06-0685 (SOTB)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011.
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 -�
BUILDING PERMIT
Date: 2/15/06
Application Number:06-00000685 . ' (' Owner. '
Property Address: 57401 VIA—VISTA VESSLING
APN: 762-240-003-31 -300962- 577401 VIA VISTA
Application description:. STRUCTURES OTHER THAN BUILDINGS LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 1200 _
'Contractor'
Applicant: ' Architect or Engineer. ARTISTIC LANDSCAPE IN n r•
r - - - - 78601 POMPEII CT r /e\ • _
r / LA QUINTA, CA 92253: O
(760)360-1395 FEBry y •Lic No. 379421 D 2 1 2066
CITY OP LA. QUINTA
---------------------
--7--- --` -- - --=__ - -- - - -- FINANC EL
-, LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
. r I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ' . i.' - 'd 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. L` � l have and will maintain a certificate of consent to self-insure for workers' compensation, as provided
License Cla 7 Ucen No.:J1,21 • for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ..
- � issued. . .
Da !i Q' Con actor:- > Ihave and willmaintain 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 CLARENDON INS Policy Number . 01KR-0032-022
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performan of the work for which this permit is' su , 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 to become subject to a workers' p sation 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 sho Come subject to th orkers' co n tion provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or, - 700 of the Labor C , I shalla
rth co with th pro
ions. - 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 0500).: DMeI� D� ApplicnC t: ,
1. 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intendedor offered for sale (Sec. 7044, Business and Professions Code: 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.). I 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 contractor(s) licensed , - 1 . Each person upon whose behalf this application is made, each person at whose request and for I
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 '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
. +• - I - within 180 days from date of issuance of such permit r cessation of work -for 180 days will's ject
• + CONSTRUCTION LENDING AGENCY permit to cancellation. -
.. - 1 hereby affirm under penalty of perjury that there is a constructionlending agency for the performance of the I certify that I have read this application and state that the abo J formation is correct. I agree to com it I
., work for which this permit is. issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to buildi c struction, and h by aut a repre tat s
• ` - of this c my enter upon the above-mentioned prop f inspection p po
Lender's Name: ' 1 � •
• D Zd �� Signature (Applicant or Agen
Lender's Address: _ -
LQPERMrT t - -
Application"Number
. . . . 06-00000685;
z.
Permit
BUILDING PERMIT
Additional desc
Permit Fee
29.00,
Plan Check Fee
18.85
Issue Date
Valuation.
1200 ..
Expiration Date
8/14/06
Qty Unit Charge
Per
Extension .
BASE
FEE-
15.00
7.00,. 2.0000
HND BLDG
501-2,000 -
14.00
- Permit
PLUMBING
Additional desc
Permit Fee
18.00 ...
Plan Check Fee ..
4.50
Issue'Date
Valuation
0.
Expiration Date
8/14/06.
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 ONLY._
: "• Other Fees-:
-----ENERGY�REVIEW`FEE--------------1.89
' Fee: summary_: _ Charged
Paid Credited
Due;,
:• _- Permit Fee Total
4?.00
- .00--------oo- -----47.00
Plan Check,Total',
23.35
00 .00
23.,35
_. Other Fee -Total
1.89
.00` .00
1.89 `
Grand Total
72.2.4
.00 00.
72.24
LQrsRMIT
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
I Building Permit Application and Tracking Sheet
Permit #
Project Address:' Q
Owner's Name: e
A. P. Number:
Address: jeal Li
Legal Description:
Contractor: ^t
City, ST, Zip: tttZ 2
Telephone: r'
Address:a, 0 G
Project Description:
City, ST, Zip: /L 2?_f
1
Telephone:��-�
y
State Lic. # : City Lic. #- Bl y
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: t?
State Lic. #: {
Name of Contact Person:F-EI
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:'f _(¢
_ ___ _ � �3 _ —
_Estimated Value. of Project:._ -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING .
PERMIT FEES
Plan Sets
Plan Check.submitted
,2
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
O 46
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing 64S
1-91 couzTS
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted ,�—I
Grading
IN HOUSE:-evievv�readj
f6°r co^reWr(ss7isssuue0k
Developer Impact Fee
Approval
A G
E( utr IPlannin
gtlg,C.bnac°herson�
A.I.P.P.
Pub. Wks. Appr
Date�'of perm to ss u�e�-
School Fees
FOR L NZ) I nu4�
-`
TC
Total Permit Fees
- Ne pas entreposer ni utiliser d'essence, ni
d'autres vapeUrs ou liquides inflammables, pres
de cet appareil ou de tout autre appareil.
- SI vous detectez une odeur de gaz:
• n'essayez pas d'allumer quelque appareil que
ce soit
• ne touchez a aucun interrupteur; n'utilisez
aucun tel6phone dans votre ddiflce ou maison
• tel6phonez imm6diatement A votre foumisseur
de gaz depuis l'appareil d'un voisin. Suivez
les directives du foumisseur de gaz.
• si vous ne pouvez pas joindre votre
foumisseur de gaz, contactez le service des
incendies.
- L'installation et 1'entretien doivent etre assures
par un installateur ou un service qualifle ou par le
fournisseur de gaz.
PATIO
CAMPFIRE
GAS-FIRED
Instructions
de montage et.; g U� pg
mode d'emploi LISTED
IMPORTANTI Lisez attentivement toutes les instructions avant
de commencer ('installation. L'inobservation de ces instructions
peut entrainer un risque d'incendie et annulera la garantie.
Ce manuel doit servir a ('installation et le proprietaire le
conservera pour faire fonctionner et entretenir son appareil.
Gardez-le pour le consulter ulterieurement.
Si vous avez des questions ou desirez nous faire part de points
qui vous,preoccupent, veuillez contactez la division des ser-
vices techniques de Hearth & Home Technologies Inc. au
numero sulvant :1(800) 927-6841 ou 1(888) 427-3973.
Ce product est prot6g6 par un des brevets suivants ou plus: (aux Mats-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; 5,076,254 5,191,877; 5,218,953; 5,328,356; 5,429,495; 5,452,708; 5,542,407; 5,613,487; (en Australia) 543790; 586383; (au
Canada) 1,123,296; 1,297,746; 2,195,264; (au Mexique) 97-0457; (en Nouvelle -Wands) 200265: ou d'autres brevets on instance aux Mats-Unis ou A 1'6tranger.
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F LA QUINTA
CITY 0
DEPT.-'
BUILDING & SAFETY
A P P P1 nv,p: Di.
0 T 4. _ - ..„ FOR CONSTRUCTION
0 DATE !!S�= -
k;
--,A 64
1, APPROVED BY:,
0. DRAWN Erf/
TE /Q 15� R ISED
-7
DRAWING NUMBER