PLBG (08-0698)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000698
Property Address:
53950 AVENIDA MENDOZA
APN:
774-173-010715 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
773
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
VIC CIMARUSTI
53950 AVENIDA
LA QUINTA, CA
MENDOZA
92253
Contractor:
CALIFORNIA DELTA
6052 E. BASELINE
MESA, AZ 85206
(480)898-0007
Lic. No.: 811114
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/08
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - - - - - - - - - - - ---- / - - - - - - -
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: ��C�ntractor:
/ OWNER -BU LDER 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).:
(_ 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.).
(_ 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.).
(_) 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
1 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 FLTND 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
i 3700 of the Lar Code, I )Shall forthwi omply with those provisions.
D v� icant:
WARNING: FAILU E.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, andthe 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 c ty to enter upon t,above-mentioned property for inspection purposes.
�Vature (Applicant or Agent):
Application Number . . . . 08-00000698
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 EA 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
LQPERMIT
04/25/2008 FkI 12;41 FAX
1003/003
t
L_C_ �� tJ�- F+ 2 Z`�S Date.
SEALED UM and T'Vs or Alternative 1V1(casutes
A signed E 4R Form must ba provided to die buildingartmeat fes eacfi Loa4e for which the foUowai are
- -.. """"�°hen O'tLMlotea'.frddverification ed:
p • T7{Ys, readily accxssiMe (clirYra xf;nes Z a Rater
0 )
and certiftc.ation and MFRS w -fieah
Miq
o ctinaate sad 8-15 onl 'ued.
vaifiM40 i ( sones 2 y) (�staller testing and arti&ation and HBitS Rater Meld
OR
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eet fair Zozhe in the RM hx B Table I51 Footnotss 7-I4- Pam for
For and duex systems drat are ,
aonfa�ed been
W meted tahave
Sewed hal ACM Mmad ad duct d`= and deo t iQ aaoomana ura in the .
_ shall msec the � 7°S' more tt= 40 linear feet ia-u=nditiwed
`PPATF, $EA'X'ITtG SiCS'1'E Section I ' m z duct mon of D.
%.40Mcm-irsystem meetscriteriaofa d-
" SYstan: Spud
dwelling umiL Tfthewates header- I5 al stocaga SO syr is oaie�v-fi'i+od avatar hear pcsr .. .
not allowed �YPe. ! is dumakiln n: r and. reIm Mft is
p Clz ck bort vvh� usihwg I�approved A!
Mdaual. NO tivaQex - calcuaatioars �nuatrve VI/84er YiCatmg table. Table. S-4 iu•t�apter S iri tfre Residential
Check box irsystem does not mad acoria of`�ud�d � vad oo lies autemratIeaQ
Akeara�re Walex MI Mable. -b &is � #ae pcxF �' and does not COM* _v d(h the 1?reapprnved
46b: o Melhod most be rid and mint to included in dre
E3 Choc& boat to vea�y that a tiMu �;ol is required $oc a t earenlatia
wets .. Z s!'� p a system serving oautiiple
toms se a dwelfn .utaits
RatedTank ,
Wthta Heater Distribution Nuimbor. � Tank p4cW' or IDctfaal .
TYPVVW' steer ON or capacity Thermal Standby' Insulation ,
. 1?eci Irons' R Yaltur
S gAti Ie dwelliu: upits
GVhrttr Heater bistrrbuiion Number
1. Por sma11 gas storage water heaters (rated inputs of less
• puuxp water heaters list En F
lnpulr
Wer
$
theI
Tack Fadoe or
Capamity. ' 1 errmat '
toes R�Cicu
Tank
Extr W
Standbys it rla M
"lAss % •.R Value -
or equal
to 75,000'Bl%Xft), olOctric resistance and lot
list hated In 1 tactor, • POr large gas storage water -beaten (rated input of STeker thm 75,000 - . > Put, Recbvwy L%eieA4, I'hrraW Efficiearcy and Standby 1.dss- For ►nstarrtanwus gas: watt'
•'haters; list Rated Input an4 Theinral Eibclenci
Pips IMsalatift (ldtd= fines'?: 3/4 inches w
' inches or greater in diancastp shall ba )Ail hot water pipes from the hexsiing souroc to the kitchen fiirium that !6.t 1/4
emhally.insulated as speciSed by Seolion 150 (j) ZA or 150 0) 2 B.
i
90 39tid 0I3 319AVd S1Nnoov SP998TZ08b ZO:ZZ 800Z/61/00
.04/25/2008 FRI 12:40 FAX
i
Q002/003
Bin # Qty �o'f La Quinta
Bluld�g 8t Safety Division
Permit # P.O. Bax r , 78.495 Calle Tampico
La Qtrin�a, 92253 - (760) 777-7012
Building Permit plication and Tracking Sheet
Project Address: is Name: '
G
A. P" Number: M e ti A o' A : 5 e -A 'l cto,
Legal Description: Cil , sT, zip:
Contracaar. T bone: -
Add=s: ( tDescription
City, ST, Zip: 441 a
Telephone: ®►�
State Lit:. # : City Lie. 11:
Arch., M%r., Designer:
Address: �
City, ST, Zip:
Telephone: CgMftcziolt fypfr Occupancy:
State Lic, #: jccttype (circle one): Now Add'a Alter R.opair Demo
Name of Contact Person: j�j) �7,p S®. Ft : Stories # Units:
Telephone#ofContact?arson: o—
d Value of Project;
APPIJCANT; 00 NOT. BELOW THIS UNE
#
Submittal
•Re d
Itec'•d
TRACWG
PERMITFEEB
Pian Beta
Plan Chedt submitter
Idem
Amount
Strueutral Coles.
Reviewed, ready for to" "ens
Pfau Ctuxlt DeposR
Tran Cake.
Called Coniaet Parson
Plan Cheep 8elauee
Title 24 Cain.
?I" picked uP
Construction
Flood plain plan
Plass resubuatttd
Metha►ileol
Grading plan
2"`" Review, ready for to daus/issue
Electrical
Subeentactor List
Called ContaetPena
Plumbing
Grant 0ced
Plans pieked up
H.O.A. Approval
plans resubmftd
Grading
LAi IIO>JSE:-
fC° Revlew, ready for torrcfdoasNssne
Developer Impatt Rae
Piantdng Approval
Called Contact Person
Pub. Wim Appr
Date of permit Iasae
Stbo6lFees
Total Permit tees
90 39Vd 03d 3-IGAVd S1Nfl00d Sb998TZ08b Z0:ZZ 800Z/6Z/U0