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07-0206 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 T4tyl 4 4 Q" Application Number: 07-00000206 Property Address: 610FIRE BARREL DR APN: 764- 80-999-67 -300235- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1800 Applicant: 1V lJ� n ��0 Architect or Engineer: NIA IA 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. Licens;CIC �3.,�Lic�enseNo.: 866518Date: RATION 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).: (_) 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 _ 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 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: WAYNE ALBRON 61-089 FIRE BARREL LA QUINTA, CA 92253 Contractor: GARY & SONS 67657 CLUBHOUSE DRIVE DESERT HOT SPRINGS, CA (760)251-8945 Lic. No.: 866518 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/19/07 922 1 SAN 2 22007 CITY OF !.A QUINTA FI�9�1�7CI1 a��. 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 STATE FUND Policy Number 1837911-06 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 Ishould be c me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I forthwith comply with those provisions. Date: �APPlicant: 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 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 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 county to enter upon the above-mentioned property fo inspectio purposes. Date: Jignature (Applicant or Agent): Application Number . . . . . 07-00000206' Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 41.00 Plan Check Fee 26.65 Issue Date Valuation . . . . 1800 Expiration Date 7/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 2.0000 ---------=------------------------------------------------------------------ HND BLDG 501-2,000 26.00 Permit . . . PLUMBING' Additional desc . Permit Fee 18.00 Plan Check Fee 4.50 Issue Date Valuation . . . 0 Expiration Date 7/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special Notes and Comments FIREPIT PER APPROVED PLAN Fee summary Charged ----------------- ---------- Paid Credited ----- - ---- Due ---------- Permit Fee Total 59.00 .00 ---------- .00 59.00 - ," Plan Check Total 31.15 .00 .00 31.15 Grand Total 90.15 .00 .00 90.15 LQPERMIT B`R #City,of La Quinta ,� Building g Safety Division PermitP.O. Box 1504, 78-495 Calle Tampico p 3. La Quinta, CA 92253 - (760) 777-7012 'A/ Building Permit Application and Tracking Sh( Project Address: Owner's Name: " < e A. P. Number: Address:.'Lye kayVe Legal Description: City, ST, Zip: Contractor. CL . Address: jp 7 :7 5 7 club case ' City, ST, Zip: Zile '� ' �� i- 'N �/� ► - Telephone: 6 O "CityLie. State Lic. # : #: Arch.,. Engr-. Designer. Item - Amount Address: Structural Cates. City," ST, Zip: Telephone: State Lie. #: Name of Contact Person: Called Contact Person Telephone IF of Contac Person. Mllmauxi value of rrojec APPLICANT: DO NOT WRITE BELOWTHIS UNE 0 Submittal ' Req'd ." Rec'd TRAC_ I_ON_G , PERMIT FEES Plan Sets Plan t:heck submitted ( Item - Amount Structural Cates. Reviewed, ready7or'►rectioos Plan Check Deposit TMis Cala. Called Contact Person Plan Check Balance Energy Cala. Plans ticked up Construction Flood plain plan Pians resubmitted Mechanical Grading plito rd Review, ready for eocrections(assue ;Electrical Subcoutactor List Called Contact Person.-' .- : Plumbing Graut Deed . Plans picked up S.M.I. . H.O.A. Approval Pians resubmitted Grading IN HOUSE:- Review, ready for correctioneissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 09/25/02 WED 09:19 FAX 949 733 4320 949 733 4C A0 IAS Irvine CSA INTERNATIONAL Certificate of Compliance Certificate: 1355624 . Project: 1355624 Issued to: Grand Effects 10 Argento Dr. MISSION VIEJO, CA 92692 USA. Attention: Mr. Kevin Dond Master Contract: 217348 Date Issued: 2002-09-24 The products listed below are eligible .to bear the CSA Mark shown with adjacent indicator 'US' aoEs I s� Rued by: I�Ttitiidad Igo: f"" �• us Authorized bp: Len Bardslee Operations Manager PRODUCTS 2731-82 LIGHTING (OAS) Outdom'Decorative Type Model Number For Use With Natural Gas Illuminating Appliance for Outdoor Installation it Minimum Maximum Input Rating Input -Rating Trade name: GRAND EMCTS 60.000 .80.000 t 0003 APPLICABLE REOUIREMENTS I.A.S. Requirement 8-96 Gas -Fred Decorative Illuminating Appliances For Outdoor Installation MARKINGS All markings and printed instructions are in compliance with the above-mentioned requirements. use in the U.S:.'ftlis 'US' indicator The'LIS' indicator adjacent to -the CSA Mark signifies that the product has been evaluated to the applicable ANSWL Standards, 'for L' includes products eligible to bear the `NRTindicatdr. NRTL. ix• National Recognized Testing laboratory. is it designstio0 gamed by tate U.S. OCcupatiOual SafcAy - and Health Adndnistration (OSHA) to laboratories which have been recogoizsd to perform certificeticu 10 U.S. standards. -PC"W. C?"W'- envi.n(a d- an ' 4om r...rv...n:pdnr,p-dt.thtri;dNp ..plq om a. gn. Th. q.n'.nd d.. n.r.: o t. b. r.pgd,., . 0MrrpM:.copl.U'p, lrin.hri.d In rry lens oi'm.nrii. . M.t.u�vb wR11n1q'N.1•npr.nWpllN.tVNNrwllt�n C.ni+i.�un orua►."o. CITY OF LA QUINTA BUILDING $ SAFETY DEPT. APPROVED FOR CONSTRUCTION DA :L7 O BY I T