10-1001 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4 a"
Application Number:
10-00001001
Property Address:
78471 CALLE HUERTA
APN:
646-182-014- - -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5000
Architect or Engineer:
d1k
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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: B icense No.: 921441
ate: �/ ntractor: .14
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).:
(_) 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 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 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.).
( 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:
LQPERMIT
Owner:
SCHMIDT JAMES M
78-471 CALLE HUERTA
LA QUINTA, CA 92253
Contractor:
HEARTH & STONE HOME RED
67984 CLUB HOUSE ROAD
DESERT HOT SPRINGS, CA
(760)333-7677
Lic. No.: 921441
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/27/10
f
D�
t*t : 2010 )
�JDEL I1�y/ �r a
92241
--------------------------------------------=--
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
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' compensatiori
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
V I certify that, in the performance of the work for which this permit is issued, I shall not employ any
Y� 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
3/7�00 /the.rabor Cod I shall forthwo�with those provisions.
ate:� .
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. r
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 d county ordinances and state laws relating to building construction, and hereby uthorize representatives
of is co ty to/ nter up the above-mentioned prope inspecti n p ses.
Date., ignature (Applicant or Agent)
Application Number .
. . . . 10-00001001
I
Permit
BUILDING PERMIT
Additional desc . ..
Permit Fee . .
72.00 Plan Check Fee
46.80
Issue Date
Valuation . . .
. 5000
Expiration Date
3/26/11
Qty Unit Charge
Per
Extension
BASE FEE
45.00
3.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
27.00
Permit . . .
PLUMBING
Additional desc . .
Permit Fee
18.00 Plan Check Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
3/26/11
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
STAINLESS STEEL FIREPLACE WITH _ 14 L.F.
GAS ASSIST. FIREPLACE
TO BE STUCCOED TO
MATCH RESIDENCE. 2007
CODES.
-----------------------------------------
Other Fees . . . . .
---------------------------------
. . . . BLDG STDS•ADMIN (SB1473)
--
1.00
ENERGY REVIEW FEE
4.68
STRONG MOTION (SMI) - RES
50
Fee summary Charged Paid Credited
Due
Permit Fee Total
------ ---------- ---------- ----------
90.00 .00 .00
90.00
Plan Check Total
'51.30 .00 .00
•-51.30
Other Fee Total
6.18 .00 .00
'6.18
Grand Total
147.48 .00 .00
147.48
LQPERMIT
Qf4l, l 04C.
2-'P-
&wa
T HE RE N A IS S A N C E
S E R I E S
Note: Direct Vent Fireplaces
May Reduce Header
Height To 40 1/2° Min.
0
42" Standard
Framing Dimensions
Chalet
TUSCAN
Cfaftsman
Colonial
MISSION
Alpine
Add 1" Height For Tuscan
-837/819 I
NOTE:
Venting Construction Requirements Will Vary According to Fireplace Type and Specific Application.
See Specific Fireplace Cut Sheet, or Installation Instructions for Complete Information.
NOTE:
Built-in Features Such as Mantels, Bookshelfs, etc. Made of Combustible Materials Must Maintain Minimum
Clearances from the Fireplace. See Installation Instructions for Complete Information.
"Product design, features and specifications are subject to change at any time. Refer nl:MAW
to current product instructions prior to installation." FOR EMDERS
=A 67331106 rn;
'. 1111
n .
Ckalet
TUSCAN THE RENAISSANCE S ERIES
Cfaftsman
Colonial
MISSION
Alpine
Tu Craftsman and Mission only
i 48"
14 42" 13"J*
0
161 /4"
29
Drainage Spacers Add 1"
to Height Tuscan and Alpine
00
42" vent Free, B- Vent,
& Woodburning
Fireplaces
-Textured /Colored Refractory
,Hidden Screen Pockets
-Full Length Nailing Flanges
�I
Air Kit
Connection ( Left )
231/16" •
Gas Line
8 Locations 10 7/16"
♦ 81/891
1/24
->1 8 3/4" {E -t
��-14 7/16"
T
9"
441/4"
24" '
Gas Line Electncal
Access
Access
t 1�
21/229
8 11/16"-)-1
1+111/2"+
( Right)
A 81/833
3" �
FtF BUnDERS
ICBO# ER -3507
September 15j, 2010
City. of La Quinta,
On behalf of the Casitas One Homeowners Association, in accordance with City
compliance, we approve the installation.of an outdoor fireplace at the Schmidt residence
at 78471 Calle Huerta.
Casitas One Board of Directors:
David Sedgwick li�Q� �%�
Bev Montgon2fry
J
Laura Schmidt C
61
Bin #
Permit # �O�
to -1
Project Address: 417 C
A. P. Number.
Legal Description:
Contractor: — .4?d
Address: C;7 21 y
City' ST' Zip: P S z✓ HlJ�
Telephone:
State Lie. #:
Arch., Engr., Designer.
Ad*css:
City., ST. Zip:
Telephone:
State Let:. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal Req'd
Plan Sets
Structural Cadet.
Truss Cala.
Title 24 Cates.
Flood plain plan
Grading plan
Subcontactor Llst
Grant Deed
H.O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 8t' Safety DMs(on
P.O. Box 1504, 78-495 Calle Tampko
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name f
J t %art
S cti
Address: , 7( e—
City, ST, Zip:
>/ Telephone:
L ProjectDescription! 67C Ci 5 v Qr
17- -5-4f /(_ / /
APPLICANT: DO NOT
Recd T!
Plan Check submitted
Reviewed, ready for a
Called Contact Persoa
Pians picked up
Plans resubmitted
V Review, ready for 4
Called Contact Persor
Pians picked up
Plans resubmitted
M Review, ready for c
Called Contact Persoi
Date of permit issue
Construction Type: A c, Occupancy:
Project type (circle one): New Add'n Alter Repair Dcmo
Sq. Ft : # Stories: #Units:
fistimated Value of Proj 57000",
i1TE BELOW THIS LINE
HCMG
PERMIT FEES
Item Amount
mcdons
Plan Check Deposit
Plan Check Baku"
Coastructioe
Mechanical
orrectioastissue
Electrical
Plumbing
S-M.L
Grading
orrections/kssue
Developer Impact Fee
A.I.P.P.
total Permit Fees