05-0574 (RER)T- V -f 4 4Q"
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number . . . . .
Property Address . . . . .
APN:
Application description . . .
Property Zoning . . . .. .
Application valuation . .
Owner
------------------------
PHILLIPS T L
P 0 BOX 1004
LA QUINTA CA 92253
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
05-00000574 Date 2/14/05
49265 AVENIDA EL NIDD
658-290-009- - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL .
2500
Contractor
----------------------
OWNER
Structure Information
Construction Type . . . . . TYPE V - NON RATED
Flood Zone. . . . NON -AO FLOOD ZONE
Other struct info CODE EDITION 2001
# BEDROOMS .00
-----------------------------------------------------------------=----------
Permit . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . 54..00 Plan Check Fee. 35.10
Issue Date Valuation . . . . 2500
Qty Unit Charge Per Extension
BASE FEE 45.00
1.00 9.000b THOU BLDG 2,001-25,000 9.00
----------------------------------------------------------------------------
Permit ELECT - ADD/ALT/REM
Additional desc-.
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 15 00
1.00 11.0000 EA ELEC MISC 11'.00
----------------------------------------------------------------------------
Permit . . . . MECHANICAL s
Additional desc
Permit Fee 21..50 Plan Check Fee 5.38
Issue Date . . . . Valu ^ . n. r --%i 0
Qty Unit Charge Per
u
BASE FEE IFEB 16 2005
1.00 6.5000 EA. MECH OTHER MECH E PMENT
----------------------- --CI V®p-LA-QJIN;J
Permit ... . . PLUMBING---------------- FINANCEDEPT,
Additional desc .
ension
15.00
6.50
P.O. Box 1504• a"'
VOICE (760) 777-7012-
7$-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0J--0-1-7,4 Date:
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
/A
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 License No.
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).):
E(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 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. BA P.C. for this reason
ate /Q wner �9�C�C
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' compensation insurance carrier and policy number are:
Carrier Policy Number
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, I shall
forthwith comply with those provisions.
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.
CONSTRUCTION LENDING AGENCY
1 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 rJ
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 1 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 a boned property for inspection purposes.
Signature (Applicant or Agent):
Application Number
Permit Fee . . . .
Issue Date
Page 2
. . . . . 05-00000574 Date 2/14/05
18.00 Plan Check Fee . . 4.50
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 3.0000 EA PLB
GAS PIPE
1-4
OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
OUTDOOR MASONRY FIREPLACE 6 FT.
HGT.,
GAS LINE TO BBQ. 2001 CODES. ,
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ENERGY
REVIEW
FEE
3.51
Fee summary Charged
---------------------------
Paid
----------
----------
Credited
----------
Due
Permit Fee Total 119.50
.00
.00
119.50
Plan Check Total 51.48
.00
.00
51.48
Other Fee Total 3.51
.00
.00
3.51
Grand Total 174.49
.00
.00
174.49
�• 4Fin #,
Permit #
0A�;-�7&T
Project Address:,* !'Y 11q
A. P. Number:
City of La Quinta
Building 8r Safety Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
IWV40ding Permit Application and Tracking Sheet
/l// &KD Owner's Name: X ,��� 7 ,V VA- &146f,,
OD9 — 3 Address: X �9-W, S Ari& %L Al,,rY/v
Legal Description:LO i /rs, 146 0375/0% L4 ftI*r,
%City. ST. Zip: ><
Contractor: X D1.cjN(f/' 1564 / /' "
Telephone: `��
Address:
Project Description: x
City. ST, Zip: X t(
s G/!tib 6�p/L
Telephone: X — 02
� 9 7
�Z
r -
State Lic. # : x, �"
Arch.. Engr.. Designer:
City Lic. #:
Address:
City. ST.. Zip:
+�
77/–O36 / �OkIQ. OGt1hQYS
Lic.
Name of Contact Person: x �vll�co r'i
•n ion TYPe: —A��TelePhone:
tructou an c ,.
Project ecir le one Demo
Repair
e� Add'n Alter
Sq. Ft.-.,Y,;7,,� # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: x
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
°2�.7 Item
Amount
Structural Calcs.
Reviewed. ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review. ready for correctio!issue
2 f j Electrical
Subcontactor List
Called Contact Person
?Z / Plumbing
Grant Deed
Plans picked up
S.M.I.
N.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review. ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is -being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law'to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for youyou do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information 'about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accide tts.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX (760) 777-70}1
OWNER'S SIGNATURE/)`SATE
111241; &YE5b--Q-A- - \v Op Q cA` y z z 3r3
PROPERTY ADDRESS
PERMIT NUMBER(s)
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and ce tmng.
AV position rotisserie with hcht -duty,
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,above and right) TrIe Dasi�:
beehive fireplace fits easily
into any backyard entertain.
nient area.
INSTRUCTIONS-'
1. Mark center point, pound in stake 10. Completely fill vertical rebar cells with
concrete
r 2. Using a 50" piece of mason's cord
attached to the stake, draw a 100" dia- I,I . Mix concrete and pour into footer
meter circle on the ground (this is the
outside edge of the footer)
t 3. Using a 22" piece of mason's cord
attached to the stake, draw a 44" dia-
' meter circle on the ground (this is the
inside edge of the footer)
# 4. Mark rest of foundation for seating
i wall/hearth according to plan
S. Excavate and level the ground for footer
6. Mark wall for footer top with grease Step 2
pencil to indicate where grade level
block is to be placed
7. According to plan, place holders in
two parallel rows on the floor of the
excavation
8. According to plan, bend and place rebar
in rebar holders
9. According to plan, overlap rebar and tie
together with. wire
gw'F
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1
Step I 1
I. Beehive 27
i c. Hccoraing to plan, hand lay first 2 20. In order to construct the curved opening
courses of block below grade and then of the beehive, place a template on top of
install them hearth block.This will support the block
work for the next 24 hours until the mor
13. According to plan, lay next two courses tar sets around the arched opening
of block above grade
14. According to plan, backfill beehive fire-
box area to 4" from top course
S. Compact and level backfill
16. According to plan, place rebar holders in
backfill
17. According to plan, place rebar (one 40"
piece, two 2' pieces, and two 18" pieces)
on the rebar holders
18. Mix and pour concrete
19. Hand lay first course of block (8x8x8)
for beehive, make cuts if necessary, and
then install the blocks (remember that
the fireplace opening is 30")
21. According to plan, hand lay two more
courses of block (8x8x8)
22. According to plan, hand lay firebricks on
floor, make cuts, and then install them
23. According to plan, hand lay firebricks on
sides and back, make cuts as necessary
24. Continue to lay firebrick up to the. top of
the third course of the beehive
25. Using a masonry bit, drill a hole in the
firebrick to accommodate the gas line
(most fireplace gas lines are ;W" inside
diameter, so you will probably want to
drill a 1" diameter hole)
Step 20
28 I. Beehive
0
91
pieces of block)
.7. According to plan, continue shaping
beehive with two more courses of block
(8x8x8).You will want to step back, look
at your blockwork to make sure you are
shaping the beehive symmetrically as
you lay additional courses of block
18. Attach a 5' piece of rebar into blockwork
with mortar
19. Build firebrick backwall to new course
height
10. Continue backfilling with mortar using
appropriate block size (the last course
will be with 4x4x8 block using the 8"
side vertically)
11. Continue shaping beehive with two more
courses of block (8x8x8)
U. Only build two more courses of the fire-
brick wall
3 i
34. Cap your fireplace with the 8" flue liner
(brace the flue liner between the wall
and the liner with 4x4x8 block set in
mortar, making sure the top coat of mor-
tar is slanted downward to allow the rain
to run off) (see illustration next page)
35. Smooth and shape the beehive by attach-
ing metal lath to the block with concrete
nails/self-tapping screws
36. Once the lath is in place, the beehive is
ready for the applications of stucco
37. Cut and install preselected hearth/seat
material (see illustration next page)
38. Finish outside of beehive with pre-
selected material, such as brick, flag-
stone, or tile (see illustration next page)
#zL
Step 29
I. Beehive 29
FRONT ELEVATION
SIDE ELEVATION
32 L Beehive
Step 34
finish coat
Steps 37-38
30 I. Beehive
t
5
I I I"L-Emm: LJllvlr—INIOIUI'Y/AL Vlt:VV
I, Beehive. . 33
Aggregate Fill
8" Concrete Footing
FOUNDATION PLAN
HEARTH PLAN
I. Beehive 31
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