11-0391 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:.
Applicant:
• V
Y.1-000003�9.1`
53565 AVENIDA OBREGON.
774-114-013.-3 -000000-
PLUMBING
COVE RESIDENTIAL
853
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE. (760) 777-7012 .
FAX (760) 777-7011
('TIONS (760) 777-7153
{BOJ ate: Q118/11
Owner: APR � Q
PORFIRIO MENDOZA i
53565.AVENIDA OBREGON
LA QUINTA, CA 92253 c(Ty;;WyJiA:
r-.
Contractor:
CALIFORNIA DELTA MECHNICAL INC '
6052 E. BASELINE RD, #155
MESA,.AZ 85206
(866)692=5273
..
Llc . 'No 811114w ,
„- ---- ----- - --- - ------- - - - - -- -
" - ' LICENSED CONTRACTOR'S'DECLARATION
- ---- - - -- - -- - ----.---------
• �: WORKER'S COMPENSATION. DECLARATION '
vl.'hereby affvrn under enalt of er'ur that I am licensed under provisions of Chapter -9 (commencing with
P Y P 1 Y 9
I hereby affirm under enalt of perjury one of the followin declarations: -
penalty P 1- Y 9.
,.
Section�7000hof.Division.3-of the Business and' Profession' s,Code,'and my License.is in full force and effect.•
-
I fiaye and will maintain *'certificate of consent tozself-insure.for workers' compensation, as provided " ' •
- LicenWSs'=
Application Number . . . . .
.11-00000391
Permit . . . PLUMBING.
Additional desc..
Permit Fee . . . . .22.50
Plan Check Fee
5.63
Issue Date . . . .
Valuation ." . .
. 0
Expiration Date 10/15/11
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 -5,0 °GALLON: ELECTRIC"`WATER
HEATER..2O10'CODES.
-----------------------------------------
-Other
Other Fees,
-- ------
----------- ----------------------
BLDG SIDS' ADMIN (SB1473)
-
1.-00
Fee summary'.Charged
Paid Credited'
Due
-Permit Fee Total. '22.50
.i00. :0022.5.0
Plan. Check Total 5.63
.'00 .00
Other Fee'.Total -1.00
,.00. ..00
1.00
Grand Total 29.13
00 .00
29.13
. LQPERMIT
- ..
Y
Prcecrl:,W
live CerBpcate of Cotn Ilnnce: Resldentiol. WAT'$R +,9 TER', CF-to.ALT-
bate: Enforeemnerit A�en.ey; Clirfaate°'n'e # # of 34oiries Permit #
site Address:
535 r
Bvildiu a. Sin le'Faaii o Multi Fanvl
N0TB. This n 'is not ca be: used nr Neiul .,Carrstrricted Build n s or Add►liars
17'nr oas4crnnca or gvo�Hono eogeraing the U„C, gy 8lunddr(Ie, conrgCc the k:uergy Hoiiino at 1-800-772-3300.
l/c l A N3 315 Wd"C) 6 l 1 iil l '''dd
Bin #
PtY 0 La :Quin to
NUN, at: Safety bivlslon
Parra;t # n,
✓� ''l
P,O. Box 1504, 78495,Ca1le Tampico .
.
La. Qufn6e.C. 922ST • (760)!7777012
Building PermiC`Appff6tid ;md Tr"acking Sheet
Project Address:
-
''OwncCs Narr:e:. '
A. P. Number:
Legal Description:
Contractor:
City, Sttip.'
Address: ��56 , � atiN�/� Pr4lect DeSeription!
City, ST, zip:
S
Telephone: lid -�
Z —2
Stata Loc. # :
City , .
tY a�•�DydO.
Arch„ Bngr., Designer:
Address:
City,, ST, Zip:
Telephone:
Construction 7yper.' ' "O ccupancy;
State c, p:
ll
Name of Contact person:
Prpjed type (altrde ane). New- Add'a ; gltot .apalr ettto
Sq. Ft
Tota bone # ofContaet P 966-6. Z
ergot,. � Z-�. � 3
# soori�s: 0 Units:
.
. Estlmtited'Velue ofPrgleot;`.
APPLICANT: 00 NOT WRITS 81;1.OW THIS UNC
1.
N Submittal
Req'd
s
Reo'•d . T75<AC�SIIV(i '.1.
Plan Beta
$RBOT FB,E'8
Plan Check Submitted
Structural talcs.
• AtnOLAt•
,Reviewed, ready or corrections
Truce Calca,
.
ckl)epoalt
Called Contact Person
Title 24 Calce,
k Balance
P1ahs.plckrd up
RrUeehanIcal
Blood plain plan
ion
Plans reaabmltted
nle7„'6'�Aevlew,
_ alCirAdlnp
ready fir correctlens/tasue*
rorsori
GrantDaod
Plans picked up
0,O,A. An4rovel
9.11A:I.
rip„M uumtaep.
IN > (OU8>1:=
;.Gra ding
]terletp, re6tly [or correed6ns/Issue Ani elovar r.% ... L SCG
rw%mijaS MVProvnl
Celled Contor.tPerson "
VO..
Date of permit Issue
O�„vJt }.pCD
'To(a4Permlt 9eeo
'
l ii l 'd ti05o '°N 3A315 WV, 6 l 10i 'E l '' dV
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