08-0491 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
pp �. _- . 08=00000491
Property Address: 54275 CANANERO CIR
APN: 767-320-999-280 -32879 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW. DENSITY RESIDENTIAL
Application valuation: 2000
Applicant:
Architect or Engineer:
�[N
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICEN ED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin s and ofessionals Code, and my License is in full force and effect.
License Cla C8 C27 C29 License No.: 656128
pdre<, Zontractor:
R -BUILDER DECLARATION
1 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.).
( 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 fSec. 3097, Civ. C.).
Lender's Name:
Lender's Address: \
V
LQPERAIIT
Owner:
COUCH/GALLAGHER
54275 CANANERO CIRCLE
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153.
Date: 3/24/08
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.
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 Po cy Number BB1080510
I certify that, in the performance of th work for which this permit is issued, I shall not employ any
person in any manner so as to bec a subject to the workers' compensation laws of California,
and agree that, if I should become bject to the workers' compensation provisions of Section
3700 of the Labor Code, s II fort with comply with those provisions.
atm e: 1i
cant:
FAILURE TO SECURE WOR�11NALIND
NSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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, inderrinify 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, r cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above nfo motion is correct. I agree to comply with all
city and county ordinances and state laws relating to tion, and hereby authorize representatives
of this cou to enter upon the bove-mentioned pro i specti n os
gore: joelature (Applicant or Agent)
7
Application Number . . . . . 08-00000491
Permit . . . . . . BUILDING PERMIT
Additional desc -
Permit Fee. . . . . 37.00 Plan Check
Fee
24.05
Issue Date "._. Valuation
. . -
. 1520
Expiration Date - 9/20/08
Qty Unit•Charge Per
Extension
BASE FEE
15.00
11.00. 2.0000 HND BLDG 501-2,000
----------------------------------------------------------------------------
22.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 17.25 Plan Check
Fee
4.31 -
Issue Date Valuation
. . .
. 0
Expiration Date 9/20/08
Qty Unit Charge Per
Extension
BASE FEE
15.00 .
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
--------------------------------------------------------'--------------------
2.25
Permit . . - WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00' Plan Check
Fee
.00
Issue Date . - . . Valuation
. . .
. 480
Expiration Date 9/20/08
Qty Unit Charge Per
Extension
BASE 'FEE
15.00
----=-------------------------------------------=---------------------------
Special Notes and Comments
BBQ, FIREPIT & 30 L.F. 4' WALL, CITY
STANDARD, PER APPROVED PLANS:
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
2.41
STRONG MOTION (SMI)
- RES
.50
Fee summary Charged Paid Credited
-----------------
----------
Due
------------------------------
Permit Fee Total 69.25 .00
.00
69.25
r. Plan Check Total 28.36 .00
.00
28.36
Other Fee Total 2.91 .00 ..00
2.91
Grand Total 100.52 -00
00
100.52
r
LQPER-NIIT
Bin #
City of La Quinta
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: S
Owner's Name: C
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: ��r;,_— a4
Telephone:
Address: 00 f/&
Project Description:
City, ST, Zip: C01= Ci`� ZZ3C�
/f
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:J Z� SSL
Construction Type: Occupancy:
Project type (circle one):(New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person: Z = 0,c), I-/ '
Estimated Value of Projec v f (/I/q / V'41 0q-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'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
3
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2ed Review, ready for corrections/issue
Electrical
Fi�C7u/L
Subcontactor List
Called Contact Person
Plumbing MIA
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3rd Review, ready for corrections/issue
Developer. Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App r
Date of permit issue
School Fees
aTY OF LA QUIN
BUILDING & SAFETY UtP
Total Permit Fees
AF Vhuvty Coo
FOR CONSTRUCTION
Y
�_B
f
TIE
S.T TD �
TOP COUL
BTUULL- APPROVED.
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FL&CfI�T.
(fYP..) TONE CAP
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a ' _ =•x:: ,;; _ :_�: #4 BAR VERT•1 AT 52' O.C.
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4LR
METAL. GAS RISER GRAVEL SlA iP
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QUTDQCR FIRE RINN - TONE CAP
5TA1k�L�SS
GRILL LET STEEL
31NK PROVIm VENT, WASTE AKD
PL RINO FOR 51NK (IN 9EP.APATE
TI 70)R CASTRL"ON D.9CLMENT,
CVLINT
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OUTDOOR KITCHEN — FRONT ELEVATION BTU-pp�y
U.L. AHROVED,
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I GRILL SI
F&EE�TAND I N Q-QUTDggR - {ITCfiEN. A J��N`� -
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6XSx16 CHU: �ROUT,CE L3 WITH STEAL
ir+s arvsa v�ni. ,qi CJr- S7,L�l l fr,l
016 LAYMS MAY YAW.
FOO.TINO SfZF- & REiNF. ARE TYPICAL,
f�
STOW' CAP, AE
OR POURED CONC.
HOF2I2. AT
3_ 32' O.C. {tYF }
6YBXI6 CM
GRIM CELLS WITH STEEL
F.S. VMT
ZV O.C. {TYP.}•
N, : " 2-04 BARS WeRIZ. CONT.
- t,,7
1€ARl 6'E
FREE-STANDING - WALL SECTION
1N
1l2'=l 1-0"
ID B80 ISLAN —SIDE ELEV.