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05-4755 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: C01-00004755 Property Address: 60419 HONEYSUCKLE ST APN: 764-270-999-145 -300233L Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 3000 Applicant: I Architect or Engineer: tiles -------------------------------------------------- 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 Class: C8 C27 C29 A License No.: 839002 ��Contractor• 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 isnot 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 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 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: - LQPERMIT Owner: .DIETRICH 60-419 HONEYSUCKLE ST LA QUINTA, CA 92253 • Contractor: RIPARIAN ENVIRONMENTS P.O. BOX 13990 PALM DESERT, CA 92255 (760)398-9997 Lic. No.: 839002 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 10/21/05 ID Q� OCT 88 2005 CITY OF LA QUINTA FINANCE DEPT. ----------------------------------------------- WORKER'S COMPENSATION. DECLARATION I hereby affirm under penalty of perjury one ofthe 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 STATE FUND Policy Number 1769754-2005 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 _' r 3700 of the Labour C e, I shall forthwith with those provisions. Dat . I,d riS Applican�__ - 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 1$100,0001" 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county ttoo enter upon the above-mentioned prope/rty or inspeection purposes. Date: br L-irSignature (Applicant or Agen; (/�r'ed�211-[i1n� Application Number . . . . . 05-00004755 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 Plan .Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date 4/19/06 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 9.00• Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 15.45 Plan Check Fee 3.86 Issue Date Valuation . . . . 0 Expiration Date 4/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .4500 ---------------------------------------------------------------------------- EA ' ELEC DEVICE/FIXTURE >20 .45 Permit . . . PLUMBING Additional desc . Permit Fee. . . 18.00 Plan Check Fee 4.50 Issue Date . . . .Valuation . . . . 0 Expiration Date 4%19/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 -----7----7------------------------------------------------------------------ Special Notes and Comments FIREPLACE. ----------------------------------------------------------------------------- Other Fees ENERGY -REVIEW FEE 3.51 Fee summary Charged Paid Credited Due Permit Fee Total 87.45 .00 .00 87.45 Plan Check Total 43.46 .00 •.00 43.46 Other Fee Total 3.51' .00 .00 3.51 Grand Total 134.42 .00 .00. 134.42 LQPERMIT I R OUTDOOR LIVING PRODUCTSTM Envision the beauty and charm of an outdoor fireplace. • Outdoor Living Products are hand crafted to last a lifetime. • All fireplaces are available in four colors to complement the appearance of your home. • OLP's Patent -pending design and assembly allows for installation in 30 minutes in most cases. • All of our fireplaces feature an attractive mantel to display decorative items. • 0LP's firebox measures 30"r, 30". • A traditional running bond pattern in all fireboxes is standard. OLP-model 300N Outdoor Living Products (OLP) are manufactured with Glass Fiber Reinforced Concrete (G.F.R.C.). This mixture of cement, fiberglass strands, sand, and acrylic allows our line of products to be manufactured thinner which reduces the weight and increases the strength without the same cracking you would experience with regular concrete. The G.F.R.C. formula has been used on exterior building systems for years and has proven to be a time tested winner. Our team at OLP has four generations of experience with building and designing outdoor living spaces in the western United States. We take pride in knowing the hardscapes we have designed and built have been enjoyed for many years and will continue to last for years to come. We have developed our exclusive manufacturing process with the same philosophy that has served our hardscape business for generations, Quality -Service -Innovation -Pride. See Warranty Card* Gas requirements 1. Fitted with 1/2" male adapter for your gas line. Fireplace placement Do not place OLP model 300 under overhead combustible areas. Use only in well ventilated areas. This product is for outdoor use only. DO NOT BURN WOOD! *Cracking and damage to exterior surface and color due to improper use are not covered in this warranty Dealer Information IMPERIAL SPRINKLER SUPPLY, INC. INDIO OFFICE PHONE: (760) 8163-5562 T 82.5' 44' 60" i 3J 1( 13/2105 22:47 i6@;,3635564 1MDERIAL PAGE 08 )/1112005 09:10 FAX 962 016 776; OUTDOOR LIVING PRO6UL`TS 0003 S. hV:7q• i,+.`' i •' ;1•%5�..:;� c. f t::.. w .: • •9:aa SS'�Yri 11'i'D Hot Modulus.of lttrptt+>rs eft 350C °F fp50. nT/A Thermal Ccmd,uctivi (Btu ft2- tiY 4-9 0 td00T lip jyYtLi '� i a'FT4AP, Ir 'My �i `°•A �. ti i t +M.4e a3n 2 a M ^l".6 + A►403 18A NCOS 1.0 coo q a i:$, , Ib kh�l+ r•'P '•p•' �r K: ` v. 'n > . E. 1' S `i?t 'r����a 4:� _+�.,��t��µ��Ya 'd•�_hne S�ir"2 1.k�4 t�3h' ���. 'ru'l �q ~.�F �; a l ��i{ ' >4° :i��,�jr ; •c� yT,',� ��S- }:e. • t_ai � ,7wi iEF J`�`i� t c a�r�, y it 'i SSC r a 7'tLi,�'. , �r��'' N'a¢��-�•����.E Z .113-�1.! ���c� t �i1 C �. W ,r� p 11 .l - c m �1 -R 1��`a. v e. ' ;? �� i• S �'i•r •. � '°`Yl � `' r r! > i �1 l�lo.,a- rJ t r' .z..S: ••l, z r "i + p• a � }r •a�",o'% �.: a .r k 4�,.k$ e 'iitE 4trQ t'•�5'7 S S�? It! G:7C`.1r v:�"'+ Til c �'rr's`I4�s, v i•��.._: :a ! 4.r...•t:-:n ��F . .its, a.. � r..�s'.- .�i �+•��s��� � .�{/p. y c a �?� ao�?fa�i a'a BBeq-S69 OTE ;1QWIkUM U31NOd 081o11 so 81 jaw TECHNICAL DATA - - l..LwTED - Paorcrcr: L/R CAST 27 D$5C$iPiTON: Convendonal 9reday twmd, genual purpose cotabls with tow iron egTtQriF. APPLICATION METRO>7S/USES: Cnnv7.adOr-al c-Astl% Or Imbralion =in&, Cancra: mufti• I41�Ciaatrl� R>Lco_wrc>'IvnRp purpose application. U5E 'TEMP.: 2700°F ?_TGRGiL 'REUT7IgED: 117 -121 cf WATER XtWulAi . 12 -15% (Z-3/4 to 7-1/4 zlts/10041 PAC7CAWNG: _(i# and 130# bags DATE LAST REVISED: i1d( r� Jr3 19, 3^S^� adr r"'i•Y n� , •1f ..VA r 3. r •i a 1. x rk�rl �. •.' i� 1. ,.�::a.. 4 (11-r..e..v5d �l % F•ii •: '1[�1 U�;S. Tempe- ccS AlyxenipoCl Trbde� RedsL (rc !dh% 220 7,000 -11,000 127-131 1500 4,000 - Spoo IL' - 121 - - 0,0 - 0-ic 20M 3.000 - 7,O hl 2500 - - - - - - - - S. hV:7q• i,+.`' i •' ;1•%5�..:;� c. f t::.. w .: • •9:aa SS'�Yri 11'i'D Hot Modulus.of lttrptt+>rs eft 350C °F fp50. nT/A Thermal Ccmd,uctivi (Btu ft2- tiY 4-9 0 td00T lip jyYtLi '� i a'FT4AP, Ir 'My �i `°•A �. ti i t +M.4e a3n 2 a M ^l".6 + A►403 18A NCOS 1.0 coo q a i:$, , Ib kh�l+ r•'P '•p•' �r K: ` v. 'n > . E. 1' S `i?t 'r����a 4:� _+�.,��t��µ��Ya 'd•�_hne S�ir"2 1.k�4 t�3h' ���. 'ru'l �q ~.�F �; a l ��i{ ' >4° :i��,�jr ; •c� yT,',� ��S- }:e. • t_ai � ,7wi iEF J`�`i� t c a�r�, y it 'i SSC r a 7'tLi,�'. , �r��'' N'a¢��-�•����.E Z .113-�1.! ���c� t �i1 C �. W ,r� p 11 .l - c m �1 -R 1��`a. v e. ' ;? �� i• S �'i•r •. � '°`Yl � `' r r! > i �1 l�lo.,a- rJ t r' .z..S: ••l, z r "i + p• a � }r •a�",o'% �.: a .r k 4�,.k$ e 'iitE 4trQ t'•�5'7 S S�? It! G:7C`.1r v:�"'+ Til c �'rr's`I4�s, v i•��.._: :a ! 4.r...•t:-:n ��F . .its, a.. � r..�s'.- .�i �+•��s��� � .�{/p. y c a �?� ao�?fa�i a'a BBeq-S69 OTE ;1QWIkUM U31NOd 081o11 so 81 jaw •1F 13%'2 )05 2':47 7608635564 IM% -PIAL PAGE 09 l/14!2005 09:42 FjU 502 97.8 7787 OUTDOOR LIVING PRODUCTS 111000 Ma- 22 0s 11:1'7& p,5 Page lofI AM. �Certlfica>i®ro Record ^S� �NTG�Krt7:zS�i ' i C;I Sl'UML[t CIA&I. 1~TLE Canterbury Enter nos ".%:l_Q 111920_0 000 I2ON Joy St VALV,15 i(3AS)-'aep9val Use i;o�blta i GA I 92879-3561 USA Refer t) C%m DowTlprIon for prograrat delsih Mi udol Number SLectric kaiuc:g Ct9� For Use With Natural and Prop= Cas Angie Trade Nome. DkN7F BVA 12 i Foi, Use R' ith Natural and Pro;mm. Gas Angle Tra& Name: DANTE 911 112 For Lice With Natalei and lPropene Gas Straight ` ' Trade Nme: DANTL Evg l2 Fm Usc With Nauual and Propano Cha; Straight Trade Nacre: DANTE 920 i 1!l idelrf7 : CZA ftwm t bmL A:1 Ayhm iaanw. i ' .... htp//direCtvri°�.cera-iiaercua+tiotiai.:g%xxr�l_b,sfaesu,aaQ:'xml'ecrttr:l';11]')2U_0_000-33... .3/1612G05 I - if 1312 9FJ5 22: 47 ?068635564 IWEPIAL )%14/2005 08:42 FAR 562 316 7767 OUTDOOR LIVING PRODUCTS PAGE 18 fb 010 moll Sim 01 A INT14§01011M Certificate ®f Compfiance 1 Certitleaw: 1064563 (11248-4) Mssw G WMd: I 664 i • Prokt� :1079! y p� 1s41w:1: 1ldsraaty 22, 20J4 Ismed cv: Cantaftry Faarerp�es P.O. Box 1410 I lrviae. Call[ornla 93d�:f � 1188 t wttea�n: I,lta ><,e�p6t�ae 2,he p,,ead vCft t>;sx�d bel e Q etWbk to bear tbs C3.4 Mark show it mom a4a m.rindrimors lV and 'US' usuedf by Bre mmcw C US �goatnro= I 3371-0 VALVES (GAS) c MOW tine ' 3371-85 VALVES (GAS) Ocuml! Use Wodiwl NnmW 7slac s sr Ck�ea i Far V= wide NMOL lr fd..14=94. L qUQCt0dP9W waa C -IM SM U tfff-AV MiX� Alk ?ee�►I%too: �Ai'l'1D UA -2 U2 Fort%, wab Wur. 1. Uid., Lmzed, L iqur$ad Pehai stt�a C�ei 1� Lp -1vt A nes f 9e�g14t � 7ntael+laaei DANYE LOL2 LThe a.adt�:,eiw..dj°msm�aeswwftt saate.ppw.,e.aM=w wo.yoe=aeltLlFLtn �ae�aS>�Yl��v,.eaa.:ls_rr !a tnG EpoQ=N e1l�b►° d iie WR4l. ir�c� ?7& �.. i,a �NIO�v $wayeie4l • ks dml9rt�1 S6YICQ 14 CR L'S. 1 �c actorll8�►7+►dfkaldttid=^.+inbb�dwt��lw:�fa.ewle dtiah0.+wl�u�e=w�.derw�ra�al�.t.StrslseM�. 61Q =sOfW02G0p�W/17 J O 96j, b A J e- j I l q 6` FIRE PLACE GAS LINE (SEE SPEC. SHEET ELECTRICAL LINE\ FOR DETAILS) ------------------ 7------------------ 1 ma PATRICIA DIETRICH . .. . .. . .. . RIPARIAN ENVIRONMENTS 60-419 HONEY SUCKLE FIRE PLACE PATRICIA DIETRICH RIPARIAN ENVIRONMENTS 60-419 HONEY SUCKLE FIRE PLACE SCALE P 0 BOX 13990 1/8" =I PALM DESERT, CA 92255 LAUINTA, CA 92253 Q CA LIC 839002 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA -1 O-4 BY %7 pFFiCE 56-r r APPROVED BY COMMUNITY DEVELOPMENT DEPARTf bV .i BY ^ DATE kf t EXHIBIT CASE PCO. r Bin # Cit of La City Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (/ Project Address: (, Lj l Q,)•A-,Q �,C L Owner's Name: , Ir aJl�e �.` ` >� A. P. Number: Address: 6 O Jn .SvC-lL Legal Description: City, ST, Zip: rQ� 4^L1� n Contractor:fl_(L A � N v v 1 N \V N .} �,i�J p Telephone: Project Description: Address: Y O (� l�1'1 CLO City, ST, Zip: JA --V Telephone: q_ y, State Lic. # C) 01 City Lic. # Arch., Engr., Designer: U Address: City, ST, Zip: Telephone: _h State Lic. #: # zr r Name of Contact Person: 'I 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: APPLICANT: DO NOT WRITE BELOW THIS LINE # I Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets . Plan Check submitted d Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction g Flood plain plan Plans resubmitted Mechanical Grading.plan 2"' Review, ready for corrections/issue Electrical Ae��1�gviR Subcontactor List Grant Deed Called Contact Person Plans picked up Plumbing '�- S.M.I. l - oma[ t.e,r H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ' Review, ready for correctionA. s Cm Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees