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04-6912 (RER)7 P. C '1.1 R F• 78- LA - OCT AoCT 2 8 2004 CITY Or- . LA9ItTA !� BvILDING 8t SAFETY DEPARTMENT Ix (760) 777=7012 CALLE TAMPICO FAX 777>7011 qTA, CALIFORNIA "92`25-3 INSPEC'TI`OK"REQUESTS (760') 777-7153 BUILDING' PERMIT �epplic-atrori -Number04 0.0.006912 Date 10./27/04 Property Address . . . . . . . _1�6-8MS­DR1­ APN: 00 4" . Application description REMODEL =,..R'E'SIDENTIAL Property Zoning, L W`­PENSI;T­y RESIDENTIAL Application 'valuation ;:.­.. 20000 Owner Contractor - ------------------------ JIM & JUDY FLEMING - --------------------- DRURY,CONSTRUCTTON 56168 PALM DRIVE 74';6.34 CANDLEW90D STREET LA QUINTA CA 9225.3 -PALM - DESERT - - CA 92260 -.1025 #% ),..83_7 ` WCC.:: STATE FUND WC 1576904 12-/01/04 429431, 12/31/04 13 -------- Structure.Information ADD,,.,,FIR,-,E,PLACE:-tINMA-S.TER TBEDROOM Construction Type TYPE `-k11___NONRATED Occupancy Type DWEL'LG'/LO'D6I'N6'/.dONG<=10 Flood Zone . . . .. . . . NON -AO* FLOOD ZONE Other strudt info . . . . . . CODE.EDIt-ION '2001 CBC.. - - - - - - - - - - - - - - - - - - - - - - - - - Permit . . . . --- - - --- - - - - - - - - - - - - - - 7; - BUILDING....PERMIT - --- - - - - - - - - Additional desc Permit Fee 0,1". 00 P14h v'CheCk,( Fee 134.55 Issue Date Valuation. Expiration Date:_'. 4/27/0'5. Qty Unit Charge Per Extension BASE, FEE 45.00 18.00 9.. 0 'Op 0 THOU BLDG 21", 0 01- 2 5,; 0 0 0 162-.00 ----------------------------=------------- Permit . . . . . . . ----- ------- MECHANICAL Additional desc P 6'rffii t .11 Fe.6 h. 1".`5 0 Plan'l-C'ck' Fee 5.38e Issue Date Valuation 0 Expiration Date 4/27/•05 Qty Unit,, Char,. .. , I,. -qe, Pet I I . ­ .. .. Exte-ftsion., . ... BASE FEE 15-00 1.00' 6.5000,EA --------------- - MECHOTHER,-V ,E,.N7- SYST2M�. 6.50 7 ---------------- Permit . . ... . . --------------------------- PLUMBING Additional dosc Permit Fee . . . . 18.00 P -1, an -Check Fee 4.50 Issue Date Ivalu-at-1 on 0 Expiration Date 4/27./05- P.O. BOX 1504 • 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 i full force and effect. _ Li ense Class -"1 License N7���i2 - % OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , B.8 P.C. for this reason Date Owner WORKERS' 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' compensationinsurancecarrier and policy number are: Carrier _S Fv, 9 /Policy Number / / T7t_ 69 054 I certify that, in the performance of the work "fogy which this permit is issued, I s all 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. WARNING: FAILURE TO SECURE WO KE C MPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU H A OLLA S ($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. 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 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, indemnity and hold harmless the City of La Ouinta, 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 construction, and hereby authorize representatives of this countyto ente�pon the above-mentioned property for inspection purposes. 1 Page 2 Application Number 04=00,0.06912-. Date. 10/27/04 Qty Unit Charge Per., Extension BASE FEE, 15.00 1.00 3:000.0 EA PLR" GAS APE. 1=4 .OUTLETS 3.00 Special Notes and Comments-. ADD FIREPLACE,TO:MASTER BEDROOM10/22/0.4; 2:35:10 PM.JJOHNSON ' -------------------------------------------:---- ---------------------------- Other Fees . . . . ENERGY REVIEW FEE. 13.46 Fee summary Charged Paid Credited Due Permit' -'.Fee Total' 2.46.50 .00 - 00 246.50 Plan .Check Total 14:4.43 0,0':,00; Other Fee Total ' 13'.46 : 00: 144.43 ..00, 13_.46 Grand Total .404.39*-:. .00' .'` r. 00. 404.39 Fireplace Addition at /Master Bedroom The Residence of Jim. & Judy Fleming 56168 Palm Drive, La Quinta, Calif. Tel: 760-771-4217 Lot #21,7WIPA38983, The Palms, Parcel # 764-030-001-7 ..:iJ s,UeJa}aA Aea aogel :,;-'LY SIZED DEBRIS CONTAINER �eL ana�UadapIll ii ` ­D ON THE JOB SITE DURING ALL SOF CONSTRUCTION -AND -MUST BE Ago leuowaW ; IFD AS NECESSARY FAILURE TO DO SO tea s,�uapls AY CAUSE THE CITY TO HAVE THE CONTAIN ,lea �ui�{ aay�n� ui�eW 'ja �a ER AEG sdeaA MGN ^ UMPED AT THE EVENSE OF THE OII ; CONTRACTOR" -- :sAepgoH apoo lUiM01101 e14 u0 030WHU40a R UQFn4SU03 - U14t01 ell_ ���� ,fes + ' .w:�` �..;�,"'�+�. ;� f �✓� o.. .r-t�s•�y „r,Y � �7,-.�-� ✓,�{� � ��c _ ra :;,� �•k- a��l �+ ``"Y.``- •F _ y •"�, "s" �'- r i� ?i"y�. • y;,�: �-• ? �. ?✓ I n MEs.,,� v;zr fi r r ' F X. WFY- CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPRO ED FOR CONST CTION IDAT 0 2-2104 B gED ARcy�Tc�` TERRY STEPHENS, AIA C-12153 % 41ii� V� ��cncnML P 8180A1 :�a: DATE \ Q�0£-1agaua spa `��Puo� � aaoH :SS13 S -SSI `C914 - - - PHOR ap°O;Qamnra� 0 00rd 00:S auoH D 'Wr 0£'S QI'urs 01 's 00:8 .,(:SvPuns OWL :9upud-.fapIIoes 0£ ldVi -;ST iago�0 Spoil Alouall TV-Ny (' pPAuu Arc>°iitecture anO illustration 'I,a ' 45770 VERBA SANTA DRIVC. PALM DESERT. CALIFORNIA. 9226 Fireplace Addition at Master Bedroom The Residence of Jim & Judy Fleming 56168 Palm Drive, La Quinta, Calif. Tel: 760-771-4217 ,Lot #21, Tract # 28983,- The Palms, PArdel # 764-030-001-7 L .'APPROVED 6V --papCON$TRUCTIQN 0 t 0: Teivg' J&pk,A w 6w;ture-a n =11u-st-patfe 45770 VE'RWR SANTA DRIVE. PALM DESERT. CALIFORNIA -02280 o�® Fireplace Addition at Master Bedroom The.Residence of Jim & Judy Fleming 56168 Palm Drive, La Quin#a; .Calif. Tel: 760=771-4217 .• Op , . •-- --40 CITY j4G,F gtJILDI &. S FE1-`l �pEPl'. OV VED UG CIO I -- iFOR, GONSTI _ - - ----L - e /" Atplfztu 6rcAitecture on3 Vustrotion 7 45770 VERBA SANTA DRIVE. i PALM DESERT. CALIFORNIA. 82280 Fireplace Addition at Master Bedroom The Residence of Jim & Judy'Fleming 56168 Palm Drive, La Quinta, Calif., Tel: 760-771-4217 Cot #21, Tract # 28983, The Palms, Parcel # 764-00-001-7. — - - - _ I -. i9so r'p ri, = L� _ ` :.. pj CITY OF L - -611-N 'A BUILDING &SAFETY DEPT. ROVED FOR CONSTRU CTIOr J I 1 DATE. _. BY ..J�}� — ._.........`_ - ...._. _.... _ _...__.. .._ _.. __j- pp Tey 'rcAitecture once XIlustration 7 45770 VERBA SANTA DRIVE. ' PALM DESERT, CALIFORNIA. 82260 •��1 'fir: . I C • ' - � :>. � Nr\f l l ,� I t'x .. 5��I l _ 4 ( �sr r /� I A-4 !fi — — — a - — --4e- --- I� �• �.. s� tom.. sy BUILDING & SAFETYDEPT.— .r I APPROVED FO CONSTRUCTION a, - i - Fireplace Addition at Master Bedroom - The Residence of Jim & Judy Fleming 1 56168 Palm Drive, La Quinta, Calif. • . • N. ,g Tel: 760-771-4217 d v y � �• Lot #21, Tract # 28983: The Pal _ ms, Parcel # 764 030-001-7 - -' — tj S'�2 44rcfii#ecture anti Xlluafrcltion Y , a ` 45770 VERBA SANTA DRIVE. w Fireplace Addition at M The Residence of Jim & Ju 56168 Palm Drive, La Quint Tel: 760-771-4217 Lot #21, Tract # 28983, The Palm w.._a " 7 aster Bedroom dy Fleming i a, Calif. — Gam-,. �� ,'; �:�?� `:�(✓.�.-_._ -- -' � � , �� s, Parcel # 764-030-001-7 F � %,I.-. ff ' 4 Ir t7-4, "1!!- :,,;yc$.y C 4:;.•.2,x:.!, .ISI � §'.va`^Ks'�• IS II' ..t-- cry,.--� �,:..�:..—+.o.+,•:r«- ..c»–�•�s - ,sMwwn.*�. - ' Y.T. Z 1N � '�'• J, 77+ -itij t ire 7 le "} i t t ;? JJ _�aL h;i2 51t x: � 7 1 41 1 Ur1�1z, 4e Tey S&p`ipw arcgitecture onJ Zllustrotion 1 45770 VERBA SANTA DRIVE. PALM DESERT, CALIFORNIA. 09200-' CI TY QUINTA F� ILDING & SAFETY DEPT. `� APPROVE FOR CONSTRUCTION Fireplace Addition at Master Bedroom The Residence of Jim & Judy Fleming -- 56168 Palm Drive, La Quinta, Calif. Tel: 760-771-4217 Lot #21, Tract # 28983, The Palms, Parcel # 764-030-001-7 r. IT, F .Fireplace Addition at Master. Bedroom The -Residence of Jim &Judy Fleming 56168 Palm .Drive, La Quinta, Calif. Tel: 760-771-4217 i - Lot #21, Tract # 28983, The Palms, Parcel # 764-030-001-7 Enuji `hl n k SAFETY DEPT. _ TT 45770 VERBA SANTA DRIVE. H+� PALM DESERT, C LIPORNIA. 02200 BY �w I001 Fireplace Addition at Master Bedroom The Residence of Jim % Judy Fleming 56168 Palm Drive, La Quinta, Calif. Tel: 760-771-4217 Lot #21, Tract # 28983, The Palms, Parcel # 764-030-001-7 RVww C:IrN F t! i BUILDING 8�:SAFEfYD PT. AFFIR OWED FOR CONSTRUCTION �-7 / S& A,694 ArAtecfure 3.aJ-ZJlurtzat4arS3 r ^-.---^- — I 4 5 7"7'0'"V'E'TN T b. �— PALM DESERT. CALIFORNIA.- 92260 Easy gas line access with convenient knockouts on both sides. Minimum clearance to combustible materials. Frame with wood. Realistic refractory interior. Standard metal safety strip. Optional glass door available, your choice of finishes and styles. _ E Distributedby: 27-1/4' Smooth exterior 7-13/16' front face. A+,- 20.114_B B V- 3 6 611 8 -VENT Durable powder ' '�.�42' 40 coat finish. Top VIEW r— 20-1/4' Standard outside air 1 9-5/8' I - uuu Ip 7.1 /7 f mechanism. II 36' 37- 9.7/8' Standard fuel grate. 20-3/16' /_ _ _--- -... ..—__-•-. 27-718' 2' 12-7/8 ..�.I__... Hearth extension - 1/8 1 I Fireplace Addition at Master Bedroom The Residence of Jim & Judy Fleming 56168 Palm Drive, La Quinta, Calif. Tel: 760-771-4217 Lot #21, Tract # 28583, The Palms, Parcel # 764-030-001-7 ' / secure to platform or 7-3/16' floor. No special 40' Line I' - foundation required. 2-5116'.� 42 Access FRONT VIEW RIGHT SIDE VIEW Wall switch or optional wireless remote available. BTU/HR CHART FRAMING DIMENSIONS NATuRAL PROPANE MODEL WIDTH HEIGHT DEPTH MODEL B-40 15,000 15,000 B-40. 3B-1/2' 33-3/4'. BBV -36 24,000 24,000 BBV -36, 1 41-1/4' 1 37-1/2' 1 20-5/8' BBV -42 30,000 30,000 BBV 42" 46 1/4' 43 1/2'" 21-5/8' NOTE: Diagrams, illustrations and photographs are not to scale and should not be used for framing purposes - consult installa- tion instructions. Product designs,materials, dimensions, specifications, colors and prices subject to change or discontinuance without notice. Built to ANSI standards and Warnock Hersey �•� •`' 1��i��`.y� - ' `�� listed. (Reportt numbers: 8-40 = J20006722, SUPERIORS ��.��us ' BBV -36/42 = J99025850). Consult your distributor for local fireplace code information. www.LennoxHearthProducts.com �'• •"" Sunni King All Superior gas-buming fireplaces include a 20 -year limited warranty and are listed by nationally recognized listing agencies. SALES (760) 345-4003 Fax (760) 772-3510 „~ Get all the ambiance of a traditional wood -burning fireplace with the convenience of a J \ gas flame at the flick of a wall switch or the click of a remote control. The hearth is open, so there is nothing between you and the glow of the fire._' s If you prefer, operable glass doors in black, brass or brushed stainless can be added. P' The B-40 has a black interior and uses economical 4° B -vent. >`� { The BBV -36/42 models use 6' B -vent, have brick interior liners and utilize the same BBV -36 Bev -42 framing dimensions as Superior's woad -burning models so you can mix'n match easily. B-40 BASE MODEL SHOWN BASE MODEL SHOWN BASE MODEL SHOWN Jd P � Le—, r ooO�o o", _=—--►' _to CITY OF 1A QUINT _ -- -_1 DING-& SAFEfY D€P 7 == " APPRO i ED r� A CONSTRUCTION � ____. ..._ __..—.__ __P:t`•4ie:>.=..\- BY /lJOttf St4pl %A ObrcAitecture- ona Illustration 45770 VERBA SANTA DRIVE. PALM DES'ERT, CALIroRNIA. 02200 i 1 i