08-0411 (SOTB), 1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT
BUILDING PERMIT
Applicant:
Architectror Engineer:
N14k
UC NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business anV Professionals Code, and my License is in full force and effect.
License Cass: C8 C27 C29 License No.: 656128
f S
Date: Contractor:
DECBEFLARATION
I hereby affirm under penalty of perjury tae�xampt 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 1$500).:
(_ I I, as owner of the property, or my employees with wages as their sule cur ipeosation, 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 contractor(s) licensed -
pursuant to the Contractors' State License Law.).
( ) 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.I.
Lender's Name: _
Lender's Address:
LQPERA11T
Owner:
HANSON RESIDENCE
81-785 LA PAZ CT
LA QUINTA, CA 922
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 922
(760)398-9222
LiC. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/07/08
D w U �r
MAR 0 7 20C
CITYOFLAAUINTf. I
WORKER'S COMPENSATION DECLARATION
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 SEABRIGHT Policy Number BB1080510
_ 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 be ome subject to the workers' compensation laws of California,
and agree that, if I should becom subject to the workers' compensation provisions of Section
3700 of the Labor Co, shall i thwith comply with those provisions.
Date: 0 Applicant: I
WARNING: FAILURE TO SECURE 0 E AS' COTION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI PENALTI S AND CIPI7`FJNES UP TO ONE HUNDRED THOUSAND
r
DOLLARS ($100,000). IN ADDITION TO ST 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 inf rmation is correct. I agree to comply with all
city and county ordinances and state laws relating to building const ction, and hereby authorize representatives
of this court y to a/nt-er upon the above-mentioned propert inspe tion purposes_
Date: /ature (Applicant or Agent):
Application Number:
08=00000411
Property Address:
81785 LA PAZ CT
APN:
764 -280 -999 -97 -300237 -
Application description:
STRUCTURES OTHER THAN BUILDINGS
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
500
Applicant:
Architectror Engineer:
N14k
UC NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business anV Professionals Code, and my License is in full force and effect.
License Cass: C8 C27 C29 License No.: 656128
f S
Date: Contractor:
DECBEFLARATION
I hereby affirm under penalty of perjury tae�xampt 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 1$500).:
(_ I I, as owner of the property, or my employees with wages as their sule cur ipeosation, 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 contractor(s) licensed -
pursuant to the Contractors' State License Law.).
( ) 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.I.
Lender's Name: _
Lender's Address:
LQPERA11T
Owner:
HANSON RESIDENCE
81-785 LA PAZ CT
LA QUINTA, CA 922
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 922
(760)398-9222
LiC. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/07/08
D w U �r
MAR 0 7 20C
CITYOFLAAUINTf. I
WORKER'S COMPENSATION DECLARATION
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 SEABRIGHT Policy Number BB1080510
_ 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 be ome subject to the workers' compensation laws of California,
and agree that, if I should becom subject to the workers' compensation provisions of Section
3700 of the Labor Co, shall i thwith comply with those provisions.
Date: 0 Applicant: I
WARNING: FAILURE TO SECURE 0 E AS' COTION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI PENALTI S AND CIPI7`FJNES UP TO ONE HUNDRED THOUSAND
r
DOLLARS ($100,000). IN ADDITION TO ST 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 inf rmation is correct. I agree to comply with all
city and county ordinances and state laws relating to building const ction, and hereby authorize representatives
of this court y to a/nt-er upon the above-mentioned propert inspe tion purposes_
Date: /ature (Applicant or Agent):
Application Number
08-00000411
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
15_.00
Plan Check Fee
9.75'
Issue Date.
Valuation
500
Expiration Date
9/03/08
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
_ BASE
FEE
15.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee
17.25
Plan Check Fee
4.31
Issue -Date
Valuation
0
Expiration Date
9/03/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .7500
PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
----------------------------------------------------------------------------
Special Notes and.Comments
BBQ PER APPROVED PLAN
Fee summary Charged
-=-------------------------
----------
Paid Credited
--------------------
Due
-Permit- r,ee 'coral
32.25
.00 .00
32.25 - - -
Plan Check Total
14.06
.00 .00
14.06
Grand Total
46.31
.00 .00
46.31
LQPERMIT
STAINLESS
GPILL STEEL _ I
LIGHT SINK PROVIDE VENT, WASTE, AND
TONE OR PLUMBING FOR SINK ON SEPARATE
TILE CONSTRUCTION DOCUMENT.
COUNTER
11 he
O Og�
P(DO
EF. / OUTLET
PRE-HUNGpLIGHT
S.S. DOORS O STUCCO OR SWITCH
STONE
VENEER (WATERPROOF)
" o
U FREE-STANDING OUTDOOR KITCHEN -FRONT ELEVATION
ANSI
BTU
U.L. APPROVED.
I------------
LIGHT
a
GRILL P.
FREE-STANDING OUTDOOR KITCHEN - PLAN ADAPT DIMENSIONS
TO FIT APPLIANCES
6XBX16 CMU; GROUT .CELLS WITH STEEL
#4 BARS VERT. AT 24° O.C. (TYP.)
7— all
11' Mu
cl-IBBQ LAYOUTS MAY VARY.
FOOTING SIZE 8, REINF. ARE TYPICAL.
IC
LENGTH VARIES
UFREE-STANDING OUTDOOR KITCHEN FOUNDATION PLAN
STONE CAP, TILE
�OR POURED CONC.
—#4 BAR HORIZ. AT
3` 32° O.C. (TYP,)
6X8X16 CMU
a GROUT CELLS WITH STEEL
#4 BAR
F.S. VERT. AT
24'0,C. (TYP.).
N 7 ._r 244 BARS HORIZ. CONT,
�6" VARIES I6"�
FREE-STANDING BBQ - WALL SECTION
BBQ ISLAND - SIDE EL EV.
1/2"=1'-0"
Bin #
City of La Quints
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
\
Project Address: Z
Owner's Name: �p
A. P. Number:. '
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
'
Address: A5 -
Project Description:
City, ST, Zip• (+ 2z3 SO
D
.Telephone: 3oL _ 22 l
S ,
State Lic. # : 6:5 � City Lic. #:
Arch., Engr.; Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one). New Add'n Alter Repair Demo
Sq. Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:-�7
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical 7J_ F,,lajU5
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
o
O r
n
Tptal^P i
FOR CONSTRUCTION
DATE _S,QJ� BY .fit_