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07-2802 (SOTB)P.O. BOX 1544 78-495 CAL -LE TAMPICO LA QUINTA, CALIFORNIA 92253 Tihf;4140aza. Appljcatjon Number:. _ 1 07-00002802 Proper` ty Address: 58117 CARMONA APN: 764-480-009- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 500 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 a4 Professionals Code, and my License is in full force and effect. LicensegClass: C8 C27 C29 License No.: 656128 Date: ✓� 3 Contractor-. 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.). (_ 1 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 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 Owner: MCHENRY/NORTH RESIDENCE 58-117 CARMONA LA QUINTA, CA 92253 r Contractor: .'I TESERRA P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-71.53 Date OCT 23 WVUl OF LA 10/23/07 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 BB1070510 I certify that, in the performance of the work for which this permit is issued, 1 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 OO of the Labor Cod shall br with comply with those provisions. DateaW 42�Q Applicant: � 1 WARNING: FAILURE TO SECURE WO ERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 info ation is correct. I agree to comply with all city and county ordinances and state laws relating to builtinconstr c n, and hereby authorize representatives . of this county to nter upon the above-mentioned propert urposes. `Date:0 gnature (Applicant or Agent): Application Number . . . . . 07-00002802 Permit . . . BUILDING PERMIT Additional desc . Permit. Fee . . . . 15.00 Plan Check Fee 9.75 Issue Date Valuation . . . . 500 Expiration Date 4/20/08 - Qty Unit Charge Per Extension -------------------------- BASE ------------ FEE ------------------------ 15.00 -------------- Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 Plan Check Fee 4.31 Issue Date . . . . Valuation 0 Expiration Date 4/.20/08 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 PER APPROVED PLAN ONLY. Fee summary Charged Paid Credited Due Permit Fee Total 32.25 .00 .00 32.25 Plan Check Total 14.06 .00 .00 14.06 Grand Total 46.31 .00 .00 46.31 LQPERMIT Bin# City of La Quinta Building U Safety Division P.O. Box 1504, 78.495iCalle Tampico Permit # La Quinta, CA 92253 - (760) 777-7012 `W Building Permit Application and Tracking Sheet Project Address:S� �) Owner's Name: TAld� A. P. Number: Address: Legal Description: City, ST, Zip: ,�. Contractor: , , Telephone: H ; � «. Address: � Project Description: City, ST, Zip: Telephone: �� �2-- �NS "CityLic. State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic, #: a Project type (circle one):ew Add'n Alter Repair Demo Name of Contact Person: �� Sq, Ft.:# Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE .9 Submittal Req'd Reed TRACKING. PERNITT FEES Plan Sets Plan Check submitted 101p, Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calcs. Plans kicked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correct! onsfiss ue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I3.O.A. Approval Plans resutimitted Grading. YN HOUSE:- IN Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P,P. Pub. Wks, Appr Date of permit issue School Fees Total Permit Tees �� ,7 STAINLESS j1 GRILL STEEL LIGHT SINK PROVIDE VENT, WASTE, AND y TONE OR PLUMBING FOR SINK ON SEPARATE TILE CONSTRUCTION DOCUMENT. ; COUNTER � I . � _ I vZ" GFIOUTLET Lu PRE -HUNG O .O �+ �C LIGHT S.S. DOORS S ONEO OR SWITCH - _ 1 VENEER (WATERPROOF) LENGTH VARIES - - ANSI I FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION BTU U.L. APPROVED. I LIGHT I a I GRILL I I > FREE-STANDING OUTDOOR -KITCHEN - PLAN ADAPT DIMENSIONS =� IA �t TO FIT APPLIANCES ' 6x8x16 CMU; GROUT .CELLS WITH STEEL #4 BARS VERT. AT 24' O.C_(TYP.) U) Lu - BBQ LAYOUTS MAY=TrYPICAL. I w I . FOOTING SIZE & R IC I FREE-STANDING OUTDOOR KITCHEN - FOUNDATION PLAN U • STONE CAP, TILE OR POURED C6NC: #4 BAR HORIZ. AT 32' 0. C. (TYP.) 3" 6X8XI6 CMU GROUT CELLS WITH STEEL #4 BAR VERT. AT F.S. 24' O.C. (TYP.). �, {a 244 BARS HORIZ. CONT. lI� FREE-STANDING BBQ - WALL SECTION 11.2"=1' -0" BBQ ISLAND - SIDE ELEV. 112'=1'-0"