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12-0086 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000086 Property Address: 54948 RIVIERA APN: 775 -153 -081 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 750 T d-�v 4 4 Q" Applicant: _ i J Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT. Owner: M.D. KUTLER 54948 RIVIERA LA QUINTA, CA 92253�� 111 Contractor: ALVAREZ, JORGE A. P.O. BOX 984 THERMAL, CA 92274 (760)777-3613 LiC. No.: 880103 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/31/12 CITY OFLA ;NTA LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C36 License No.: 880103 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date:�� C tractor: .. _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier E} EMPT Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any. construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for'the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 155001.:ate:l-.3/��,1licant: (_ 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 intende&or offered for sale (Sec. 7044, Business and Professions Coder The WARNING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work -himself or herself through his or her own employees, provided that the DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND.'ATTORNEY'S FEES. 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: 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 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:p,��/ Lender's Address: V LQPERMIT 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 prope y fo inspection purposes. Date: . na —3 /-/ s; ilture (Applicant or Agent): Application Number . . . 12-00000086 Permit . . . PLUMBING .Additional desc . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation 0 Expiration Date . 7/29/12 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 50 GALLON GAS WATER HEATER. 2010 CODES. -------------------------- 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 Prescri tived;ertificate of Coat Oianees Residential CF-IR-ALT-DHW Residential Alferafioits Page I of t Pro eci Name: Climate Zone: l Permit t#: General Information, - Site Address: 44 9 Quilding.yypetl=ingle Family 0 Multi Family . Enformment A enc : L4 V, pate:. l - o-1 Pro'ect a:'Mige0acentent or Change Out.of.W,ater Heater WATER HEATING List neis-h- Installed trater heaters and• boilers for. both domestic ho/: uwter heaters (DWH) and lk dronlc, space hearing- Newly installed DWH hearers and bdilers must be gas, ne, or rose the eristin• Diel e. External Tank Distribution Type �Vater;4ieater Number in Tank Energy Factor q. Type/FircI Type, 'syttenr ' Capadly (881) Thermal Bificieacy `" Insulation R.Value` Recitattatie 7. 1: 1nd1mre,7,)pe (StnMge Gak. Ht>atPumpp: /nstantaneons.'efc.) 2. Recircrdaling systemr: ser,** — iij le dwelling tints "I ' meet• the ,meircrdation trquiretnents of ¢150(nk The Prescriptive requirements do not allow the installation of a recircniating hater heating system for single dwelling tmiis. J. lite etternal water hearingtank and fes shall be insidated to feet the re uirenients'o qsoal Contractor or Homeowner (Documentation Authoes/Responsible'Suiiding Designer's Declaration Statement) a i certify that this Certificate of Compliance documentation is accurate and complete. ' d .t am eligible under Division 3. of the Califomia Business and Professions Code to accept responsibility for.the building design identified on this Certiflcate.of Compliance. 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 I and 6 of the California Code of Regulations. h::ildirg �esign features identified on this Certificate of Compliance ate consistent with the infotmatiom provided to.document this buiiding design on the other appticahle compliance forms, worksheets, calculations. plans and specifications submitted to the cdforecrrcnt .;yeticy :ur apgrr�vsil r�itli this tuilding permit a 1i lion. Nacre: _ Signator compa;ty: Ascln:ss: 'License: City/State/Zip: Pirune: sari! lilt Bin #... City 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 # 12 , Project Address: q Owner's Name: u i It r A. P. Number: Address: ; r Legal Description Contractor: lu Address: City, ST, Zip: Rte_Q P Telephone: Project Description: City, ST, Zi .-3 9 `C -Le Telephone: y' City Lie. C State Lic. # : g Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lia #: Name of Contact Penson:Sq. Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair bemo Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Rcq'd . Rec'd TRACKING PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. - Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical , Grading plan 2'! Review,, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Dad Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fa Planning Approval Called Contact Person A.I.P.P. Pub. Wks. ApprDate of permit Issue School Fees Total Permit Fees