BRES2017-032078495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&�v 4 4& Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2017-0320
61676 TULARE LN
764550055
BURGER / FIREPLACE INSTALLATION AT LIVING ROOM
$4,800.00
Applicant:
ON FIRE INC DBA HARTMAN CONSTRUCTION & R
PO BOX 867
LA QUINTA, CA 92247
DEC 0 1 2017
CITY OF LAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 Professions Code, and
my License is in full force and effect.
License Class: B License No.: 610249
ego : 11 ,Contractor: l
OWNER -BUILDER DCLARATION
I hereby affirm under penalty of perjury that I am exempt from the 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).:
( ) 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
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 Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/1/2017
Owner:
SCOTT BURGER
61676 TULARE LN
LA QUINTA, CA. 92253
Contractor:
ON FIRE INC DBA HARTMAN CONSTRUCTION & R
PO BOX 867
LA QUINTA, CA 92247
(760)564-295
Llc. No.: 6102e-9
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 3:00 of the Labor Code, for the performance
of the work for which this permit is issued.
z -X1 1 have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfhrmance of the work for which this permit is
issued. My workers' compensation insuran.e carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9036930
_ 1 certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner :o 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 Sectio 13700 of the Lab r Code, I shall forthwith
comply with those provisions.
Date.#FIJL
% Ap t:WARTO SECURE WORKERS' {OM ENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100000). 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 tc the Building Official for a permit subject to
the conditions and restrictions set forth on -his application.
1. Each person upon whose behalf this apolication 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 Ci y of La Quinta, its officers, agents, and
employees for any act or omission related t:) 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 iesuance of such permit, or cessation of work
for 180 days will subject permit to cancellafion.
1 certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county oedinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purpose;.
Of. I / Sig (Applica•it or Agent):
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Date: 12/1/2017
Application Number: BRES2017-0320
Owner:
Property Address: 61676 TULARE LN
SCOTT BURGER
APN: 764550055
61676 TULARELN
Application Description: BURGER / FIREPLACE INSTALLATION AT LIVING ROOM
LA QUINTA, CE. 92253-
2253Property
PropertyZoning:
Application Valuation: $4,800.00
Applicant:
Contractor:
ON FIRE INC DBA HARTMAN CONSTRUCTION & R
ON FIRE INC D3 HARTMAN CONSTRUCTION & R
PO BOX 867
PO BOX 867
LA QUINTA, CA 92247
LA QUINTA, CA 92247
(760)564-2957
---------------------------------------------------------------------"-----------------------
LIc. No.: 610249
Detail: INSTALL DIRECT VENT FIREPLACE WITH BUILT IN CABINETRY AND LIGHTING AT LIVING
ROOM [CONVENTIONAL] THIS PERMIT DOES NOT INCLUDE
ALTERATION TO EXISTING LOAD BEARING OR LATERAL RESISTING CONSTRUCTION. 2016 CALIFORNIA BUILDING CODES.
0
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FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$8.78
Total Paid for Credit Card Fee: $8.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total Paid for ELECTRICAL: $52.02
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
FIREPLACE
101-0000-42400
0
$156.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIREPLACE PC
101-0000-42600
0
$234.06
.Total Paid for FIREPLACE: $390.10
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
,DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.62 '
Total Paid for STRONG MOTION INSTRUMENTAT•ON SMI: $0.62
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Project Address:
PLAN LOCATION-
OCATION
F/
F/"Iiu 'r-
Project Description`. Pool, Remodel, kdd't, Elect, Plumb, Mech
APN
Conditioned Space. SF
City,St Zi
Garage SF
Telephone:_/ O ,
Patio/Porch SF
Applicant Name:����
Fire Sprinklers. SF
State Lic: �6�d2Z/ City Bus Lic:
Address:
City, ST, Zip:
Telephone: aJ-_.�3 -
v �Z. .'
EmailValuation.of
Project
Contractor Name: JG. I
New SFD Construction:
Address:
Conditioned Space. SF
City,St Zi
Garage SF
Telephone:_/ O ,
Patio/Porch SF
Email: �®GU�ro✓LTiyt b,t/ cd7�Y►
Fire Sprinklers. SF
State Lic: �6�d2Z/ City Bus Lic:
4i-ch/Eng Name:
Construction Type: Occupancy: .
Address:
Grading:
:ity, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:Stoi
les:
4 Units:
:mail:
tate Lic: City Bus Lic:
'roperty Oivner's Name: L3Uh
New Commercial/ Tenant Iniproyernents:
iddress: �/6 !�
Total Building SF
)ty, ST, Zip A
Construction Type: Occupancy:
elephone: 7 P
.,nail: I�1,YL-v 0n- 1eOr)
78495 CALLE TAMPICO
LA QUINTA, CA 92253
`� 760-777-7000
- Thank you
La�[ry Hartman
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NOV 15 2011
CITY OF LA QUINTA
-.
COMMUNITY DEVELOPMENT
74
T s
V.
HARTMAN
CONSTRUCTION & REMODELING
'
P.O. BOX 867
La QUINTA, CA 92247
760-564-2957
,
`-
www.gohartman.com
'• Ca. License B610249
• . r
1
DRAWINGS AND SPECIFICATIONS FOR PROPOSED GAS FIREPLACE FOR
* Scott and Karen Burger '
61676 Tulare Ln.
LaQuinta, Ca.,
425-238-9402
`
LOCATED IN THE TRILOGY GOLF CLUB
This fire box is"i Montigo HW38 DFni direct vent gas unit requiring 34,000 BTU, and is a
very efficient product.
- Our company has installed several of these units in various desert locations and are
'
popular because they turn on and off with a wall switch or remote
The gas will be connected to an existing stub provided at the time of construction.
Clearance to combustable material is shown on page 8 and 9 of manual
;
Venting clearances and graphs on page I Ithrough 15
Any questions regarding the plans or specifications or to pick up permits please call , r
'Larry Hartman cell # 760-408-0938.
,
- Thank you
La�[ry Hartman
t x
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Zoe 1p►D4 �ooc
NOV 15 2011
CITY OF LA QUINTA
-.
COMMUNITY DEVELOPMENT
74
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�1 CITY OF LA QUINTA
p� n BUILDING &SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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APPROVED
FOR CONSTRUCTION
DATE_ ,BY