05-5013 (SOTB)P.O. BOX 1.504
78-495 CALLB TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00005013
81720 DANIEL DR
764-270-999-31 -300232-
STRUCTURES OTHER THAN
MEDIUM HIGH DENSITY RE
2000
Architect or
Td4t 4 4 4"
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: �( License No.:
✓ U J Contra
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).:
(_ 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 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—) 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:
COOPER
81-720 DANIEL DR
LA QUINTA, CA 92253
Contractor:
RIPARIAN ENVIRONMENTS
WCC: STATE FUND
WC: 1769754-2005
CSLB: 839002
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
05/01/06
05/31/06
Date: 11/14/05
-----------------------------------------------
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' compensation
insurance carrier and policy number are:
Carrier C8 C27 C29 C53 Policy Number - - - - - - - - - - - - - --
_ 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
/J3700 of the LaborrCCod„ I shall forthwith comply with those provisions.
ate: 1Il (5l0 -S Applicanf:
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 ($100,0001. 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 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this c unty /Ito enter upon the above-mentioned property for inspection purposes.
D e: �� �` V/ Signature (ApplicantAgent): %�
Application Number . . 05-00005013
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
45.00
Plan Check
Fee
29.25
Issue Date . . . .
Valuation
2000
Expiration Date
5/13/06
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
15.00 2.0000
----------------------------------------------------------------------------
HND BLDG 501-2,000
30.00
Permit . .
PLUMBING
Additional desc .
,Permit Fee . . . .
18.00
Plan Check
Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date
5/13/06
Qty' Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.000.0
EA PLB GAS PIPE
1-4 OUTLETS
3.00
7 ---------------------------------------------------------------------
Special Notes and Comments
FIREPIT ONLY..
---------7------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY
REVIEW FEE
2.93
Fee summary Charged
Paid
Credited
Due
--=------------------------
Permit Fee Total
---------=
63.00
----------
.00
----------
.00
63.00
Plan Check Total
33.75
.00
.00
33.75
Other Fee Total
2.93
.00
.00
2.93
Grand Total
99.68
.00
.00
99.68
LQPERMIT
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 #
Project Address: ( ZC) Val 0,
Owner's Name: Ar _ w.a
A. P. Number: r Z( `(t, (;.ClAddress:
S( nno. PC, R PJ ,
Legal Description:
City, ST, Zip: n� S CJ� cl Z
Contractor:f
l P4 `Ll/� .J -E` N0l\'ZO N A, -F
Telephone:
}
Address: C) (� Gj�
Project Description:
City, ST, Zip: Pq GA." (�ej.P(j � n �2.z�S
Afr. ►�
Telephone:QQ
r U
State Lic. # 0c?*Z
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
.F
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair: :Demo
Name of Contact Person: A w o„t J
Sq. Ft.:
#Stories:
# Unifsi
Telephone # of Contact Person:
Estimated Value of Project: 2 c30o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec°d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
11
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Q
Construction SQ T6
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2n'Review, ready for corrections/issue
. Electrical
Subcontactor List
Called Contact Person
Plumbing Wee -flus
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
Total Permit Fees
" GAS-FIRED
CUL US
LISTED
TECH/�lOLOQ/,ES
Hearth & Home Technologies Inc.
1915 W. Saunders. St.
Mt. Pleasant, Iowa 52641
Division, HON INDUSTRIES
www.fiireplaces.com
INSTALLATION & OPERATING
INSTRUCTIONS
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.
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 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.
This manual must be used for installation and retained by the homeowner for operation and maintenance. Save this manual for
future referrencel
If you have questions or concemsi please contact the Technical Services Dept., Hearth & Home Technologies Inc., 1-800-927-6841 41
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;
gg52,648; 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.
p1j04 4004001 B
PATIO CAMPFIRE INSTALLATION INSTRUCTIONS TECMn.oRTIL00I6S
B. SAFETY INFORMATION
The Patio Campfire has been tested in accordance with IAS US
requirements for Outdoor Gas Fireplaces, Draft 4-96 and ANSI
Z21.58-1995/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, Cod-ANSIZ223:1_�or
CAN/CGA-B149.1, 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.
• 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.
01104 400"01B
0
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE&-/ A• O S gy -5 T
�1/03
17'x'
COOPER RESIDENCE
81-720 Daniel=Dr (TRYL-OG�
La Quinta, CA
FIRE PTT
SCALE
1/16" = 1'
RIPARIAN ENVIRONMENTS
P O BOX 13990
PALM DESERT, CA 92255
CA LIC 839002
BUILT-IN
PIT
"
PATIO CAMP FIRE
IT T B' T 0 I'
RIPARIAN ENVIRONMENTS
Po aox �3ss0
Palm Desert,
�C�A92255
Office (760) 398 - 9997
FAX (760) 398 -3290
SEE MFG. SPEC'S
QUARTZITE
FINISH
1 1 1 1 I
1 1 1 1 1
1
II II
1 II 11
4'-6
BACK ELEV.
FRONT ELEV.
6X6X16CONC.
BLOCK WALLS
FOOTI
SHUT OFF
VALVE
2' CONC. SLAB
0
e
- N N
\ 6"
1 1 r J
r
�r 18"
i 37" iv
01
72"
SECTION
COOPER RESIDENCEFIRE
" 81720 Daniel Dr (TRYLOGY)
La QUlrita, CA
PIT
MASONRY
PLAN
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IT T B' T 0 I'
RIPARIAN ENVIRONMENTS
Po aox �3ss0
Palm Desert,
�C�A92255
Office (760) 398 - 9997
FAX (760) 398 -3290
u
TOP ELEVATION
6X6X16CONC.
BLOCK WALLS
FOOTI
SHUT OFF
VALVE
2' CONC. SLAB
0
e
- N N
\ 6"
1 1 r J
r
�r 18"
i 37" iv
01
72"
SECTION
COOPER RESIDENCEFIRE
" 81720 Daniel Dr (TRYLOGY)
La QUlrita, CA
PIT
MASONRY
PLAN
LIC. e39002 ai
�� ;;
ea pv ', p9p off' m : e� u - tal.
IT T B' T 0 I'
RIPARIAN ENVIRONMENTS
Po aox �3ss0
Palm Desert,
�C�A92255
Office (760) 398 - 9997
FAX (760) 398 -3290