07-3008 (SOTB)r4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Qu&m
F Application Number: 07-00003008
`-Property Address: 53660 VIA PISA!
APN: 772-530-057- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant:
1n� lA.
Architect or Engineer:
yin
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LIC Is!! -
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 Busi ss a Professionals Code, and my License is in full force and effect.
License CI ss: C8 C27 C29 License No.: 656128
.Date:/'/ U Contractor:
WNER-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 (5500).:
(_ 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ 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:
NRI CCP I
81100 AVE 53
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/26/07
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 SEABRIGHT Policy Number BB1070510
I certify that, in the performan a 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 ould b ome subject to the workers' compensation provisions of Section
00 of the Labo C de, I s 11 forthwith comply with those provisions.
Date:/ Q4 -Applicant
WARNING: FAILURE TO SECURE W 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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 ' formation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi c `truction, and hereby authorize representatives
of this coTity to enter upon the above-mentioned proper f ' s action purposes.
Date /ieJnature (Applicant or Agent):
r
Application Number . . . . . 07-00003008
Permit . . . . .
. BUILDING PERMIT
Additional desc .
Permit Fee . . .
. 15.00
Plan Check
Fee
9.75
Issue Date . . .
.
Valuation
. . .
. 500
Expiration Date .
. 5/24/08
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 .
. 5/24/08
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 ONLY
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . ENERGY REVIEW FEE
.98
Fee summary
-----------------
Charged
--------------------
Paid Credited
Due
Permit Fee Total
32.25
----------
.00
----------
.00
32.25
Plan Check Total
14.06
.00
.00
14.06
Other Fee Total
.98
.00
.00
.98
Grand Total
47.29
.00
.00
47.29
LQPERMIT
Bin #
City of La Quinta
Building U 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: -13 —"�
Owner's Name: cq—a gg-
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:• '—
Telephone:
Project Description:
Address: A01 Rox I a o
City, ST, Zip:
LAA
TelephonerL
State Lic. # : 11051W 49City
Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: `5L'YJSr
Construction Type: Occupancy:
P Y:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: 5'—Cj Lj/�
Estimated Value of Project: 5,D
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACIQNG . PERMIT FEES
Plan Sets
Plan Check submitted` Item
Amount
Structural Calcs.
Review read for corrections 1 yl 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
Subcontactor List
2"d Review, ready for corrections/issue Electrical
Called Contact Person Plumbing
_
r�
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Gradin
IN HOUSE:-
'"' Review, ready f rcrITY/DiF L N Q 1 NT, 9Pfir. mpact Fee
Planning Approval
Called Contact Pei soBUILDING & FQF, PT-
Pub. Wks. Appr
Date of permit issu APPHJVtU
School Fees
FOR CONE TRUCI 10*1—
DAIE
otal Permit Fees
i
STAINLESS I
GRILL STEEL
LIGHT SINK PROVIDE VENT, WASTE, AND
TONE OR PLUMBING FOR SINK ON SEPARATE
TILE CONSTRUCTION DOCUMENT.
COUNTER i
IZ" 00 00
cn RE/ OUTLET
rx PRE -HUNG
S.S. DOORS 0 0..
STUCCO OR LIGHT
"STONE SWIT� H
\ VENEER (WATERPROOF)
• -- -----------LE TH VARIES _
Q
I.C.8.0.
ANSI
FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION_ BTU
I/27=1'-0" U.L. APPROVED.
LIGHT w
GRILL
S I
GFh
FREE-STANDING OUTDOOR KITCHEN -PADAPT DIMENSIONS
LAN =�
I/2"=LAN TO FIT APPLIANCES
6x8x16 CMU- GRO-UT' CELLS WITH STEEL
-- — — _ — —#4 BARS VERT. AT 24' O.C_(TYP.)
b 4 - - -
w I�
BBQ LAYOUTS MAY VARY. u'
FOOTING SIZE a REINF. ARE TYPICAL. I
ZZ STONE CAP, TILE
M OR POURED CONC.
#4 BAR HORIZ. AT
3" 32' O.C. (TYP.)
6X8XI6 CMU
GROUT CELLS WITH STEEL
•#4 BAR
F.S. VERT. AT
24' O.C. (TYP.)•
�'-- 244 BARS HORIZ. CONT.
VARIES I b°
n FREE-STANDING BBQ -WALL SECTION
iviv FLJ-UV
1/.2"=1'-0"
D BBQ ISLAND - SIDE ELEV.
F F L;M W
BUILDING & SAFETY 7DEPT.
APPROVED
FOR CONSTRUCTION
cs o -7
1q,0
Pp
6r-1 B PSE v
IJ 11
c�
------------- 4 -------- ------
pl!9-4
53-IO&PO VIA -
11
rl
0AIERIS
--------------
---------- -----
--------------- i L ---------------
............
0
HI A
-------------------------------- --------- i
I
---------- -------------------- --� -- ----
KITCHENOWN
LIVING ER'S
BATH
Q
------------- ------------
- - - - - - - - - -
I t
sl
co
51
I L�p . N 0: E
O L --------- LL -----
.7
=-A t