08-0700 (PLBG)P.O..BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000700'
Property Address: 55539 RIVIERA
APN: 775-242-008- -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 773 ,
Applicant: Architect or Engineer:
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: C36' License No.: 811114
ate: �' ractor.
OWNER -BUIL ER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fir 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 j
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 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 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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: �(
Lender's Address: T '
LQPERMIT
Owner:
LORETTA & JAMES BARBER
55539 -RIVIERA ,
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/08
Contractor: U
CALIFORNIA DELTA MECHANI IN LI
6052 E. BASELINE RD, #1 APR
MESA, AZ 85206 R ZODp
(480)898-0007 '
Lic. No.: 811114 C17y0F
Ff1ygN.c QUIryTq
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.
Y -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
377 1000 of the Labor Code, I shall forthwith co y with those provisions.
�'vOAP ant: �i✓/
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 co my ordinances and state laws relating to building construction, and hereby authorize representatives
of this unty to enter upon the above-mentioned property for inspection purposes
ate: -/ �2' Si ture (Applicant or Agent):
Application Number . . 08-00000700
Permit PLUMBING
Additional desc
Permit Fee 22.50
Plan Check
Fee
5.63
Issue Date . . . .
Valuation
. . .
.
0
Expiration Date" 10/25/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
- 1.00 7.5000 RA PLB WATER
HEATER/VENT
7.50
Special Notes and Comments
----------------------------
INSTALL 50 GALLON GAS WATER HEATER
Fee summary Charged Paid
Credited
Due
Permit Fee Total 22.50
.00
.00
22.50
Plan Check Total 5.63
.00
.00
5.63
Grand Total 28.13
.00
.00
28.13
04/25/2008 FRi 12:41 FAX
t
4
• CER.TWICATF, Oy
CE: P
1003/003
(page 3 of 4) ' . CF4R
SEALED DU and TXVs or A]ternntive ensures
A si eod CP -4k Form must 6e provided to i&e bw di
fired. neut for orb home'for width the IOHOW Sg am
✓ I _
I7 Staled Ddeft all cl"ttnatc zones . InstaUoi wad attifttaiion and EMS rata ,fidd
C3,' ' 7 XV's, rradU- r, aocessible (diii ate zones 2 Wd &15 vedb ion direct:
lcrh and C40wabon and HEELS Rater gelderit>xatioa
Charge (digre�e zones
O x 'Vc Hficatioi d9-1.5
only). crtesting sad wMca&a and FOS Mata• tiicld
QR
JeCt CC %otle in theAppewt&xRM. �� s f padcggo b Altoia►ati va I�AdCagc Features for
O0 Table 1S1' pooiootasti-l4. '
For dditlops and atGefwns, due systems that are not _ oAtod to. We been 1
k tial $Wed as �M Od am d du vetitica , and testing in ac �th p Les in 94
Meat i and duct systans vft MweStwes 40 I"inear feet in uccconditiened
"meet the t ' intnents of Sectiap 1 m dcttt inmbdion niremeats of D.
'VirA �A.TING SYS"1`EMS
-checkbox-fir mofa
l7 dwermg vniL u6c wader b is a: storage type, SO
not allowe&
Che&baac wheA usatg_prcappoco�vcci Alf�ativa Wpter
MlnuUL No wader cakulataoos arc asd
Chedcbox it'system does aothttd QAC L of
D Ahmiative Watzr Healing table. Xa tbis cAse, the Pert
-iUtMitt&
d C$edc bpx tv vex ify shat a time eott4ol is reauirod se,r a
' mrd systems ix aaond wztac heatCx• pex -
is thama m.capa�ty tadrechvAstion system is
, g Tabie.5�4 � �bapt� 5 u�ihe.Rcsidential ,
amd does not Cour,%% $re Aeapprovrd
MOM McChod must be used and mast be inducted M the
70"09
wgm pip fora system semg aoumple
- Watea FIGS Distdbntign • Numbtr or
'1u stein' h
' I. For small gas storage water beaters (ratod " is of
cvaciv'Cbermai
joligm
Tank
Factor, or
'_ �3way,lusuldon
Eft ' •'1 °�1 li-Verde '
WW wa1w Treaters, list Eaerir Fador, For iris Ilwu or equal to 75.QW.Btu;k), dectio resistancq and Aeat
13fu/hr')r list Ratod ]nputr Rtobvety w0ien t "waterheeiut (rated input of greater' mn 15,000. '
cY► cmnal lacy wad Standby Tfss. For instantaneous &U waig
r rise Rated Input 8n4'I6ermal E1ticionCim,
PIT* Xusaiatioit•(kitchenI-,nm? 314 inch ). �uar� i •
iDdWs or $rester in diameter $ball be es botll! p ti 0°a t1u lieatiq source to the kitchen firft= that �'/4
sY•igsulated �s specitied by Section 150 �) Z A or 150
VO 3E)Vd O -Id 3�81�dd S1Nnoov II 90998TZ08b Z0:ZZ 8002/GT/00
'104/25/2008 FBI 12:40 M
t'
! gin #
Permit #
VTO
Pro}ect Addtttss:
A. P. Numb=
%gel Aescriptiop:
Contra=
Address:
City, ST, zip:
Teleph(ne:
Sww I.ic. #
Arch„ Engr., DOBigncr:
A�d„dtb w.
City. ^.$T'ZIP:
' T.eJeptwu0: ,
St* Lie. #:
Nsme of Coatecti'erson:
-Telephone # of Contact Person:
1a002/003
City f La QuInta
Wdog 8C Safety Uvisian
P.O. Boxi (?4, 78-495 Calla Tamptco
1.a Qtflnta, 92253.(760) 777-7012
Building Permit A plication and Tracking Sheet
0 r6t Owper's Name: IXA- Mft R
Ci , ST, zip: L& L;i-1
t'
.so d W/Sri cct1D®scrgroau: .�.� �.� Op
EO 39dd
Odd 3- 9AVd S1Nf100d
90998TZ08b ZO:ZZ 80OZ/6T/t70
l
X")d
Raee'd
PERMIT FM
Plan Cheek submitted
Item Amount
l Calm
Reviewed, ready for eorneet�ona
Platt Chock Deroait
lts.
Called Contact Person
flan Ckoek muco ,
alca,
FGrading
Plane picW up
Contraction
y plan
Pians resubmitted
Meehanical
plan
2°! Review, ready Por eo dowfiasueactor
Lief
Called Cantaet PWsoxi
pluntblag
GmbtDeed
plans picked up
ML
I3 Mk Approval
flaps resubmitted
Grading
1N ROD$E:-
'Review, ready for wrr donsfitsae
Developer 1"d Pte
Planping Approval
Called Coptaet Person
A.I.P.P.
Pub.' it& Apr
Date of permit lame
School pas
Total Pcrmil Tiete
EO 39dd
Odd 3- 9AVd S1Nf100d
90998TZ08b ZO:ZZ 80OZ/6T/t70