Loading...
10-1269 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" Application Number: 10-00001269, Property Address: 54447 RIVIERA APN: 775-031-029- - - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2200 Applicant: Architect or Engineer: CoftcMk�- )lk 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 Class:CC316� License No.: 935651 Date: lQ.`V Contractor: 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 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.). 1 _ 1 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.). 1 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: LOPERMIT Owner: NOVOTNEY JERROLD 54447 RIVIERA - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 M & PATRICIA . LA QUINTA, CA 92253 Contractor: A+ MECHANICAL PLUMBING 51-370 PALUDOSA DRIVE INDIO, CA 92201 (760)423-7237 Lic. No.: 935651 Date: 11/19/10 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 EXEMPT Policy Number EXEMPT 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, 1 shall forthwith comply with those provisions. Date (-l4-(t) Applicant:�9� 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 (i 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 of this.county to enter upon the above-mentioned property for inspection purposes. J 7rBate:I�Q Signature (Applicant or Agent): ��► LQPERMIT Application Number . . . . . 10-00001269 Permit PLUMBING Additional desc . Permit Fee . . . 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation 0 Expiration Date 5/18/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 . ----------------------------------------------------------------------------- Special Notes and Comments (2) 50 GALLON WATER HEATER CHANGE OUT 2008 .CALIFORNIA ENERGY CODE. November 19, 2010 12:04:42 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited "Due Permit Fee Total 30.00 .00 .00 30.00 .Plan Check Total 7.50 .00 .00 7.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 38.50 .00 .00 38.50 LQPERMIT Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW Residential Alterations Page I of 2 Proiect Name. --ro rr^ I A 1OAJn-tfJeLf T Climate Zone: Permit #: General Information rec (- o n1 e Site Address: 'J q Ztra Enforceme t Agency- Date: Building Type: 0 Single Family 0 Multi Family Project Type: 0 Replacement or Change Out of Water Heater WATER HEATING o I certify that this Certificate of Compliance documentation is accurate and complete. List newly installed water heaters and boilers for both domestic hot water heaters (DWH) and hydronic space heating. Nen-1Y installed DWH heaters and boilers must be gas, propane, or use lite existin ueI rype. e 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance Water Heater Distribution Type Number In Tank Energy Factor or T Fuel Type' +. (Standard, n System Capacity (gal) Thermal Efficiency yP� YP' Reci ulatin) External Tank Insulation R -Value a CG Name: Signature: t Company: P f Me6,,.ah<< OLI P Date: If -111-10 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systents serving multiple dwelling [nits shall meet the recirculation requirements of §150(n). requirements do not allow the installation of a recirculating uvaier heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of §150('). The Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) o I certify that this Certificate of Compliance documentation is accurate and complete. o I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. e 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Part t and 6 of the California Code of Regulations. o The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design.on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: t Company: P f Me6,,.ah<< OLI P Date: If -111-10 Address: 8(-3'7e Ntodasa, r. License: � 35 G S- City/State/Zip: Phone: 'a C 12 P l -TGG 23-123? OApril.2010 Bin # Qty of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: L e C- Owner's Name: Tar(-Q(,� 000,E&AA �P A. P. Number: Address: 5Lf,414-1 Legal Description: City, ST, Zip: L—ck G�otvx4--r Contractor: Telephone :* Address:- !R ( 3 r . Project Description: City, ST, Zip: t '122,o Telephone N.:0 JC State Lic. #: City Lic. #--. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ti State Lic. #: .Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair— Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: -2- 2 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Reeld TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted J Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontoctor List' Called Contact Person Plumbing Grant Deed Plans picked up r S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 11Jt4JW — kW 'EA tlWF.