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05-2155 (RER);J 10 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002155 Property Address: 53900 DEL GATO DR APN:' 770-370-014.- - Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 T4'yl, 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JIM DOBBINS 53900 DEL GATO DR LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: Architect or Engineer: SOUTHERN HILLS DEVELOPMENT INC 78150 CALLE TAMPICO STE 101 LA QUINTA, CA 92253 (760)771-3497 Lic. No.: 838041 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: B License No.: 838041 Date: 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): 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.). ( 1 1 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 Date: 6/06/05 WORKER'S COMPENSATION DECLARATION 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 EXEMPT Policy Number EXEMPT _ 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code,.l shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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 county to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Application Number . . . . . 05-00002155 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee . 46.80 Issue Date . . . . Valuation 5000 Expiration Date 12/03/05 Qty Unit Charge Per. Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . 16.50- Plan Check Fee 4.13 Issue Date . . . Valuation 0 Expiration Date 12/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 .7500 ---------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 --------------------- 1.50 -- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 30.00 Plan Check Fee 7.50 Issue Date Valuation . . . . 0 Expiration Date 12/03/05. Qty Unit Charge Per Extension - BASE FEE, 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1..00 3.0000 EA PLB WATER INST/ALT/REP 3.00 2.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 --------- ------------------------------------------------------ Special Notes'and Comments 116 sq. ft.' patio and bbq addition per approved plan.June 6, 2005 3:28:36 PM jjohnson ------------------------------=--------------------------------------------- ; Other Fees . . . . . . . . . ENERGY REVIEW FEE 4.68 STRONG MOTION (SMI) - RES .50 Fee summary Charged' Paid. Credited Due ----------------- Permit Fee Total ------- ---------- ---------- ---------- 118.50 .00 .00 118.50 Plan Check Total 58.43 .00 .00 58.43 Other Fee Total 5.18 .00 .00 5.18 LQPERMIT Application Number . . 05-00002155 Grand Total 182.11 .00 LQPERMIT M 182.11 Cozy up to the fire with innovative outdoor options! Homeowners can warm up all their evenings and entertain by firelight with the versatile Outdoor Campfyre. -A variety of options allow for creating an enticing space that will tempt friends to spend countless hours of easy outdoor living by a roaring fire. Three Campfyre configurations are available: the OC -34, OC -27 and OCBE-34. Both the OC -34 and OC -27 include eleven designer logs and branches, six designer wood chips, granules and coals (these can be added to the OCBI). All Outdoor Campfyre configurations feature a 70,000 BTU outdoor stainless steel burner system, a flame -sensor safety control system with piezo electronic ignition, and Optional adjustable flame control. For use with natural or propane gas. 71e completdy assembled configuration (Mudd # OC -34 Se pees) shown with granite trim. Ready to fire up and enjoy is the 34" diameter x 12" high OC -34, boasting a pre -assembled burner and valve, handcrafted logs, branches, wood chips, and a stucco enclosure with red brick or plain colored concrete top ring or =: in granite or terracotta tile trim. Pre -assembled option (Model # OG27 Series) ready ton enjoy or for application of any desired surf tre maternal. The OC -27 features all of the highlights of -the larger model, yet its enclosure (27" diameter x 12° high) enables a small footprint and beckons a customized -surface, allowing for -coating application that matches homeowners' own patio building materials_ Optional red brick concrete top ring, and/or faux red brick surfaeirig is also available. ROBERT H. PETERSON CO. 14724 EAST PROCTOR AVE., CrrY OF INDUSTRY, CA 'Dui b �►hlbM N AOR HCl®0®MI� M" My Tau Ro�eas mOp M Ee<OD�d. . lC pwam mmm Pkw t anrmto Rea Coamte Teaamna Wig R67g t0M34PQ PC.URS) . PC -34M Burner and Electronic Valve Assembly IQ (Model # OCBE-34) for completely custom projects. A kit featuring a circular burner and electronic valve assembly (DCBE -34), encourages a Wy do-it-yourself Campfyre, built from the ground up. CITY OF LA QUONTA BUILDING & SAFETY DEPT. APPROVED :0m-��--* FOR CONSTRUCTION' = .* 16 LOG ON wWwApeterson.corn o.worumeuseemo"ca+w�to"rm■noti No., l -A1-04105 DATE— l3 MANUAL & REMOTE OPERATED OUTDOOR CAMPFYRE SERIES Model #'sOC�P OC -34-01 M(P) FOR NACU A OR PROPANE GAS OC-U(P) Mantel Control (inside Panel) ROBERT N. PETERSON CO. if-:OWNIIEWS MANUAL 11 Installer. Please leave these Instructions with the consumer. WARNING: If the information in this manual is not followed exactly, a fire or explosion may result causing Property damage, personal injury or toss of life. Do not store or use gasoline or other flammable vapors and liquids in the vicinity of this or any other appliance. WNATTO DO IFYOU SMELL. GAS • Open a window • Do not try to tight any appliance_ • Do not touch any electrical switdr, do not use any phone in your, building. • Immediately call your gas supplier from neighboes phone. Follow the gas supplier's instructions. • if you cannot reach yourgas supplier, call the fire department. Installation and service must be performed by a qualifred. professional installer, service agenov or the aas suunlier. (FMD117 11 Consumer: Plea,Se.retain for future reference. CODE AND SUPPLY REOUiREMENTS: This outdoorcarnpfyre-must be Installed M accordance with local codes and orrfrrtances, or in the absence of lel codes, with the latest National f=uel Cas Code, ANSI T2M1. WARNING: improper installation, adjustment, alteration, service or maintenanoe can cause. injury or property damage. Refer to this manual. For assistance of additional information consult qualified. prolessionai installer, service agency or gas supplier. This appliance is designed as an "attended appliance". Adults must be present when the unit is operating. DO'Nfff leave this unit burning when unattended. It this product is left burning unattended it may cause damage or serious Injury. CertWwd to CSA tntsmationat 4AG US For or%ncrn IS 0=TMQfW i`.n • 1A79d Cac1 FWW Inr ra BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE BY n..,r.. on". USA