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13-0244 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000244 Property Address: 45010 BRIDGETTE WY APN: 604-311-001-1 -26188 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 995 T444f " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Archit ect or Engineer: ------------------ 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 ass:. CIO C20 C3 License No.: 811114 //'' r Date: � YJ Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.). I—) 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: 3/06/13 Owner: KABEL JEFFREY 45010 BRIDGETTE WAY LA QUINTA, CA 92253 D ( 141 l 0 5 2013 Contractor: CALIFORNIA DELTA MECHNr�-per INC 6056 E. BASELINE RD #15-5 I' 0"LAQUIFITA FINANCE DEPT. MESA, AZ 85206 (866)692-5273 Lic. No.: 811114 ----------------------------------------------- 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 subject to the workers' compensation provisions of Section �/r 3700 of the Lobar�itlh comply with those provisions. Date: Jo I 3 Applicant: 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 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 co my to enter upon the.above-mentioned propert �nsppeectii�p�urpooses. Date: 3 Signature (Applicant or Agent): l ..GI /1 Application Number . . . . . 13-00000244 Permit . . . PLUMBING o_ Additional desc . ` Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation 0 Expiration Date 9/02/13 Qty Unit Charge Per Extension Q BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE AND. REPLACE 40 GALLON.GAS WATER HEATER CHANGE OUT 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 Sin # City of La Quinta Building 8i Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheet Permit # -� Project Address;qft Owner's Name::.FF....._...Kci,60 A. P. Number: Address: 4500 brid8e City, ST, Z,ip: L-416 Qu(nCAt %253 • :,xzv:..:�r.:�'�'<:�ks�•�;.' Legal Description: Contractor: Address: ^ I b,e- Project Description: 1 2 M -nm City, ST, Zip: Telephone:MOWN" Yr N:aA State Lie. #: VIA City Lie. llc Arch., Engr., Designer: Address: City, ST, Zip: Telephone: p State Lic. ,fir <,. :. 'Y; .3 `j��;,,.<�1j).�rQ.s!r: Y.< w;' �(p Construction Type: (/� Occupancy: Project type (circle one): New ? dd'n Alter Repair Demo Name of Contact Person: ©�n A Sq. Ft.: # to #Units: Telephone # of Contact Person: • 5213 Estimated Value of Project 13 APPLICANT: DO NOT WRITE BELOW THIS LINE k Submittal Req'd Recd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Pian Check Deposit Truss Cates. Called Contact Person Platt Check Balance_ Title 24 Cales. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2i1 Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^` Review, ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW Residential Alterations Page l of 2 Project Name: Climate Zone: Permit #: General Information Site Address: LWOEnforcement Agency: {a- I Date;o7 W /3 Building "f e: Single Famil O Multi-Fanfily Project 'f e: CI Replacement or Change Out of Water Heater WATER HEATING • f certify that this Certificate of Compliance documentation is accurate and complete. List newly installed water hearers and boilers for both domestic hot water heaters (D►VH) and hydronic space heating. DCVI{ heaters and boilers must he gas. propane, or use rhe existin ueI t1p e. [Newly installed Water Heater Distribution Type Type/Fuel Type' (Standard' Recirculating)' Number In 'Tank Energy Factor or System Capacity (gal) Thermal Efficiency Extemal Tank Insulation R -Value building design on the other applicable compliance forms, worksheets, calculations. plans and pecifications submitted to the OA62 141. Signature: jok r, S%n' 0 Company: Date: IIF�a eon a/13 Address: License: indicate Tvpe (Storage Gas, Heat Punzp, Instantaneous, etc.) 2. Recirculating systems serving nn(/tiple dwelling units shall meet the recirculation requirements of §I50(n). requirements do not allow lite installation of a recirculating water heating systetn for single dwelling units. 3. The external water heating rank and pipes shall be insulated to meet the requirements of §150('). The Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) • f certify that this Certificate of Compliance documentation is accurate and complete. • i 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 features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, PartI 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 building design on the other applicable compliance forms, worksheets, calculations. plans and pecifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: jok r, S%n' 0 Company: Date: IIF�a eon a/13 Address: License: (o05(0 E cine 1ZD 155 %1111q ity/Sta(c/Zip: r Phone: M-eso,- / All 81900 ?W9-09- 5-1-73 Ex+ 23(fl