
-f�A'vm
9.
FBF CALIF39- APt4
IvT t4
- t1D'D4
-41- a
28141 IIIA DEL. CEZRO • SAN92675 . OOWCE ") 3883774 • FAX (349) 3883784
CALIFORNIA LANDSCAPE ARC -ECTS LICENSE # 3902
IICHA
ctle
t
fl.
9--Iw Mffl--20
(Ile
M =sftcfion shall comply M* mw QjT&mja aiff&W, Ma*m*4 EI=Wad, Mubft and ftma C -W= and
the La Quints Mumicio Cie
t to
28141 VIA DEL CERRO 9 SAN MAN CAMMANO, CA 92675 - 0MCH. ") 388-3774 • FAX_ (949) 388-3784
CALIFORNIA LANDSCAPE ARCEMCTS LICENSE # 3902
.. 0
-+ Mariposa
The Mariposa is an ideal design when a low profile fireplace is needed
Mariposa Details
Material: Glass -Fiber_ reinforced_Concrete_(GFRC),,lightweight_and_durable_in_all_climates
M Shipping: Nationwide. _See "Shipping, Handling & Taxes Information" page for details
'# of Parts: 7.total-- 1, hearth _piece (standard.hearths),,1,body, 1 chimney, 4 firebox panels
Weight: approximately 900 lbs
.Four Standard Hearths Available for Phoenix, Mariposa, Petite Coronado, Avalon, and Delphi Models
3
1
1( - 42" )1
1E 42" -1
65.
1E 42"--31
52"
i( 42"—�I
l'� 37"—�,�11..
10.25
f
39.5"T.�," 53.75"
27
30." 25"
4.r
+--
52"—
SE-9073/111
2" —,
SE -9073/H1
SE -9073/1-12
SE -9073/1-13
SE -9073/1-14
w/ Radiused Bullnose Hearth
w/ Rectangle Bullnose Hearth
w/ 16" Roundover Hearth
w/ 4" Roundover Hearth
(Most Popular)
(Ideal for Vertical Veneering)
(Ideal for Narrow Spaces)
(Ideal for Low Profile)
Footprint: 63" x 24/34"
Footprint: 59" x 32"
Footprint: 52" x 32"
Footprint: 52" x 25"
Four Premi M -Hearths Available foi-noQ`
1� 42" :l
37.."—
T
10.25",y6^
Footprint: 39.5"
111' long I 427�.�1 '
24/34' deep zn••
I 111" Z4 16"
I 113"
SE -9073/1-15 (pictured)
w/ 113" Extended Bullnose Hearth
IC
F— 37"==
T'
10.25" N6"
Footprint: 39.5"65.75"
159" long 27,y '
24/34* deep ,., 30
;i_pos_a;;Petite Coronado, Avalon, and Delphi Models
1� 4T*
T—
10.25" ,�6"
Footp mt: 39.5" I '�a.- . j 65.75"
135" lo"}ng I 127.+
24/341'deep _I
159" I L4�16" T
" a. 34" 16•
161"
SE -9073/H7
w/ 161" Extended Bullnose Hearth
SE -9073/H8
w/ Corner Rectangle Hearth
4
135"
1 24"
- � ;j 34"
—
R
137"
SE -9073/H6
w/ 137"
Extended Bullnose Hearth
��— 42" �I
Footprint:
137"��11"
-Middle Section -
54" x 31"
10.26" �6"
-Side Sections -
29.5/51.5" x 21.5"
Side Sections are
angled inward 45"
65.7E.��
1P;?�%j'[a
39.5"
159" I L4�16" T
" a. 34" 16•
161"
SE -9073/H7
w/ 161" Extended Bullnose Hearth
SE -9073/H8
w/ Corner Rectangle Hearth
Exterior Fireplaces - Gas Options Coronado Avalon Phoenix Delphi Page 1 of 2
Us
outdoor fireplaces
Gas Options - Petite Coronado / Avalon / Phoenix / Delphi / Mariposa (Gas Hook Up Options)
A. "Out -back Source Line
Back View Not to Scale
B. "Underneath" Source Line
Top of Hearth - Not to Scale
4" Hearths: Pipe must line up with access hole OR
out back source recommended.
Gas Pipe Height: 6"-41" max.
http://www.exteriorfireplaces.com/fp_gas_option-02—I.shtml.htm 10/26/2009
Exterior Fireplaces - Gas Options Coronado Avalon Phoenix Delphi Page 2 of 2
I
9"
L
18"X 18" >
Back
Access
Please specify:
1. Gas tum -on key placement "Bight side" or "Left side" (facing front of fireplace.)
2. Source Line:
A = Out bads
B'= Underneath
I �J Copyright 2008, Designs By Garry, Inc. All Rights Reserved.
Fireplaces Firetables I BBQ Islands I Exterior Furniture I Brochure Showroom Order Fond Links Contact Us
' POV![A'D eV
•' c' M
http://www.exteriorfireplaces.com/fp_gas_option_02_I .shtml.htm 10/26/2009
L.PT 14 I-rz 2-4 Mo -2
HP N b . -7 7& 110021-9 A%cn- a/
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