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05-4273 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. Tiht 4 4 Q" Application Number: 05.-0,0004273 Property Address: 79165 SHADOW TR APN: 649-030-069-8 -31310 - Application description STRUCTURES OTHER THAN -BUILDINGS Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 5000 Applicant:, Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANTA ROSA DEVELOPMENT INC 46753 ADAMS ST LA QUINTA, CA 92253 (760)771-3345 VOICE (760) 777-7012, FAX (760) 777-7011 INSPECTIONS (760) 777-1153 —� 11 Contractor. D �J MCINTYRE POOLS & SPAS, INC. WCC: STATE FUND SEP 2 2 2005 WC: 1769111 01/01/06 CSLB: 614611 09/30/05 CITY OF LA QUINTA . -------------------------------------------------- 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.: a�� Contractoo 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).: (_) 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 I, as owner 6f 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 Date: 9/22/05 ----------------------------------------------- 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 C53 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' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith omply with rhos rovisions. Date:Z Applicant: WARNING: FAILURE TO SECURE WORKE COMPENSATION VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITIONTO THE COST OF C, PENSATION, 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 agr to co y with all city and county ordinances and state laws relating to building construction, a d hereby auth ze re sentatives of this Dunt to enter upon the above-mentioned property for inspe rposes. % i e: Signature (Applicant or Agentl! - G `L'— Application Number . 05-00004273 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 72.00 Plan Check Fee 46.80 Issue Date... Valuation 5000 Expiration Date 3/21/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 27.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit.Fee 16.35 Plan Check Fee.. 4.09 Issue Date . . . . Valuation 0 Expiration Date 3/21/06 Qty' Unit Charge Per Extension BASE FEE 15.00 3.00 .4500 -----------•--------------- EA ELEC -----=----- DEVICE/FIXTURE >20 ------------------------ 1.35 --------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 21.00. Plan Check Fee 5.25 Issue Date Valuation . . . . 0 Expiration Date 3/21/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 3.'0000 EA PLB GAS PIPE 1-4 OUTLETS 6.00 ---------------------------------------------------------------------------- Special Notes and Comments BARBEQUE #Z21581995 AND FIREPIT #496AGAL. ----------------------------------- ------------------------------------- Other Fees . . . . ENERGY REVIEW FEE ---- 4.68 Fee summary. Charged. --------------------------- Paid Credited Due Permit Fee Total ---------- 109.35 -------------------- .00 .00 109.35 Plan Check Total 56.14 .00 .00 56.14 Other Fee Total 4.68 .0.0. .00 4.68 Grand Total 170.17. .00 .00 170.17 LQPERMIT E ! 11-111 -INT --- -•-•-11.11- _.5----------•------------- ■tllElalEl/Illtlllt llal/ylil� tllallylalOiEllllllfllEta)iyillllllRlllrlRlll - '�� yyyy{1111t111tialiltitill■1 rlttll/!tlly111■lall111tl1flylrylElrlaiRitl� A - a 1lyytllltlitltl!lilaiat►lilitA IyfYlillitffllltJt(ltillylEtitt[\taiElrii(tlal . / ��'. � � �1lirllitylllaf 1111Elalallirl/I■iltiy!■lEllfEtlll{rl■lElalllllaylat■1liriai� { • g Illtfai■!l:a1tlltlfi1r11fElRtitt fiR111atlfEililfit/1!I/It7t�llt{llalalll/iaylrl , \ � �!■1tlltill/t1i1lltilltltll111/1 ■!/1!1lltllliltltiritl!{!l �I11■falElllElal■ 1/ ✓ � ♦ tallylaiallfllllllll!ltlala1711 Ilalll/1t11ttit7tl11li■1lli�1a111E1■la1a111 � R 'tlllafEltl!!!1lftltli'- �� 1llr'! 11a1lIllRilyi� run/ulllEi■ •mmuullumn!!al ' � I¢I - ■Itflllllltll� \ItylElilalaylairyl� I /� I Isralltauur nElallrantrlrlEyyl II � _ �ILtftllrli/ - 'i111111iR1ll/y1R[EI� Itl!!ltrllll lylalllrla111llElalal uelamlals _ r nayulalalaylryu .BEDROOM I y�l�lla�lll �� IEirtllllNri/la!llrl _ mismialtlal/ininisto ®� 't/illtyllllialtir!!1 wintsiaylalrlafaloft sMASTER BEDROOM_ uftl11au11rar11ull LOTS ■��■ PLA10. N I ®� .0 :0 --� — �'� N1 BEDROOM cq .. •a• lu KiTCHEN DI'Ne- MI 1111 1111- -- ---- PATIO CAMPFIRE E. M I. The appliance should be inspected inspected and cleaned 'st least annus service person. 2. Tempering with this appliance is�DANI warranties. Any component that Is foul replaced with an approved componel 3. To obtain proper operation, it 10 Imps flame characteristics are steady; not III the burner flame patterns with Figure Figure a . Flame F. HIG For U.S. Installation, this appliance Is testa( above 2000 k National Fuel Gas Input should be reduced 4% o achl o0o For Canada, this appliance Is certified for f In Canada, the Input rating does not need check with local authorities, 08104 INSTRUCTIONS HEFT-N-CL,�' .%(Bryk duces NTENANCE INSTRUCTIONS ifore Initial use and by a qualified field 4. PGADdloelly remove the logs and examine the burner. If dirty, clean with a soft brush, Also examine the area around the burner air shutter. Any dirt or lint in this area should be IROUS and voids all removed. This will ensure long life and trouble tree operation. to be faulty must be When the appliance Is put back in service, check the burner rtive that the burner flame patterns with Figure B. Reinstall the logs as shown in the log placement Instructions, )g or floating. Check S. Periodically (hook the hose connecting the LP gas cylinder ti to ensure Itis not damaged in any way. Note: Carbon (soot) may build upon the surfaces of the logs with heavy use. This is more Ilkeiy to occurwhen using LP gas. The soot should be cleaned off the surface of the logs periodically to prevent excessive buildup. To clean the logs, be sure the fire is out, the gas supply is turned off and the logs are cool to the touch. The soot can then be brushed off with a dry bristle brush or cloth. Take core while cleaning the logs as they can become damaged if mishandled. Care should be taken to dispose of the soot and cleaning materials properly. Keep away from clothing and outdoor furniture. ELEVATION INSTALLATION :and approved for elevations from 0-2000 ft, When installing this appliance at an elevation ulre a decrease of the input rating by changing the existing burner orlfioe to a smeller alae. ft above sea level, Check with the local gas utillty for proper orifice size Identifloation. Ovations from 04600 ft. When Installing this appliance at an elevation between 0.4300 ft to be reduced. When installing this appllance at an elevation above 4600 ft In Canada, Fuel Propane ss Natunil 0 s ORIFICE SIZES orm" ti Orifice etre Maximum Oulu #44 .068 00,000 STUor 027 .144 M Ann ori I.... 4004.001 Rev C i Bin # Permit # ' VW y�`7,3 _ City of La Quinta '---------,Building w Safety Division- P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: r; , Owner's Name:C�SG�- A. P. Number: �— t Address: / G Legal Description: City, ST, Zip: ,; .. Contractor: _ Telephone: W x Address:` G/ - Project Description: k O� City, ST, Zip: 'cam Telephone: c�Z _ r 1 State Lic. # : C l G " Arch., Engr., Designer: City Lic. #: Address: City, ST, Zip: C.( Telephone:1.10 State Lic. #: Name of Contact Person: Co ction Type: Occupancy: Project type (circ a on Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: lJ Estimated Value of Project: JaffiE v APPLICANT: DO NOT WRITE BELOW THIS LINE S Q # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted 9 7 05 Item Amount Structural Cates. Reviewed, ready f orrections O l Plan Check Deposit Truss Calcs.Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction 5073 QOO Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical <3 - 9ncrd2 es Subcontactor List Called Contact Person Plumbing _ �J7LETS Grant Deed Plan's picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue I in nING,& kFETY DEPT". School Fees 'PPI LVED I FOR CONS- -RUCTION ota rmiI Fees 1 I47,f