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05-5564 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00005564 Property Address: 57325 PASEO DEL LAGO APN: 762-240-003-45 -300961- Application description: STRUCTURES OTHER TTA Property Zoning: MEDIUM DENSITY RES Application valuation: . . 6000 Applicant: Architec or 4.4 QW4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DEC 2 8 1005 Dll LA --------------------------------------------------- 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 License No.: 839002 ,A,ate: I /f f V) Contractor/ Y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the followingreason(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 statementthat 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:ofthe 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 fora permit subjects the applicant to a civil penalty of. not 'more than fiye•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 oroffered Jor sale (Sec. 704'4, .Business and Professions Code: -The Contractors' State License Law does not apply town owner of property who builds or improves thereon, _ and who does the work himself,orherself -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.). (_) lam exempt under Sec. , B.&P.C. for this reason J 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: PUERTA AZUL PARTNERS 17700 SW UPPER BOONES SUITE 100 PORTLAND, OR 97,224 Contractor: RIPARIAN ENVIRONMENTS P.O. BOX 13990 PALM DESERT, CA.92255 (760)398-9997 Lic. No.: 839002 VOICE (760) 777-70121 ' FAX (760) 777-'0+11 INSPECTIONS (760) 777-7153 FERRY RD Date: 12/27/05 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: -. I have and -w- maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, -foi 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 whichthispermit 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 37700 of the Labor C de, I shall forthwith comply with those provisions. IV 1 Applicant/ .(&S 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 ($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 madeto 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 to enter upon the above-mentioned property for inspection purposes. Day Signature (Applicant or Agentl: I( Application Number . . . . . 05-00005564 Permit BUILDING PERMIT Additional desc Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . . 6000 Expiration Date*... 6/25/06 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 --------- ------------------------------- THOU BLDG 2,001-25,000 ------------------------------------ 36.00 Permit . . . . . . . ELEC-MISCELLANEOUS. Additional desc Permit. Fee 26.00 Plan Check Fee 6..50 I.9s'ue D ate. Valuation ' Expiration Date 6/25/06 .0 Qty: Unit Charge Per. Extension.� BASE, FEE 15. 0.0 1.00. 11.00.00.EA ----------- ------------------------------- ELEC MISC ------------- ---------- 11.00 --------------- Permit PLUMBING Additional':-desc Permit,j Fee, 18.00 Plan Check Fee 4 .50 Issue DaEet'', Valua ion 0. Expit.ataon Date 6/25,0611 Qty UnitChar9 e. -*Per Extension BASE *.FEE . i5.00 1.00 ..3.0000 EKPLB GAS PIPE 1-4 OUTLETS 3.00 - ------------------------------------- ----------------------------------- Special -Notes and Comments FIREPLACE ----------- --------- bther.*Fees . . . . . ----------------------- . . . . ENERGY:REVIEW.FEE ----------- 7 ----- 5.27, 'Fee summary. Charged ----------------- ------ Paid --- ---------- Credited ---------- ---------- Due Permit Fee Total 7 -125.60 '.00 .00 125.00 Plan -Check Total 0.65 - .00 .00: 63.65 Other Fee Total 5.21 .00 .00 5.27 Grand Totdl-- 193.92 *� .00 .00 193.92 LQPERMIT Bin # City of La Qu'inta Building & Safety Division . P.O. Box 1304, .78=495 Calle Tampico La Quinta, CA'92253_- (760)777-7012 Building Permit AppI catlon: and Tracking Sheet Permit # Project Address: �z .� oQ.LI � � A. P. Number: I��J P f �el `( " �"� 12- -e- �O �.Owner'sName'.:._,'� of✓ -Cc� •Address:� Pct r o Legal Description: ('tom kc),j 1`e— Contractor: AGI '- 14N — Ullzd,vA iNT-3 City, ST, Zip: L_` Q ✓tai Telephone: Address: ?IJ .o It • ProjecctyDescription: City, ST, Zip: 64: l f2 I�l Telephone: 2 State Lic. #.City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person:(MG✓��f� Construction. Type: Occupancy: ?.Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:. _ j Estimated Value of Project: APPLICANT .'DO,NOT'WRITE"BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Ian 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 T Floodplain plan Plans resubmitted Mechanical Grading. plan . 2wd Review, ready for corrections/issue Electrical . Subcontactor List Called Contact Person . Plumbin gio Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd 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 0 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. • OLP's firebox measures 30"x 30" • A traditional running bond patter in all fireboxes is standard. ODL-model 30ON 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 stronger 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. Outdoor Living Products are covered under a one year warranty and a five year limited warranty' !a 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. 'Cracking and damage to exterior surface and color due to improper use 72" are not covered in this warranty 40" Dealer Information APPROVED BY COMMUNITY O9WLOPMENTQ6EPARTMEM DY Mo Qi+Sa.. DAT€ Z • 2 - US CXHIBIT _ /�lodef �lAtis ,CASE NO. 56" I 60" i- 30" a 1( _3/2 r05 :47 _16OA35564 )/11%2005 09:10 FAX 382 D16 7765 r ' 1 W-1ER I FL OUTDOOR LIVING PRODUCTS TECHNICAL AL DATA. - - 14U7 -BD - - PROIDUCT: DESCRIM70N: APPLICATION METfIODSIUSE.S: MAXV4trM RF.00_%0ArtJD.Uo USE TIS : 11ZT_TERUL REQtrMED: WATER AaLQIJWXD. R4,CK4GING. 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