07-2764 (SOTB)rt
O.,BOX 1504
787495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tity/ 4 4v Q"
Application Number: X07700002764-,
Property Address: 81739 RANCHO SANTANA DR
APN: 767-200-999-12 -312021-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1000
Applicant: Architect or Engineer:
IPA.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------=----------7-----------------
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: C53 �� License No.: 878400
1WJ
L5
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).:
(_ 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.).
(_) 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 _ 1 I am exempt under Sec. I , 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:
pr
Lender's Address:
LQPERMIT
Owner:
CURT SECOR
81739 RANCHO SANTANA
LA QUINTA, CA 92253
(760)777-9920
Contractor:
SKEEN POOL/SPA WATER
PO BOX 11349
PALM DESERT, CA
(760)766-5554
Lic. No.: 878400
9225
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/15/07
------------------
WORKER'S COMPENSATION, DECLARATION
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 EUMPT Policy Number EXEMPT
�L 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
,cant:
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 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 co struction, hereby authorize representatives
of this county to enter upon the above-mentioned property for i section p ses.
s
Dat - ,,a (Applicant or Agent):
LQPERMIT
Application. Number . . . . . 07-00002764.
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 25.00 Plan Check
Fee
16.25 .
Issue Date Valuation
. . .
. 1000 .
Expiration Date 4/12/08
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 18.00 Plan Check
Fee
4.50
Issue Date . . Valuation
. -
. 0
Expiration Date 4/12/08
Qty Unit Charge Per
Extension .
BASE FEE
15.00
4.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
3.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ (#Z21-581995 & 70000 BTU)& FIREPIT
(AGAL 496 75000 BTU), PER APPROVED PLANS
----------------------------------------------------------------------------
Other Fees . . . . . . ENERGY REVIEW FEE
1.63
STRONG MOTION (SMI)'-
RES
.50
Fee summary Charged Paid Credited
---------------------------
Due
--------------------
Permit Fee Total •43.00 -00
----------
.00
43.00
Plan Check Total 20.75 .00
.00
20.75
Other Fee Total 2.13 .00
.00
2.13
Grand Total 65.88 .00
00
65.88
LQPERMIT
Bin #
City of Lauinta
Q
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
-Building Permit Application and Tracking Sheet
-
_
Permit.#
`lY
Project Address: S - ' 3 c? 4,5cka SA j
Owner's Name: C r C- r
A. P. Number:
Legal Description:
Contractor. 10,0 ��
6PA
Address: o _ "% 3 Aa SA
City, ST, Zip: J, U
Telephone:
Project Description: / Q
3 H
Address: g� 13icy,,J
City, ST, Zip:
80-r- c3 do
CA.- CF • D-E�3
J, Vr il ./4 G-- k.
Telephone::%- -_ SS" _
•-
State Lie. # : - Cid
City Lic. #:
+.c
Arch., Engr., Designer:
� o(f t
Address:X
y ' 4�i V%r e- Q-ro
City, ST, Zip:
Telephone: J0NN:Prvjsct:type1(cirdc9nc):
State Lie. #:
ontrun T "
l O _ qty tc Occupancy:
New Add'n Alter Repair
Demo
Name of Contact Person: AMG
S k_e e A__J
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person:
— ? �S J
Estimated-Value of Project
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd -:
Reed
TRACEING -
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Pian Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs
Plans picked up
Constriction
S�
Flood plain pian
Plans resubmitted
Mechanical
Gradingplan
Subcontactor List
Z'' Review, ready for eorrectioasfwne
Called Contact Person
Eiectirical
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval '
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correetions!issae
Developer Impact F!iz
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks Appr
-Date of permit issue
School Fees
Total Permit Fees
A-4 VT U` LA t, U11V I A btAt5A;UN `RACT•0R LIST
JOB ADDRESS,:n'_'-) �?3 cC .u�1,.�-� �;as5 � 'fir PERMIT NUMBER OWWEFI � v_n r
This forma shally persons appearing - BUILDER
oh this job. Any changes to ompon this list or their employeeS are authorized to
of building permit.For eachtapplicable trade aslinformtionere west d below must be com ®t d bding Division prior, to, comm eapplicant.to . "on lli=lie° $ comply will result in a stoppage of workal
of an ecce table r and/or the of
; :�:. es onse. del
c �..
ii'ca n 'Contra br'•• ••<:,.' ; S .
Trade ! Class r t tat :Coe�Rr `cl'e'f .s •t.ico`•'s
r15$it O' rirl9Uree1 :,o E:r, +
Polio G it .' Busi�eg$ dens
.
Company Hare►®` � Classification license Number Exp, bate Carrier Name' y Number . •
(e.g. A, 03, 0.81 (xxxxxx) (xxOxxlxx9 te,9. State Fund. CaiComp) (For r a8 V®lies) PUP, Pare ' Licenso Number
fxx/xxixx) Exp. oil,
EAR FHWORK 1C -12j L F �" :;� `+ �- txxxxp fxx/xx/x,
CpO�NCORET� (C78) ' r
F6iAbry1N(3 (Y'C.D 1 w
tiAASONRY• IC+291
P(.UMBiN(i f 0.38)
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PAINTING IC -31 1) '
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FENCING (C-13)LIANDSGAPING
404Z7).-;1.:-.
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900703A 3, 6— —0-11 -,,_
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LA QUINTA
"SAFETY DEPT.
m
STEEL —
SINK
STONE OR
TILE
COUNTER
REF.lo
PRE -HUNG O O
S.S. DOORS \
LENGTH VARIES
PROVIDE VENT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
CSTUCCO OR
STONE
.VENEER
:'REE -STANDING OUTDOOR KITCHEN - FRONT ELEVATION
I%2"—I1-011
W
LIGHTa
I ,
GRILL REF. I',]]
ADAPT DIMENSIONS
:'REE -STANDING OUTDOOR KITCHEN - PLAN # TO FIT APPLIANCES
112"=l I—O11
GFI
OUTLET
LIGHT
SWITCH,
BBQ: V_
I.C.B.O. Z
ANSI # /99j-
BTU
`9BTU '74,0'r
U.L. APPROVED.
6x8x16 CMU; GROUT CELLS WITH STEEL
#4 BARS VERT. AT 24" O.C. (TYP.)
cn
w
BBQ LAYOUTS MAY VARY.{ a
FOOTING SIZE 8� REINF. ARE TYPICAL. I
IC
LENGTH VARIES
FREE-STANDING OUTDOOR KITCHEN - FOUNDATION PLAN
I/2"=1'-0"
N �--=- STONE CAP, TILE
> BARS TILE, OR POURED CONC.
12" O.C. 3/8" STEEL PLATE
BCH WAY A-36
a • !l2" 0 A.B. x 12" L.
AT 16" O.C.
I/4,FILLET WELD
e 15" CAN AT STEEL PLATE
LuuJ
u
MID
LIE
gm MID �mtb 6x8XI6 CMU; GROUT
L611 UJI6"6 CELLS WITH STEEL
• I idiC
♦ IC o
4
2-#L, BARS HORIZ. CONT.
o r
VARIES
CANTILEVER COUNTERTOP
1 /2"= I' -0"
GRAVEL
GAS LOG
LIGHTER
F, S.
AS RISER
PROVIDE 12" DIAM.
DOTING
COURSE
SAND WATER PROOF
/—MEMBRANE
1
STEEL AT 36" DIAM.
TOP COURSE
GAS FIRE RING: INSIDE DIMENSION WA
ME
1.C.B.0. # __..
ANSI #_�._SUI
BTU - #
U.L. APPROVED. Vi
3;
V
LENGTH OF GAS PIPE ___--- 6)
DIAM. OF GAS PIPE
OUTDOOR FIRE RING S(
GAS LINES SHALL BE INSTALLED
PER CPC FOR DEPTH,
COVERAGE, AND PLACEMENT.
STONE CAP
#4 TIE STEEL
#4 BAR VERT. AT 32" O.C.
--- 8x8x8. CMU; SOLID GROUT
L-31'
CLR
GRAVEL SUMP
3 CU. FT.
CRUSHED ROCK
GAS FIRE RING:
I.C.B.O. #__�_
ANSI
BTU
U.L. APPROVED.
GAS SHUTOFF
VALVE
LOCATED
WITHIN 36"
OF UNIT —_
(TYP. )
2" 8111 • DIAM.
YaFSE-w
METAL GAS
RISER
2" 0 DRAIN OR PROVIDE 12" DIAM
OPENING IN FOOTING
7A OUTDOOR FIRE RING „ STONE CAP __OUTDOOR FIRE RING — BOULDE
112 -I -0 1/2
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