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05-4756 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: . Application _valuation: . Applicant: 0500004756 81821 SUN CACTUS LN 764-270-999-26 -300231- STRUCTURES OTHER THAN BU MEDIUM HIGH DENSITY RES 2000 DEPARTMENT ERMIT Architect or Engineer: .w 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: C8 C27 C29� License.No.: 839002 ate: (o; Contraeeor: 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 hundied 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.l. (_ 1 1, 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 town 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.). (_ 1 I am exempt under Sec. L , 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 Owner: SANDERS 81-821'SUN CACTUS LA QUINTA, CA 92253 Contractor: RIPARIAN ENVIRONMENTS P:O. BOX 13990 R PALM DESERT; CA 92255 U (760)398-9997 Lic. No.: 839002 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/21/05 OCT 2 8 1005 CITY OF LA QU1k*4— -----------------------.--- 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 vvv 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 ' 1769754-2005 _ 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 Cod I shall forthwith comp ly with those provisions. aD te: &J� ; Applicant: /ALt RAM 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 subjectto 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 countyordinances and state laws relating to building construction, and hereby authorize representatives of-thiss - ty, to -enter upon the above-mentioned property foottr inspection purposes. Date: t !Je U! Signature (Applicant or Agent): � �,/CAtV:�aA . Application Number 05-00004756- Permit BUILDING PERMIT Additional desc . Permit Fee 45..00 Plan Check'Fee 29.25. Issue Date . . . . Valuation . . . . 2000 Expiration Date 4/19/06 Qty Unit Charge Per Extension BASE-FEE, 15.00 15.00 2.0000 -------------------------------------------------------------------------- HIND BLDG 501-2,000 30.00 Permit ELEC-MISCELLANEOUS Additional desc.. Permit'Fee 15.45 Plan Check Fee 3.86' Issue Date Valuation . . . . 0 Expiration Date 4/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .4500 EA ELEC DEVICE/FIXTURE >20 - .45 Permit . . . PLUMBING Additional desc . -Permit Fee 18..00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . 0 Expiration Date 4/1"9/06 Qty Unit-Charge Per Extension BASE FEE 15.00 i.00 3.0000 EA PLB GAS.PIPE 1-4 OUTLETS 3.00 ------------------------------------------------- Special Notes and Comments --------------------------- FIREPIT. Other Fees . . . . . . . . . ENERGY REVIEW FEE 2.93 - Fee summary. -- -- --_Charged_._.-...__. 'Paid Credited .._ ._-Due- Permit Fee Total. 78.45 .00 A0 78.45 Plan Check Total 37.61 .00 .00 37.61 Other'Fee Total 2.93 .00. .00 2.93 Grand Total. 118.99 .00 .00 118.99. LQPERMIT GAS-FIRED C UK, US LISTED 'HEAT= N-G�LO� Lifestyle Products, INSTALLATION & OPERATING .INSTRUCTIONS ' 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 warrantv. jury or loss of lite. — 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 smell1gas • 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 yourgas supplier, call the fire department. Installation and service must be performed by a qualified installer, service agency or the gas supplier. 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 N PATIO CAMPFIRE INSTALLATION INSTRUCTIONS B. SAFETY INFORMATION The Patio Campfire has been tested in accordance with IAS US requirements for Outdoor Gas Fireplaces, Draft 4-96 and 'ANSI— Z21.584995/CGA 1.6-M96 for Canada and has been listed by Underwriters Laboratory (UL) for installation and operation as described in these installation and operating instructions. The installation must conform with local codes or, in the absence of local codes, with the National Fuel Gas Code ANSI Z223.1 or 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. HEAT N-GaLG® LifeStyle Products • Clothing or other flammable materials should not be placed on or near the appliance. • Any guard or other protective device removed for servicing the appliance must be replaced prior to operating the appliance. • 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 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. 08104 4004-001 Rev C GAS 2" ELECTRICAL 4 j �i t { { FIRE PIT (SEE DETAILS ON SPEC. SHEET) JIM SANDERS RIPARIAN ENVIRONMENT 3 81-821 SUN CACTUS AT TRILOGY FIRE PIT SCALE P O BOX 1399+ 178" = 1' PALM DESERT, CA 92255 LA QUINTA, CA 92253 { CA LIC 839002 CITY OF LA QUI NTA BUILDING & SAFETY DEPT, APPROVED FOR CONS DAl0j •O✓f gY �T • TE.____---- . ; j i t , i i • 1 i • . BUILT-IN PATIO CAMP FIRE 5 SEE MFG. SPEC'S STUCCO.-- FINISH 5'-0" 0 (V BACK ELEV. FRONT ELEV. I FIRE Prr PATIOCAMPFIRE Q SEE COMPONENTS AND INSIAAnoNsPEc's5'-0v ------ T --------- . O 1 1 . • I 1 SHUT OFF VALVE \ 1 f TOP ELEVATION N I FOOTING 6X6X16CONC. BLOCK WALLS 4 OPTIONAL FROM CITY STANDARD PLAN 2' CONC. SLAB p M .qt F CN (1 37" 1 72" SECTION ' r ' rre•a•sa r i a �M SANDERS LIC 8002 11 RIPARIAN ENVIRONMENTS f - F•1-821 SUN CACTUS AT TRILOGY FIRE MASONRY - �i�' PO BOX 13990 �� �',#¢ �` �' r PIT PLAN Q Palm Desert, CA 92255 _ 1 I I I i� LA QUINTA, CA 92253 ` � ¢ Office (760) 398 - 9997 ,r r 8• r 0 CAi p� i �� p4,�n pp •! FAX 60 398 - 3290 Bin # City.of La Quinta Building & Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 05-'%576 Project Address: e> Owner's Name: ,, C _t A. P. Number. a �� �, (v . e32.1 Address:LC Legal Description: Contractor: X17 A ti�l/t(l�NM�*rl-1 City, ST, Zip: \ Telephone: X Project Description: Address: p t7 �.J� (� �cL� City, ST, Zip: Telephone: 30'8 0 C(G1 a ..� y' '= �° •fir State Lic. # : o02 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. Name of Contact Person:f A•t v� .� Project type (circle one); New Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: j S' .S I Estimated Value of Project: 1�1_. O 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction SO T2 Flood plain plan Plans resubmitted Mechanical Grading plan Subcontactor List god Review, ready -for corrections/issue Called Contact Person Electrical Plumbing ooTlt Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctio /issue oW Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees