07-3176 (SOTB)P6
:,
P.O. BOX 150.4
78-495 CALLE TAMPICO
SLA QUINTA, CALIFORNIA. 92253
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am tic nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d Pro ssionals Code, and my License is in full force and effect.
License Cla s: C 7C27 C29 license No.: 656128
Date: f 16T-Contractor.l
"CAOWNS BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am eftmpl 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 sale.).
(_ 1 1, 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
Date: 12/19/07
-----------------------------------------------
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 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 Policy Number B131 070510
I certify that, in the performance of he work for which this permit is issued, I shall not employ any
person in any manner so as to come subject to the workers' compensation laws of California,
and agree that, if I sho bec a subject to the workers' compensation provisions of Section
3�C700 of the Labor C e, I s II orthwith comply with those provisions.
Date:' "r�lV� Applicant:
WARNING: FAILURE TO SECURE WO KE ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE , ALTIES 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 Ouinta, 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 info rrfation is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr *n, and hereby authorize representatives _
of this county to enter upon the above-mentioned property f ' spe do purposes.
Date: /int /Ze�G Anature (Applicant or Agent):
BUILDING PERMIT
Application Number:
07-00003176
Owner:
Property Address:
79330 BROOKVILLE
LA QUINTA ORCHARDS PARTNERS
APN:
772-040-018- - -
D
C/O LA QUINTA ORCHARD PARTNERS
Application description:
STRUCTURES OTHER THAN BUILDINGS
G
P O BOX 1716
Property Zoning:
LOW DENSITY RESIDENTIAL'
A QUINTA, CA 92253
Application valuation:
Applicant:
1000
Architect or Engineer:
C, ntractor.
n' SERRA
COACHELLLA12 80
CA 92236
(760)398-9222
WIA
622
Lic. No.: 656128
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am tic nsed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d Pro ssionals Code, and my License is in full force and effect.
License Cla s: C 7C27 C29 license No.: 656128
Date: f 16T-Contractor.l
"CAOWNS BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am eftmpl 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 sale.).
(_ 1 1, 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
Date: 12/19/07
-----------------------------------------------
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 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 Policy Number B131 070510
I certify that, in the performance of he work for which this permit is issued, I shall not employ any
person in any manner so as to come subject to the workers' compensation laws of California,
and agree that, if I sho bec a subject to the workers' compensation provisions of Section
3�C700 of the Labor C e, I s II orthwith comply with those provisions.
Date:' "r�lV� Applicant:
WARNING: FAILURE TO SECURE WO KE ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE , ALTIES 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 Ouinta, 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 info rrfation is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr *n, and hereby authorize representatives _
of this county to enter upon the above-mentioned property f ' spe do purposes.
Date: /int /Ze�G Anature (Applicant or Agent):
Application Number .
. . . . 07•-00003176
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
25.00
Plan Check Fee
16.25
Issue Date . . .".
Valuation . . .
. 1000
Expiration Date
6/16/08
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
6/16/08
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 & (2),FIREPITS PER
APPROVED PLANS
ONLY.
'Fee summary Charged
---------------------------
----------
Paid Credited
--------------------
Due
Permit Fee Total
42.25
.00 .00
42.25
Plan Check Total
20.56
.00 .0.0
20.56
Grand Total
62.81
.00 .00
62.81
LQPERMIT
STAINLESS E
(� STEEL
GRILL
LIGHT SINK PROVIDE VENT, WASTE, AND
TONE OR PLUMBING FOR SINK ON SEPARATE
TILE CONSTRUCTION DOCUMENT.
COUNTER i
00 0 0
1
I�Z" REF. f OUTLET
PRE -HUNG LIGHT
O 'O.
• � S.S. DOORS STUCCO OR 'STONE SWITCH 1
VENEER (WATERPROOF)
-- ----- ----- --- ---- .... ---
VARIES --BBQ'
• - LEN TH - ._.................._...._...........
I.C.B.O. # p
ANSI
I FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION BTU
I/2"=1'-0" - U.L. APPROVED.
LIGHT ` a
l� GRILL 51 I >
L_ I .
n FREE-STANDING OUTDOOR, KITCHEN - PLAN TIO FENSIGNS =C
' I �E TO FT APPLIANCES
1/2"=1'-0"
6x8)(16 CMU- GROUT.CELLS WITH STEEL
#4 BARS VERT. AT 24° 0. C. (TYP.)
-- — — --- —, --
4
cn
w BBQ LAYOUTS MAY VARY.
FOOTING SIZE a REINF. ARE TYPICAL. I >
I IC I
Iu
FREE-STANDIIJG OUTDOOR KITCHEN - F(
SNE CAP, TILE
POURED CONC.
4 BAR HORIZ. AT
2" O.C. (TYP.)
CMU
nT
CELLS WITH STEEL
J3-tI6
AR
. AT
.C. (TYP.)•
4 BARS HORIZ. CONT.
V
6° VARIES 6"
.
i�
FREE-STANDING BBQ - WALL SECTION
CITY OF to QUINTA
BUILDING & SAFETY DDEPT.
APPROVE
FOR CONSTRUCTION
Wil 7 .AI(_q j, BY
ONPLAN
1/.2"=P -O"
,�LBBQ ISLAND -SIDE ELEV.
1/2"=P-0"
GAS -SHUTOFF GAS LINES SHALL BE INSTALLED
VALVE GRAVEL PER CPC FOR DEPTH,
LOCATED COURSE COVERAGE, AND PLACEMENT.
WITHIN 36° LIGHTER SAND WATER PROOF
OF UNITMEMBRANE
(TYP. ) STONE CAP
3—I/2' #4 TIE STEEL
#4 BAR VERT. AT 32" O.C.
MM GROUT
� F.S. a� A 1 F.S.
311
CLR
METAL GAS RISER GRAVEL SUMP
2" DRAIN OR PROVIDE 12" DIAM. CRUSHED. ROCK
OPENING IN FOOTING
OUTDOOR FIRE RING - STONE CAP
A 1/2"=I'-0" -
' #4TIE
STEEL AT
36° DIAM.
TOP COURSE
c—
GAS FIRE RING:
INSIDE DIMENSION
WATERPROOF
MEMBRANE
I. C. B. 0. �#a
ANSI # l Lb A-CIA'L
(TYP. INTERIOR
SURFACES)
BTU
#4 BAR
U.L. APPROVED.
VERT AT
32" O.C.
(TYP.)
7A
76
LENGTH OF GAS PIPE
6x8x8 OR
DIAM. OF GAS PIPE
c
BX8X8 CMU
SOLID GROUT
OUTDOOR FIRE RING
1/2"=I'-70"
GAS -SHUTOFF GAS LINES SHALL BE INSTALLED
VALVE GRAVEL PER CPC FOR DEPTH,
LOCATED COURSE COVERAGE, AND PLACEMENT.
WITHIN 36° LIGHTER SAND WATER PROOF
OF UNITMEMBRANE
(TYP. ) STONE CAP
3—I/2' #4 TIE STEEL
#4 BAR VERT. AT 32" O.C.
MM GROUT
� F.S. a� A 1 F.S.
311
CLR
METAL GAS RISER GRAVEL SUMP
2" DRAIN OR PROVIDE 12" DIAM. CRUSHED. ROCK
OPENING IN FOOTING
OUTDOOR FIRE RING - STONE CAP
A 1/2"=I'-0" -
do
I ; r.. 3."I
219
r�r�7
5&7�, FF&-- 0
t78
Bin #
City of La Quinta
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 #
' Mb
Project Address:
Owner's Name: c �� O(
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: r
Telephone:
-M.
XR o
Address: "� ;� �. �i
Project Description:
City, ST, Zip: (At--- LLIV L A. ef Z- {o
01 t'�
��jjn
Telephone: b–Z• �.
Y �
n�
D (.L ,� �(J P %r,
State Lic. # : S City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: J err^�j3r j-
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:�
Estimated Value of Project: % 0®®
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING.
PERMIT FEES
Plan 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
59T6
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact 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
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
16—
Total Permit Fees