08-0236 (SOTB)rA.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
08-00000236
Property Address:
54863 SHOAL CREEK
APN:
775-141-048- - -
Application description:
STRUCTURES OTHER THAN ' BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5000
Applicant: 1� L-� Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm under penalty of perjury that. I am licensed under pr isions of Chapter 9 (commencing with
Section 7 0) f Division 3 -of the Business and ofessionals CA, and my License is in full force and effect.
Licen as ooLi s No.: 8269^95%
D Contractor:
OWNE -BU DER DECLARATION
I hereby ffirm 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 _) 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 Lawdoes not apply to an owner of property who builds 6r improvesthereon,
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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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. : BAP.C. for this reason
Date
Owner:
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:
LQPERIII IT
VOICE (760) 777-7012
FAX (760) 777-7011
:TIONS (760) 777-7153
Date: 2/05/08
Owner:
FOGARTY, DON,& PATTI
626 9TH ST
HUNTINGTON BEACH, CA 9 648
-1104 C
'(714)904
Contractor: - 8ill
SUN WEST CONSTRUCTION INC ,
74885 JONI DR #3
PALM DESERT CA 92260
(760) 773-4487 C�
\
Lic . No.: 826995
!,
4.
—
WORKER'S COMPENSATION DECLARATION
I
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 STATE FUND Policy Number 0022498-2007
I certify that, in the performance o the work fo which this permit is issued, I shall not employ any
'
person in any manner so as ecome su to the workers' compensation laws of California,
and agree that, if 1 sh ul ecome sub' o the workers' compensation provisions of Section
1 3t�Z1)00 of the bo I sh omply with those provisions.
Date. -V �(J Applican -
WA NI : FAILURE TO CU E WORKE 'C PENSATION COVERAGE IS UNLAWFUL, AND SHALL
_
SUBJECT AN EMPLOYER TO IMINAL N IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN DIT IONTO T7 COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE L OR 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 cert ify that I ha a read this application and state that the above inf ation - orrect. I agree to comply with all
city.and co 111m666y rdinances and state laws relating to buildin truction, d hereby authorize representatives
of this co t er upon the above-mentioned r inspe u oses '
Da J! Signature (Applicant or Agent):
Application Number . . . . . 08-000.00236
Permit . ... . . . BUILDING PERMIT
l Additional desc..
Permit Fee-..... 72.00 Plan Check
Fee
46.80
Issue Date. Valuation
. .
5000
Expiration Date 8/03/08
Qty Unit Charge. Per
Extension
BASE,FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000'
-----------------------------------------------------------------------------
2'7.00
Permit . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 17.25 Plan Check.
Fee
4.31
Issue Date . . . . Valuation
0
Expiration Date 8/03/08
Qty UnitCharge Per
Extension
BASE FEE
15.00
3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
2.25 .
---------------------7-----------------------
Special Notes and Comments
REPLACE BBQ AND ADD FIRE PIT. WITH SEAT
WALL AND DECK.
---------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
4.68
Fee summary Charged Paid Credited
Due
Permit Fee Total 89.25 ..00
.00
89.25
Plan Check Total 51.11 .00
.00
51.11
Other Fee Total 4.68 .00
.00
4.68
Grand Total 145.04 .00
.00.
1.45.04
LQPERMIT
Bin. #
City of La Quinta
Building U Safety.Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permitfl
C�b _ 0 Ot-ow
Project Address: 5� _ C '�3�\
Owner's Name:
A. P. Number:_
Address:1 S
Legal Description:
Contractor:7S GS ��L.
City, ST, Zip: ' " () ���� d
Telephone:. - 614 N"
Project
Project Description: S^ ^
Address: S - a�
City, ST, Zip: C1 q a,r 6 n
Telephone:
State Lic. # : City Lie. #:
Arch., Engr., Designer: �-
C
,A
Address:1��
City, ST, ZiP
l.� j U
d t)AnCi LT ii
Telephone: _
State Lic. #:
Name of Contact Person: \\ ll
�1`ii� Z f\
Construction Type: Occupancy: S1 �
Project type (circle one): New dd'n Alter Repair Demo
S Ft.:
q.
# Stories:
# Units:
Telephone '# of Contact Person: r>Estimated'
Value of Project. S
APPLICANT: DO NOT WRITE BELOW THIS LINE "
Submittal
Req'd
Rec'd
TRACKING .
PERMTr FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans bicked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2nd Review, ready for correction /issue
Electrical
Subcontactor List
Called Contact Person
21A&Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issu
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
•
_ QlN 61�•r�
19
Total Pe it Fees LA dms {s
Featuring Exclusive LiteCast Construction —
Up to 913 the Weight of Concrete or Stene
J
CERTIFIED'UNDER:CAN1-2.21x1185 AND IAS U.S 4.96 3D EDITION OUTDOOR GAS FIREPLACES CERTIFIED FOR USE IN CANADA
AND USA
WARNING; FOR OUTDOOR USE ONLY IF STORED INDOORS, DETACH AND LEAVE CYLINDER OUTDOORS
MODEL
MODEL
' LARGE SQUARE UNIT NATURAL GAS .
• LARGE SQUARE UNIT PROPANE FUEL ..
GPFN/CPFN
GPFPACPFP .
. 0-4500FT (0-1370m) ALT77VOEift..EVATTON' .
.0.4500FT (0./370m) -
71,00o arum .
.. 'INPUT 023ORIFICES 77.000 BTU/h. .
. .. . .
MANIFOLD PRESSURE: 7.0' WATER COLUMN INPUT 038 ORIFICES S. '
.MINIMUM GAS SUPPLY PRESSURE Al 1 .. MANIFOLD PR2SSURE:11' WATER COLUMN
WATER COLUMN
. -MINIMUM GAS SUPPLY PRESSURE 11' .
.. .
'MAMMUM INLET SUPPLY PRESSURE: 7.0'
WATER COLUMN WATER COLUMN - -
MAXIMUM INLET SUPPLY PRESSURE: 13' ..
.. .
WATER.COLUMN.
NOT FOR USE W/TH.SOLID FUEL
CAUTION: THE GAS. PRESSURE REGULATOR PROVIDED WITH THIS APPLIANCE INUST BE USED. THIS REGULATOR IS SET FOR A
OUTLET PRESSURE OF II INCHES WATER COLUMN
TL
NATURAL GAS -REGULATOR IS NOT SUPPLIED WITH NATURAL GAS UNITS AND IS NOT REQUIRE. .
PROPANE -REGULATOR IS'PRE-'Z FOR AN WTLET PRESSURE OF 11' WATER COLUMN'.' . .. .
. THE GAS SUPPLY MUST BE TURNED OFF AT THE LP -GAS SUPPLY CYLINDER WHEN THIS APPLUNCE IS NOT0J USE .. .
. ' . %APPLUNCE T ADD ANY MATERIAL TO THE APPLIANCE;
THEWHICH WILL W COME CONTACT WITH THE FLAMES. OTHER THAN THAT SUPPLIED BY THE MANUFACTURER WITH
TFI A
IMPROPER WSTALLATK)t•1, ADJUSTMENT, gLTERATION. SERVICE OR MAINTENANCE CAN CAUSE INJURY OR
PROVIDED WPROPERTY DAMAGE. REFER TO THE OWNDER'S MANUAL
. WITH THIS APPLWNCE, FOR ASSISTANCE OR'ADDITIONAL "MWTION. CONSULT A M& FIED.INSTALLER SERVK:E AGENCY OR. GAS SUPPLIER
. DO NOT USE GASOLINE OR OTHER FLAMMABLE VAPOUR$ AND LIQUIDS W THE NCINITI' OF THIS OR ANY OTHER APPLIANCE.
. MINIMUM'CLEAR/NCE TO COMBUSTIBLE
TOP 108' MATERIALS, - ..
.. SIDES
FLOOR
.. 0 BACK 48'
. . MADE IN CHINA .
FOR YOUR SAFETY FOR YOUR SAFETY.
DO NOT STORE OR USEGASOLINE OR READ BEFORE OPERATING
OTHER FLAMMABLE VAPORS AND
LIQUIDS IN THE VYCIIV17YOF THIS OR WARNING:: IMPROPER INSTALLATION, ADJUSTMENT. ALTERATION SERVICE OR MAINTENANCE CAN
' CAUSE INJURY OR PROPERTY
ANY OTHER APPLIANCE DAMAGE REFER TO THE OWNER'VI
S INFORMATION MANUAL PRODED'
. WITH THIS APPLIANCE FOR ASSISTANCE'OR ADD(TK7W11.
INFORMATION. CONSULT A QUALIFIED
INSTALLER SERVICE AGENCY OR THE GAS SUPPLIER WHEN LIGHTING THE BURNER FULLY OPEN
' VALVE.
WARNING: THIS GAS APPLIANCE IS DESIGNED FOR OUTDOOR USE ONLY. R IS NOT INTENDED FOR '
FOR INSTALLATION W ANY BUILDING. GARAGE. OR ENCLOSED STRUCTURE IT IS NOT INTENDED FOR
. INSTALLION IN.OR ON RECREATIONAL VEHICAL OR BOATS. ------------------------------
WARNING: THIS APPLIANCE SHOULD NEVER BE PLACED' UNDER ANY COMBUSTABLE CONSTRUCTION MAT
ERULLS AND SHOULD NEVER 9E PLACED CLOSER
. FORTY-EIGHT (48') FROM ANY SIDE OR BACK. TO ANY COMBUSTABLE CONTRUC7ION OR MATERIALS.
" WARNING: INSTALLATION AND SERVICE MUST BE PERFORMED BY A QUALIFIED TECHNICIAN, SERVICE AGENCY, OR GAS SUPPLIER IMPROPER INSTALLATION
_ ADJUSTMENT, ALTERATION, SERVICE OR MAINTENANCE MAY CAUSE WJURYOR PROPERTY DAMAGE,
WARNING: FOLLOW ALL GAS LEAK CHECK PROCEDURES IN -THE OWNERS MAW UAL, PRIOR TO OPERATION. DO NOT ATTEMPT.TO DISCONNECT THE GAS OR
ANY GAS FITTING WHILE APPLIANCE IS IN OPERATION.
' WARNING: DO NOT STORE OOMBUSTABLE MATERIALS OR USE GASOLINE OR OTHER FLAMMABLE VAPORS AND LIOUIDSIN THE VICINNYOF THIS OR ANY
OTHER APPLIANCE.
WHAT TO QO IF YOU,SMELL' GAS:' I
D SHUTT OFF GAS SUPPLY '
.. D EXTINGUISH ANY OPEN -FLAMES . .
' D IF 0061 CONTINUES. IMMEDIATELY CALL YOUR GAS SUPPLIER FOLLOW THE GA_ S SUPPLIERS INSTRUCTIONS'D IF YOU CAN NOT REACH YOUR GAS SUPPLER CALL THE FIRE DEPARTMENT
r
LIGHTING INSTRUCTIONS
i
Sea ownem manual
To TURN OFF GAS j
y
TURN THE ONIOFF'VALVE TO THE OFF•POSI ION AT THE UNIT FOR NATURAL GAS UNIT. FOR LP UNIT TURN TF1E'ON/K)FF VALVE TO THE OFF POSITION AT THE
UNIT AND THEN TURN THE VALVE ON THE LP TANK TO THE OFF POSITION - CLOCKWISE .. .
APPLIANCE FOR CONNECTION TO SELF-CONTAINED LP GAS -SUPPLY SYSTEM,
A: THE GAS SUPPLY MUST BE TURNED O AT THE LP GAS -SUPPLY CYUND,ER.WHE1i/ THIS APPLIANCE IS NOT IN USE
'WARNING: IF THE INFORMATION IN THE DINNERS MANUAL 1S NOT FOLLOWED EXACTLY A FIRE -OR EXPLOSION MAY RESULT,
CAUSING PROPERTY DAMAGE PERSONAL INJURY OR LOSS OF LIFE
RUSH INCORPORATED .
ry C. D 190 WILKJNSON ROAD UNIT 11
�AS`OG'% BRAMPTON ONTARIO CANADA
F
L6T-4M
LISTED:
DECORATIVE. OUTDOOR OASFIRED
FIREPLACE I .
IBAY 1l, ,
. I
I -
i
I .
i
y GAS-FIRED
C U L US
LISTED
H'earth•& Home Technologies Inca
1915 W. Saunders. St.
Mt. Pleasant, Iowa 52641
Division, HON INDUSTRIES
www.fireplaces.com
INSTALLATION 8 OPERATING
INSTRUCT -IONS
PATIO .CAMPFIRE
IMPORTANTI 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.
is not foll. explosion
personal
Jury ..result .
Do not store or use gasoline or other flammable
vapors and liquids in the %unity 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.
„ns rnapum muse oe usea tor, installation and retained by the homeowner for operation and maintenance. Save this manual for
future referencel
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; 51328,356; 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.
01104 4004 0016 1
t � 5
09!.25/02. WED 09:19 FAR 949 733 4320 949 733 4320
CSA/IAS Irvine
. U003,
s
CSA INTERNAT.IONAI ,
Ce k ti fi
cafe -of Com �i
amce
Certificate: 1355624 Master Contract: 217348
Project: 1355624' Date Issued• 2002-09=24
Issued to: . Grand )Effects
10 Argento Dr.
MISSION VIEJO, CA 92692
USA
Attention: Mr. Kevin:Doud
The products listed below are eligible -to bear the CSA -Mark .shown_
with adjacent indicator 'US'
A 'S104, ,
SP ® Issued by: idad
oFRTIi���® •
US Authorized by: Len Bardsley .
Operations Manager
PRODUCTS
2731-82 LIGHTING. (GAS) Outdoor Decorative Type. .
Minimum Maximum .
Model Number Input Rating. Input Rating
For Use With Natural Gas
Illuminating Appliance for. Outdoor Installation
Trade name: GRAND EFFECTS
100 _ 60,000 80,000
APPLICABLE REQUIREMENTS
I.A.S. Requirement 8-96 Gas -Fired Decorative Illuminating Appliances For Outdoor Installation
MARKINGS
All markings and printed instructions are in compliance with. the above-mentioned requirements.
The'US' indicator -adjacent to -the CSA Mark signifits that the product has been evaluated to the applicable ANS1/UL.Standards, for use in the U.S.Al is US' indicator
includes products eligible to bear the'NRTL' indicbtor. NRTI, i.e. National Recognized Testing laboratory, is.a desiognation granted by the U.S.. Occupational Safety
and Health Administration (OSHA) to laboratotics which have beat recognized to perform certification to U.S. Standards.
D 507 WD 2002/04130
LISTED Hearth-•. Technologies
OUTDOOR20802 Kensingion Blvd.
GAS FIREPLACE Lakeville, I�t'1 55044
S 22UM
model/Models PCF-HNG F6. AE FAB. '2004 Serial/Serie 4P 16533 .
ILLSl�
S. 4-96 OUTDOOR GAS FIREPLACE Altitude': 0-2000 ft. 2000-4600 ft. (in Canada).:"
For Canada Z21.50-19951CGA 1,.6-995. Znputi 75,000 BTUH [22.Ok'W)a7,5o0 STUB (19.ekW)
Type of &est Natural -Gas Orifice. size: 927 oNs #28 DMS
Sor.te De Gaz: Natural
Kin. ;Gas supply for Input Adj./Alimantation on gaz min. pour r69189e de Is puissance: 7.0 in. w.c. (17kps)
M&X. has Supply /Allimontation on gazmax: 14.0.1n.w.c. (3.5kPd)
Manifold Pressure/Puissance de pression si•admisciori da: 3.5 in. w-c.(..87kPs)"' '
WARN;NG- Must Not Be Used For Cooking. AVERTISSEMENT: He pas utiliser pour It cuisson.
WARNING: Dor outdoor Use -Only. AVERMSEMENT: Pour utilisation,. 1=ext6rieur seulement.
NI?4"[WM CLEkWGfS:. Bottom: 0 inch. Top: 8 Ft. (2.4m) DEGAGEMENT NIHIKAL: Oe6sous: omm Supgrieure: 2=4m
ginirtum clearance Prom sides and back of unit to.adjacent combustible construction below top of unit, 24 inches from eider. and 24. inches frown back.
Mtni�um horizontal clearance from sides and bacic pf unit to adjatant vertical combustible construction.extending above topof unit, 24 inches from sides
and 24 inches from back. Osgagement minimal d respecter entre les 46tes et l'arrilre da 1•appareil et line:construction combustible adjacente situie
au-dessous de la part!• supperieure de. l'apparail, snit 24 pouter. dos c6t6s of 24 polices do 1•arri6ro. D69agornent horizontal minimal a respecter ontre
Jos c6tds. at 11arri0e do l'appareil at.una construction combustible vertical* adjacent* dipassant la partie aup6riouro da V appareil, soft 24 poucec
des`c6t6-s at 247 poucos' do 1=arriire.- -- ._, _ .•._ . -_- _ _ __-_ ... _. _—. - -- .
This -appliance must be installed in accordance with local codas, if any. If''noadl follow ANSI Z2= .l or CAN/'CGA-8149, installation codes.
Ce,f appareil dolt 6tra inatilld confomim►nt aux exigences daa..codas locaux-,S'il n'axicte bucum code local; consultor la norma CAR/CGA 8149.
Toss p1•oouat is coverad by one or 0er•* or the follovima patents: (Volted 9tatea):4.t/2.e18i 4.406,694; 4,422,426; 4,494,702. 6!826 Tali 4,79S,42Zj'1.862.648;
• 4,8•►5,,464; 5,000.162;-6,615.600. 3.076,454; 6.101.en; 6,216,068; 6,329,966; 3,420.495; 6,462,706; 6 842,407] 5,543,467; (IUtttrZj&) 6487D0; 5860831 (Cpnads)Y,120,206; -
1,207,446; 2.195,264; (Muico) 07-D467; (Yew 2oalaml) ZOOM or otfur U.O. 0011 1W64% petentac'pendtnp.. $43$36