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08-0699 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: —08-0000"0699 Property Address: 48611 PASEO TARAZO APN: 646-082-006- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 773 c&ty/ 4 4 Q*& Applicant: Architect or Engineer: � M BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 o the Business and Professionals Code, and my License is in full force and effect. Licens/Clasps: C36 License No.: 811114 Date:—/�O'�� C� rector: OWNER -BUILDER ECLARATION 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).: I _ 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 1 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: 4/28/08 Owner: CARLOS PONCE a 48611 PASEO Tt LA QUINTA, CA, 53. APR 2 81000 Contractor: I CITYOFLA CALIFORNIA D A_NIF 6052 E..BASELINE RD, #155 MESA, AZ 85206 (480)898-0007 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 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 the Labor Code, I/shall forthwith comply with/those provisions. te Can 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 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 a d state laws relating to building construction, and hereby authorize representatives of this county to enter up the above-mentioned property for inspection purposes. ' te: 8 ignature (Applicant or Agent): LQPERMIT Application Number 08-00000699 ` Permit PLUMBING Additional desc Permit Fee 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . 0 Expiration Date 10/25/08 . Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000EA PLB"WATER HEATER/VENT --: 7_.50 - -------------------------------------------- Special Notes and Comments INSTALL 50' GALLON GAS WATER HEATER Fee summary Charged Paid Credited Due Permit Fee. Total 22.50 .00 .00 22.50 Plan Check Total 5.63 .00 .00 5.63 Grand Total 28.13 .00 .00 28.13 LQPERMIT 04/25/2008 FRI 12:41 PAX CERTIM ... TE O) OMDM Urniw.t'rvHa T A signed OL4R Form must bt provided to the ware • . each hom for which the Mow4 are Ia003/003 OR 3A to sewed Duds and �g �� d zou;n *0 RM t t4�sel/s>:Xl vF(sooitrotcks AnaiveftdmpFen+fa 'OR © Ft�di awd fi sy�te+z�s tbai are not dogtmouted tO,have been previously' ; ooafirmed aI ACM Mmual sad 10� is accosdMte wilt procedu = In se shall meet fine feat in uaAonditioned WATER HEATING S"YSTEQMS 'aa 1 m and dui oP l). Check 6aa'ii system meets exuoria of a aye; 13- dw eiGng unit. Iftb o wafer beater ' Si$ndard system is oae $ ncd watyr b not atlativbd_ a storaga sp gallaas is themaxiuium•,eapaeaty mrd. r Qr Fi Ub ons � is Cluck boot whey Usiqg Msatual. No vra#er moons � � � � �. TandC S-4 iu.Cbapter 5 is ttt Residential Cteck box.system does not atect otari$ pf"�, Ties aubma C� Alba tine Wa1e� Heating 6W Ya ft�eM, and does notco mply with the &eapps oved submittal; COS , PoePafot M Mctbod must be used and most bo imcludod in the . �j Chcc box io vrrily that atime control is required for avec ulap I units • . US system Pump for's systian =via& mulilpio sterns serv'ia sla a dweilia .uni Raw T�gle WaU Heater Dishibutiou . NiunbarTYPO'l. I*e ' Task,. • loss !�S' % YZ 'Vsltle ... • tem servingtntui ' le 8welliri' units RXed "arc wat9rlicater '. Distribution _ Number . Inputs Tack Factor or Fa ent$j e' io steal.°` Capw't3' 'Yberma) StEndby' IasulatQott . , . � obs �oien -•I..ass �6 .R �latue 77r- �. 7. For smalE'gas storage water heaters rated PUMP water heaters, list F t inputs AF lCS$ than or PQUAi t9 75,000 $tu/hr� eieehje�misbwo, anti teat Fir aaor. Aar gas sfo�ge i�atea •ids input of grezi er than 75,000 Bfulhr), ilei Rated Input, Rtcbvay g�oiemay, Thl?f is enay ted Standby Los s. Zior inctemagwus gas water 'hc*ter . list Rated Input en4 nermal pfHc;ienoibermal. Y'x e�jnsttlation (lciiciiefl line�> 3/d inch w).All bot water pipes from tho sea * souroc to the ldtobc:; fLvfures that , a/q inches or greater in diameter shall be iherulally.insalafcd s .. specified by mon i 5ti () z A or l5o G) 2 t3. 80 3!DVd 0-13 3_1HAVd SiNf100d 5179981Z08b • Z0:ZZ 800Z/61/00 04/25/2008 FRI 1.2:40 FAX Q D02/003 Bin City Of La Quints Butfdfrdg BT Safety divtslon P.O. Bout 1504, 78.495 Calle Tampico ' La Quinn, CA 92253 - (760) 777-7012 Building Permit Application and Tracidng Shea Permit Project A,ddtw: gp �a Owner's Nemo: G OJ e A. P. Number; Address , Legal Description: City, ST, Zip; � et Contractor, hone: /Q-256 Address: d #15 Project Description: /� d1 % Ck, ST, zsp' riy'% e.4.0,Gr 3 62,0 �G/ a4 101)4-42-41, bate Telcphone; #go MIM. C/ Stabs Lic. # : City Li¢. lk Arch., Bagr, Designer: Address: ' C,ty� ST, zip. Telephone: Coristrucdon type- Oerupa3cy: Stwx Lic. #: Projcct typc (circle onc): Now A.dd'n Ater RAp air Demo Name of Contact Pelson:LiSq. Ft : # StAties #Units; •Trdephone # of Contactl'erson: Q -fJ�O Estimated Value ot'Projecr APPLICANT: DO NOT -WRITE BELOW THIS uM p Subtotal Ite4'd Reed TUACI NG PE: C13 4 no see Pian Check submitted Ltcm Amount Struerurral Calea Reviewed, ready br eorreetioes Plan Check Deposit ' Cates. dross Called Contact Person Pian Check Raluce , Tide Tri Calls. Plane picked up Construction )Rood plain plan Flans resubmitted Mechanical Grading plea Z°! Review, ready for eorrectionaftue Eieeerical subcontractor UA Called ContaotPwon Plumbing arsmtDeed )'lens picked up S.M,I. H.O.A. Approval VAN resubmitted Grading IN SOUSE:- *' Revtcw, ready for enrmcdousllssae Develop er Impart Fee Planning Approval C Red Contact Person AIM Putn'Wks. Appr 04to of penait iwuc MOM Fees Totw Pnrtait Fees L0 39vd OId 3-19AVd S1Nnoov SV99BIZO80 ZO:ZZ 80OZ/61/b0