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08-0701 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -08-00000701 Property Address: 54073 OAK HILL APN: 775-061-042- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: .773 Applicant: Architect or Engineer: F • " 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 Professionals Code, and my License is in full force and effect. License Classy: C36 License No.: 811114 ate: LI ZO `� ractoc OWNER -BUILDER ECLARATION 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).: 1 _ 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.). (_ 1 1, 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/28/08 Owner: CINDY ATKINSON 54073 OAK HILL LA QUINTA, CA 92253. P15 Q 0_ Contractor: CALIFORNIA DELTA MIORIT 8:2008 6052 E. BASELINE R 5 MESA, AZ 85206 CITY OF (480) 89a-0007 FINAN EDEPTTA Lic. No.: 811114 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 policy number are: Carrier STATE FUND Policy Number 1697823 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 workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section � 3700 of the Labor Code, I shall forthwi ply with those provisions. 15ate: C/' Z,?—yo, icant: WARNING: FAILURE TO SECURE WORKERS' COMPENSA ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c rtIy to enter upon the above-mentioned property for inspection urposes. ate: � Si ature (Applicant or Agent):� LQPERMff Application Number . . . . . 08-00000701 Permit . . . PLUMBING ' Additional desc Permit Fee . . . . 22.50 Plan .Check Fee 5.63 Issue Date . . . . Valuation 0 Expiration Date 10/25/08 . Qty Unit Charge Per Extension - BASE FEE- 15.00 1.00. 7.5000 EA PLB WATER HEATER/VENT 7.50 Special Notes and Comments INSTALL 40 GALLON GAS WATER HEATER Fee summary Charged Paid Credited Due Permit Fee Total 22.50 ..00 .00 22.50 Plan Check Total 5.63 .00 .00 5.63 Grand Total 28.13 .00. .00 28.13 LQPERMff 04/25/2008 FRI 12:41 FAX U003/003 i Cr',RTmC ,T1@ OF'CO �-MANCE: l IUE1�T'X' CV IR ' rFvjeaIme LQ SEALEDbU and Uas Or Alternative caswres A si 4F—Worn must be pr�vidtd to to buIIdirig for each boaaefor WMeh the foUo are j wi°°g D Sealed Ducts all cl" zones nsfialler i'� s madils! arousable (bli�atr� zAnes 2.a� "frcation toad' ilEitS tat�,fwld verification ' od: d 8-15 oa ton and HERS RaW field veiftoago, 1141, [� . fiigda� Charge (dimatc zonT Z and 8-1.5 00ly} Vawcaudo eared, I : ratio -mid ABRS Rater field Dui* iiq I: Cuoi eft rZoAa C In RM � 8a s'� fl e D AUftlafive Pwjqe geaGurs I'oc B Table 151: I"ooir►okeS f -l4. ' For Fos and ai6erarlons, d sealed as tin'o fis5'stOOu fiat are nbt entad to wo rdmire;i have beat a Resideutiel ACM Matlual�and' dot wig taom in p�t0°edum t to shall moat filet ' oremrup f S�cti ° 40 linear feet iart�oo>tdNW— WATER 1FA"Wl- SXSZ S ou 150 m duct n�lat t of D. - : C hmk box•if systeu, Aeeeh WainIfftwatah agomg S0 a.isouogs9•Gredwarrrlicatarper - - • - � , maaamuat. and• �+aaraslabion system is ' Cltedc boat when usiAg PrasaPP Albve'Qilater Mmn�uaL No water he4n lit,�ulahoas art Oatittg • Tla�ble. 5.4 in •tr6apier S in lire<R,tsidential , C UdCkbox if system does not and Itcs autmna , o Arte: fe WsW x ,tai °f "StantlaiaT add= � oo�mly �, the 1'rt�pmved .submittal' � �' � p�MOW must be used and mmt be includod in � © CYuak box io verii3r thal`a'time of of is rrquictd for a Units ' *%ft pomp for a system sfVitlg multiple emamving silloe d E�elliu .omits w. Rated �a , Tank Watee Heater Dislrit on Tom' , Fes" *r Extet d N*ber,. ONVor Chpadty : Thermal Standby" 11I. • � - Loss o R�Valae • - ' teu sem' Wool ' Ie dfrelliri units Tax Olratcriicater bis Gn'bl 'on NomberAPuf, Tale ]'adaiaal . Ar .4:4141Y 1lierirW ' Standby`- lasul4on >n� ohs 1 I,oSs( --R-Val 1. For smelt gas sioragie water hoat�Cs (r8ted ' uts of lass P water hectors, list Ener,y ac�ot. Forte Or dual to 75,OQ013v/lu), electric trSls tauve,and deet Btu/hr), list mated .Input, Recover EmcianaY egrmal ffiia waterUvtart (rated input of greater than 75,000 'hbat=, list Rated Input an4 Thenal i;fEcien ' Standby loss. For i nous gw water `.` 'x�eXusniatiott-(ldtachen lincs> 3/4 caws. - iuchOt or �) hot water pi from tho }i=64 source to the idt tm fixtures that a � 4 greater fu diamctar shall be �s�muUy.ulsulaacd ass bed by Se cdm 156 0) 2 A er l50 (j 2 B. Z0 30Vd OId 3-19AVd S1Nnoov 5b998IZ08b Z0:ZZ 800Z/6t/b0 1 04/25/2008 FRI 12:40 FAX Petmlt #n \ to Project Address A. P. Number. Leo Dcga iption: City, SC, Zip: Teicphone: . .-t, State Lii}c, # A W4, Aitgry Miner.. Addmw; City„ ST, Zip: Talophoam Statc Lia #: Name of Contact Pcrson: TdephoAz # of Contact Person: R 002/003 Qty Of La Quint1 BWing 8T Safety Dlvisslon P.O. box f SO4, 78.49S Calle Tampico Ia Qulnta, CA 92253,(760) 777-7012 j ffding Permit Appi<cation and Tracking Sheet Ovmer's Name: Address: ' i . ST, zp: a� /�] S Project Ddscriptlon: �.A a �n �� ,� R Submftl iteta'd Rec'•d TaAUMG EE 'P PEES planeets P#anClr8cR9pbtplued ikm Amount Strnerurat Calls. Reviewed, ready for corteetions Plan Cl�tek Aeposk Iftm Calor. called Coated Pert, Fran CheckBNawe, Tide 24 Cake. plans pickid up Congruzoon ' Flood pWn plan Plans resubmitted Mechanical Gradiq plan 2"`. Revicw, ready for eorrertioneltasue Electrical Mcontmctar List Called Contact Person Plumbing Grant Dr6d Pians picked up SMI. $O.A. Approval Mans re"bmitted Grading IN HOUSE:. '° Review, ready for eoteectlot,srasne Developer Impact Fee plan�ns Approval Called CoutaetFerson A"Mr, Pub,'Wlm Appr Date orpermlt lsmc Scboo) Pees Total Permit Deep Z0 39dd 03.E 3-19AVd S1Nnoov 90998TZ08b ZO:ZZ 8002/6Z/b0