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13-1028 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001028 Property Address: 44340 BUTTERCUP LN APN: 604-083-006-69 -22982 - Application description: PLUMBING "Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1929 Applicant: T-ihf 4'44 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: V,,\P LICENSED CONTRACTOR'S DECLARATION 1 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.: 880269 Date: �5�1Contractor: l CJI ' NER-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, 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 _ 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.). (_ 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: Lender's Address: LQPERMIT Owner: ELIZABETH LELAND 44340 BUTTERCUP LANE LA QUINTA, CA 92253 ( Contractor: FRANKLIN PLUMBING, B 3030 MYERS STREET RIVERSIDE, CA 92503 (800)600-0675 Lic. No.: 880269 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/15/13 ffDI e D N AUG 155 2013 CITY OF LA QUINTA FINANCE DEPT. 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. mltave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor L Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier INS CO OF WEST Policy Number WVE502266100 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 O 3700 of the Labor Code, I shall forthwith c mply with those provisions. Datelk C; -k27 Applicant: WARNING: FAILURE TO SECURE WORKERS' COM SATION 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. 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 county to enter upon the above-mentioned property for inspect i poses. Signature (Applicant or Agent): f LQPERMIT Application Number . . . . . 13-00001028 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/11/14 Qty Unit Charge Per Extension 1.00 . ' 11.9200 EA PLBG WATER HEATER/VENT 11.92 ---------------------------------------------------------------------------- Special Notes and Comments WATER HEATER CHANGE OUT - 50GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S)- LARMS)-TO TOBE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 7.15 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 98.72 .00 .00 98.72 Grand Total 110.64 .00 .00 110.64 Bin.# QtyOf ici QurCltci Building & Safety Division P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 - (760) 777-7012 Building Permit Application' and Tracking Sheet Permit # 2,r� �l LOP Project Add=: Owner's Name:. A. P. Number. _ on— Address: 44;- -A o 6Y C_u Legal Description: City, ST, Zip:C, G S3 Contractor. Lyt \LN Telephone: # :.> Address; e- C_ SF)� P(� Project Description: C50O�PA6 City, ST, Zip. q �0��� 0La_V^0_CA, Telephone'OA X1 (a State Lie. # : o ;4�9 City Lic. #; Arch, Engr., Designer. (J 1 Qc Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: Conswctlon Type: , Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories:# Unit.5: Telephone # of Contact Person: Estimated Value of Project: • 00 APPLICANT: DO NOT WMTE BELOW THIS UNE # Submittal Rcq'd 'Rec'd TRACMG PERM FEES -Plan Sets Plan Check submitted Item Amount Stmctural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Caics. Called Contact Person Plan Check Balance. Title 24 Calls. Plans picked up Construction Flood plain plan Plans resubmitted Mahaiiicat Grading plan 2'! Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M I. H.O.A. Approval Plans resubmitted Grading IN HOUSE-- '^' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees /z Prescriptive Certificate of Compliance: Residential Water Heating _ CF -IR -ALT -WH General Information Site Address: LALk-6AO O&kleyrUpClimate Zone: Date: $— G,— NOrE. This form is only used or alteration or addition of water heatinx systems. WATER HEATING List water heaters, and boilers for both domestic, hot water. (DHW)'heaters and hydropic space heating. .Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50. gallons.. Hot water pipe insulation from the DHW heater 'to the kitchen(s) and on all underground hot waterpipes is required in all ctimponent packages in all climate zones. • 1 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, Parts 1 and 6 of the California Code of.Regiilations. The building design features identified on this Certificate of Compliance are consistent with the inform ovided to document this Energy Factor or Water Heater Type / Fuel Type'(Standard)` Distribution Type Number of System Tank.Capacity al Thermal External Tank Efficienc Insulation R-Value3 Company: (L�/1. ate: Address: J o LOI —� City/State/Zip: �• , ` \ Q � Phone 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of 150(n). The Prescriptive requirements do not allow the installation ofa recirculating water heating system for single'dwelling units. 3. The water heating tank and pipes shall be insulated to meet the requirements of 1506), Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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. • 1 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, Parts 1 and 6 of the California Code of.Regiilations. The building design features identified on this Certificate of Compliance are consistent with the inform ovided to document this building design on the other applicable compliance forms, worksheets; calculations, plans and s- ' tcat" submitted to the enforcement agency for approval with this building permit application. Name: R Signature: Company: (L�/1. ate: Address: J License: City/State/Zip: �• , ` \ Q � Phone 2008 Residential Compliance Forms March 2010