07-2644 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00002644\
54840 SECRETARIAT DR
767-320-999-243 -32879--
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
500
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 and professionals Code, and my License is in full force and effect.
License Class: C8 . C27 C29 License No.: 656128
Da e: LOI 10Co Ctor:
NER-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 _ 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 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 contractorls) 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:
LQPERMTT
Owner:
WALTER .
54840 SECRETARIA
LA QUINTA, CA 92
VOICE (760) 777-7012 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/01/07
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
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, 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 t! me subject to the workers' compensation provisions of Section
3700 of the Labor Co,
o I sh I forthwith comply with those provisions. '
pplicant:
WARNING: FAILURE TO SECURE W HZqOMPENSATION 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 formation is correct. I agree to comply with all
city and county ordinances and state laws relating to building con truction, and hereby authorize representatives
of this county to enter upon the above-mentioned prope for ins ecfion purposes.
Oat nature (Applicant or Agent):
Application Number
07-00002644
Permit . . .
BUILDING PERMIT
Additional desc ..
Permit Fee'
. 15.00 Plan Check Fee
9.75
1 Issue Date . . . .
Valuation . .
. 500
Expiration Date
3/29/08
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
15.75 Plan Check Fee
3.94
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/29/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .7500
PER •ELEC DEVICE/FIXTURE 1ST 20
.75
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
-18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
3/29/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA. PLB GAS PIPE 1-4 OUTLETS
:
3.00
-------------------------------------------------
Notes and.Comments "
BBQ,FLEX LIGHT, SIDE
BUNER, NO SINK.
ANSI # Z-25-58-1995.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
.98
STRONG MOTION (SMI) - RES
.50
Fee summary Charged
-----------------
Paid Credited
----------
Due
----------
Permit Fee Total
--------------------
48.75 .00 .00
48.75
Plan Check Total
18.19 .00 00
18.19
Other Fee Total
1.48 .00 .00
1.48
Grand Total
68.42 .00 .00
68.42
LQPERMIT
.ESS a
PROVIDE VENT, WASTE, AND
OR PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
ER
OUTLET
CSTUCCO OR LIGHT
SWITCH
VENEER (WATERPROOF)
II
FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION B U �ZS� �w�
• I/2"=1'-0" U.L. APPROVED.-
LIGHT
PPROVED.LIGHT
GRILL 77 �
) ,
FREE-STANDING OUTDOOR.KITCHEN - PLA ADAPT DIMENSIONS =�
to # TO FIT APPLIANCES
6)(8x16 CMU- OROln'.CELLS WITH STEEL
#4 BARS VffRT. AT 24' O.C_(TYP.)
;6 -
�'
BBQ LAYOUTS MAY VARY.
FOOTING SIZE & REINF. ARE TYPICAL.
• IC
LENGTH VARIES
,(Z FREE-STANDING OUTDOOR KITCHEN - FOUNDATION PLAN
STONE CAP, TILE
M 'OR POURED CONC.
--#4 BAR HORIZ. AT
3" 32" O.C. (TYPJ
6X8XI6 CMU
GROUT CELLS WITH STEEL
#4 BAR
F.S. VERT. AT
24' O.C. (TYP.).
�--� 244 BARS HORIZ. CONT.
• CV " s .
I�AR IE5 6"
n FREE-STANDING BBQ - WALL SECTION
/1� 1
/;ill l �� ► '
'1
D BBQ ISLAND - SIDE ELEV.
I/2'=1'-0"
Bin #
Permit #
Project Address:
A. P. Number:
Legal Description:
Contractor:`
Address:
City, ST, Zip: -
Telephone:��
State Lie. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project:
S
APPLICANT. DO NOT WRITE BELOW THIS LINE
Ree'd TRACMG .
PERI\'IIT FEES
Plan Check submitted
Item
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2nd Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
Plans resubmitted
Grading.
d'd Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees
Amount