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09-0257 (PLBG)79095 Arbola Circle IIIIIIIIM11111111111142 I • P.O. BOX 1504 - IE 4 VOICE(760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/19/09 Application Number: 09-00000257 Owner: Property Address: 79095 ARBOLA CIR MARLENE SANTO APN: 604-271-007-76 -23913 - 79095 ARBOLA CIR Application description: PLUMBING LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL D Application valuation: 500 d Contractor: ,q Applicant: Architect or Engineer: FOY, SCOTT A. MAR 2Q R n 43579 MAIN STREET Go3 INDIO, CA 92201 C/ 3 op 1A Lic. No. : 828264 F A 'EDErP rT'4 -- ------ - - - - - - - --- - -- - - - --- -- - --- - -- ----- -- ----- -- - --------- - -- - --- -- ----------- -- -------- ------- 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 70001 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.: 828264 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Date:V -i tractor: 1 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 OWN -BUI ER DECLARATION insurance carrier and policy number are: - 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier FIRST COMP INS Policy Number WS1004457 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($5001: Date: " plicant: f 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 WARNING: FA RE TO SECURE WORKERS'C MPEN ION 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($100,000). 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.). APPLICANT ACKNOWLEDGEMENT 1_1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_1 I am exempt under Sec. ,B.&P.C.for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives of t ' county to enter upon a above-mentioned property for inspection purposes. Lender's Name: ate nature(Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . . 09-00000257 Permit . . . . . PLUMBING Additional desc . Permit Fee . . . . 22 .50 Plan Check Fee 5.63 Issue Date Valuation 0 Expiration Date 9/15/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50, ----------------------------------------- ---------------- Notes and Comments REMOVE & REPLACE 40 GALLON GAS WATER HEATER ---------------------------------------------------------------------------- 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 LQPERAITT CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF-IR Project Title Date r SEALED DUCTS and TXVs (or Alternative Measures) A signed CFAR Form must be provided to the building department for each home for which the following,are uired. ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required. 0 TXVs,readily accessible(climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) 0 Refrigerant Charge(climate zones 2 and 8-15 only)(Installer testing and certification and HERS Rater field verificationrequired.) OR 0 Alternative to Sealed Ducts and Refrigerant Charge/1`XVs(See Package D Alternative Package Features for Pro'ect Climate Zone in the RM Appendix B Table 151-C,Footnotes 7-14. OR 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 space shall meet the requirements of Section 15.0(m and duct insulation requirements of Package D. WATER HEATING SYSTEMS Check box if system meets criteria of a"Standard"system. Standard system is one gas-firedmater heater per ❑ dwelling unit. If the water heater is a storage type,50 gallons is the maximum capacity and recirculation system is 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 required,and the system complies automatically.'. Check box if system does not meet criteria of"Standard"system,and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case,the Performance Method must be used and must be included in the submittal. 0 Check box to verify that a time control is required for a_recirculating system pump for a system serving multiple units S stems serving single dw ling units Ener y T Rated Factor or Input' ank TankWater Heater Distribution Number (kw or 'Capacity Thermal Standby' :External nsulation T eel T T e in S stem (gallons) Efficiency Loss % R-Value S stem serving multi le dwellin units EnergyaStandby' ank Rated Factor' orternal Input Tank Water Heater Distribution Number (kw or Capacity Thermal ulation e T e in S stem Btu/hr aeons Efficient 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 InsulahQn(kitchen lines>_3/4 inches)All hot water pipes from the heating source to the kitchen fixtures that are inches or greater in diameter shall be thermally insulated as specified by Section 150 0)2 A or 150 0)2 B. March 2005 Residential Compliance Forms r � .y 'bin# .City of La Quinta Building a Safety Division Permit# P.O. Box 1504, 78-495 Calle Tampico /f la.Quhtta,CA 92253- (760) 777-7012 oq- l Building Permit Application and Tracking Sheet Project Ad(hm: q©� �/J Owner's Name: mQr A.P.Number: Address: 7 - 5 *�� [[C i Legal Description: 1 City,ST,Zip: Ul U 1 l/� 7 Z_5J 3 Contractor:S c �0 �Q r +i,1 nl 5J Telephone:—7(.QO _5&0-0 ( 4' Address: 4 35; 7 9 MLO ' IO Project Description: Yo r7VAM � City,ST,zip: (�(�; n c 9 22 0 Telephone: 1/-17 City Lic. Arch.,Engr.,Designer. Address: City.,ST,Zip: Telephone: v' .r Construction Type: Occupancy: 1 e circle one New Add'n Alter Repair Demo State Lic.#: ,.�.,., Project type(circle )� Name of Contact Person: Sq.Ft: #Stories: #Units: Telephone#of Contact Person: I Estimated Value of Project: 5001, APPLICANT: DU NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount 71 Structural gyp, Reviewed,ready for corrections Plan Check Deposit Truss Calcs. F Called Contact Person Plan Check Balaace, Tide 24 Coles. Plana picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'.Review,ready for correctionsilssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.Approval Plans resubmitted Grading IN HOUSE:- ''d Review,ready for correctionslissue Developer Impact Fee Approval Called Co et-P.erson A.I.P.P. Planning APP Pub.Wks.Appr Date of pe , nt��i ue School Fees I I i I II Liu LJ� —IBX Total Permit Fees IIIIIIIIVIIIIIIVIIIIIII 43 C&tyl 4 4 " IE P.O. BOX 1504 No. 15878 Building Address 79„_095 Arbola Circle LA OUINTA,CALIFORNIA 92253 Owner Snell.enberger & Associates VN Mailing BUILDING: TYPE CONST. OCC.GRP.- R"3 Address 41-565 Boardwalk, Ste. 212 A.P. Number 604 -271-007 cit Zip Tel. Lot 76 Tract 23913 Phase S1 81,m Desert, Gz 92211. 61A}777 ?768 Legal Description Contractor Project Description SFD Flan 1 Same Address ( n T`.terrt! City Zip Tela State Lic. City &Classif. B 488234 Lic.# 1858 Sq.Ft. No. No.Dw. Arch., Engr., Charles Size 1968 Stories Units D. Garland Designer New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑ Addrpl63 Cathedral Cyn Dr Te1619}770-7025 cit6athedral CiT ZT State CA 9223 Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed upOerprovigions of Chapter 9(commencing with Section 7000)of Division 3 of the Bu si hd'.Piofess (is Code,and my license is in full force and;w effect. GN TU ' + ` /- DATE OWNEPOWILDER DECLARATION Estimated Valuation $118 289 00 1 e by affirm that I am exempt from the Contractors License Law for the following , • reasoe(Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and the basis for the alleged exam ition. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than rive hundred dollars($500). t C ❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. 55•! do the work,and the structure is not Intended or offered for sale.(Sec. 7044,Buisness and COr1St7 s } Professions Code: The Contractor's License Law does not apply to an owner of property who . builds or knproves thereon and who does such work himself or through his own employees, 68.51D provided that such improvements are not intended or offered for sale. If, however, the building Mech. or improvement is sold within one year of completion, the owner-builder will have the burden Electrical 144.04 of proving that he did not bugd or improve for the purpose of sale.) O 1,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing l5o.(110 strucl the project. (Sec. 7044, Business and•professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 11,• such projects with a contractor(s)licensed pursuant to the Contractor's License Law.) Grading20.0 O I am exempt under Sec B.&P.C.for this reason Driveway Enc. 00 Date Owner Infrastructure 2,661.51 Arts in Public Places 28.22 WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent!to lself-insure, or a certificate of Workers Compensation Insurance,or a certified copy theredf.(Sec.3800,Labor Code.) Policy No. Company ❑Copy is filed with the city. ❑Certified copy is h6eliy furnished. TOTAL 14.385.53 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: M, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop.Line WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND Side Street Setback,from Center Line 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, Side Setback from Property perty Line DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. FINAL DATE INSPECTOR` This is a building pemnit when properly filled out,signed and validated,and is subject to V ` expiration it work thereunder is suspended for 180 days. // "r r I certify that I have read this application and state that the above information is correct. Issued by: Date r-­ Permit I agree to comply with all city and county ordinances and state laws relating to building Y construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for Inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip - I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW\i FEES 1ST FL. SO.FT.® $ UNITS 2ND FL. SO.FT. YARD SPKLR SYSTEM POR. SO.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.® POWER OUTLET ROOF DRAINS CAR P. SO.FT. DRAINAGE PIPING WALL SO.FT. DRINKING FOUNTAIN SO.FT.® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE:Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO.FT.®c BATH TUB SO.FT.®c WATER HEATER MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID®11/.c SEWAGE DISPOSAL SO.FT.GAR®3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB.FEE STRUCTURE PLUMBING ELECTRICAL HEATING&AIR COND. SOLAR SETBACK GROUND PLL I UNDERGROUND A.C.UNIT COLL.AREA SLAB GRAD 11-11 ROUGH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK FORMS SEWE T A ROUGH WIRING DUCTWORK ROCK STORAGE FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APPJEOUIP. REINF.STEEL GAS(FINAL). TEMP.POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER-SYSTEM GRADING LUMBER GR. FINAL INSP& cu.yd. FRAMING n �� FINAL INSP. $ plus x$ ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL