13-0530 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number~ 1_3-00000-530
Property Address -rte _ 55 MORNING STAR CT
APN: 609-560-003-3 -23773
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 418 4.
T4hf 4 4 a"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JARAMILLO JOHN
43555 MORNING STAR
LA QUINTA, CA 92253
(760)464-6962
Contractor:
Applicant: Archit ct o ngineer: CALIFORNIA DELTA
6056 E. BASELINE
MESA, AZ 85206
(866)692-5273
Lic. No.: 811114
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 Cl ss: C10 C20 C3cense No.: 811114
Date: - -r--contractor:
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).:
1 _ 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-b6ilder 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 contractorls) 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:
LQPERMIT
ME
RD
VOICE (760) 777-7012
FAX (160) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/25/13
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, 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 bj�cmpl
workers' compensation provisions of Section
700 -of the Labor Code, I shal o hwiwith those provisions.
Date, 13Applicant::�5
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
within180 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_stafe'laws.relating to building construc 'on, and hereby authorize representatives
of thislcou ty�to me upon the above-mentiohed•p�operty for in tion purp es.
Date: ' / Signature IAppljcant-or-Agent):
_ 0D
LQPERMIT
Application Number .
. . . ." 13-00000530
Permit . ...
PLUMBING
Additional desc .
ti Permit Fee . .
22.50 Plan Check Fee
5.63
Issue Date
Valuation . . .
. 0
Expiration Date
10/22/13
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 40 GALLON GAS
WATER HEATER SAME
FOR SAME 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
1.0'0 .00 .00
1.00
Grand Total
29.13 .00 .00
29.13
LQPERMIT
APR/25/2013/THU ,11.47 AM DELTA MECHANICAL—NV FAX:No. 702-369-9578 - P. 003
[-prescriptive Certificate of Compliance: Residential Water Heating CF-IR-ALT-WH
General lnformatioa l'
site Address: Climate Zone:' Date 4i�13
;VOU Thu forst is only aced ur alter Ciun or addiriurr of hater {reatiag systems.
WATER HEATING
List ~carer heaters and boilers for both domestic hot Water (DffW) heaters and hydronic• space heating. Individual di elling DHIY
heaters mast be gas or propane fired. and may not exceed,jO gallons. Kot water pipe insolation from the DHTV heater to the
kitchen(s) and on all tinderground hot ~cater i es is required in.all component packages in all.clitnate sones.
< Energy Factor or
W,-j te r FT e ate r T,,-ne'ct ih rt v e -
Fuel Tvoet (Standard)- Sv Q E' cv Insulation it-value
GPIS STD )701 IS6 01d ,g
`/. lntficate Type (Storage Gus. Heat Pump. Instantaneous. etc.)
3. RecirculEjting systems serving multiple dicelling units shall meet the recirculation requirements of 150(n).,The Prescriptive requirements do not
allow the installation of a recirculating water heating system for sutele dwelling units.
. t/ e , L "77 1. Lal ! `ti LL L.& lid P(p1;4 J. 1,111 L ll J f r,7ae l I l: V ai c I a. t 1 .. e J R J
F
Contractor (JDocumentation Author's /Responsible Designer's Declaration Statement)
• ,1 certify that this Certificate of Compliance documentation is accurate and complete.
• l am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy fzttures and petfurmance specifications for the building design identified on this Certificate of Compliance conform
to the requirement's of Title 24, Pans I and 6 of the California Code of Regulations.
The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
buildings desist on the other applicable compliance forms, worksheets, calculations. plans and specifications submitted to the
enforcement agency for anoroval with this building hermit ap6lication.
Name: Signature:
John Santos
Company: Date:
-Detta MechanicalInc
Address: License; 811114 y .
6056 E. Baseline Rd # 155
CirvlStltcZip: Phone:c� - y -J 3 `
Mesa/AZ/85206
n
APR/25/2013/THU 11:47 AM DELTA MECHANICAL -NU FAX No,702-369-9573
P. 002
Sin #
0ty. Of La Quint' 3
Building ez Safety Division
P.O. Box 1504,78-49S Cale Tampico
La.Qulnta, 04.9.2253 - (760) 777-7012
Building Permit ApplicaCion•and Tracking Shea
petidt #
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ProjcctAdder:
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Ownor'sNarnw.
A- P. Number:
Address:
Legal Des 'on:
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City, ST, Zip: La Ql'in
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ProjectDaseriptionReplace 46 SAM
Address:(p0�'
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Telephone 6•b4a • 5a7� ;
Stats LIc. # : I4 Cl Llo. 4;
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City, ST. Zip:
Telephone:
State Lic. #:
Construction Type . C3t0 oc�upancy:
Projcct type (cieclo ona): Ncw Add'n Alter Repair Demo
Name of Contact Person:
Sq. FL-
t.rTel
Telephone
hone # of Contact Person
Estimated Valise of Pmjcrtr
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
submittal
Wd
'1ec'a
TRACJMG
PERI4fl:l' FEE :S
l'lau Sets
Plan Chee& sabmlued
Item Amount
Structural Calces.
Reviewed, ready. [or corrections
Pian Chtek Deposit • .
Truss Cales.
Called Coitsct Person
Plan Check Balance.
Title. 24 Calck
plans picked up
CorAt action '
Flood plait plan
Plans resubmitted '
111eritanleal
Giading plan
71 Review, wady for correetionsrutmuo
Elecalcal
Sabconisctor List
Called CoutactPU=n
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Grant Deed
plans Ocked up
SALL
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Plaus resubmitted
Grading
IN IiOM.V:-
"' Review; ready fbr correction lme
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub.". Appr •
Data of permit [slue
Schodl Fees
Total Permit Fees