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10-1333 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10700001333 Property Address: 53065 AVENIDA CARRANZA APN: 774-045-016-4 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 646 Tiht 4 4 Q" Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. Liqppge CI •s: -C10-C36 A--tiLqnse No.: 811114 Date: 1& 110 leonlractor: — �l 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 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.). (_ 1 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: 9 Lender's Address: 1 LQPERMIT Owner: KAREN JONES 53065 AVENIDA CARRANZA LA.QUINTA,' CA 92253 Contractor: CALIFORNIA DELTA MECHNICAL 6052 E. BASELINE RD, #155 MESA, AZ 85206 (866)692-5273 Lic. No.: 811114 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 --------------- - - - WORKER'S COMPENSATION DECLARATION Date: 12/07/10 w U L p g 10 L 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 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 / 3700 of tabor Code, I sh o. hwith ompl with those provisions. Date:' ✓ Jpplicant: WARNI G: 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 ($100,0001. 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. 1 certify that I have read this plication and state that the above information is correct. I agree to comply with all r1I and county ordinances nd state laws relating to bu'Id' construction, and hereb authorize representatives his co nt oenter u n the above-mentioned propert r in a es. e: f O ignature (Applicant or Agent): Application Number . . . . . 10-00001333 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/05/11 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 50 GALLON ELECTRIC WATER HEATER. 2007 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 6zc• 1. 2010 10:551AM DELTA MECHANICAL ..._......._........ N 4011 P t y. t i , r.. t :e riilzc:>tfr of Coln phE:tace;�Residential Waiver Heating C .E'-I.�-l0, . .. � . •. I trio ;19,�fl l i 0/�lfi/—/,�j/_.—�—/.--� - _�,/y—� y��7 �, —.. .— .. � _ ..__ ._-,--._..� .....,. • •I. ..iltl'..�.,.. f/ /��d7,/ //Y�¢� �/ v`f �(.P�V CIIll]a'f P. ZDFerrs' ��,�_ 1)�'tC; ��//TD 1;•r'ru is oii?p used for alteration or addition a werter Ieeati� and boile,s for both domestic hot water (DHFJ9 heaters and hydropic space heating. Indi}ndual d5welhng I.% Wv.w ba! goc or propmTe fired, and may not exceed 50 gallons. Hot water pipe Walation front the DIM heatp; r.: ctnd cm oll undergrouml hot waterpi es is required in all componentpacicagesin all climatezo)7eS. — Enca gy Factor or v, -; ,,r 1-tt.viper Typo J DistributionType Number of Taztks Capa(ity Thea=al )ExteaW.".:. (Standatd)� _ S stemEffici`e�ncy tisulation !S jYv�ivm1L -- Standard_ -- -% -- vp 1 7jpc Oirroge Gas, fleatPump, Instantaneots, etc ,,. ,; cuiot,u, syst=ms .Serving nnrltiple dweTli»g traits s;�qh �neei the recirrulntion ra ariremer,ts o ISDrn . The J'ra^ .rz five re t•fre9,e;: �., r:,ir ma ,mv ttrc er heattrrsrstem or > drzzle dwetline 111Z14s. tank crnd pipea shall be instdalcd to meet the requiremermg of 150(/). IIT1;Icing (tloclzmentation Author's /Reams onsible DcAen r'a Declsxafiu State>.neat) --_—_ : v-,rtiig that this Certificate of Compliance doeameatationis acet,z•ete end coixtpletc. i I am eligible under Diviaien 3 of the California Business and Professions Code to acccpiresponsibilityfbr the bmldiztg desigo.idcutift d n:- tiw; Certificaie, of Compliance. :.:t:iW,Qia(fhe cvergy fcauuea andperFotmance specifrcatimm fomite building design identified cm this Ceili icste of Complianec con::•-:: I: � l!t: c:gttui II}eats of Title) 24, Pens 1 and 6 of the California Code of Regulation. : a,;: L�ild:ng d?Sigll features identified oA this Ccr[lficatc of Compliance mre consistentwiththe m armationavi,�ied to doctLmcnt for ittiiug cieaie on the athex applicable complienceforms, worksheets, caleulationa,,plana end-*tE6d tSilt f6hitted to'ihe cdforce*niv fnz a fUW -with finis building PgjIlRt application. Cnliiornia Delta Mechanical Date ' i" ' 6a56 E. Baseline Rd„ #153 lj-- 1e:B11 11!4/ 1 : ri'retcr;ip:�eSa, AZ 35206 — Phone;. -- 366-692-5273 ; r;;: c"oa;glrmce For,ns �' - — - — Mom/? 20i Dec. 7. 2010 10:17AM DELTA. MECHANICAL No. 4017 P. 10 Din City Of La Qt rota Building 8r Safety Dlvlsion Permit # P.O. Box 1504, 78-495 Calle Tampico QuMta, CA 92253 - (760) 777.7012 4wilding 10- I .�J3 Permit Application and Tracking Sheet Project Address: own'es Name: A_P.Number_ Address: -SO(v5VIe11 Lcgal Description: City. ST, lip: L C f } 9 Z Z53 Telephone: Contractor: of Address: CO -5-6 � . 6 m— f ., 1S]5—Pro ect Acscriptioa: City, ST, Zip- Nun Z, ?5? V 6 j ' �, ' " a�(.� o*L Tolcphone: 366 -01 "- 52 3 State Lic. # : City Lia &: l0 q 00 Arch., Bog, Dcsiper. - Address: City., ST, Zip: Tel,. -phone: Construction Typo: Occupancy: Stato I,ic. 4: attype (circle one): Hew Add'n ter ' :.epair Demo FSq. Name of Contact Po non: t: # Stolibs: # Units: Tolephone # of contact pemon: 966- a 2-5-Z &ftmtcd value of Project. r/ APPLICANT; 00 NOT WPJTE BELOW THIS LINE i/ Submittal =4 Rec'.d TRACING £ER11mTlrs Plan Sets Pian Cheek submitted Item Amouxt straetural Calc% Reviewed, ready for corrections Plan Check Dgw1t Truss Cales. Called Coatactr4son Plan ChcckBalaure. Title U Calcs. Plans picked up Construction Blood plain plan Plans resubmitted Mechealcal Grading plan V Review, ready for correetionsn=e Electrical Subcantactor_ilef Called CoutaetPorsan Plumbing Grant Deed Plans pfckcd up SM -I, H.O.A. Appra-M Plans resubmitted Grading IN HOUSE:- ReAw, ready for wrrectionvIssue Ilevaioper ImpactRee i'lanaing Approval Called Contact Person Pub, Wks. Appr Date of permit issue School Peee ' • Tatal Permit Bees