14-0517 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92 3
Application Number: 14-00000517
Property Address: 50885 EL DORADO DR
APN: 777-360-017- - -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4000
T,ityl nF:wQum&
Applicant: Architect or Engineer:
�'�fTi/LIRs1t�IR. 11,E
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------- - - - --- --------------------------------'
U SED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t t am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine d Professionals Code, and my License is in full force and effect.
License CSgss: B License No.: 916227
X Date: '� Contractor:
I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I m 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 _ 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 Licerise 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. , BAP.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:
LQPER.MIT
Owner:
BRODERICK DIANA
50885 EL DORADO DRIVE
LA QUINTA, CA 92253
Contractor:
GJH DEVELOPMENT INC
29207.RIDGELINE CT
TEMECULA, CA 92590
(760)777-9520
Lic. No.: 916227
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/08/14
------------------
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 oli number are:
Carrier E MPT Policy Number EXEMPT
I certify that, in the perta of the work for which this permit is issued, I shall not employ any
person in any manner a to become subject to the workers' compensation laws of California,
and agree that, if 1 sho come subject to the workers' compensation provisions of Section
700 of the Labor Cod I hall forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WOR�ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAU 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 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 applic on becomes null and void if work is not commenced
within 180 days from date of issuance of h permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that tt bove information is correct. I agree to comply with all
city and county ordinances and state laws relating to bui g construction, and hereby authorize representatives
of this county t mer upon the above-mentioned properfor inspection purposes.
Pate: ♦ 0 Signature (Applicant or Agent):
I
Application Number . . . . . 14-00000517
------ Structure Information FIREPLACE
INSTALLATION
----=
Other struct info . . . . . CODE EDITION
----------------------------------------------------------------------------
2013
'
Permit . . . REMODEL 2013
Additional desc
Permit Fee . . . . 143.00
Plan Check
Fee
.00
Issue Date'
Valuation
. .
. . 0
Expiration Date 11/04/14
Qty Unit Charge Per
Extension
1.00 143.0000 EA MISC FIREPLACE
143.00
----------------------------------------------------------------------------
Special Notes and Comments
FIREPLACE INSTALLATION AT EXISTING
-LIVING ROOM - DIRECT VENT/SEALED
COMBUSTION UNIT.'2013 CALIFORNIA`_
BUILDING CODES.
May 8, 2014 8:59:02 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG
STDS ADMIN (SB1473)
1.00
PLAN
CHECK, REMODEL
214.50
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 143.00
.00
.00
143.00
Plan Check Total .00
.00
.00
.00
Other Fee Total 2,15.50
.00
.00
215.50
Grand Total 358.50
.00
.00
358.50 ,
LQPERMIT
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Bin #�
Cray of La Qulnta
"Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
S�
Project Address: �-*)—
Owner's Name:
A. P. Number: -- a6 rf212
Address: -c)
v,,
Legal Description:
City, ST, Zip:
Contractor:a
Telephone:
'<^r ^>•:rt'- s` -''
Address: va
Project Description:
City, ST, Zip: ISI
a�
Telephone%0 �229
A/ W441111
State Lic. #:
City Lic. #
Arch., Engr., Designer:
!
4
Address:
le 122,9 4,4 cj �QIAI
City., ST, Zip:
Telephone:
State Lic. #:
:>:;.•>: >hz:=:•r• ;;,
.....................................................
Construction Type: Occupancy:
:
Project a circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person
Estimated Value of project: V '
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted `r
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Caned Contact Person
Plan Check Balance,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'4 Reyiew, ready for corrections/' sou
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees "
Total Permit Fees
M
L=Series Single Sided Direct Vent • Flush Face
L42DF with Firestones shown on reverse
Features:
❑ Clean -Face design allows for brick or tile
installation over the fireplace frame
❑ Convertible using S'/8" Top or Rear vent
❑ Linear Contemporary burner with White, Silver,
Opaque Firestones#
❑ Snap -Lock door system
❑ Hi/Lo control for adjusting flame level
❑ Millivolt control with Piezo spark ignition allows for
continuous operation, even during a power failure
❑ 100% fail-safe shut-off valve
Options:
❑ Various Linear Contemporary burner accessories*
❑ Choose from 2 surrounds
❑ Digital Thermostat
❑ Various Remote Control options
❑ Safety door screen
❑ Various Fan Kits
❑ IPI Electronic Ignition with optional remote control for
flame modulation, thermostatic control, & battery backup
❑ Full stainless steel construction, approved for outdoor use
r Go to www.montigo.com for colour images
Fireplace BTU/H Input
Model# Natural Gas Liquid propane]
L38DF 25,000 25,000
L42DF 32,000 32,000
L52DF 40,000 40,000
Consult the owner's manual for complete installation instructions and proper clearances to
combustible surfaces prior to installing fireplace.
All specifications, framing dimensions, product designs, materials and colors are subject to
change without notice. The actual flame pattern and color may vary slightly from the illustrations.
Diagrams and illustrations are not to scale.
Options 6s accessories may have associated surcharge.
Single Sided Fireplace
B
Faceplate
Front View
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Top View
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Side View
Framing Dimensions
M I N O I p Q ik
L38DF 35Y.' 375:" 20X" 75' 54W
L42DF 37' 42' 22%' 847 76071
L52DF 39%' 52' 1 25' 96'A' 68'/."
Warranty: The manufacturer warrants this fireplace to be free from defects in materials and
workmanship at the time of manufacture. There is a limited 10 year warranty on the firebox; 5 year
limited warranty on the burner and 1 year limited warranty on the pilot burner assembly and fan
motors (if included). The valve carries a limited 1 year warranty unless otherwise specified in the
installation manual. Glass, plated/painted finishes and refractory lining are exempt.
V�J v.MIXmo 1134
Unit Dimensions
A B C D
E.
F
G
H i l
LK I
M
L38DF 371/4' 291h' 35Y.' 18'
61/.'
SY.'
29'
18'/.' 1 5' 1
8' 1 11'h" 211/.'
351A'
L42DF 42' 30%' .3916' }. 19"
6'/4'
S'/.'
33'/.'
191/' 5'
8' 1 IW } 2616'
3914'
L52DF 52' 33Y..' 47' Me
61/.'
5y"
34116' 22A' 5'
8' 14' 1 28'
4716-
B
Faceplate
Front View
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L_ A _1
Top View
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Side View
Framing Dimensions
M I N O I p Q ik
L38DF 35Y.' 375:" 20X" 75' 54W
L42DF 37' 42' 22%' 847 76071
L52DF 39%' 52' 1 25' 96'A' 68'/."
Warranty: The manufacturer warrants this fireplace to be free from defects in materials and
workmanship at the time of manufacture. There is a limited 10 year warranty on the firebox; 5 year
limited warranty on the burner and 1 year limited warranty on the pilot burner assembly and fan
motors (if included). The valve carries a limited 1 year warranty unless otherwise specified in the
installation manual. Glass, plated/painted finishes and refractory lining are exempt.
V�J v.MIXmo 1134
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