05-1377 (RPL)BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
2253 INSPECTION REQUESTS (760) 777-7153
NG PERMIT
Applicati0 ur
05-00001377 1 Date
4/12/05
Property A
81090 SHINNECOCK HILLS
APN:
762-340-001- - -
Application description
POOL - RESIDENTIAL
Property Zoning . . .
. . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 17000
Owner
------------------
Contractor
- ----- ------------------------
SOUTHERN HILLS DEVELOPMENT RIPARIAN ENVIRONMENTS
55161 SOUTHERN HILLS
P.O. BOX 391106
LA QUINTA
CA'92253 ANZA
CA 92539
(909) 763-0645
WCC:, STATE FUND
WC: 1769754
04/12/05
CSLB:.. 839002
05/31/05
CCC: C8 -C27 -C29-053
Permit . . . . . .
BLDG POOL PERMIT
Additional desc
Permit Fee . . . .
180.00 Plan Check Fee
117.00,
Issue Date
Valuation . . . .
17000
Qty Unit Charge
Per
Extension
BASE FEE
45.00
15.00 9.,0000
----------------------------------------------------------------------------
THOU BLDG 2,•001-25,000
135.00
Permit . . . .
MECH POOL
Additional desc
Permit Fee . . . .
24.00 Plan Check Fee
6.00
.Issue Date
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
-----------------------------------------------------.----------------------
EA MECH FURNACE <=100K
9.00
-
Permit . . . . . .
ELEC POOL PERMIT -RES
Additional desc
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
EA ELEC PRIVATE SWIMMING POOL
30.00
Permit . . .
---
PLUMBING
------.----- -
Additional desc
Permit Fee . . . .
33.00 Plan Check Fee
8.25
+ t
P.O. BOX 1504 •
VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
04
Application Number:05, �� IN I Date: It
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect, or Engineer's Address:
A"
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
YC e, and my License is in full force and effect.
nse Class License Noz S-3 `LOcjZ
ate Contraq(af
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-builoer 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 ouilds 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
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
C iasueMy�aorkers' compensation insurance carr and pq�icy number are:
C,mer S ak F-�.`a Policy'Numb� FIT L
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.
a17 to LlZ �/ Applicants
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 DCLLARS ($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 thpt there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lenders 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, 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
const ru ton, and hereby authorize representatives of this county tq enter upon the above-mentioned property for inspection purposes.
Date ;r Signature (Applicant or Agent): A�j�A / �/�{�
1
0
Page 2
Application
Number . . . . . 05-00001377
Date, 4/12/05
Issue Date
. . . . Valuation . .
. 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00
6.0000 EA PLB FIXTURE
12.00
1.00
3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00
3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
---------------------7------------------------------------------------------
Special Notes and Comments
POOL & SPA.
ALARMS/BARRIERS SHALL BE IN-
PLACE PRIOR
TO PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED IN
PERMIT."
Fee summary
-----------------
Charged Paid Credited
Due
Permit Fee
------------------------------
Total 282.00 .00 .00
----------
282.00
Plan Check
Total 142.50 .00 .00
142.50
Grand Total
424.50 .00 .00
424.50
0
Southern Hills Development
Lot 9 (John 81 Sue Caunt)
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LIC. 839002 ul `,
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RIPARIAN ENVIRONMENTS
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81-090 Shinnecock Hills
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La Quinta, CA 92253'
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Southern Hills Development
Lot 9 (John 81 Sue Caunt)
`�
MASON RY
LIC. 839002 ul `,
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RIPARIAN ENVIRONMENTS
� PO BOX 13990
81-090 Shinnecock Hills
B. B• Q•
PLAN
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Palm Desert, CA 92255
La Quinta, CA 92253'
`W P a'r 0,0, o`, 4 4j
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Office (760) 398 - 9997
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FAX (760) 398 - 3290
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outhern Hills Development uC.839002 RIPARIAN ENVIRONMEN'
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of 9 (John & Sue Caunt) GARDEN WALL , T .6H PO BOX 139!
�` iia"=V Palm Desert, CA 922!
1-090 Shinnecock Hills STANDARD �>t ��Q�
a Glu inta, CA 92253 "e#: o v •�,' r ou m eat n %tui s u• 1e• +2.8' o r Once (760) 398 - 99!
FAX (760) 398 - 32!
-14011113 1 1411 Nil q; `N I Yl' AIii
;arhecu.es Islands Grills Carts Features Wlanuals FAQs
5-1"lurn r) arbecue Drop-in Grill
Q.L.Llarjest drop-in, the 5 -Burner Grill delivers 75,000 BTU on a 900 -sq. -inch
cooking surface area. allowing you to easily host large dinner parties. A
standard 18,000 BTU infrared backburner complements an optional rotisserie
for delicious dame hens. Infuse meats with a tantalizing smoke flavor by
adding our 'optional smoke tray. Two (2) grill lights make nighttime cookouts
safe and.(-asy.
Features
Dimensions: 391/,,"VV x 261/2"D x 23"H
Cutout Dimensions: 381/,,"VV x 221/2"11 x 9Y."H
Frame Construction: Heavy Gauge 304 Stainless Steel
-(9'L�" 1_&umpr —TU Output.. 75.000 Efijz�_) 0 0
Infrared �eZ'k'EtarrLrer ,t
Burner Material.-13rass U
Ignition: 5 Blow Torch Ignitors
Cooking Surface: 839 sq. in. cA Cl
Drip Tray: Full Length
Flavor Bar: Standard
Smoke Tray: Optional
Lights: 2 Lights Standard
Fuel: LP Standard or Natural Gas Optional
ETL Approved: Optional
Rotisserie: Optional
5 -Burner 0 : In 11
461 , L' :'5. -n: 'fro
Line Dr<,Lvin,
Click he,*iv to .N !. i!m --"r(: Ui
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:: C-1-JACT C I. _1_1;_11Y E SH-�'FC-N S.Tz- !_' - -LE
'i .:. purchase Cal Spas products, please visit the Dealer Locator.
( :-pyright @ 2005 Cal Spas. All rights reserved.
r-Ap: - wv. .,.c,.itspas.coin/bl)qs/grillsdetail.asp?a=3
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6.. Stop a leak by. tightening the loose joint or by replacing the faulty part with a replacement part recom-
mended by the manufacturer. Do not attempt to repair the cylinder valve if it is damaged. The cylin-
der must be replaced.,
7. If you are unable to stop a leak, shut off the gas supply at4he cylinder valve and remove•the cylinder
'from the grill. Call an authorized gas appliance service technician or an LP gas dealer. Do not use the
appliance until the leak is corrected.
8. Push in and turn any control knob to release pressure in the hose and manifold.'
9. Turn off the control knob.
Natural Gas Requirements
Always check the rating plate to make sure the gas supply you are hooking up to is the gas type the grill
is manufactured for.
IMPORTANT: All Cal Flame grills are manufactured with the highest regard to safety. For this
reason, Cal F1ameTM_ grills are either manufactured to operate on either liquid
propane (LP) or natural gas (NG) and cannot be converted. To verify the grill's
operating fuel, remove the bottom drip pan and check the serial number label on
the left. Either LP or NG will be marked on the operating tab, indicating the proper
operating fuel. Attempting to convert Cal FlameT"' grills from one fuel to another
may result in serious injury and void the warranty coverage. -
IMPORTANT: Never connect the grill to an unregulated gas supply.
The installation of thisZMN;
onform with local codes or, in the absence of local codes, to the
national fuel gas code,998. Installation in Canada must be in accordance with the stan-
dard CAN/CGA-13149.2, Propane Installation Code.
Natural gas connections must be performed by a licensed contractor or local gas company representative.
Ensure that the service supplying the grill,is fitted with a shut off valve conveniently positioned near the
grill and giving ease of access.
Your Cal F1ameTM,grill for use with natural gas comes equipped with its own regulator which MUST
NOT be removed. If, this regulator needs to be replaced use only the type specified by Cal F1ameTM for
this appliance.
1. Remove the rear panel from the barbecue to gain access to the regulator and gas connection point.
2. Connect a suitable flex connector to the grill regulator.
J
Barbecue Owner's Manual Page 9
12/17/04 www.calspas.com
Delivery and Set -Up
6. Stop a leak by tightening the loose joint or by replacing the faulty part with a replacement part recom-
mended by the manufacturer. Do not attempt to repair the cylinder valve if it is damaged. The cylin-
der must be replaced.
7. If you are unable to stop a leak, shut off the gas supply at the cylinder valve and remove the cylinder
from the grill. Gall an authorized. gas appliance service technician or an LP gas dealer. Do not use the
appliance until the leak is corrected.
, Push in and turn an— control knob to release -ressure in the hose and :nianifold.
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