07-1109 (SOTB)P.O. BOX 1504
4. 78-495 CALLE TAMPICO
f.'
LA QUINTA, CALIFORNIA 92253
Application Number:. ^07-00001109-
Property Address: 181650 RANCHO SANTANA DR
APN: 767-200-999-1 -312022
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant:
Architect or Engineer:
IA -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TRIBBLE
81650 RANCHO SANTANA DRIVE
LA QUINTA, CA 92253
(
Contractor: -
CANYON VIEW CONSTRUCTION
3465 LA.CAMPANA WAY, #4
PALM SPRINGS, CA 92262
(760)778-2700
Lic. No.: 779165
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/11/07
tAPR 12 2007
CITY OF LAQUINTA
FINANCE DEPT.
-----------------------------------------------7-------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. -
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lice lass: A B License No.: 779165
-for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date:tractor:
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's, State License Law for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
- I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwith comply with those provisions.
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).:
te:plicant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 _) 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:
LQPERMIT
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 correc I agree to comply with all
city and county ordinA�snate laws relating to buildin construction, an hereby thorize representatives
of this county to entebove-mentioned propertyr inspe n pu po es.
Da �% pplicant or Agent):
Application Number . . . . . 07-00001109
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee .. . 15.00
Plan Check
Fee
9.75
Issue Date . . . .
Valuation
. . .
. 500
Expiration Date 10/08/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
Permit PLUMBING
Additional desc .
Permit Fee . . . . 18.00
Plan Check
Fee
4.50
Issue Date
Valuation
0
Expiration Date 10/08/07
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
FIREPIT PER APPROVED PLANS
----------------------------------------------------------------------------
Other Fees. - . . . ENERGY
REVIEW FEE
.98
STRONG
MOTION (SMI)
- RES -
..50
Fee summary Charged Paid Credited
Due
-------------
Permit Fee Total 33.00
----------
00
----------
.00
33.00
Plan Check Total 14.25-
.00
.00
14.25
Other Fee Total 1.48
..00
_00
1.48
Grand Total 48.73
.00
.00
48.73
LQPERMIT .
Bin #
City of LaQuinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:* an
Owner's Name:
A. P. Number:
'Address: 9165o
Legal Description:
Contractor:
City, ST, Zip:
Telephone: . ,
Address: 3aK4Project
Description:
City, ST, Zip::27
Ci
U
Telephone: ?_700
2
State Lic. #: 77q14 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
r
Construction Type: Occupancy:
State Lic: #:
Project type (circle one): n Rpai�el)emo
Name of Contact Person: 6
Sq. Ft.: # S_!� �S,
# Units:
Telephone # of Contact Person: 760 7--7Z-1329,
Estimated Value f Pr q Kect:
APPLICANT: DO NOT WRITE BELOW THIS 1_1�15�
N
Submittal
Req'd
Rec.'d
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted T
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°"Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing 1.5
OLPW4 r5
Grant Deed
Plans picked up
S.M.T.
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
Ia tTq � �Wi i F
School Fees
QUINTO
IX 0AI'_
a f-% Ik ETY DEP C2 r, —
.
-
1-j V
FOR rr)Aig,
Total Permit Fees
Listing and Code Approvals
A. Appliance Certification B. BTU Specifications
MODELS: PCFM-HNG, PCFML-HNG
LABORATORY: Underwriters Laboratories, lhc. (UL)
TYPE: Decorative Gas Log Set
STANDARD: IAS US requirements for Outdoor
Gas (Fireplaces, Draft 4-96 and ANSI Z21.58-1.995/
CGA 1.6 M96
The Patio Campfire has been tested in accordance with
IAS US requirements for Outdoor Gas Fireplaces,
Draft 4-96 and ANSI Z21.58--1995/CGA 1.6-M96 for Cana-
da 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 Z223.1 or CAN/CGA-6149.1, National Gas Instal-
lation Code or CAN/CGA-6149.2, .Propane Installation
Code.
C. High Altitude Installations
U.L. Listed gas appliances are tested and approved without
requiring changes for elevations from 0 to 2000 feet in the
U.S.A. and Canada.
When installing this.appliance at an elevation above 2000 ft,
it may be necessary to decrease the input rating by' chang-
ing the existing burner orifice to a smaller size. Input rate
should be reduced by 4% for each 1000 -ft above a 2.000 ft
elevation in the U.S.A., or 10% for elevations between 2000
and 4500 ft in Canada. If the heating value of the gas has
been reduced, these rules do not apply. To identify the prop-
er orifice size, check with the local gas utility. .
If installing this appliance at an elevation above 4500, ft (in
Canada), check with local authorities.
Max Input
Model
BTUH
Orifice Size
PCFM-HNG
75,000
#27/.144
PCFML-HNG
60,000
#44/.086
C. High Altitude Installations
U.L. Listed gas appliances are tested and approved without
requiring changes for elevations from 0 to 2000 feet in the
U.S.A. and Canada.
When installing this.appliance at an elevation above 2000 ft,
it may be necessary to decrease the input rating by' chang-
ing the existing burner orifice to a smaller size. Input rate
should be reduced by 4% for each 1000 -ft above a 2.000 ft
elevation in the U.S.A., or 10% for elevations between 2000
and 4500 ft in Canada. If the heating value of the gas has
been reduced, these rules do not apply. To identify the prop-
er orifice size, check with the local gas utility. .
If installing this appliance at an elevation above 4500, ft (in
Canada), check with local authorities.
Read this manual before installing or operating this anplinnce.
Please retain this owner's manual for future reference.
Congratulations
Congratulations on selecting a Heat &. Glo LifeStyle Collection The information contained in this owner's manual,, unless
decorative gas log set. The Patio Campfire you have selected noted otherwise, applies to all models and gas' control
is designed to provide the utmost in safety, reliability, and systems.
efficiency. Your new Patio Campfire will give you years of durable use
As the owner of a Patio Campfire, you'll want to read and and trouble-free enjoyment. Welcome to the Heat & Glo
carefully follow all of the instructions contained in this owner's LifeStyle Collection family of appliance products!
manual. Pay special attention to all cautions and warnings.
This owner's manual should be retained for future reference.
We suggest you keep it with your other important documents
and product manuals.
Homeowner Reference Information
Model Name:
Serial Number:
Dealership purchased from:
Notes:
We recommend that you record the following pertinent
information about your appliance:
Date purchased/installed:
Location on appliance:
Dealer phone:
Listing Label Information/Location
The model information regarding your specific appliance can be found on the rating plate located in the control area of the
appliance. , .
Gas Type
LISTED
C O US OUTDOOR
GAS FIREPLA
22UM /
Model/ Modele PCFM-HNG
IAS U.S. 4-96 OUTDOOR GAS FIREPLACE
For -Canada Z21.58-1995/CGA 1.6-M95
Type of Gas: Natural Gas �--/
Sorte De Gaz: Nalurel
Orifice Size Serial #
Hehrth
DATE
DATE DE
Altitude: 0-2000 ft.
Input: 75,000 B H (22.0 kW)
Orifice Size: #27 DMS
ome Technologies Inc.
02 Kensington Blvd.
ikeville, MN 55044
Min. Gas supply for Input Adj. / Alimentation en gaz min. pour r&glage de la puissance: 7.0 in. w.c. (17 kPa)
Max. Gas Supply / Allimentation en gaz max: 14.0 in. w.c. (3.5 kPa)
Manifold Pressure / Puissance de pression d'admission de: 3.5 in. w.c. (.87 kPa)
WARNING: Must Not Be Used For Cooking. AVERTISSEMENT: Ne pas utiliser pour la cuisson.
WARNING: For Outdoor Use Only. AVERTISSEMENT: Pour utilisation a 1'exterieur seulement.
Serial/Serie OP
2000-4500 ft. (in Canada)
67,500 BTUH (19.8 kW)
#28 DMS
MINIMUM CLEARANCES: Bottom: 0 inch Top: 8 Ft. (2.4rn) DEGAGEMENT MINIMAL: Dessous: Omm Superieure: 2.4m
Minimum clearance from sides and back of unit to adjacent combustible construction below top of unit, 24 inches from sides and 24 inches from back. Minimum
horizontal clearance from sides and back of unit to adjacent vertical combustible construction extending above top of unit, 24 inches from sides and 24 inches from back.
Degagement minimal a respecter entre les cotes et I'arriere de I'appareil et une construction combustible adjacente situ&e au-dessous de la partie sup&rieure de I'appareil,
soil 24 pouces des cotes et 24 pouces de I'arriere. Degagement horizontal minimal a respecter entre les cotes et I'arri&re de I'appareil et une construction combustible
verticale adjacente d&passant la partie superieure de I'appareil, soit 24 pouces des cotes at 24 pouces de I'arri&re.
This apliance must be installed in accordance with local codes, if any. If none, follow ANSI Z223.1 or CAN/CGA-B149, installation codes. MADE IN: XXXX
Cef appareil doit etre install& conformement aux exigences des codes locaux S'il n'existe aucum code local consulter la norme CAN/CGA 8149
This product is covered by one or more of the following patents: (United Slates) 4,112,913; 4,408,594; 4,422,426: 4,424,792; 4,520,791; 4.793,322;4,852,548; 4,875,464; 5,000,162:5,016.609: 5.076,254; 5.191,877;
5,218,953; 5,328,356; 5,429,495: 5,452.708; 5,542,407; 5,613.487; (Australia) 543790; 586383: (Canada) 1,123.296; 1,297,746; 2,195.264;(Mexico) 97.0457; (New Zealand) 200265;
or olher U.S. and foreign patents pending.
Heat & Glo LifeStyle Collection • Patio Campfire • Rev A • 07/06
!-TRIBBL-E =1.24.07
_ i e]
+ ' r ` 4 Change Order Date
81650 RANCHO SANTANA' Revision , (printed BOLD in specifications)
f F
LA .QUINTA, CA 92253. -CON'S. O N
E STHU
CTION-fLAN
Pro ec - � t Manager: - JOHN BARNETT •
DIMENSIONS: POOL SPA _ :.. _
Length: 40'0" 7,6„ -
Width: 11'6" �.
Surface Area (approx): 460 sq. ft. 64 sq. fr. • ,. -
Perimeter (approx): 103 ft., 32 ft. �4 - = T ., • _ '
Depth: '; 3 to 5 ft. 42" max.
Je_ SPA SPECIFICATION..,' .. . • s. .• � t _ . - . ._ .
t
+18" RAISED SPA QUARTZITE EXTERIOR, .FINISH, 5' ` QUARTZITE a -
STACKSTONE SPILLWAY, RANDOM,CUT QUARTZITE EXTERIOR. FINISH
'ABOVE WATER, 6" WATERLINE TILE,- PEBBLE_ INTERIOR FINISH,' 6 JETS
ALTERNATING BACK HEIGHTS. ,
DEMO WORK: _ REMOVE/REPLACE ACCESS WALL
MASONRY:
Raised Bond Beam: , +42" RETAINING RAISED BOND BEAM (51' IN.
'LENGTH), SMOOTH CONCRETE CAPSTONE 4- 24" SHEERF s + _
• ALL RAIN
DESCENTS
Dam Wall: }
5 LF QZT Stacked Stone Spillway
Equipment Wall:
�, . . • 14 foot long Masonry slumpstone .wall with •• . • - - -
capstone to match
Retaining wall: ' 33 LF +4 " _ RETAINING
a 1: 2 RETAINI
,. _ _ S.T_ONE
repiCw/gas line' � - =
' 3' Glia. +18" FIRE PIT, QZT STONE FINISHy� E•
CANTALEV-ERED.top_at 20"
FINISHES:
Pool and Spa Finish: Pebble Pool AND FOUNTAIN (Tahoe blue)basin
Waierline Tile:- 135LF (npt) Verona;borba'turquoise ; *• - '
`Raised Stone: . •195 SF - • • ,
DECKING -SEE PLAN -ON REVERSESIDE
SIDE y°
Decking: 1610. sf grey concrete with light broom finish '
Cantilever Edge: _ 200 LF
J
3" Deck Drains (per LF): 100 LF •� - •
'1
.Umbrella Sleeves: � ' 3 � • '
PLUMBING-
Raised
LUMBING Raised Spa Bypass w/ck valve: Yes c� '
Dedicated Vac Line: Yes _ • ' - - ' •- -
Gas Line: 140 LF All
EQUIPMENT: r + -
Pump(s):. 2- 2.0 HP Hayward Tri -star ' ri
Filter:: ,' 425 SQ FT Hayward Swim Clear Cartridge _
Heater: r 400,000 BTU Hayward Lo-NOx t _ - a -
Controller: Hayward PS -4 In-home controller w/ remote -
Purification System: Aqua -Rite', System -
Purification
Pool Light: ~ Two -- 400 Watt r
Spa Light:' One -- 100 Watt
Landscape: j
}
All Repairs and Replacements by CVP i • y _ �,`
3 Sprinkler Valves
2 Underground Irrigation Boxes
300 LF '/<"Class 200 Irrigation Line
30 Sprinkler Heads (drip, spray, soaker to be determined by owner)
MISC. SPECIFICATIONS:
*36 SF Fountain Basin 'plumbed for submersible pump, -12" depth, 3 pedestals
plumbed for Pot Features,
+3" Raised Curb w/Quartzite Finish, 24 LF waterline tile, Pebble Interior Finish
*Ground wiring and install of Costco Pergula
*Pottery by Owner -
Alarms and gate springs to City code.:
60-778-2700 760-320-3667 FAX 3465 La Campana Way #4 '° Palm Springs, CA 92262- License No: 779165
_z _ _ _ -_ ._ _
+18" RAISED SPA QUARTZITE EXTERIOR FINISH
5' QUARTZITE STACKSTONE SPILLWAY
RANDOM CUT QUARTZITE EXTERIOR FINISH ABOVE WATER
6" WATERLINE TILE
PEBBLE INTERIOR FINISH
6 JETS ALTERNATING BACK HEIGHTS
+42" BLOCK SLUMP STONE RETAINING WALL
CAPSTONE TO MATCH REAR WALL +42" RAISED BOND BEAM (51' IN LENGTH) +42" BLOCK SLUMP STONE RETAINING WALL
/SMOOTH CONCRETE CAPSTONE 24" SHEERFALL DESCEN
4- 24" SHEERFALL DESCENTS
PiL
SLOPE UP TO 3'6" 24"SHEER DESCEN 24"SHEER DESCEN 24"SHEER DESCENT SLOPE UP TO 3'6"
4'0 4'0 4'0
+42"+a ' 1 6 z" 1.6
SPA
P/APOOL 2'5 1 2'5 Y 18' 64 SF
TOE OF -9 LOP 460 SF 1 32 LF
+1a 1 16
— F«a
—181 - ----- ---- -- — — LF ----- —=1's— — -�
-- ---
— 3 5 0 — - — 10'0-
11's
21'6 TOE OF LOP
9' 9'1 z7 , o
+1 "FIRE PIT 18'. 4�0 +18" 1'6 +1e^ — —
STONE FINISH 1'6
111111
C NTALEVERED — — — —' 4'6—
—5'0-4,0 1610 SF NEW 40 ®® I 1 19'0 I JP/A I CONCRETE 6'0 16'0 I 15'10 13'612'0
EXISTING
P/ I
CONCRETE ODO NOV. T
®Existing Air
Conditioner
Legend:
OU Umbrella Socket
® Skimmer
® Auto -fill
Q v Vacuum Port
Pool/ Spa Light
Uplight
Existing Air
P/A
6'0
TRIBBLE RESIDENCE
81650 RANCHO SANTANA
LA QUINTA, CA 92253
CANYON VIEW POOLS
3465 LA CAMPANIA WAY SUITE 4
PALM SPRINGS - CA - 92262
LICENSE # 779165
OFFICE 760-778-2700 FAX 760-320.3667
Drawn/Revised by Date
J.V. 12.18.06 01.12.07
01.23.07 CON
Conditioner P/L Property Line
EXISTING CONCRETE PA Planter area John Barnett
DO NOT DEMO Office: 760 778 2700
Scale in Feet_ . _ Cell: 760-272-8921
0 1 2 3 4 5 6
PUMP BASI
BASIN
.DESTALS
s•o 36 SF
:ATl1RES W/
IP QQ ro 24 LF
---5.0.
IY OWNER. 2'5
P/A
PLUMBING BY (,6'0 P
EXISTING CONCRETE
DO NOT DEMO
P/A
P/A
B06C DIG
AC E
GARAGE
DRIVEWAY