05-4731 (SOTB)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C:ZO5:-000047311 Owner:
Property Address: 78772 HIGHWAY 111 ONE ELEVEN LA QUINTA
APN: 643-080-037-13 -000000- C/O.SABBY JONATHAN
Application description: STRUCTURES OTHER THAN BUILDINGS 42620 CAROLINE CT STE 102
Property Zoning: REGIONAL COMMERCIAL PALM DESERT, CA 92211
Application valuation: 1500
Contractor:
Applicant: Architect or Engineer: CONSOLIDATED CONTRACTING,
WCC: STATE FUND
WC: 1770749-2005
CSLB : 824183
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:• ._ n kigense No.: -
Date: Contrac3prl
_ OWNER -BUILDER ECLARATION
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: y city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior t its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursua, -to the provisions of the Contractor's -State
License Law (Chapter 9 (commencing with Section 7000) of Divis n 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged axe prion. 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.).
(_ 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.).
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
INC.
01/01/06
09/30/07
Date: 10/28/05
Nov 0 2 20
05
Cl ry OF I
r QUINr
CE n,.•.- A
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 numbbr are:
Carrier B C8 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 be ",,b,,'e workers' compensationprovisions of Section
3700 of the Labor Cod with those provisions.
D e: 1 Applican�
WARNIN :XILURE TO SECURE WORKERS' COMPENSATIOCOVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (S100,000). IN ADDITION TO THE COST OF COMP NSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTO EY'S FEES.
APPLICANT ACKNgWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Build g 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 td: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 build g uction, and hereby authorize representatives
of this c my to enter upon the above-mentioned propert in n purpo .
to b Signature (Applicant or Agent)'-
Application Number . . . . . 05-00004731
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 35.00 Plan Check
Fee
.. .22.75
Issue Date . . . . Valuation
1500
Expiration Date 4/26/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
-------------------------------------------------------
---------------------
20.00
Permit PLUMBING
Additional desc .
Permit Fee . . . 18.00 Plan Check
Fee
4.50
Issue Date . . . Valuation
. . .
. 0
Expiration Date 4/26/06
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 -FAB PATIO FIRE -PIT WITH GAS LOG.
----------------------------------------------------------------------------
Other Fees . . .. . . . . . . ENERGY REVIEW FEE
2.28
Fee summary. Charged Paid Credited
----------------- --
Due
------ --------------------
Permit Fee Total 53.00 .00
----------
.00
53.00
Plan Check Total 27.25 .00
.00
27.25
Other Fee Total 2.28 .00
.00
2.28
Grand Total 82.53 .00
.00
82.53
LQPERMIT
-
'
. .......... .. . . . . . . .................. .
N
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S.
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BP
EN F 'o
540Iln
25.0
5
. . ..........
RECEIVING
20'-5" 151-6*
5TAINLE5 STEEL
9' DIA.x O'WIGH
ENCLOSURE
TRASH LMECIj GRAIN
❑ PLANTER SILO
cl 0 ❑c) V-6'
C4 I o PLANTER 0 7a
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7--777777-777— 7777777.7�z �7
kS,iNG:a SIDEWALK'
940'39'II`E
180.77
2 PLANTER
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
LAM-PPOST PIZZA
FOR CONSTRUCTION 78-772 Highway. 111; La Quinta
One Eleven La Quinta Center -
8 Y_
wigo consofidated
SITE PLAN Contracting, Inc.
SCALE;
TELEPHONE:
VERIZON
NATER:
C. V. W. D.,mj
SEWER:
C.V. W. D.
GAS:
50. r—.AL,--(Yi—
SCHOOL DIST:
D-S.U.S.D.
. .......... .. . . . . . . .................. .
N
................
S.
t Q1
.. .. .. .........
BP
EN F 'o
540Iln
25.0
5
. . ..........
RECEIVING
20'-5" 151-6*
5TAINLE5 STEEL
9' DIA.x O'WIGH
ENCLOSURE
TRASH LMECIj GRAIN
❑ PLANTER SILO
cl 0 ❑c) V-6'
C4 I o PLANTER 0 7a
Mig
Z
7--777777-777— 7777777.7�z �7
kS,iNG:a SIDEWALK'
940'39'II`E
180.77
2 PLANTER
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
LAM-PPOST PIZZA
FOR CONSTRUCTION 78-772 Highway. 111; La Quinta
One Eleven La Quinta Center -
8 Y_
wigo consofidated
SITE PLAN Contracting, Inc.
SCALE;
24'-0"
16' -4'1 2" 41
01F -7
LAMPPOST. PIZZA
78-772 Highway i I I, La Quinta
One Eleven La Quinta Center
ConsoCufatedCont-nif g, Inc. -411
I
0
Gal -10',
-3i 71-7°
MANUFACTURERS SUGGESTED RETAIL
MAN UFACTURER5 SUGGESTED RETAIL
BUILDER SET FIRE PIT SURROUND
MODEL- FP4SG
WIDTH- 45"
HEIGHT- 4X
WEIGHT- 90L13S
'REQUIRESTRIM RING ($76.00)
& ADAPTER KIT ($59 -00) -SOLD SEPARATELY
'PATIO CAMPFIRE ($Zi9.00)•SOLD SEPARATELY
$$79.00 TOTAL PACKAGE=$1273.00
ROCK RING FIRE PIT SURROUND
MODEL- ROCK RING
WIDTH- Z2"
HEIGHT- 8
WEIGHT- 381.13S
'PATIO CAMPFIRE ($2S9.00) -SOLD SEPARATELY
TOTAL PACKAGE=$469.00
$210.00
MESA FIRE PIT SURROUND
MODEL- MESA
WIDTH- 22"
HEIGHT- 13"
WEIGHT- 48LBS
i
'PATIO CAMPFIRE ($259.00ysoLD SEPARAT>;LY
- �'• TOTAL PACKAGEQ$518.00
MANUFACTURERS SUGGESTED RETAIL $259.00
i
PARTS & ACCESSORIES: SOLD SEPAMTELY
PATIO CAMPFIRE NATURAL GAS) $259.00
PATIO CAMPFIRE (LP GAS) $259.00
TRIM RING $76.00
ADAPTER KIT $59,00
PCF - COVER - $22,00
r,
`PATIO CAMPFIRE MAY BE PURCHASED BY ITSELF FOR PLACING INTO A CUSTOM SURROUND
09114/2005 14:Ub tbW56UbyWb
I
PATIO CAM PFIR'E.ARINGS THE FUN
OF CAMPING TO ANY BACKYARD
The Patio Campfire Ips you enjoy a traditional campfire right out vour back
door. Quick and easy because it uses clean burning gas -no mon: chopping and
hauling firewood. The large log set and impress ie Games create an instant
campfire atmosphere, while the sleek, light design lends to its portability.
The Patio Campfire also features uriffinited design nex'ibilky. Romeoaeners
may choose from the optional Mesa or Rock Ring bases, or opt to create
their own customized look by adding pavers, brick, rock or stone materials
to an unfinished Fire Pir BuOder Set or directly around the unit.
• Realistic campfibe design
• Convenient Size and completely
portable
i j • 75,000 BTLt Input/ lour NG
'I • 60,000 BTU InpuL/Hour LP
f
• Realistic campfire log set
• WcUL ]Jsted
• Patented technology
1 .
PAVERS
BRICK
LEDGE STOW E
DOCK RING BASE' FIRE PIT BUILDER SET' MESABASf'
(UNFINISHED)
VOL N
tJS7ED
'optional Roses Sold separafe y o•
1
08-17-05 12:32
From-WILLIAMS MECHANICAL INC
c4�L us
LISTED
7603415534
Hearth Technologies - Mt. Pleasant
1915 W, Saunders St.
Mt. Pleasant, Iowa 52641
Division, HON INDUSTRIES
PATIO CAMPFIRE
INSTALLATION & OPERATING
IN
T -62T PAVO7 F-TZI
ASA2; u� 309001
t:;l�atiitat6r
1
— Do not store or use gasoline or other flammable
'vapors and liquids In the vicinity of this or any
other fireplace,
— What to do if you smell gas
- Do not try to light any appliance.
• Do not touch any electrical switch; do not use
any phone In your building.
• Immediately call your gas supplier from a
neighbor's phone. Follow the gas supplier's
Instructions.
• If you cannot reach your gas supplier, call the
fire department.
— Installation and service must be performed by a
qualified installer, service agency or the gas
supplier.
iMPORTANTI Read all instructions carefully before starting
Installation. Failure to follow these installation Instructions may For outdoor use only. Do 110t Use for co pking.
result In a possible fire hazard and will void the warranty.
This manual must be used for installation and retained by the homeowner for operation and maintenance, Save this manual for
future reference!
Please contact Technical Services with any questions or concerns at; Hearth Technologies Mt. Pleasant, 1915 West Saunders
Street, Mt. Pleasant, IA 52641 (1-800-843.2848).
This product Is covered by one or more of the following patents; (United $tales) 4,112,913; 4,4011,584; 4,422,426; 4,424,792; 4,520 791; 4,793,322: 4.852.548;
4.875,464: 6,000,182; 8,016,608; 5,076,284 6,181,877; 5,218,953; 5,328,358; 5,420,485; 5,462,708; 5,642,407; 6,613,487; (dustr2$lle) 543780; 588985;
(Canmda) 1,123,298; 1,287,746; 2,195,264; (Mexico) 97-0467; (New Zealand) 200285: or other U.B. and foreign patonts pondine•
06-02 1 4004-001 Rev A
06-17-06 12:32 From-WILLIAMS MECHANICAL INC 7603416634 T-627 P.04/07 F-721
ASTH PATIO CAMPFIRE INSTALLATION INSTRUCTIONS
CONTENTS
A. Introduction......................................................................................•........................................................... 2
B. Safety Information ...............................................
...........................
..................
*....................................
....... 3
C, Components and Installation........................................................................................................................ 4
0. Operating Instructions.............................................................................................................................. 8
E, Maintenance Instructions............................................................................................................................. 9
F. High Elevation Installation....................................................................................................................... I..... 9
GLReplacement Parts....................................................................................................................................10
Warranty....•...........................................................I...I...•............:..............................................................12
A. INTRODUCTION
This appliance is a Deoorative Gas Log Set for OUTDOOR USE ONLY and MUST NOT be used for cooking.
Place this appliance on a flat and stable surface In an outdoor location such as a patio or deck. This location must be
edjacent to the gas supply line or LP gas supply cylinder. 00 NOT locate the appliance where it can get excessively wet
or submerged In water.
The following clearances to combustibles must be maintained:
Bottom - 0". Sides/Walla (all around) -24"(610 mm), and Top - 8 feet (2.4 m).
A decorative surround can be made from noncombustible material (such as bricks, landscape blocks, rooks, eto.) or
two models of fabricated surrounds are available (see below).
Rock Ring Mesa
Always keep the appliance area olear and free from combustible materials, gasoline and any other flammable vapors
and liquids.
4004-001 Rev A 2 06.02
08-17-06 12:33 ' From-WILLIAMS MECHANICAL INC
7603416534 T-627 P.05/07 F-721
�p H
PATIO CAMPFIRE INSTALLATION INSTRUCTIONS "• """�'"""°'°
B. SAFETY INFORMATION
The Patio campfire has been tested In accordance with
iAS US requirements for Outdoor Gas Fireplaces, Draft 4-
96 and ANSI Z21.56-19951CGA 1.6-M95 for Canada and
has been listed by Underwriters Laboratory (UL) for
installation and operation as described in these
Installation and Operating Instructions.
The installation must conform with local codes or, in the
absence of local codes, with the National Fuel Gas Code
ANSI 2223.1 or CAN/CGA-13149.1, National Gas
Installation Code or CAN/CGA-B149.2, Propane
Installation Code,
IMPORTANT: Installation of natural gas should be done
by a qualified Installer, service agency or gas supplier.
The appliance and its manual shutoff valve must be
disconnected from the gas supply piping system during
any pressure testing of the system at test pressures In
excess of 1/2 prig (3.5kPa).
This appliance must be Isolated from the gas supply
piping system by closing its manual shutoff valve during
any pressure testing of the gas supply piping system at
test pressures equal to or less than 1/2 prig (3.5kPa).
Note: All new LP cylinders (and in many cases used
cylinders) may contain water, air or other contaminants.
It Is essential that these substances be released before
filling the cylinder and placing into service. Water vapor
present in the gas vapor may cause the regulator to
"freeze up" and cause an Interruption to the gas flow. This
interruption will cause the appliance to shut down. To
prevent this from occurring, It is essential that a qualified
Individual always purges a new tank thoroughly before
placing it into service. It is recommended that cylinders
that have not been used for extended periods of time
also be purged before use. {
• Children and adults should be alerted to the hazards
of high surface temperatures and should stay away
to avoid burns or clothing ignition.
• Young children should be carefully supervised when
they are in the area of the appliance.
• Never leave the appliance unattended during
operation.
• Clothing or other flammable materials should not be
placed on or near the appliance.
• Any guard or other protective device removed for
servicing' the appliance must be replaced prior to
operating the appliance.
• Installation and repair should be done by a qualified
service person. The appliance should be Inspected
before use and at least annually by a qualified service
person. More frequent cleaning may be required as
necessary. it Is imperative the control compartment,
burners and circulating air passageways of the
appliance be kept clean.
• Inspect the fuel supply connection (including the hose
for LP models) before each use of the appliance.
• If it is evident there is excessive abrasion or wear, or
the hose is cut, it must be replaced prior to the
appliance being put Into operation.
• The pressure regulator and hose assembly supplied
with LP models must be used. Replacement
pressure regulators and hose assemblies must be
those specified in this manual.
• The LP gas supply cylinder used with LP models must
be constructed and marked In accordance with the
specifications for LP gas cylinders of the U.S.
Department of Transportation (DOT).
• Cylinders must be stored outdoors in a well ventilated
area out of the reach of children. Disconnected
cylinders must have threaded valve plugs tightly
installed and must not be stored in a building, garage
or any other enclosed area.
• Storage of this appliance Indoors Is permissible only
if it has been disconnected from Its fuel supply
(natural gas line or LP gas cylinder).
• The LP gas cylinder supply system must be arranged
for vapor withdrawal.
• The LP gas cylinder used must include a collar to
protect the cylinder valve.
• When an LP model Is not In use, the LP gas must be
. turned off at the supply cylinder.
Note: Do not use this appliance if any part has been
under water. Immediately call a qualified service techni-
cian to inspect the appliance and to replace any part of
the control system and any gas control which has been
under water.
06-02 3 4004-001 Rev A
08-17-05 12:33 From-WILLIAMS MECHANICAL INC
7603416634 T-627 P.06/07 F-721
PATIO CAMPFIRE INSTALLATION INSTRUCTIONS
C. COMPONENTS AND INSTALLATION
The burner assembly and log assembly are packaged Individually and shipped In one carton. see illustrations below.
Natural Gas Propane
Sumer Assembly Looating Button Sumer Aesembly
(Align with olmple on bottom o1 tog base)
low
Heat Shield �i •i
Flex Tube
ONJOFF Valve
Burner Assemblies
Log #3
Regulator Hose
(Propane only)
%"a
Log #4
608 oas0
4004-001 Rev A 4 06-02
6-17-06 12:33 From4ILLIAMS MECHANICAL INC 7603415534 T-627 P.07/07 F-721
PATIO CAMPFIRE INSTALLATION INSTRUCTIONS "
1. BURNER ASSEMBLY
a. All Models
1) Remove the burner assembly and check for
damage. Do not use damaged components.
2) Position the burner assembly In the desired
location.
- This location must be adjacent to the gas
supply line.
• You must have easy access to the gas
valve control knob after it is installed and
connected to the gas supply because the
ON/OFF gas valve is used to turn the
burner ON and OFF.
b. Natural Gas Models
1). Connect the ON/OFF gas valve of the
appliance to the incoming gas supply line.
See Figure 1. Make 'certain all gas
connections are tight.
2) Turn the ONIOFF valve at the appliance
slowly to the "ON" position. Use a soap and
water solution to test for leaks.
DO NOT USE AN OPEN FLAMEI
Locating Button
'OruOFrr'
valve
1 �
Check fittings for IoaK9•
Neat Ned
Figure 1
Natural Gas BurnerAssembly
c. LP Gas Models
1) Make sure the tank valve is turned completely
OFF (clockwise).
2) Ensure the tank valve has the proper external
mating threads (tank valve marked: USE
WITH TYPE 1).
3) Inspect the hose shipped with the appliance
for any damage. Do not use if there is
evidence of damage,
A) Connect the and of the hose onto the ONI
OFF gas valve of the appliance. Make sure it
Is secured tightly.
5) Connect the regulator assembly to the tank
valve. Hand tighten only (clockwise). Do not
use a wrench to tighteni Use of a wrench may
damage the quick closing nut and result In
a hazardous condition. See Figure 2.
6) Position the hose out of pathways where
people may trip over it or In areas where the
hose may be subject to accidental damage.
T) Open the tank valve fully (counterclockwise).
Tum the ON/OFF valve slowly to the "ON"
position and use a soap and water solution
to check all connections for leaks. If a leak Is
found, turn the tank valve OFF and do not use
the appliance until repairs can be made.
•owoFF•
OAS Volvo
IAOAun9 Button
Flex
0arknea f
VAOWAe Gru"vEA 1
uw
Pro o chock Glmos ror reaxa "
RGWQIQF Hoge
Figure 2,
Propane SurncrAssembly
Heat
evmtll
o"2 5 4004-001 Rev A
Bin #
City of La Quints
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 # Y731
Project Address: -75-9 -112-
Owner' f:7Lw6ti L& Q U1 N-'I;A L i-C,
A. P. Number:
Address:
Legal Description: b PC I- 12� f-�A I /Oe
City, ST, Zip: Rexic H 0 f--'] I KA&f &A 61:2S-To
Contractor: 60ti W-w UATeP 6P4TW&*J&j 1
Telephone:
Address: 46,150 Apq4o e5T-
Project Description:
City, ST, Zip:►
NZA [A, aFJ fix
Telephone: -IW-.J*l
................. ... . ......
...... .........
W= 96WU&Nl�
State Lic. # : 624 160 City Lic.
Arch., Engr., Designer:
1 - -u I
Address:
City, ST, Zip: I81210(A 19-2 A
Telephone:
............. ....
..................>
............... . ... .....
................ ... ..........
................
Construction Type: Occupancy:
State Lic.#:
Project type (circle one): New d'n
6d Alter Repair Demo
Name of Contact Person: t2A\/e,7 eMrJF,-y1'
Sq. Ft.:
#.Stories: -T#
Units:
Telephone # of Contact Person: -111 1
Estimated Value of Projec'vo;-500,�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
lan Sets
Plan Check submitted LQ Item
Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss CaIcs.
Called Contact Person Plan Check Balance
Title 24 CaIcs.
Plans picked up Construction
60748
Flood plain plan
'Plans resubmitted Mechanical
Grading plan
2nd Review, ready for corrections/issue Electrical
Subcontactor List
CalledContact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
" Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person,
Date of permit issue r"I r-)"'. YQUINTq
Pub. Wks. Appr
School Fees
%A ot,
A F, Y PT.
FOR-
OR CONSTI i
Total Permit Fees