08-0164 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00000164
Owner:
Property Address:. 81925 RUSTIC
CANYON DR
THOMAS RESIDENCE
APN: 764-280-999-55
-300237-
81-925 RUSTIC CYN DR
Application description: STRUCTURES OTHER THAN,BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
LA QUINTA, CA 92253
Application valuation: 1000
D
Contractor:
Applicant:
Architect or Engineer:
ec�/
TESERRA
Co
P.O. BOX 1280
tel/
COACHELLA, CA 92 36 i
C
.(760)398-.9222 -
Lic. No.: 656128
LICENSED ONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lice
sed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines nd Prof sionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 . License No.: 656128
a'
,-'Datel --Contractor:
NER-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 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 sate.).
(_ I 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:
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/17/08
JAN 18 ?008
N�F440"..- l
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 370.0 of the Labor Code, for the performance of the work for which this permit is
issued.
'I 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 SEABRIGHT Poli Number BB1080510
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 beco a subject to the workers' compensation laws of California,
and agreethat, if I shou ome s ject to the workers' compensation provisions of Section
R77090Sof the Labor C e, I s all forth mply with those provisions.
Date: ;;Applicant:
WARNING: FAILURE TO SECURE WO OMPE ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 statethat the above infor ration is correct. I agree to comply with all
city and county ordinances and state laws relating to
build; construc ion, and hereby authorize representatives
co
of this my o enter upon the above-mentioned pr, r inspecti purposes.
"bate/le3 -0 j ignature (Applicant or Agent):
LQPERA11T
'Application Number .
. . . . 08-00000164
Permit
BUILDING PERMIT
Additional desc .
Permit Fee....
25.00 Plan Check Fee
16.25
Issue.Date ..
Valuation ..
1000
Expiration Date
7/15/08
Qty Unit Charge
Per•
Extension
BASE FEE
15.00
5.00 2.0000
HND BLDG 501-2,000
10.00
Permit
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25 Plan Check Fee ..
4.31
Issue Date
Valuation
0
Expiration Date
7/15/08
Qty Unit Charge
•Per
Extension
BASE FEE
15.00
3.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
-----------------------------------------------------------------------------
Special Notes and Comments
BBQ / FIREPIT / POOL
UNDER CONSTRUCTION
Fee summary Charged Paid Credited
Due
Permit Fee Total
42.25 .00 .00
42.25
Plan Check Total
20.56 .00 .00
20.56
Grand Total
62.81 .00 .00
62.81
Bin #
f
�' .. �� .
`ty of La 'Qumta
Building U, Safety Division
P.O. Box 1504,•78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
4Building Permit Application and Tracking Sheet
Permit .#
n`
Project Address:'
s
2G De -Owner's
Name:_ .
A. P. Number:
p`
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
t.
—'100
Address:' 6>—'100
C J •
Project Description:
City, ST,'Zip: 060
t I A
cl'zzto
a pstp1
Telephoner ZZZi
12oo L &t 0 CL-42—
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
-
Address:
City, ST, Zip:
f
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one) .. Ne Add°n Alter Repair Demo
Name of Contact Person:
Sq: Ft.;
#Stories:
# Units:
Telephone # of Contact Person:
-b
Estimated Value of P'rojecA 1,9061.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING . PERMIT FEES i
Plan Sets
�~•
Plan Check submitted Item
Amount `
Structural Calcs.
Reviewed, ready for corrections Plan Check W posit
Truss Calcs.
Called Contact Person Plan Check Ealance
`' r
Energy Calcs.
Plans picked up Construction
TB
Flood plain plain. '
or
Plans resubmitted Mechanical ` ;r
rGrading.plan' ,
2nd Review, ready for'corrections/issue,- . Electrical..
'Subcontactor List
�.,
Called Contact Person 5 Plumbing` r A
Grant Deed
-
Plans picked up S.M.I.
H.O.A..-Approval
1.
Plans resubmitted Grading
IN HOUSE:-
�,
''d Review, ready for corrections/issue e o er I
fea
Planning Approval
'
Called Contact Person 4 Imo' nEP-r"
Pub. Wks: ApprIL-JINUI
k'
Date of permit issue BU
School Fees
$TRUcmON
71
QA a er —
STONE CAP, TILE
OR POURED CONC.
#4 BAR HORIZ. AT
3" 32" O.C. (TYP,)
N 6X8XI6 CMU
M GROUT CELLS WITH STEEL
#4 BAR
F.S. VERT. AT
s
24" O.C. (TYP.)•
-244 BARS HORIZ. CONT.
��
VARIES 16"�
FREE-STANDINNG RRn _ WALL SECTION
fi
BBQ ISLAND - SIDE ELEV.
I
t
STAINLESS
GRILL
STEEL
LIGHT
SINK
PROVIDE VENT, WASTE, AND
TONE OR
PLUMBING FOR SINK OP SEPARATE
CONSTRUCTION D.000M_NT.
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COUNTER � .
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GFI
OUTLET
PRE-HUNG8'
S.S. DOORS
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LIGHT
STONE
VENEER
SWITCH
(WATERPROOF)
LEN TH VARIES
--BBO• _ --^..._.. ............
�i -LREE-STANDING OUTDOOR KITCHEN FRONT ELEVATION
_
B UI��_1q��S
U.L. /PROVED.
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FREE-STANDING OUTDOOR KITCHEN PLAN ADAPT DIMENSIONS =�
# TO FIT APPLIANCES
6XBXI6 CMU' GROVE .CELLS WITH STEEL
#4 BARS VERT, AT 24" D.C_(TYP.)
BBQ LAYOUTS MAY VARY.
N
FOOTING SIZE & REINF. ARE TYPICAL.
IC
LENGTH VARIES
FREE-STANDING OUTDOOR KITCHEN FOUNDATION PLAN
IB
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1/2"=P-0„
STONE CAP, TILE
OR POURED CONC.
#4 BAR HORIZ. AT
3" 32" O.C. (TYP,)
N 6X8XI6 CMU
M GROUT CELLS WITH STEEL
#4 BAR
F.S. VERT. AT
s
24" O.C. (TYP.)•
-244 BARS HORIZ. CONT.
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FREE-STANDINNG RRn _ WALL SECTION
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BBQ ISLAND - SIDE ELEV.
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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