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14-0900 (PLBG)P.O. BOX 1504 '78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-00000900 Owner: Property Address: 54360 AVENIDA RAMIREZ NEWTON TRACY APN: 774-244-006-19 -000000- 54360 AVENIDA RAMIREZ Application description: PLUMBING LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 800 Contractor: Appl' nt: Architect or Engineer: STATEWIDE ,SERVICES INC 83780:CORTE SOLIS COACHELLA, CA 92236 (760)+984-0126 Lic. No.: 936147 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 Busin sand Professionals Code, and my License is.in full force and. effect. License lass: C36/, / License No.: 936147 Da %�f ifin0c tram _ I 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. sheis licensed pursuant to the provisions of the contractor's State License La* (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions* Code) or that he or -she is.exempttherefrom 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:dojlars ($500).: as owner of the property, or my employees with Wages'as.their sole compensation, will do the work, and 'the'structure is not intendedor 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. , 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/19/14 WORKER'S COMPENSATION DECLARATION I hereby affirm undecpenalty 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., ave grid will maintain workers compensationI insurance, as required by Section 3700 of the Labor Code, for the performance of thework.for whichthis permit is issued. My workers' compensation insurance carrier and policy, number are: ' Carrier MARKEL INS .CO' Policy'Number MWC0044614-03 - 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 uld become subject to the workers' compensation provisions of Section 3700 of the La C de, I shall forthwith comply 'With those provisions. ,4_1q,10 Applic 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 COS T OF COMPENSATION, DAMAGES'As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. 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. I certify that I have read this application and state that the bove information is correct. I agree to comply with all city and county ordinances and state laws relating to b ' ng construction, and hereby authorize representatives of th' county to enter upon the above-mentioned pr a for inspection purposes. Date Signature (Applicant on(Age !f Application Number . . . . . 14-00000900 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/16/14 Qty Unit Charge Per Extension 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 11.92 Fee summary Charged Paid ----------------- Credited Due ---------- Permit Fee Total ---------- 11.92 -------------------- .00 .00 11.92 Plan Check Total .00 .00 .00 .00 Other Fee Total 103.49. .00 .00 103.49 Grand Total 115.41 .00 .00 115.41 LQPERMIT Prescriptive Certificate of Compliance: Residential- CF-IR-ALT-DH[W Residential Alterations Project Name: I ,:p t, . D 'V-\ Climate Zone:. Permit #: W ATE&HEATING • l certify that this Certificate of Compliance.documentation is accurate and complete. List newly installed water heaters and boilers for 66tH domestic.hbt water heaters (DWH).and Intlronic .V)are heating. NeN•h installed DIM heaters and boilers uutst be as e, or ttsi dee existing rel type. Water Ikater TYpd� Type, Distritxrtim Type Standaird,Numtx7 In Tank �gy Facta or Rcc •)t. system Capacity (gal) llucmal Effixiency Extemal Tank Insulation R -Value' enforcement for rovafwiththis:buildin`, emir lication. L -T ET—o, siboatum: /Z C C II Date: LJ ity/S1MO. ip: Phare: rc�a %__�.3 1. Indicate 7ipe (Storage Gas, Heat Pimp, Instantaneotcr, etc.) 2. Recirculating systems serving -. .dwelling _ units shall meet the recirculation requirrrnents of §150(n). requirements do not allow the'insta(lation of a ircirculating %weiAeating system for single dwelling tants. 3. The e_vernal w+ater:heatin wank and s shall be insulated to ►nee( the rc uircrnents of §150(i) - The Prescriptive Contractor or Homeowner•(Documentation_ Author'dResponsible Building Designer's Declaration Statement) • l certify that this Certificate of Compliance.documentation is accurate and complete. • 1 am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify ",the energy,fewui+es aad'.performarwc specifications for the building,design identified on this Certificate of Compliance conform.to the requirements of Tele 24, Part l a46 of the-Califomia Code oURegulations. The building design features identified on .this Cettificate:of Compliance are consistent with the information provided to document this building design on the other applicable cotnpatahm foim_ s, worksheets, calculations, plans and specifications submitted to the enforcement for rovafwiththis:buildin`, emir lication. Name: IV � U Ot vy-�O V_ siboatum: /Z C C II Date: LJ ity/S1MO. ip: Phare: rc�a %__�.3 Permit # \u-,,-�0-0- city of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Permit Application and Tracking Sheet Telephone # of Contact Person: - / Owner's Name: U L,, Q�-C Submittal Req'd Recd Q��iiV14��r� City, ST. Zip: ` YYq� on` E Plan Check submitted Item Amount Telephone: Structural COW. , Proect Descri tion: 1 P ( �_- Plan Cbeck Deposit Truss Calcs. City, ST, Zip:14 Called] ontaet Person , Telephone• - ('( "• ��`�. � .�Y� State Lic. # : ( City Lie. Plans picked up Arch., Engr., Designer Construction Address: Plans resubmitted City., ST, Zip: Mechanical Telephone:. A Construction Type: Occupancy: Project type circle one): New Add'n Alter Repair Demo State Lie. #: . Name of Contact Person: �/ b` (a (' Sq. Ft : Stones: Units: Telephone # of Contact Person: - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural COW. Reviewed, ready for corrections Plan Cbeck Deposit Truss Calcs. Called] ontaet Person Plan Check Balance. Title 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for corrections/issue Electrical Subcontactor List CalledJContact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians 'submitted Grading IN HOUSE:- '`a Review, ready for correctlonslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees