07-0124 (SOTB)P.O BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:07`00000124_
Property Address: 78421 DEACON DR W
APN: 770-210-019- - -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8000
Applicant:
I hereby affirm under penalty of perjury that
Section 7000) of Division 3 of the Busines
License Class: CA C27 C29
ate: ontractor: -4
Architect or Engineer:
r (A
----------------------------
TRACTOR'S DECLARATION '
sed der provisions of Chapter 9 (commencing with
ssionals ode, and my License is in full force and effect.
Lic nse No.: 656128
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that xempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Pro ssions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any tructure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is 'censed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis fo the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a 'vil 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.).
(_) 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 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:
ALEXANDER CAPITAL CORP
C/O BRIAN HAIGH
900 W CASTLETON RD 200
CASTLE ROCK, CO 80109
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(.760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (7.60) 777-7153
Date: 1/16/07
D°
JAN 171007
CITY OF 1A QU NTA
-----------------------------------------------
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.
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 polft number are:
Carrier SEABRIGHT Policy Number BB1070510
_ I certify that, in the perform ce of the work for which this permit is issued, I shall not employ any
person in any manner a to b me subject to the workers.' compensation laws of California,
and agree that, if I ouecoma s 'act to the workers' compensation provisions of Section
700 of the Labo I hall forth 'th comply with those provisions.
0 -ate : pplicant:
WARNING: FAILURE TOSECU
SUBJECT AN EMPLOYER TO CRII
DOLLARS ($100,000). IN ADDIT
SECTION 3706 OF THE LABOR C
KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
aL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
INTEREST, AND ATTORNEY'S FEES.
I 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 o, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and empl ees for any act or omission related to the work being
performed under or following issuance of '4above
it.
2. Any permit issued as a result of this applicomes null and void if work is not commenced
within 180 days from date of issuance 't, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and stat t at info ation is correct. I agree to comply with all
city and county ordinances and state laws relati g t nstru ion, and hereby authorize representatives
of this cou ty to enter on he above -mention d propns a on purposes.
ate:.3QO ature (Applicant or A nt):
Application Number .
. . . . 07-00000124
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee
99.00 Plan Check Fee
64.35
Issue Date . . . .
Valuation . . .
. 8000
Expiration Date
7/15/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
6.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
54.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . .
17.25 Plan Check Fee
4.31
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/15,'07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 .7500
----------------------------------------------------------------------------
PER ELEC DEVICE/FIXTURE 1ST 20
2.25
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
21.00 Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
_ Expiration Date
7/15/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
.2.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
6.00
---------------------------------
Special Notes and Comments
-------------------------------------------
BBQ-- Z21-58-1995 & FIREPIT,
AGAL 496
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
6.44
STRONG MOTION (SMI) - RES
.80
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
------------------------------
137.25 ..00 .00
137.25
Plan Check Total
73.91 .00 .00
73.91
Other Fee Total
7.24 .00 .00
7.24
Grand Total
218.40 .00 .00
218.40
LQPERDI IT
Bin #
City of. La Quinta
Building & 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: qZ WE; .r
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: X
Project Description:
City, ST, Zip:ef_0pG i✓ l..lj-z,_ CJS CIZ23 C,,
i °l
Telephone:.,]�>01 g ZZ Z'2:/
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle on New Add'n Alter Repair Demo
Name of Contact Person: l;�0
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
EstimGA
ated Value of g� O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACIMG
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
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan'
2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
R.O:A. Approval
Plans resubmitted����
Grading
IN HOUSE:-
'`" Review, ready for correca issue
i'I()0-].
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
CITY
U1
n n.BIJ
�. I
l YiY
R^% w
u+ "'
��
_
r ?
Total Permit Fees
amt r -- -
FOFI CONSTF, '. nN
BY_".- .- --
#4 TIE
TOP COURSE
GAS FIRE RING:
I•c•B.0. # _ 1
ANSI #
BTU
U.L. APPROVED.
36" DIAM.
NSIDE DIMENSION
LENGTH OF GAS PIPE � Z-� r,
DIAM. OF GAS PIPE
7 OUTDOOR FIRE RING
[GAS LINES SHALL BE INSTALLED CPC FOR DEPTH,ERAGE, AND PLACEMENT.
VALVE
LOCATED
WITHIN 36"
OF UNIT
WATERPROOF
MEMBRANE
(TYP. INTERIOR
SURFACES)
- #4 BAR
VERT AT
3211 O.C.
(TYP. )
7A
8x8x8 OR
MU
SOLID GROUT
E�
METAL GAS
4
RISER
2" DRAIN OR PROVIDE 1211 DIAM.,
OPENING IN FOOTING
AVEL SUMP
:+*::CRUSHED ROCK
STAINLESS k
GRILL STEEL f
LIGHT rE SINK PROVIDE VENT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
TONE OR CONSTRUCTION O.00UMEI�T. I
TILE {
COUNTER
00 0Q
I' RE OUTLET
a PRE -HUNG p p STUCCO OR LIGHT F
S.S. DOORS STUCC SWITCH j
VENEt R (WATERPROOF)
— �v-� r.-c- ter- - •__• - -
LENGTH V IES IT.B._D. #
AN
I FREE-STANDING OUTDOOR KITCHEN - FRONT ELEVATION BTU
U.L. APPROVED.
LIGHT I �¢
'GRILL
I I
ADAPT DIMENSIONS
IA FREE-STANDING OUTDOOR KITCHEN* - PLAN TO FIT APPLIANCES
6X8XI6 CMU• QRON CELLS WITH STEEL
#4 BARS vRT. AT ,LOX- (TYP.)
I_
w BSQ LAYOUTS MAY VARY.
1 FOOTING SIZE & REINF. Aft TYPICAL. I 5
IC 1 CAIrTL[ 41noiCC I
FREE-STANDING OUTDOOR KITCHEN - FOUNDAI IUN FLAN
STONE CAP, TILE
M, OR POURED CONC.
#4 BAR HORIZ. AT
32' O.C. (TYP.)
3' 6X8XI6 CMU
cli M GROUT CELLS WITH STEEL
t4 BAR
VERT. AT
F.S. 24' OX. (TYP.)-
244 BARS HORIZ. CONT_
;
1FAR}ES ,6
IG FREE-STANDING SBQ - WALL SECTION
ID BBQ ISLAND - SIDE ELEV.