05-2482 (RPL)1
QUM
0
P.O. BOX 1504 • .t4 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, -CALIFORNIA 92253 BUILDING &. SAFETY DEPARTMENT INSPECTIONS (760) 777-7.153 . .
BUILDING PERMIT
Date: 6/21/05
Application Number: C:05_0000248Owner:
Property Address: -51865' VIA ROBLADA t - •, VISTA LA QUINTA PARTNERS
-APNi772-270-010-1 311231- 223 E. DE LA GUERRA
Application description: POOL - RESIDENTIAL.. SANTA BARBARA, CA 93140
Property Zoning: LOW DENSITY RESIDENTIAL.
Application valuation: 20000
Contractor: -
Applicant:: Architect or Engineer: MCINTYRE POOLS & SPAS,- INC -
83695 AVENUE 45
D INDIO, CA 92201
CI
(760)342-3612
34
Lic. No..:: 614611
%1�f�A
-----=-------------•----------------'-------=---------=------------=----- -------------------
LICENSED CONTRACTOR'S DECLARATION - •. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I`am licensed under provisions of Chapter 9 (commencing with - I 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: C53 - License No.: 614611 _ _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is.
- issued.
,Date: O o_n r.ctor. - i V-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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
Ihereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier. STATE FUND _ Policy Number 1769111
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 tothe workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) oomr 3700 of the Labor Code, I shall fortrth cly with those provisions.
.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).: - Date: 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 Cade: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or 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, 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 contractor(s) 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,
( ) 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
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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws'relating to building construction, and hereby authorize representatives
of this counn tto a ter upon the above-mentioned proper for i pe tin pur S. ,
Lender's Name: a Date: G�i re (Applicant or Ageml:
Lender's Address: �y
LQPERAIIT '+ -
Application Number .
. 05=0.0002482
_ Permit
BLDG POOL PERMIT
Additional desc
Permit Fee
207.00•.. Plan Check
Fee
134.55
Issue Date
1 Valuation
20000
Expiration Date.
12/18/05
Qty Unit Charge
Per
Extension
BASE FEE
45.00
•,18.00. 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
162.00
Permit
MECH POOL
Additional desc
Permit Fee
26.00 Plan Check.
Fee
6.50
Issue Date
Valuation
0
Expiration Date
12/18/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00 ,
Permit
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee
75.00 Plan Check
Fee
11.25
-Issue Date
Valuation
. .
. 0
Expiration.'Date
12•/18/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00 .
2.00 30.0000
EA ELEC PRIVATE SWIMMING
POOL
60.00
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan Check
Fee
8.25
Issue Date . ..
Valuation
. .
. 0
Expiration Date
'12/18/05
Qty Unit Charge
Per
Extension
�.
BASE FEE
15.00
2.00 6.0000
EA- PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INST/'ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS -
3.00
Special Notes and Comments
POOL/SPA, BBQ(ANSI#Z21-58-1995)&
'
LQPEnlIT •.
_
-
..
POOL SIZE 4o' x 30,
POOL S.A. X62 5Q, Fr,
POOL PER. 1!,5 Fr
DEPTHS v-6 TO 5,
POOL PUMP ;1.5 HP.
HEATER 400,000 m
FILTER CCF 420
LIGHTS 1-100'HArr
2-400 V•lArr
CONTROLLER
SPA SIZE
SPAPER. �0 L . Fr.
SPA` S.A. 63 50. Fr.
SPA DEPTH x6".
JETS 5
JET PUMP 1 -9w -
DECK AREA. 2170 50. F7
PATIO AREA
W.F. 35 SQ. Fr
y GAS-FIRED
CuL US
LISTED
1915 W. Saunders'St.
Mt. Pleasant, Iowa 52641
Division, HON INDUSTRIES
www.fireplaces.com
INSTALLATION & OPERATING
INSTRUCTIONS
PATIO CAMPFIRE
IMPORTANTI Read all instructions carefully before
starting installation. Failure to follow these installa-
tion instructions may result in a possible fire hazard
and will void the warranty.
— Do not store or use gasoline or other flammable
vapors and liquids in the vicinity of this or any other
fireplace.
— What to do If you smell gas
• Do not try to light any appliance.
• Do not touch any electrical switch; do not use
any phone in your building.
• Immediately call your gas supplier from a
neighbor's phone. Follow•the gas supplier's
instructions.
• If you cannot reach your gas supplier, call the fire
department
— Installation and service must be performed by a
qualifled installer,•service agency or the• gas supplier.
This manual must be used for installation and retained by the • homeowner fQr operat
future reference) ion and maintenance.''Save this manual for
If you have questions or concems, please contact the Technical Services Dep
or 1-888-427-3973. t., Hearth &Home Technologies Inc., 1-800--927-041
This product is covered by one or more of the`foilowing patents: (United States) 4,112,913; 4,408,594; 4,422,426; 4,424,792; 4,520,791; 4,-
4852,548; 4,875,464, 5,000,162; 5,016,609; 5,076,254; 5,191,877; 5,218,953; 5,328,356; 5,429,495; 5,452708; 5,542,407; 5,613,487; '
543790; 586383; (Canada) 1,123,296; 1,297,746; 2,195,264; (Mexico) 97-0457; ,(New Zealand) 200265; or other U.S. and foreign pate,
01/04 4004-00113 4r
PATIO CAMPFIRE... BRINGS THE FUN
OF CAMPING TO ANY BACKYARD
The Patio Campfire lets you enjoy a tradirional campFrre right out your back
door. Quick and easy because it uses clean burning gas --no more chopping and
hauling firewood. The large log set and impressive flames create an instant
campfire atmosphere. while the sleek, light design ]ends to its portability.
The Patio Campfire also features unlimited design flexibility- Homeowners
may choose from the optional Mesa or Rock Ring bases, or opt to creaLe
their on•n customized look by adding pavers: brick. -rock or stone materials
to an unfmished Fire Pit Builder Set or directly around the unit.
• Realistic campfire design
Conveniem size and completely
portable
• '5.000 BTU Input/Hour NG
• 60,000 BTU [nput:Hour LP
• Realistic campfire log set .
• UL:'cUL Listed
• Patented technology
a�.+w:e�mo•urc� tw
PAVERS
BRICK
LEDGE STONE
ROCK RING BASE'
FIRE NT BUILDER SE'
(UNFINISHED)
F
natural g sj& PCFL (propane) 15-3%3' l? -1:2'
-RING Rack Rim Base 2?' 12"
Mesa Ws 22' 13'
FP45G Fare Pit Builder Set 45' 16"
'Requires adapter kit and trim ring
PCF -COVER Patio Campfire Vinyl Cover -
MESA BASE'
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CQLus 0)
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' Optionai Bases Sold Separately
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