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05-1616 (SOTB)t�u�ct/ BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . Property Address . . . . . . APN: Application description Property Zoning . . . . . . . Application valuation . . . . Owner --------------------------------- SOUTHERN HILLS DEVELOPMENT 55161 SOUTHERN HILLS LA QUINTA, CA 92253 05-0000-1616 Date 4/28/05 81130 SHINNECOCK HILLS 762-340-005- - - STRUCTURES OTHER THAN BUILDINGS LOW DENSITY RESIDENTIAL 1700 Contractor --------------------------------- RIPARIAN ENVIRONMENTS P.O. BOX 391106 ANZA, CA 92539 (90.9)763-0-645 WCC: STATE FUND WC: 1769754-2005 05/01/06 CSLB: 839002 05/31/05 CCC: C8-C27-C29-053 ----------------------------------------------------------------------------- P.O. BOX 1504 s�►�� 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING fit: SAFETY DEPARTMENT Application Number: o5- 1(o ky Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: �—� •� Architect or Engineer: 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 rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals nd my License is in full force and effect. cense Classic C S Z icense No. s pate �� Contractor, r11rG2c l F/� OWNER -BUILDER DECLARATION I 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. , BA 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' corn tion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issyed. workers' compensatio surance carrier and policy numbe are: �rrier Sol +� ✓n C/) Policy Number 1'4 G `t �5 I certify that, in the performance of the work for wh'ch 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. S 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 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 tpr 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. 5 6 f /Signature (Applicant or Agent): ---------------------------------------------------------------------------- Application Number 05-00001616 --------------------------------------------------------------------- ------ Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 39.00 Plan Check Fee 25.35 Issue Date . . . . Valuation 1700 Expiration Date .10/25/05 Qty Unit Charge Per Extension BASE FEE - 15.00 12.00 2.0000 ---------------------------------------------------------------------------- HND BLDG 501-2,000 24.00 Permit . . . . . . PLUMBING Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/25/05 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 FIREPIT.(ANSI Z223.1) Fee summary Charged --------------------------- Paid Credited Due Permit Fee Total ---------- 57.00 ---------- .00 ---------- .00 57.00 Plan Check Total 29.85 ..00 .00 29.85 Grand Total 86'.85 .00 .00 86.85 J I GAS-FIRED u c ;, L us LISTED 'HEAT -N -GLA`" LifeStyle /products INSTALLATION & OPERATING BNSTRt1CTIONS PATIO CAMPFIRE IMPORTANT! Read all instructions carefully before starting installation. Failure to follow these installa- tion instructions may result in a 'possible fire hazard and will void the warranty. — Do not store or use gasoline or other flammable vapors and liquids in the vicinity of this or any other fireplace. — What to do if you smell gas • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. — Installation and service must be performed by a qualified installer, service agency or the gas supplier. , .— .., .., .... — ,, u _ ,.,­,, _ ,,y ,,, „r, ,4,. ,,, ....� ...�........... future reference! If you have questions or concerns, please contact the Technical Services Dept., Hearth & Home Technologies Inc., 1-800-927-6841 or 1-888-427-3973. This product is covered by one or more of the following patents: (United States) 4,112,913; 4,408,594; 4,422,426; 4,424,792; 4,520,791; 4,793,322; 4852,548: 4,875,464, 5,000,162; 5,016,609; 5,076,254; 5,191,877; 5,218,953; 5,328,356; 5,429,495; 5,452,708; 5,542,407; 5,613,487; (Australia) 543790; 586383; (Canada) 1,123,296;,1,297,746; 2,195,264; (Mexico) 97-0457; (New Zealand) 200265; or other U.S. and foreign patents -pending. 08/04 4004-001 Rev C 1 HEAT tai -GLO L_ e.Sr.ylc Products PATIO CAMPFIRE INSTALLATION INSTRUCTIONS CONTENTS . AIntroduction.............................................................................................................::,..=:.......................................... 2 B. Safety Information...................................................................................................:...:`:::':::.......................................... 3 ...,. C. Components and Installation............................................................:......................:......,......................................... 4 D. Operating Instructions... ....:..............:..............................................................................:........................................ 8 E. Maintenance Instructions........................................................:......................----......................... 9 F. High Elevation Installation...................................................................................:..:::....:...:..:....................................... 9 G. Replacement Parts.................................................................................................:..........:....................................... 10 Warranty.....................................................................................................................---....:-......................................... 12 A. INTRODUCTION This appliance is a Decorative Gas Log Set for OUTDOOR USE ONLY and MUST NOT be used for cooking. Place this appliance on a flat and stable surface in an outdoor location such as a patio or deck. This location must be adjacent to the gas supply line or LP gas supply cylinder. DO NOT locate the appliance where it can get excessively wet or submerged in water. The following clearances to combustibles must be maintained: Bottom - 0 in., Sides/Walls (all around) - 24 in. (610 mm), and Top - 8 ft (2.4 m) - A decorative surround can be made from noncombustible material (such as bricks, landscape blocks, rocks, etc.) or two models of fabricated surrounds are available (see below). Rock Ring Mesa Always keep the appliance area clear and free from combustible materials, gasoline and any other flammable vapors and liquids. l 2 4004-001 Rev C 08104 y� M ` a M*•a ♦� r. 7 :_,ate --t 4P �^ i S .: � Rock Ring Mesa Always keep the appliance area clear and free from combustible materials, gasoline and any other flammable vapors and liquids. l 2 4004-001 Rev C 08104 ` a M*•a ♦� r. 7 :_,ate --t N' 4 � �! s Rock Ring Mesa Always keep the appliance area clear and free from combustible materials, gasoline and any other flammable vapors and liquids. l 2 4004-001 Rev C 08104 HEAT N-GLO° PATIO CAMPFIRE INSTALLATION INSTRUCTIONS I_rfeStyle Products B. SAFETY INFORMATION - The Patio Campfire has been tested in accordance with IAS US_, • Clothing or other fldmmable materials should not be placed requirements for Outdoor.Gas Fireplaces, Draft 4-96 and ANSI__ 1 on or near the appliance. �IZ21.58:1995/CGA,_1.6-M96Jor Canada and has been listed by Any guard or other -.protective device removed for servicing Underwriters Laboratory (UL) for installation and operation as the appliance must be replaced prior to operating the described in these installation and operating instructions. appliance. . The installation must conform with local codes or, in the absence of local codes, with the National Fuel Gas Code-ANSI2223:1 ora CAN/CGA-8149.1, National Gas Installation Code or CAN/CGA- B149.2, Propane Installation Code. IMPORTANT: Installation of natural gas should be done by a qualified installer, service agency or gas supplier. The appliance and its manual shutoff valve must be disconnected from the gas supply piping system during any pressure testing of the system at test pressures in excess of 1/2 psig (3.5kPa). This appliance must be isolated from the gas supply piping system by closing its manual shutoff valve during any pressure testing of the gas supply piping system at test pressures equal to or less than 1/2 psig (3.5kPa). Note: All new LP cylinders (and in many cases used cylinders) may contain water, air or other contaminants. It is essential that these substances be released before filling the cylinder and placing into service. Water vapor present in the gas vapor may cause the regulator to "freeze up" and cause an interruption to the gas flow. This interruption will cause the appliance to shut down. To prevent this from occurring, it is essential that a qualified individual always purge a new tank thoroughly before placing it into service. It is recommended that cylinders that have not been used for extended periods of time also be purged before use. • Children and adults should be alerted to the hazards of high surface temperatures and should stay away to avoid burns or clothing ignition. • Young children should be carefully supervised when they are in the area of the appliance. • Never leave the appliance unattended during operation. • Installation and: repair should be done by a qualified service person. The appliance should be inspected before use and at least annually by a qualified service person. More frequent cleaning may be required as necessary. It is imperative that the control compartment, burners and circulating air passageways of the appliance be kept clean. • Inspect the fuel supply connection (including the hose for LP models) before each use of the appliance. • If it is evident there is excessive abrasion or wear, or the hose is cut, it must be replaced prior to the appliance being put into operation. • The pressure regulator and hose assembly supplied with LP models must be used. Replacement pressure regulators and hose assemblies must be those specified in this manual • The LP gas supply cylinder used with LP models must be constructed and marked in accordance with the specifications for LP gas cylinders of the U.S. Department of Transportation (DOT). • Cylinders must be stored outdoors in a well ventilated area out of the reach of children. Disconnected cylinders must have threaded valve plugs tightly installed and must not be stored in a building, garage or any other enclosed area. • Storage of this appliance indoors is permissible only if it has been disconnected from its fuel supply (natural gas line or LP gas cylinder). • The LP gas cylinder supply system must be arranged for vapor withdrawal. • The LP gas cylinder used must include a collar to protect the cylinder valve. • When an LP model is not in use, the LP gas must be turned i off at the supply cylinder. Note: Do not use this appliance if any part has been under water. Immediately call a qualified service technician to inspect the appliance and to replace any part of the control system and any gas control which has been under water. 08/04 4004-001 Rev C HAAT PATIO CAMPFIRE INSTALLATION INSTRUCTIONS 1'r,;tiiw!; 1. Burner Assembly a. All Models 1) Remove the burner assembly and check for damage. Do not use damaged components. 2) Position the burner assembly in the desired location. This location must be adjacent to the gas supply line. You must have easy access to the gas valve control knob after it is installed and connected the gas supply because the ON/OFF gas valve is used to turn the burner on and off. b. Natural Gas Models 1) Connect the ON/OFF gas valve of the appliance to the incoming gas supply line. See Figure 1. Make certain all gas connections are tight. 2) Turn the ON/OFF valve at the appliance slowly to the "ON" position. All connections must be tightened, and -checked for leaks with a commercially available, non -corrosive leak check solution. Be sure to rinse off the solution when done leak testing. Locating "ONIOFF" Button Valve Check fittings — Heat Shield for leaks Figure 1 Natural Gas Burner Assembly c. LP Gas Models 1) Make sure the tank valve is turned completely off (clockwise). 2) Ensure the tank valve has the proper external mating threads (tank valve marked "USE WITH TYPE 1 3) Inspect. the: loose shipped, with the appliance for any damage..Do not use if there is evidence of damage. 4) Connect'tYie end of the hose onto the ON/OFF gas valve of tie appliance. Make sure it is secured tightly. 5) Connect the regulator assembly to the tank valve. Hand tighten only, (clockwise). Do not use a wrench to tighten! Use of a wrench may damage the quick closing nut and result in a hazardous condition. See Figure 2. 6) Position the hose out of pathways where people might trip over it or in areas where the hose might be subject to accidental damage. 7) Open the tank valve fully (counterclockwise). Turn the ON/OFF valve slowly to the "ON" position. All connections must be tightened and checked for leaks with a commercially available, non -corrosive leak check solution. Be sure to rinse off the solution when done leak testing. If a leak is found, turn the tank valve off and do not use the appliance until repairs can be made. "ONtOFF" - Burner Gas Valve Locating Assembly Flex Button , j Connector Check' lilrings- _ Propane for leaks Heai Shield Regulafor Hose Figure 2 Propane Burner Assembly HEAT N-GUO° Li fc&ylc Pt-oducts PATIO CAMPFIRE INSTALLATION INSTRUCTIONS D. OPERATING INSTRUCTIONS Inspect the burner before each use of the appliance. If there is any evidence that the burner is damaged, it must be replaced before operating_ See the Replacement Parts list on page 11. Upon completing the gas line connection, a small amount of air will be in the lines. When first lighting the burner, it will take a few minutes for the lines to purge themselves of this air. Subsequent lighting of the appliance will not require such purging. Never allow the ON/OFF valve to remain in the open position without placing a burning match on top of the burner FIRST! FOR YOUR SAFETY, READ BEFORE LIGHTING A This appliance must be lit, by.hand._WK6-n lighting, follow these. instructions - exactly. B. Before lighting, smell all around the appliance area for gas. Be sure to smell next to the base of the appliance because some gas is heavier that air and will settle on the floor. WHAT TO DO,IF YOU SMELL GAS: • Do not try to light any appliance. • Do not touch any electric switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. C. Use only your hand to tum the gas control knob or valve. Never use tools. If the valve will not turn by hand, don't try to repair it, call a qualified service technician. Force or attempted repair may result in a fire'or explosion. D. Do not use the appliance if any part has been under water. Immediately call a qualified service technician to inspect the appliance, and to replace any part which has been under water. LIGHTING INSTRUCTIONS 1. Stop! Read the safety information above. 2. Remove the cover. 3. Find the manual gas control valve. 4. Place a burning match on top of the burner in the middle where ports are present. DO NOT HOLD THE MATCH IN YOUR HAND! For a natural gas appliance turn on the ON/ OFF valve slowly at the appliance. For an LP appliance turn the valve on the LP tank counterclockwise all the way and then turn on the ON/OFF valve slowly at the appliance. 5. If the burner does not light before the match goes out, immediately tum the gas valve to "OFF". 6. Wait at least five minutes to clear out any gas. Then smell for gas, including the base of the appliance. If you smell gas, STOP! Follow "B" in the safety information above. If you do not smell gas, repeat Step 4. TO TURN OFF GAS TO APPLIANCE Turn the ON/OFF valve to the "OFF" position at the appliance for a natural gas appliance. For an LP appliance, turn the ON/OFF valve to the "OFF" position at the appliance and then tum the valve on the LP tank clockwise to the "OFF" position. 8 4004-001 Rev C 08104 PATIO CAMPFIRE INSTALLATION INSTRUCTIONS HE TI N`,1GL0,t, E. MAINTENANCE INSTRUCTIONS 1. The appliance should be inspected before initial use and inspected and cleaned at least annually by a qualified field service person. 2. Tampering with this appliance is DANGEROUS and voids all warranties. Any component that is found to be faulty must be replaced with an approved component. 3. To obtain proper operation, it is imperative that the burner flame characteristics are steady, not lifting or floating. Check the burner flame patterns with Figure 5. Figure 5 - Flame Patterns 4. Periodically 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 removed. This will:ensure long life and trouble free operation. When the appliance is put back in service, check the burner flame patterns with Figure 5. Reinstall the logs as shown in the log placement instructions. 5. Periodically check the hose connecting the LP gas cylinder to ensure it is not damaged in any way. Note: Carbon (soot) may build up on the surfaces of the logs with heavy use: This is more likely to occur when 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 care 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. F. HIGH ELEVATION INSTALLATION For U.S. installation, this appliance is tested and approved for elevations from 0-2000 ft. When installing this appliance at an elevation above 2000 ft, National Fuel Gas Codes require a decrease of the input rating by changing the existing burner orifice to a smaller size. Input should be reduced 4% for each 1000 ft above sea level. Check with the local gas utility for proper orifice size identification. For Canada, this appliance is certified for elevations from 0-4500 ft. When installing this appliance at an elevation between 0-4500 ft in Canada, the input rating does not need to be reduced. When installing this appliance at an elevation above 4500 ft in Canada, check with local authorities. ORIFICE SIZES Fuel Orifice # Orifice Size Maximum Output Propane Gas #44 .086 60,000 BTUs/hr Natural Gas #27 .944 75,000 13TUs/hr BUILT-IN PATIO CAMP FIRE SEE MFG SPEC'S O STUCCO FINISH 5-0 ,r BACK ELEV. FRONT ELEV. CO 0 o in 6X6X16CONC. BLOCK WALLS OPTIONAL FOOTING E I I I I 6" I I I I I 1 I 37•• N I 1 72" SECTION 1 FIRE PIT PATIO CAMP FIRE — — SEE COMPONENTS AND INSULATION SPECS T SHUT OFF VALVE TOP ELEVATION OPTIONAL FROM CITY STANDARD PLAN Southern Hills Development Lot 13 FIRE MASONRY LIC. 839082 �w sctie RIPARIAN ENVIRONMENTS PO BOX 13990 81-130 SHINNECOCK HILLS PIT PLAN I 3�-� Palm Desert, CA 92255 La Qulnte, CA 92253 ey n} T .'p r{ f% ss r7 p r I� in z a e z o r Office (760) 398 - 9997 FAX (760) 398 - 3290 I