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10-0555 (PLBG),P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r—"TO`=00000555= Property Address: 54265 OAHILL APN: 775 -061 -011 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1046 c&ht 4 4 Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that 1 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 Class: B -C10 -C36 License No.: 811114 ate: t /D ontractor: l/E��� �iP/pCO.✓ " OWNER -BUILDER DECLARATION 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, 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—) I am exempt under Sec. , BAP.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: _ _fes Lender's Address: lt� Pit LQPERMIT Owner: LAWRENCE SPICER 54265 OAKHILL LA QUINTA, CA 92253 VOICE(760) 777-7012 rfl,- FAX(760) 777-7011 INaEC - (7601 777-7153 JUN n� �11 ate. 6/23/10 ClTy { f ff It r �.4 t"ii....._ l / Contractor: CALIFORNIA DELTA MECHNICAL INC 6052 E. BASELINE RD, #155 MESA, AZ 85206 (480)898-0007 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. 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 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, shall forthwith comply with those provisions. ate:v0 O plicant: ��r� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives ofthi6'N �D s county/to enter upon the above-mentioned property for inspection purposes. 6`ate:' nature (Applicant or Agent): Application Number Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . . 10-00000555 PLUMBING 22.50 Plan Check Fee . Valuation . . . 12/20/10 5.63 0 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 NEW 40 GALLON GAS WATER HEATER. 2007 CODES. ---------------------------7------------------------------------------------ Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------- ---------- Due ---------- - ------ ---------- Permit Fee Total ---------- 22.50 .00 .00 22.50 Plan Check Total 5.63 .00 .00 5.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 29.13 .00 .00 29.13 LQPERMIT Jun.23. 2010 8:48AM STEVE Project Nazie; GeneW Information Uldmg TYPO iAg3e Family Q Multi'p ..ly Cooflit medPloorArea (CFA): Climate Zone € /✓ Ed, ornement4enCy: Circle the Front Orientation: N, E, S,'W, or.degreea, ProjecrType: ❑ pltcans ,p, gcve7ope p F Cl Iaccmeatoar.Cban .Out` q Dnct lactim Wstcr iLst water heelers gird boilers for,both domestic hat water (Dliti�; heaters eruihytb,cu gw arP a fnd and may trot �sd 50 gallons. I water ptpa irisrdarlon from water is i ed be all' hent es —all climate a»nes. . Woe' Halter Typd Nel .ry Distribution Type Nrtmber In 1. brdfam Type (Smnrge Gas, H=Pranp, lnrtmttarteous; &t allow etc.), 2. nft *emu .,e"* ±ntltfple a}uellin� routs rhofl,maat the r&ireulatioa rd installation of a secti culor!Atgwails heating syakairir Ii;,gle dwallhig 3.1he external rooter haetutg pat, �pw Aa & mated to meet Ae requiratisn Documentation Armor's Declaratiuu'Statemeat I that d& Carli fedi of do"', dorrimeumtion iv eccnaate and an Name; g.r Via.._ Add=L-'CQ &S a 7f Z S52o6 btAepoMME $uMIlng Designer's Declaration 3tataneIIt o I am eligible tinder Division 3 of the Cal lt'Business and Profcsspns Code to a Certificate of Compliance. • I cm fy that the eueW fcstoom and pmtmuon6a specifications for the bng ftg dei the reTArmneut of Title 24, Part 1 aid 6 of the CalifamiaCode of Regular qns. o the building design fr es identi5etl on this .Certificate of Compliance: an, consist building deaig9 on the 09rer URH mblo cataplhwoe fogs. war*sheets calo<ilabous, ageng for *M21 With this bu&,na ne,,..:r a„ ity/state/Z,ip: No. 3054 P. 3/5 CMR -AI (page I of Y of Stories /I For assistance or questions regar4ng the Energy Standards, contact the .8MM Hottlne at: I-800772-3300. Regimaaon Number. Registration DarglTime: 2008 Residential Compliance Form; __ Kg'Wrovtdar. Feoruary 201 R d ife*Ce 4'aft- hulfvtdual dwepingDXW'h&dam must be the DA1Yhealer to tha Aitchen(s) and on all undargrowtd hot B*Md Tank Twit ?zero Factar or. 1=1111tioa C a (gal Thmnal.maien R Valnet ZD ?trb'ematis'ol§150(- The Pru&i) tNe repftments do wail. . late. b 6 -z/ -/o If Applicable ❑ CBA or ©WB (Cettillcp[i� �: Thacle: &6 —6qz —5Z 73 ;cepa responsibility for the building dosi ga ideatib'ied on this iga idmUcd on this Cattificate of compliance amf= to � w with the information pmvided to dom=t IW,plans and specifications mtonitted tri the eo5mmmt � D Ple966-6qz —5z� For assistance or questions regar4ng the Energy Standards, contact the .8MM Hottlne at: I-800772-3300. Regimaaon Number. Registration DarglTime: 2008 Residential Compliance Form; __ Kg'Wrovtdar. Feoruary 201 R d Jun.23, 2010 8:47AM STEVE No.3054 P. 2/5 Bin # City DfLa QY ihta Building 8i Safety Dndsion penit # P.O. Box 1504, 7&495 Calle Tampico . �h la Qulnta, CA'92253- (760)777-7012 Building Permit Application and Tracking Sheet Project Address; �f7 i/� % f Owncr's Name: to! QLCQ—S ., C.Qir A. P. Number: Address Legal Description: Qtv: ST,'ZjP L% CAZ71J�,3 Contractor. nn�, // (_6�tM (`1'ti1 � Talephone�Q; �9'OQ. Address: 0-5-6 �. ga,$p�(,�'j �� Nod Doiption; City, ST; Zip: Z- p Tolephonc: 66 4qZ -'.,32.7�� State Lia N: I City Lic. M Arch., Bug, Designer Add=s: City., ST, Tcicphone: '. Construed on•Type: Occnpauay; State Lio, #; Projacttypa (eircle one): New Add'n Aha' ' repair Ykmo Namc of Contact Person: p ,, ;: . ��-®NYU — L ` Jyi J . Sq. Ri #Stories: #Units Tcicphone of Coact Person- p 6 6.^ 6 q � — 5 -1 ?J $sdingled value of Project: . (� APPLICANT: DO NOT WRITE,B40WTHIS LINE.. # 8ubmtttal Xteq'd _ Ree'd ' TRACMNO PERB•II'P FEES Pian Sets Pl3m Check submitted item Amount 8truetural Calcs. Reviewed; ready for corrections Plan Cheek Deposit True Cales, Called Contact Pe* mu Plan Check Balance Titin 74 Cain, Plans picked nP Construction Flood plain plan Plans resubiultted Mectiantwl Grading plan 2'" Revtew, ready for correcaons/Issue = cctrtca[ Subcontactur. List Called Contact Person Plumbing GraneDeed Plans picked up S.MJI. ILO.A. Approval Plana resubmitted Crradfag IPT>30U8tr:- '.^' RSview, ready Por ecrrecuonsiissue Developer_ Impact Fee Planaing Approval Calted Contact person A.LP.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total•Permit Fecs