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08-1492 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4v4" Application Number: 08-00001492 Property Address: 52500 ROSS AVE APN: 767-200-998-1 -330761- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: LOW DENSTTY RESIDENTIAL Application valuation: 250 Applicant: Architect or Engineer: 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.97r%fessionaJq Code, pyi8lfny Lii"nse is in full force and effect. OWNER -BUILDER �CARATION I hereby affirm under penalty of perjury that I am exempt from t 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).: 1 _) 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 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.). ( 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: LQPBRMIT Owner: K. E. L. F. 45-350 SAN LUIS PkLM DEODRT, CA REY ydLbU Contractor: MODERN BLDRS CONS' 45350 SAN LUIS RE' PALM DESERT, CA 9 (760)578-4967 Lic. No.: 818923 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/28/08 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 INS Policy Number 1890279 _ 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 w5"' compensation laws of California, and agree that, if I should be c subject t -orWs c p�fas�tion provisions of Section 3700 of the Labor Code. I all f hwi com h [ho ions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOhiRDVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI11L 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 ree comply with all city anecoi,�y Ance.turnd�slate laws relating to buildingco r ti ere thori repr ntatives of this bove-mentioned property insp ti rpo Datepplicant or Agentl: Application Number . . . 08-00001492 Permit BUILDING PERMIT Additional desc'. . Permit Fee . . . . 15.00 Plan Check Fee 9.75 Issue Date . . . . Valuation . . . . 250 Expiration Date 2/24/09 Qty. Unit Charge Per Extension' BASE FEE 15.00 ------------------------------------------------------ Special Notes and Comments FIREPIT PER APPROVED JOB PLANS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE .98 STRONG MOTION (SMI) - RES .50 Fee summary ----------------- Charged Paid Credited ---------------------------------------- Due Permit Fee Total 15.00 .00 .00 15.00 Plan Check Total 9.75 .00 .00 9.75 Other Fee Total 1.48 .00 .00 1.48 Grand Total 26.23 .00 .00 26.23 LQPMMIT 1/211_11-011 #4 TIE STEEL AT TOP COURSE GAS FIRE RING: I.C.B.O. # ANSI # �� BTU__ U.L. APPROVED. LENGTH OF GAS PIPE _ _ •F DIAM. OF GAS PIPE n ALL BE INSTALL_ ED DEPTH, JD PLACEMENT. _- T 32° O.C. ROUT l/aJ LIINtJ I U tibUS, r INLt -LAUt, UN FIRE RING TO BE SIZED BY OTHERS. GAS RISER TO BE PER CPC SPECQ.. 36" DIAM. NSIDE DIMENSION OUTDOOR F I E R I NG OF LA QUINT( BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION WATERPROOF MEMBRANE SURFACES) INTERIOR - #4 BAR VERT AT 32" O.C. (TYP. ) 7A 6x8x8 OR 8x8x8 CMU SOLID GROJT I • 6 DIAM. • 1 t � 1 i!i • �iY�iY�irrr!i. •i�il4�I:�1�1:`I:�I.�� i l l i METAL GAS RISER 4--C—GRAVEL SUMP OPENING IN FOOTING• 2" 0 DRAIN OR PROVIDE 12" DIAM. .I:..I:. CRUSHED ROCK OUTDOOR FIRE RING - BOULDERS . 1/211=11-011 4 ^ F S BQ ISLAND.- SIDE ELEV. Al 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 Tracki n Sheet Permit # Project Address:. 4�10 *Jee)SS Owner's Name E , L .F, IQ47, eex zzgt A. P. Number: Address: Legal Description: City, ST, Zip: P Contractor: &.0lie$ 6U47. Telephone: Description: Address 5 50 _5qv is 4&VProject City, ST, Zip/.WO"EiL T oP,�bIIED �ASa'S Telephone: State Lie. # : City Lie. #: (, d AIMEee `, MSTe/G�(10J J Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Construction Type: Occupancy: Project type (circle one): New Ac.d'n Alter Repair Demo Name of Contact Person: --j— Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: X50 m APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Rec'd TRACKING Q Plan Check submitted 8 PERMIT FEES Item Amount Structural Cates. Reviewed, ready for corrections Plan Ck:ck Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Constriction Flood plain plan Plans resubmitted Mechanical Grading plan 2,d Review, ready for correctio s 07 Electrical Subcootactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date f p C) JTA School Fees NG & SAFETY EEPT. APPROVED11 FOR CONSTRUCT Total iermit Fees DATE BY -5L