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06-0807 (SOTB)P.O. BOX 1504 VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/27/06 Application Number: 10,6-00000_807 F Owner: Property Address: 54-416 SOUTHERN HILLS GRIFFITH APN: 775-110-.035- - - 54-416 SOUTHERN HILLS DRIVE Application description: STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253 Property Zoning: " LOW DENSITY RESIDENTIAL Application valuation: 8000 �-r Contractor: Applicant: Architect Or Engineer: C�Q, 2S 2006 CALIFORNIA POOLS & SPAS .-.. P.O. BOX 1280 cafOf �®� � COACHELLA, CA. 92236 s FINA��%�®� ) (760)398-9222' Lic. No.: 656128 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9'Icommencing with I hereby.affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Business and Prof sionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided License Class: C8 C27 C29 License No.: 656128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _,"Date: q-� _; —/+ / issued. Date: L ��-(/i�ontracL6r: 1 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 , OWN R-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exe t from the Contractor's State License Law for the Carrier HRH INS Policy Number BB1060510 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement'that he or she is licensedpursuant to the provisions of the Contractor's State and agree that, if I should b m ubject to the workers' compensation provisions of Section License Law (Chapter'9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co , I hall ort with comply with those provisions. 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).: date: pplicant. 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN, improvements are not intended or offered for sale. • If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT _ (_ 1 I, as owner of the property, am exclusively, contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the . 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed . 1. Each person upon whose behalf this application is made, each person at whose request and for, - pursuant to the Contractors' State License Law.).' whose benefit work is performed under or pursuant to any permit issued as a result of this application, I—) I am exempt under Sec. B.&P.C. for this reason 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. ' Date: Owner: 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 CONSTRUCTION LENDING AGENCY - permit to cancellation. ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the ab ' formation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to it ' g nstr tion, and`hereby authorize representatives _ _ _ . • - of this county to enteruponthe above-mentioned pro y for spect n purposes. _ - Lender's Name:�''�('/ Datc:2 --�,-�4gnature (Applicant or Agent): Lender's Address: LQPERMIT LQPERMIT Application Number . . . . . 06-00000807 Permit . . . BUILDING PERMIT Additional desc Permit Fee . . 99.00 Plan Check Fee 64.35 . Issue Date Valuation 8000 Expiration Date'. 8/26/06 Qty Unit Charge Per Extension BASE FEE 45.00 6.00 9.0000 THOU 'BLDG -2,001-25,000 •"54.00 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 17.25 _:. Plan Check Fee .. 4..31 =- Issue Date . . . Valuation 0 Expiration Date ..: 8/26/06. Qty Unit Charge Per Extension BASE FEE 15.00 3.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 2.25 Permit . . . PLUMBING. Additional desc Permit Fee 18.0,0 Plan Check Fee _ 4.50 Issue Date Valuation 0 Expiration Date 8/26/06 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 BARBEQUE & FIREPIT ONLY PER APPROVED PLANS. Other Fees ... . . ." . . . . ENERGY REVIEW FEE 6.44 Fee summary Charged Paid Credited Due Permit Fee Total 134.25 .00 .00 134.25 Plan Check Total 73.16 .00 .00 .73.16 Other Fee Total 6.44 00 .00 6.44 Grand Total 213.85 .00. .00 213.85 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 Perm* # /j% Project Address: kt• 1/S Owner's Name: �1S S A. P. Number: Address: `Jt- V6 �Z Legal Description: City, ST, Zip: Contractor: V• Do S Telephone:Address: 9-0. 72�cpxLZ 43 n Project Description: City, ST, Zip:C per,,, U o, CA .. 41 2-2- 3 G � Q ;7% Telephone:760) 39 � 9 Z Z Z w. ... /��S'� GQ \ (�. ( 6 C State Lic. # :G,56 ( 2 $ City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: N�il�� SSSS Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo. Sq. Ft.:# Stories: #Units: Telephone # of Contact Person: 2 6'0-99. 0 y Estimated Value of Project: 0 C) 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 Calcs. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction. Flood plain plan Plans resubmitted Mechanical Grading plan 20° 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 HOUSE: C/7V Review, ready for corrections/issue Developer Impact Fee Planning Approv l V��D f C Person A.I.P.P. Pub. Wks. AppS %D`art p mi e School Fees oR ONO N VA Oq CT�� ey Total Permit Fees U GAS SHUTOFF VALVE GRAVEL LOCATED „ GAS LOG WITHIN 56, OF UNIT LIGHTER (TYP. ). . a _ F.S. - ...• .. L METAL GAS RISER 2" DRAIN OR PROVIDE 12" DIAM. OPENING IN FOOTING i GAS LINES, SHALL BE IN51 AL PER CPC FOR DEPTH, COURSE COVERAGE, AND PLACEMENT. SAND . WATER PROOF MEMBRANE STONE CAP #4 TIE STEEL #4 BAR VERT. ;AT 32" O.C. — 8x8x8 CMU; SOLID' GROUT _ GAS FIRE RING: /y 3„ ANSI #-'A! � - y CLR BTU GRAVEL SUMP U.L. APPROVED. 3 CU. FT. /�L(- 7�s�i'1 e5 CRUSHED ROCK T 'G 7A OUTDOOR FIRE RING „ STONE CAP. I/2 -I-0 AvLi TIE smEL. Ar -roP �ovp�E l�ls►� �IMErIsIaN WATP�P'R�F MF.Nlt3l��lE. 17ERIo(R SuR94Es) A4 '>?,AI2 \/CF -r AT 32" 0161. CTyP'> 00Tt1 00E- FIRE �I �tC�► yz Ile i i loxa�� 8xa 43 cm) ISOu'.n GRovT ,, 4 GRILL LIGHT STAINLESS STEEL PROVIDE VENT, WASTE, AND PLUMBING: FOR SINK ON SEPARATE CONSTRUCTION DOCUMENT. FREE-STANDING OUTDOOR KITCHEN - FRONT -ELEVATION S Lu Fy I LIGHT I I GRILL I�1 ADAPT DIMENSIONS. FREE-STANDING OUTDOOR. KITCHEN - PLAN # TO FIT APPLIANCES 11 _ 1 If. GFI OUTLET LIGHT SWITCH (WATERPROOF) 6x8ix16 CMU; TROUT 'CELOL C W TYP STEEL #4 BARS VER .� I w BBQ LAYOUTS MAY VARY. a FOOTING SIZE & REINF. ARE TYPICAL. IC LENGTH VARIES FREE-STANDING OUTDOOR KITCHEN - FOUNDATION PLAN STONE* CAP, TILE OR POURED CONC. r #4 BAR HORIZ. AT 3" 32" 0. C. (TYP. ) 6X8X16 CMU N GROUT CELLS WITH STEEL #4. BAR VERT. AT F.S. 24" O.C. (TYP. ) ZTy ,a. .d •`'tl• 2-#4 BARS HORIZ. CONT. 16" 1 VAPIF4 I (-"I I/E"=I'.-0.. IC FREE-STANDING BBQ - WALL SECTION ID BBQ ISLAND -SID �E i EVA. �1 _ 11 1 /2„_ 1 _0„ cn w I a . I � I . GFI OUTLET LIGHT SWITCH (WATERPROOF) 6x8ix16 CMU; TROUT 'CELOL C W TYP STEEL #4 BARS VER .� I w BBQ LAYOUTS MAY VARY. a FOOTING SIZE & REINF. ARE TYPICAL. IC LENGTH VARIES FREE-STANDING OUTDOOR KITCHEN - FOUNDATION PLAN STONE* CAP, TILE OR POURED CONC. r #4 BAR HORIZ. AT 3" 32" 0. C. (TYP. ) 6X8X16 CMU N GROUT CELLS WITH STEEL #4. BAR VERT. AT F.S. 24" O.C. (TYP. ) ZTy ,a. .d •`'tl• 2-#4 BARS HORIZ. CONT. 16" 1 VAPIF4 I (-"I I/E"=I'.-0.. IC FREE-STANDING BBQ - WALL SECTION ID BBQ ISLAND -SID �E i EVA. �1 _ 11 1 /2„_ 1 _0„