07-1546 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
Application Number: ti07-00001546
Property Address: 60829 FIRE BARREL DR
APN: 764-280-999-58 -300235-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 4000
Applicant:
VJO-
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
WEST
60829 FIRE BARREL DRIVE
LA QUINTA, CA 92253
4
Contractor: A� A
ARTISTIC LANDSCA C. /v//� '942®��
78206 VARNER RD, #D P 2
PALM DESERT, CA 11OF
E�
(760)360-1395 p�NgNCv�AITA
LiC. No.: 379421 r
Date: 5/24/07
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
1 hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C27 License No.: 379421
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/C7 yL.�
Date: ntracor: ��x�y t�
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier SIRIUS AMERICA Policy Number 0IKDRM11000546
following 'reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any .
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the L bor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
t f
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: J�`�v, pplicant:
(_) 1, 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
WARNING: FAILURE TO URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds of improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
-
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
-
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold.harmless the City
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:
LQPERI%IIT
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 unty to enter upon the above-mentioned property for inspection purposes.
Date:J ��-07Si ure (Applicant or Agent):
Application Number . . . . . 07-00001546
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
63.00
Plan Check Fee
40.95
Issue Date . . . .
Valuation . . .
. 4000
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
2.00 9.0000
---------------------=------------------------------------------------------
THOU BLDG 2,001-25,000
18.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
15.75
Plan Check Fee
3.94
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
"15.00
1.00 .7500
--------------------------------------------------------'--------------------
PER ELEC DEVICE/FIXTURE
1ST 20
.75
Permit ... .
PLUMBING
Additional desc .
Permit Fee . . .
18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
11/20/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE
1-4 OUTLETS
3.00
-------------------------------------------------7--------------------------
Special Notes and Comments
FIRE PIT & BBQ PER APPROVED PLANS
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY
REVIEW FEE
4.10
STRONG
MOTION (SMI) - RES
.50
Fee summary Charged .Paid
---------------------------
Credited
Due
Permit Fee Total
----------
96.75
--------------------
.00 .00
96.75
Plan Check Total
49.39
.00 .00
49.39
Other Fee Total
4.60
.00 .00
4.60
Grand Total
150.74
.00 .00
150.74
LQPERMIT
Bin t;`
City of La QUmta
Building 8L 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: 08
Owner's Name: Q
A. P. Number:
Address: 0 L
Legal Description:
Contractor: r:
of2 L
City, ST, Zip:
Telephone:
e:
Address:
Project Description: ( I rtf—
City, ST, Zip: Zli
ne:
Telephone:
0
State Lic. # : Z I City Lic. #- p
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
•
Construction Type: Occupancy:
cY
Lic. #:
r JecStato
P't type (circle one): Nev Add n Alter Repair
air Dem o
Name of Contact Person: -tl
Sq. Ft.:
# Stories:
# Units.
Telephone # of Contact Person:
Estimated Value of Project:.
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
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2a° Review, ready for corrections/issue
Electrical
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
Total Permit Fees
- Ne pas entreposer ni utiliser d'essence, ni
d'autres vapeurs ou liquides Inflammables, pr6s
de cet appareil ou de tout autre apparell.
- Si vous d&teetez une odeur de gaz
• n'essayez pas d'ailumer quetque apparel que
ce soft
• ne touchez A aucun tnterrupteur, n'utilisez
auam t86phone dans vote 60ce ou maison
WApttonez a votree f oumisseur
de gaz depuis i'appareil dun voisin. Sutvei
les directives du foumisseur de gaz
• si vous ne pouvez pas joindre votre
foumisseur de gaz, contactez le service des
incendies.
- 1 -'installation at 1'er*etien do(verd Gtre assurbs
par un installateur ou un service quarfi6 ou par le
foumisseur de gaz.
HEAT-'N-G�L10"
Lifestyle Products
PATIO
CAMPFIRE
)Ul.9 l -72-'2-I r Te,
Instructions
de montage et
mode d'emploi
�1",S166-A-1116 >�t�
GAS-FIRED
c Us L us
LISTED
IMPORTAIIITI Lisez attentivement toutes les instructions avant
de commencer i'instaliation. L'inobservatian de ces instructions
paut entrather un risque d'incendie et annulera la gamntle.
Ce manual dolt servir A l'installation et le propridtaire le
conservera pour faire fonctionner et entretenir son apparel.
Gardez4e pour to consulter ult6deurement
Si vous avez des questions ou d6sirez nous faire part de points
qui vouv pMoccupent, veufllez eontacter la division des ser-
vices techniques de Hearth & Home Technologies Inc. au
numerosuivant :1(800) 927-6841 ou 1 (888) 4273973.
Ce prodult est protb96 par un des brevets suivams ou plus: (aux hats-Unis : 4,112,913; 4.408.594; 4.422.426; 4,424,792; 4,520,791; 4,793,322; 4.852.548;
4.875.464; 5.000.162; 5.016,609; 5,076254 5,191,877; 5,218,953; 5.328.358: 5.429.495; 5,452,708; 5,542,407; 5.613.487; (8n Australia) 5437811: 58&383; (au
Canada) 1.123296, 1.297,746; 2.195.264; (au Modque) 97-0457; (en Nmwe1(e-Zklande) 200265: ou d'aut es brevets an instance aux its-Unis ou a rdbanger.
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41
Y
i; CITY OF LA QUiNTq
BUILDSAFETY DE
_ � y
APPROVED
FOR
CONSTRUCTION
o
3 611 er I
N� ! T' �_ ';..- 4 • r 7 i � .� 4 y,� 1-, "'
5 s
3
1 � .._.,,�-_.___,_.._.,^,___ -_ � � Gil i � y t. • > � �:
APPROVED BY
r.
DRAWN BY�
SCALE
DATE r "0! REVISED �1F.
DRAWING NUM®E
NO. 101-63
z