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07-0204 (SOTB)P.O. BOX 1504 78-4§5 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000204 Property Address: 61355 FIRE BARREL DR APN: 764-280-999-139 -300235- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1300 Applicant: �fi10 ,,,a Architect or Engineer: Qk 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 a Profe ionals Code, and my License is in full force and effect. License Cl s:' A -C -C8 , License No.: 840210 Date:. Contractor: ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractor's State License Law for the following reason ISec. 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 _ 11, 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 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: MIKE TERRIE PARRSONS 61-355 FIRE BARREL LA QUINTA, CA 92253 Contractor: D CROCODILE CONSTRUCTION 50660 EISENHOWER DR, #914 LA QUINTA, CA 92253 (760)360-5895 Lic. No.: 840210 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: JAN 2 2 2007 1/19/07 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. 1 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 1828832-2006 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 3700 of the Labor Code, I s/h/11/�,orthwiitt comply with those provisions. Date: OPPlicant: 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 ($100,000). 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, 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 court y to enter upon the above-mentioned propertyfor ' ion purposes. Date: �16ignature (Applicant or Agent): Application Number . . . . . 07-00000204 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 31.00 Plan Check Fee 20.15' Issue Date Valuation 1300 Expiration Date 7/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 2.0000 -------=-------------------------------------------------------------------- HND BLDG 501-2,000 16.00 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 FIRE PIT PER APPROVED PLAN. r Fee summary Charged --=---------------------------------- Paid Credited ---------- Due Permit Fee Total 49.00 ---------- .00 .00 49.00 Plan Check Total 24.65 .00 .00 24.65 Grand Total 73.65 .00 .00 73.65 LQPERMIT Bin # City of La Quinta Building U Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico TO La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:' �7j55�" Re, &gg& I-) togg Owner's Name: A. P. Number: Address:. (p ^ 611ftL . T P (F O Legal Description' City,'ST, Zip: L 50?2S_ Contractor. G Ocpd L k C.015f, .^ Telephone: Address:—�� `yam S Project Description: City, ST, •Zip: �iV�-V, t- 4 130-7a Telephone: '700 ^ S ��C \ `l State Lic. # : O�O� j7( City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Col State Lic. #: Pre :mo Name of Contact Person: 1c kd %1 of ' r Sq 1� Telephone # of Contact Person: Esl ll .:• • • APPLICANT: DO NOT WRIT /�oo # Submittal Req'd ;: Rec'd TRAC10 Plan Sets Plan Cheek submitted Item Amount Structural Coles. Reviewed, ready for 'erections W. Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Energy Coles. Plans Picked up Construction Sp Flood plain plan Plans resubmitted Mechanical Grading.plan 2"d Review, ready for eorrectionsrissue Electrical Subcontactor List. Called Contact Person Plumbing AS Grant Deed Plans picked up S.M.T. 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 09/25/02 WED 09:19 FAX 949 733 4320 949 733 4320CSAIAS Irvine CSA INTERNATIONAL Certificate of Compliance Certificate: 1355624 . Project: 1355624 Issued to: Grand Effects 10 Argento Dr. MISSION VMJO, 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' oEs l s,y 1 ` Issued by:I�T rinidad 00000 us Authorized -bp: Len Bardsl Operations Manager 2731-82 LIGHTING (GAS) Outdoor'Decorative Type Model Number For Use With Natural Gas Illuminating Appliance for Outdoor Installation Minimum Maximum Input Rating Input Rating Trade name: GRAND EFFECTS 60,000 80.000 0003 APPLICABLE REQUIREMENTS ' 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. The'LIS' indicator adjacent to -the CSA Mark significs that the product has been evaluated to the applicable ANSIML Standards.'for use in the U.S;. This •US' indicator Includes products eligible to bear the • 4RTL' indicator. NRTL• i.e. National Recognized Testing Labomtary, is a desigantutn granted by dle U.S. Occupational Safety and Health Administration (OSHA) to laboratories which have been recognized to perform certification to U.S. Standards' J F; of -RTT- �0oL Chuck Cooper Environmental Planning + Design 81720 Daniel Drive La Quinta CA 92253 LANDSCAPE PLAN + DESIGN MIKE & TERRIE PARSONS 61355 FIREBARREL / TRILOGY LOT 139 630 289 6556 eo ea. ma.c.P. pma '!M^Y14.,?.gbdfinm/ k Ntry.- am�vw �ini�ot,�'�rlll�a1111jn1 abt tiY1.IM �aMu wltbn ' yiniYtronMOC1N0.