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08-0460 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 0 "- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 0.8<0'0000460 Property Address: '1153=884 AVENIDA OBREGON APN: 773-164-025-8 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 750 Applicant: Architect or Engineer: AV - 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. LicenseClass: C36 License No.: 828264 Date: C- rAtra=or: i • OWNER-BUI Z ER. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor'sState 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 aiiy 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 Lic•enseLaw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or thathe-or-she is exempt"therefrom and the basis. for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I _ 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 Profession stoae: 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.). (_) 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: LQPER IIT Owner: STEVEN SAFT 51884 AVENIDA LA QUINTA, CA (213)448-3825 Contractor: FOY, SCOTT 43579 MAIN INDIO, CA 9 (760)775-94 Lic. No.: 8 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OBREGON 92253 A S "T 2 1 0 MAR 14 2000 2 1264 CITY OP UA QUINYA FINANCE DEPT. Date: 3/14/08 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 ACE INC Policy Number 045040239 I certify that, in the performance of the work for which this permit is issued, I shall not employ any . " person in any mannerso 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 forthwith comply with those provisions. c ■D`atez� � - Applicant: WDA NIG : ,FAILURE TO -SECURE WORKERS' OMPENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 ms a result of this apptiCation, the owner, and the applicant, each agrees to, and shall defend, indemnify nd hold harmless the City of LaQuinta,.its officers, agents and employees for any act or omission rel ted 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 w k is not commenced within 180 days from date of issuance of such permit, or cessation of wor for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building construction, and her horize representatives of this county to enter upon the above-mentioned property for inspection aurpgWs L� Application Number . . . . . 08-00000460 Permit . . . . . PLUMBING Additional desc . Permit Fee22.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . .' 9/10/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT .7.50 ----------------------------------------------------- Special Notes and Comments ---------------------- REPLACE WATER HEATER WITH TANKLESS GAS UNIT Fee summary Charged Paid Credited ---------- Due ------------------------------------- Permit Fee Total 22.50 .00 ---------- .00 22.50 Plan Check Total .00 .00 .00 .00 Grand Total 22.50 .00 .00 22.50 LQPERAIIT City Of La Quinta BuUft 8T Safety DMsion P.O. Box 1504; 78495 Cage Tampko La Qttinta, CA 92253 - (760).777-7012 Building Permit Application and Tracking Sheet Pem* g Project Address: y", Owner's Name:fit ✓l SA A. P. Number: Address: 541P17,} • 6 Legal Description: City, ST, zip: Contractor. C� Address: 5 Telephone: u Project Description: lA ; City, ST, Zip: T �r _ . , .. _ ....... _ : . LU. G ,7 F S 55 Gi f Y Telephone: Stale Lic. # : City Lic. #; 5 Cl Arch., EW., Designer: Address: City, ST, Zip: Telephone: Construction Type: Oxupancy: State Lic. #: Project.type (circle one): New Add'n Alta Repair Demo Name of Contact Person: "e W Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Zis Estimated_ Value, of Project APPLICANT: Do' NOT WRITE BELOW THIS UNE it Submittal Req'd Beed TgtACIMG PBRAM FEES Plan Sets Pian Check submitted item. Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truss Calc. Called Contact Person Plan Cheek Balance Trtte 24 Cates. Pians picked up Construction Flood plain plan Plans resubmitted x Mechanical Grading plan 2" Review, ready for correctionstissue Electrical Sabcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correetlonsrmue Developer Impact Fee Planning Approval Called Contact Person A".P. Pub. Wks. Appr Date of permit sae School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R Project Title Date. SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -411 Form must be provided to the building department for each home for which the following. are OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXV.s (See Package,D Alternative Package Features for Proiect Climate Zone in the RM Appendix B Table 1.51-C, Footnotes 7-14. nn For additions and alterations; duct systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing.in accordance with procedures in the Residential ACM Manual and duct .systems with more than 40,linear feet in unconditioned spaces shall meet the.LeRuirements of Section 150(m) and duct insulation requirements of Package D. VU A TCD XYV A q YMf`_ .QVQ1-VX4Q Distribution Type ❑ Sealed Ducts all climate zones).(Installer testing and certification and HERS rater field verificationrequired.) ❑ TXVs, readily accessible (climate zones 2 and8=15,:only) ❑ nstaller testin and, certification and HERS_Rater field verification required.) Refrigerant Charge (climate zones 2 and 8=15 only) (Installer. testing and certification and HERS Rater field ❑ verificationrequired.) OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXV.s (See Package,D Alternative Package Features for Proiect Climate Zone in the RM Appendix B Table 1.51-C, Footnotes 7-14. nn For additions and alterations; duct systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing.in accordance with procedures in the Residential ACM Manual and duct .systems with more than 40,linear feet in unconditioned spaces shall meet the.LeRuirements of Section 150(m) and duct insulation requirements of Package D. VU A TCD XYV A q YMf`_ .QVQ1-VX4Q Svstems servinvAnale dfwelling units - - - Water Heater Type/Fuel Type Distribution Type Number . in S'stem Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby Loss % not allowed... Check box when using Preapproved Alternative Water Heating table, Table 54 in -Chapter 5 in the Residential Manual. No water heating calculations are uired,:and the system complies. automaticall. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved 13 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. box to verify that time control is required' for a recirculating system pump for a'system serving multiple 13 units units Svstems servinvAnale dfwelling units - - - Water Heater Type/Fuel Type Distribution Type Number . in S'stem Rated Input' (kW or BuAr) Tank Capacity Ions Enety Factor? -or Thermal Efficienc Standby Loss % Tank External Insulation R -Value System serving multiple dlwellin :.units Water Heater Type Distribution Type Number in System Rated Ips (kW or Btu/hr Energy Tank Factor or Capacity Thermal Ions Efficiency Standby Loss % Tank External Insulation R -Value 1. For small gas storage water heaters (rated, inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr); list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines >_ 3/4 inches) AII. hot water pipes from the heating source to the kitchen fixtures that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005