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05-2182 (RER)'P.O. BOX 1504 . 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253: Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: A -t!t T 4 4.Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-00002182 Owner: 81080 SHTNNECOCK HILLS SOUTHERN HILLS DEVELOPMENT 762-330-008- - - 55161 SOUTHERN HILLS REMODEL -.RESIDENTIAL LA QUINTA, CA 922.53 LOW DENSITY RESIDENTIAL 6000 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (7.60).777-7153 Date: 6/10/05 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 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: ,C8 -C27 -C29 LicenseNo.: 839002 /Date: _6116 ontractor: 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).: 1 _ 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). . (_ 1 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: LQPERn1IT 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 Yissued. l 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 STATE FUND Policy Number 1769754=2005 _ I certify that, in the performance of the work for which this permit is issued, 1 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 Cod , I sh I forthwith comply with those provisions. ;,(sate: v pplicant, 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 ands to laws relating to building construction, and hereby authorize representatives of this co qmy to enter upon above-mentioned property f r inspe tion purposes. Pate: ' W "" ignature (Applicant or Agent): Contractor: Architect or Engineer: RIPARIAN ENVIRONMENTS P.O. BOX 391106 ANZA, 92539 (909)76363 -0645 Lic . No.: 839002 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 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: ,C8 -C27 -C29 LicenseNo.: 839002 /Date: _6116 ontractor: 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).: 1 _ 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). . (_ 1 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: LQPERn1IT 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 Yissued. l 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 STATE FUND Policy Number 1769754=2005 _ I certify that, in the performance of the work for which this permit is issued, 1 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 Cod , I sh I forthwith comply with those provisions. ;,(sate: v pplicant, 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 ands to laws relating to building construction, and hereby authorize representatives of this co qmy to enter upon above-mentioned property f r inspe tion purposes. Pate: ' W "" ignature (Applicant or Agent): Application Number, 05-00002182 Permit . . . BUILDING PERMIT, Additional desc . - Permit Fee . . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation . . . 6000 Expiration Date 12/07/05 Qty Unit Charge Per Extension - BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00' ------- Permit . . ELECT - ADD/ALT/REM Additional desc . \ Permit Fee 16.50 Plan Check Fee 4.13 Issue Date Valuation . . 0 Expiration Date 12/07/05 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 18.00 Plan Check Fee 4.50 Issue Date Valuation . . 0 Expiration Date 12/07/05 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 BBQ (ANSI A223.la-1998), PER APPROVED PLANS. ------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE _ 5.27\ Fee summary. Charged Paid Credited Due ----------------- ---------- ------ --- ---------= ---------- Permit Fee Total 115.50 .00 .00 115.50 Plan Check Total 61.28 .00 .00 61.28 Other Fee Total 5.27 .00 .00 5.27 Grand Total 182.05 .06 .00 1 182.05 LQPERAiIT IMI I IN, 111 Ell I In 511,910 R111 ri I, J7arbOCUCS Islanti:> 431ilGS Carts Features_ lv9anuals FA4:1 - - J -E LII ne'l Bal becue I'll :q} -Irl 4A ill 5 -Burner Drop -In Grill Ouj- large_:I droll -in, the S-Caurner• Grill delivers. ?5,000 DTI -J on ry :l00 -3q. -Inch [:IJi-Il;lrlg JI.JI•ri7l,-;e yrF"ti' �711o',�;rlrll.l './I]I•J tit ea�ll'ihr-Ist large dinner I_lartie:s. A • standard 13000 EITLI inir-aced 17aCkbul•ner complerrrents an optional n_rti_::_erie r for delicious Came hens. Infuse meats ,,!v th it tantalr ing sinoke fla,.: or b - v— .�` - _ ' adding our optional smoke tray. T':r:/Il i'2' -t grill lights)Tralze nighttirr,e cookouts �• _ _ .'+ Dimensions: 391- -,A; , .2i ,`.,,L.I :.` ..H ' i r u a,' 1--?9%"Hz? ' Cutout Dimensions: � ...'4 !' ! :. 22 _ C.I .. Frame Construction: Hea•:r; "' 1.JI. ie : II i4 Stainl,e,:s :tr el E Burners 5 C-Jurrier rs.000+ BTU Output: 7-5,000 BTU 22,UUU - " Infrared Back Burner: 2, 00 BTI i � �r, . �� r.000 r -o ALr�BT Burner Material: Brass Ignition: 5 Blov,.: T inch ignitors Cooking Surface: _ .9 sq. in.r.- - Drip Tray: Full Length - Flavor Bar: Standard Smoke Tray: Optional • .. r Lights 2 Lights Standard Vie':A, closeup of :?-Burner Drop -In Grill ' Fuel: LP Standard or Natural 1;3as I'_tpii0r6ai � ETL Approved: Optional, Rotisserie: I:_II_Itionai Line N roiin�tClick 2ill here t0 vieN 5 -Burner Drop -In Lille Drawings A=%L.TL-S :I.IA:iD_C _ARE=Fi_.=.F.I_H SITE!..?A-E _E.,LE? T.I purcal�Ise I :al Spas 1:1i„du,ct3, please':+G31t the GlealeY LOCator. B,II t=al cai,ysr imt tuba we I+�• - s_:otl ;'right U 2i ul:; i �-41 'Spas. 11 rights n=ser':�rsd. _ - - - ° e., J: i'•;'eP_ pro.e: ereld b';, GEi1 Dealer Locator Replacement Parts I'l/k arrsnty Registration I Press Room I About US I Contact Us i D.4anual.: I Careers !Search I Site hilap I Deaiers, �- Spas i Hat Tubs I Gazebos I Saunas I BariiecLJe C f BBC_!s I Fireplaces / Firepits I Bars -1 Billiards /Pool Tables _ BAR -B -Q'S GRILL' DIMENSIONS 1 ' 26—f/..,E M/Ar. 3"' TO NON * 6 �2.. 0116 t . +CGUBUSTIB_ L£ SJRFACE.1 31-1/.1 MIN. k� TG COMBUSTIBLE 1 SURFACE' •� 5 L ' f8— I I CLEARANCE DIMENSIONS—FRONT CL 'A 'V31UNS=SI —4. ' MINIMUM CLEARANCE NEEDED FOR REMOVAL AND REPLACEMENT OF ROTISSERIE MOTOR A ` 24-1 /2" 32" 3971/2 'F 22—►/cr .. 38-1/-L• F � - -OUT DIMENSIONS t ' r r8_���a., t 5 x 5' i GAS INLET CAV BR— ' LUC.47WL) ANYWHERE WITHIN 5" 01' SHADPsD AP.EA � f 1 A e ..23°` 112" 31 " 38-1 /4-'- r _... Y�`S NOTICE OLE TO CUR COWINUOUSIMPROVEMENT PROGRW ALL MOCELS ANO AFECIFICATIONS ARE SUBJECT TO 1 ` CNANGE WITH7U7 PRIOR NOTICE ' A DIVISION ,CAL FLAME OF GRILL DIMESIONS COPYRIGHT 1-1.2K2 DATE 3-22-02 -' 2K2-PLANIDESIGN REVISED 4-01-02 OWNBY-SST_ ?; a I Natural Gas Requirements Owner's Manual NATURAL GAS RtQUIREMENTS Natural Gas Requirements Always check the rating plate tb make sure the gas supply you are hooking up to is the gas type the grill is manufactured for. IMPORTANT WARNING: All Cal Flame grills are manufactured' with the highest regard to safety. For this reason, Cal Flame, grills are either manufactured to ' operate on Liquid Propane (LP) :'or Natural Gas; (NG) and cannot be converted. To verify the -grills ,operating fuel, remove the bottom drip pan and check serial number label on the left. Either LP or NG will be marked on the ,operating tab, indicating the proper operating fuel. x . Attempting to convert Cal Flame 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 this appliance must conform with local codes or, in the absence of local codes, to the national fuel gas code;,-ANSI-Z223.:Ia- 1998. Installation in Canada must be in accordance with the. standard CAN/CGA=B 149.2, Propane Installation.Code. NATURAL; Gas Connection: (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 to the grill and giving ease of access. Your Cal Flame 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 Flame for -this appliance. 1. Remove the rear panel from the BBQ to gain access to the regulator and gas connection point. , 2. Connecta suitable flex connector to the grill regulator. j Owner's Manual Installation of New Access Doors INSTALLATION OF NEW�ACCE_SSD�O:OIZSr Installing Access Doors 1. Provide cutout and doorjamb with inside dimensions as follows: 16 1/4" X 19 for single door 28 1/4" x 19 3/8" for double door 2. Secure the steel frame with 16 screws of type #10 x fl" truss head phillips S/S. 3. Attach doors to frame. 4. Adjust doors as follows: a) For height adjustment, loosen the two screws attached to each mounting plate. b) Snap off hinge and secure, mounting plate with #6 X 1"flat phillips S/S: c) For side adjustment turn screw to increase or decrease door overlay.,. d) For depth adjustment, loosen screw, adjust door to desired position and retighten screw. I, Single Access Door =rout Dimension: Rear Cut -Out Dimensions Single Door Width 181/4" Height 19" Depth 21/2" Double Door Width 281/4" Height 19 3/8" Depth 2 1/2" Figure 34: Access Door Installation Page 31 Door Owner's Manual TOP ELEV. //z / co7 LIGHT 2" DRAIN I PIPE LINE �I / HAND RAIL I GAS 1 �r ELECTRICAL F-- SEWER 2" 72" 1 , z�Nn� w^c� zpv� , z0% W z E� a Q P a m m p �Z Og �a C6 mw 0 E- CL = � = M Y in pU N 8 O) Ip Y C Q _ •� c U E _(D r co 90 fnJcoJ thern Hills Development 8,(Hedricks) [81-4080 B.B.Q. SECTION uc 839M �� ' PAGE RIPARIAN ENVIRONMENTS PO sox �3sso Shinnecock Hills DETAIL 3 /" G�/t : tis,Palm Desert CA 92255 Office 60 398 9997 Quinta, CA 92253 t+ e' a u r o o m e o i a ' +res s o r ) - FAX (760) 398 - 3290 Southern Hills Development Lot 8 (Hedricks) 81-080 Shinnecock Hills La Quinta, CA 92253 B.B.O. DETAIL SECTION 2 UC. 839002 - — 0. m`e �o <; . _" SCALE PAGE ,r er e• 9• u ,• 3/5Office RIPARIAN ENVIRONMENTS PO BOX 13990 Palm Desert, CA 92255 (760) 398 - 9997 FAX (760) 398 - 3290 mm 0 pzz O n v=m n Z D n n� Ong . Do Z u --W'0,03 W V. m k f o N O o n 5.2` rn y z r Southern Hills Development Lot 8 (Hedricks) 81-080 Shinnecock Hills La Quinta, CA 92253 B.B.O. DETAIL SECTION 2 UC. 839002 - — 0. m`e �o <; . _" SCALE PAGE ,r er e• 9• u ,• 3/5Office RIPARIAN ENVIRONMENTS PO BOX 13990 Palm Desert, CA 92255 (760) 398 - 9997 FAX (760) 398 - 3290 Southern Hills Development Lot 8 (Hedricks) B.B.Q. FRONT & BACK LIC. 839002 1E ` o — _ — " _> PAGE 7 .� RIPARIAN ENVIRONMENTS PO BOX '13990 81-080 Shinnecock Hills DETAIL' = �r` 10=r 4�5 Palm Desert, CA 92255 La Quinta, CA 92253 ELEVATION rf e o � r o; o mg: n s +r e s s o +' Once (760) 398 -9997 +, FAX (760) 398 - 3290 Southern Hills Development Lot 8 (Hedricks) B.B.Q. FRONT & BACK LIC. 839002 1E ` o — _ — " _> PAGE 7 .� RIPARIAN ENVIRONMENTS PO BOX '13990 81-080 Shinnecock Hills DETAIL' = �r` 10=r 4�5 Palm Desert, CA 92255 La Quinta, CA 92253 ELEVATION rf e o � r o; o mg: n s +r e s s o +' Once (760) 398 -9997 FAX (760) 398 - 3290 SECTION z ' RETAINING WALL - 12" WIDE CAP TO MATCH HOUSE DETAILING , SPECIFICATIONS - SLOPE TO DRAIN IX' BAR `Y' /BEAR ALL .WALLS SHALL BE CONSTRUCTED OF THE HIGHEST DUALITY 1$" CONCR, BLOCK W(#5 - 24" O.C. VERT WORKMANSHIP IN ACCORDANCE WITH THE 1991 U-B.C.• AND THE - FOLLOWING SPECIFICATIONS: - s -+ #4 - 24" O.C. HORIZ GROUTED SOLID 1..; CONCRETE • 1• c -2000 PSI AT 28 DAYS PER ASM 650 ' 2. MASONRY 1'— 1500 PSI GRADE IN PER ASTM 0150 . • - 3. GROUT •- 20DOPSI .AT28DAYS PER U.B.C.TABLE 24•B _ . -� - - - - WATERPROOFING MEMBRANE - .. • 4. MORTAR - 2000 PSI AT 26 DAYS PER U.ILC. TABLE 24-A AMB ASTM C270 S.+'' REINFORCING - DEFORMED BARS CONFORMING TO ASTM, ASIS- - GRADE 40. -STEEL LAPS SMALL BE 40BARDIAMETERS OR MORE. C 4 BEND HORIZONTAL BARS AROUND CORNERS A MINIMUM OF 24'.' • - VERTICAL STEEL SMALL BE HELD IN PLACE BY WIRE TIES AT THE - QQ- • ; TOP AND BOTTOM OF THE BARS BUT NOT EXCEEDING B FT. IN - - SPACING PRIOR TO SPACING PRIOR TO GROUTING. STEEL PLACEMENT IS CRITICAL AT THE BASE OF WALLS AND AT CHANCES - IN BLOCK SIZE. ADHERE STRICTLYTO THE DIMENSIONS SHOWN ON BACKFILL ' THE PLANS:'. - - - - 6. ALL FOOTING TO BE POURED ON UNDISTURBED NATURAL GROUND _ ORONCOMPACTED FILL WITH A MINIMUM DENSITY OF 90% , RELATIVE COMPACTION. - 7. DRAINAGE SMALL BE ACCOMPLISHED BY PLACING A 3' DIAMETER PERFORATED ABS OR PVC DRAIN UNE BEHIND THE WALL AT THE - TOP OF THE FOOTING AND COVER WITH 7 CUBIC FOOT PER LINEAL - FOOT OF 112' PEA GRAVEL AT LEAST 8' OVER THE TOP OF THE PIPE. EXIT THE DRAIN UNE OUTSIDE THE WALL AT A LOCATION- . - . • ' WHERE THE DISCHAAGEOF WATER WILL NOT BE OBSTRUCTED ANDAS APPROVED BY THE BUILDING OFFICIAL MAINTAIN AT LEAST I% GRADE. S. ' PROVIDE VERTICAL EXPANSION JOINTS PER DETAIL HEREON SPACE (V • • - ' _ 1 -BETWEEN 60 FT. AND 200 FT. APART. PLACE EXPANSION JOIN AT _Ne_ .FOOTING STEPS UNLESS NO STEP IS PRESENT. - • - - S. - GROUT LIFT SMALL NOT EXCEED 6- FT. WHEN GROUTING IS - PERFORMED IN MORE THAN ONE UFT. STOP THE INTERMEDIATE- .�'', - •' I 2 - #4 CONT GROUT LIFT 1-1'2' BELOW THE,TOP OF THE BLOCK TO PROVIDE A '�� '.� - ' KEY FOR THE NEXT UR. 10. BACKFILLING SMALL NOT OCCUR'UNT1L AT LEAST 14 DAYS AFTER GROUTINGCOMPLETE. - CONCRETE. FOOTING 1ALL 1. GROUT ALL CELLS SOLID..- c� 1' .. • . Q U ` oI-III - - jo ' #4 - 18" O.C. 214I Iy ` •RETAINING WALL SCALE 1/2 .1'-0" Bin ** F F Qusin CILy Ol LQ Building 8t Safety Division. Permit # ` P.O. Box. 1504, 78-495Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: b� I f I II � b t G- i l l Owner's Name: vew-*Ihk�� A. P. Number: T ;� Le> SII ll Address: ' C Legal Description: r City, ST, Zip: (-'a -z Contractor. . t Tele hone: P 6 :::<' '•>><`>< Address: Q 2 oO Project Description: .S/.tJK V- _=146c. - P/une/,u+j' 7) Cit}, ST; Zip: Tel e hone: \ P -t, : `Lic. _Sty State Lic. # : dZ City #_ . Arch., Engr., Designer: • OotrlD �Si40CAT/eAU S'67.8 �lr Address: - ' City, $T, Zip: 8 NFr9 a!t'o�n LTE O.tJ .P �✓S BTu �. /HAKE /r14aQf.G Telephone: P s rm 47 N Construction tract' t on T3• P e. Occ u c• Pa ri • StatoL . tc #• ' ..............::::::::::. Project oe ct e ci rc Ic J one):. n �• P � ) New Add'n Alter Repair Demo Name of Contact Person: A KI G1/L Sq. Ft.: # Stories: #Units:. Telephone # of Contact Person:O� s . 7� t Estimated Value of Project: APPLICANT: DO NOT WRITE 13ELOW THIS LINE # Submittal Req'd Rec'd TRACKING Plan Sets Plan Check submitted g/as ' PERAIIT FEES Item Eucural Calcs. Reviewed, ready for.corrections Amount Plan Check Deposit Calcs. Called Contact Person Plan Check Balance Title 24 talcs: Plans picked up Construction Flood Plain -plan Plans resubmitted 11Lcchanical Grading. plan 21' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing . Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IIOUSE:- , Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. 1\'ks. Appr Date of permit issue School Fees ' Total Permit Fees