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PLBG (12-1373)77183 Calle Mazatlan 12-1373 P.O. BOX 1504 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: 11/21/12 Application Number: _12—'0-0001373 Owner: ' Property Address: --77183 CALLE MAZATLAN BUIE RESIDENCE APN: 658-230-005- - - 77183.CALLE MAZATLAN ' Application description: PLUMBING LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1084 Contractor: Applicant: Architect or Engineer: CALIFORNIA DELTA MECHNICA C NOV2012 6056 E. BASELINE RD, #155 t MESA, AZ 85206 NIA (866)692-5273 CTYOF AA LiC. No.: 811114 DEPT. ------------------ 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 CI ss: 10 C20 C3 License No.: 811114 t //t Date:. E / (,rC.OntraCtOC IV 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ I 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_) 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: LQPERMIT ----------------------------------------------— 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 STATE FUND Policy Number 1697823-11 I certify that, inthe 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, I forthwith comply with those provisions. Date:' Applicant: r 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 daysfrom 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 1[ciu I nty Jo enter upon the above-mentioned property for ins tion purposes. Date:111J Signature (Applicant or Agent): til C LQPERMIT - . Application Number . . . . . 12-00001373 Permit . . . PLUMBING Additional desc . Permit Fee .22.50 Plan Check Fee 5.63 Issue Date Valuation 0 Expiration Date 5,/20/13 Qty Unit Charge Per Extension, BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 - ----- - - - - -- Special Notes and Comments REPLACE 48 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 - . Prescriptive, Certificate of'Com pfiancei ResidentiA. CF-IR-ALT-DHW Residential Alterations Page] 42 Project.Name: -7.1113 Ca I (e- Climate Zorie: 1, General Information: I Site Address: '111195 CAN-. _j Enforcement Agency: La Quin I Date: 147o7 iQ rBuilding g,rype: inglef;lmil.y 0 MultifamilProject.Type-,'13 Replacement or Change Out of Water Heater WATER HEATING., ei. I certify tharthis Certihicate'of Compliance documentation'is accu rate'. and -complete, List newly installed water hearers and boilers for both tdomestic hot teeter heaters (DWH) and, It.ildrortic spyce.heafiiigNewly installed .DtVHhe*it,rstind-boitirs;itusibigus: Piojpin .'oriisi.ihe'exivirieittve,, Water Heater, Typef ucltypcl` :Distribution Num In- (Standih.L S stcm Re6rculatindR_Valuc-3 Tank, - Capacity (jai) Energy Factor or 'Memml Efficiency' . b'dilding, design on the, other 'applicable compliance. Forms, worUheets, calculcitiong, plans an& pecifications, submitted to the Extemal Tank Insulation- GiR s.0.58 II SCLAO's r): )q Compan,y:= Dater & Address: Lictmse:. 05(0 E: 80-sc I i rt t. IZ D: 155 citylstatctzip: :.Phone: Mes,>.. ZA2I-85961a -SW9 -61 ol 5Q -t3 IF.X+l 2-3(o 1. Indicq e I Type (St or age'Gqr He"Y'Pionp Instantaneous, etc.). J. Recirculating sysfeins:,serviAg multiple divelling units: shaft •)neer the recirculation, re at rements, of q §150(iij, mw . sirementsdo not allow the iristalleition of 6 recir6jlatinwater healing system for single dwelling units - 3. 77je external dater heating tank and 'i es sha#6,e iristilated to Meet Air requirements of 5,150(j). Me Nesciiptivie 'Contractor or Homeowner(Documentation Author'siResponsible BuildingDesigper7s Declaration: Statement) ei. I certify tharthis Certihicate'of Compliance documentation'is accu rate'. and -complete, 9 I.am eligibli underbivisi6n I -of. the California-BusinessViand Profissions Code to,a . ccept responsibility I risibility. for the -building Aesign- idifitirted an this-Certifichteof Compliance * [certify thauthe energy :features an d performance specifications , for the. he. buildihg,design identi , fied on tfiis,Certirk ti of Compliance m6liainicii cQiif6rrTi to the'requirementsof the Cali fomia Code of f eguldtions., -Ibf Irttle 24, Part I and 6 . • The building design reatures identified on- this Certificate of Compliance. are .consistent with the information:provided to,documen't this b'dilding, design on the, other 'applicable compliance. Forms, worUheets, calculcitiong, plans an& pecifications, submitted to the e6forcement agency for approval'. with this building peritik applicatiom 7Y Name:--((' II SCLAO's r): Compan,y:= Dater & Address: Lictmse:. 05(0 E: 80-sc I i rt t. IZ D: 155 citylstatctzip: :.Phone: Mes,>.. ZA2I-85961a -SW9 -61 ol 5Q -t3 IF.X+l 2-3(o City of La Quinta j Building az Safety Division ?.C. Boz 1504, 78-495 Calle Tampico La. Quinta, CA 92253 • (760) 777-7012 Building Permit Application and Trackin; Sheet ' rnarc 7 i. • Call'- 22441aOL Owner's Name: Mdf h) n au ie— A. P. Nurnber. Address: 18 1 Calk a Ian Lags! Descr otion: Contractor. Call', p 1~Yt (( ' 1 address:Pjri.tl'y G f A 1_5:4 Cir/. ST, zip: La Q 44: V1253 Telephone:10M I Project Description: City; ST, zip: Telephone: 366 -oz SZa3 / ?;•tt:'3.s5 Y,s5'?f State Lie. R : %3 J f ! : City Lie. : /0 ! 00 cf-ce_ y Arch., Engr., Designer. r Address: r Circ, ST, Zip: Telephone: State Lic.;;'; Name oi'ContactPyrson dhn St /1 Tclephone # of Contact Person: 96 q 7--SZ-7 j Construction Type: Occupancy: Project type (circle one): New Add'n r Alte :.emir Demo Sq -Ft: # Stories: 9 Units: Estimated Value of Project 011q. 13 APPUCANT: DO NOT WRITE BELOW THIS UNE Submittal I Req'd Recd TRACELNG, PEILNur FEES Plan Sets Plan Checksubmitted Item Amount Structural Cafes. Reviewed, ready for corrections • Plan Check Deposit Truss Calces. Called Contact Person Plan Check Balance Title 24 Cates. Plans:picked up Construction. Flood plain Dian Plans resubmitted Multanical Gradin; plan Z"Review, ready for correctionwissue Electrical Subcontaetor List Called Contact Person Plumbing Grant.Deed Plans picked up S -VU H.0 1 AP?r.)V21 . Plans resubmitted Grading ( HHOUSE:- I J d Review, ready for corrections issue Developer Impact Fee Planning Approval Called Contact Person .I.P.P• Pub.: Wks. Appr Daie of permit Issue j S•:h Til Ft?s' I f I( Total Permit Rees