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09-1251 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �7985'0"PECAN VALLEY APN` 762=023-009- 0 Property Address: '9-000'01251 Applicant: Architect or Engineer: BUILDING & SAFETY' DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury thatt'an •i licensed under provisionsof Chapter 9 (commencing with Section 7000) of Division�3 of the Business and Professionals Code, and my. License is in full4orce and effect. License Class: C36ense No.: 880103 x ` Dat1 e: /� -..�G y /Conti • � - OWNER -BUILDER DE S 'ION I.hereby affirm under penalty of perjury that I am exemi i 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 anystructure, 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 m (comencing with Section 7000) of Division 3 of the Business and.Professions Code) or that he or. she is exempt therefrom andthe.basisfor the'alleged exemption: Any violation of Section 7031.5 by any applicant for permit.subjects the applicant to a civil. penalty of riotmore 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'structulre isnot intended or offered far 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 uvh6 does'the work himself or Herself. througfi, his or her own employees, provided tFiat the improvements are not intended or -offered -for sale. If, however, the building or improvement is sold within one year •.of.completion, the ownei-builder will have the burden of proving that he or she did not'build or 'improve for.the ptGpose 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 contractors) licensed pursuant to'the Contractors' State License Law.). - (_) 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: IT Owner: ARNOLD JOHN 79850 PECAN VALLE LA QUINTA, CA 92253 (303)941-4639 Contractor: ALVAREZ, JORGE A. PO BOX 984; THERMAL, CA 92274 .(760)777-3613 Lic. No.: 880103 VOICE (760) 777-7012 FAX (760) 777-7011 'TIONS (760) 777-7153 ��'-'• (�• � - Dai�� l/ 12/08/09 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty ofperjury one of the following declarations: I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided ' ., for by Section 3700 of the tabor Code; for the performance oftfie,warkfor which this permit is' issued. �•''- ' _ I have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of the.work for which this permit is issued. My work compensation insurance carrier and policy number are: - - Carrier EXEMPT Policy Number EXEMPT _ 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.l shouldbecome subject to the workers'•cornpensation provisions of Section • 3700 of the Labor C _ shall fo comply with those provisions. Date /Z-�-oy fApplicanL .t / - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES'UP•TO ONE HUNDREcrTHOUSAND 'DOLLARS ($:100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 7 ' APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of.8uilding and Safety for a'permit subject to the • conditions and restrictions set forth on this application. � - 1 . Each person upon whose behalf this apptication•is made, each person at whose request and for ' whose benefit work is performed under or pursuant to -any permit issued as 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 180days will subject permit to cancellation. I certify that -I have read,thisapplication 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 (pr y mspectlPPn-�r�jm �es/ Date: 1�7 a -��./ Signkature•IApplicantor.AgentC��� `��7 ... LQPER111 ' - - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1300 , BUILDING & SAFETY' DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury thatt'an •i licensed under provisionsof Chapter 9 (commencing with Section 7000) of Division�3 of the Business and Professionals Code, and my. License is in full4orce and effect. License Class: C36ense No.: 880103 x ` Dat1 e: /� -..�G y /Conti • � - OWNER -BUILDER DE S 'ION I.hereby affirm under penalty of perjury that I am exemi i 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 anystructure, 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 m (comencing with Section 7000) of Division 3 of the Business and.Professions Code) or that he or. she is exempt therefrom andthe.basisfor the'alleged exemption: Any violation of Section 7031.5 by any applicant for permit.subjects the applicant to a civil. penalty of riotmore 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'structulre isnot intended or offered far 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 uvh6 does'the work himself or Herself. througfi, his or her own employees, provided tFiat the improvements are not intended or -offered -for sale. If, however, the building or improvement is sold within one year •.of.completion, the ownei-builder will have the burden of proving that he or she did not'build or 'improve for.the ptGpose 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 contractors) licensed pursuant to'the Contractors' State License Law.). - (_) 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: IT Owner: ARNOLD JOHN 79850 PECAN VALLE LA QUINTA, CA 92253 (303)941-4639 Contractor: ALVAREZ, JORGE A. PO BOX 984; THERMAL, CA 92274 .(760)777-3613 Lic. No.: 880103 VOICE (760) 777-7012 FAX (760) 777-7011 'TIONS (760) 777-7153 ��'-'• (�• � - Dai�� l/ 12/08/09 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty ofperjury one of the following declarations: I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided ' ., for by Section 3700 of the tabor Code; for the performance oftfie,warkfor which this permit is' issued. �•''- ' _ I have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of the.work for which this permit is issued. My work compensation insurance carrier and policy number are: - - Carrier EXEMPT Policy Number EXEMPT _ 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.l shouldbecome subject to the workers'•cornpensation provisions of Section • 3700 of the Labor C _ shall fo comply with those provisions. Date /Z-�-oy fApplicanL .t / - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES'UP•TO ONE HUNDREcrTHOUSAND 'DOLLARS ($:100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 7 ' APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of.8uilding and Safety for a'permit subject to the • conditions and restrictions set forth on this application. � - 1 . Each person upon whose behalf this apptication•is made, each person at whose request and for ' whose benefit work is performed under or pursuant to -any permit issued as 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 180days will subject permit to cancellation. I certify that -I have read,thisapplication 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 (pr y mspectlPPn-�r�jm �es/ Date: 1�7 a -��./ Signkature•IApplicantor.AgentC��� `��7 ... LQPER111 Application Number . . . . . 09-00001251 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/06/10 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 (2) 50 GALLON WATWER HEATERS 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 1411 -j7o)r\t\ CERTIFICATE OF COMPLIANCE: RE51DENTIAL (Page 3 of 4) CF -IR — Project Title bate UA ' ' ' SEALED DUCT'SlandWslor AIt��'e Nleasules) A signed 0`411 Form nitist b� provided to the bilOduli-', &P011111clit for each home for \vIlich (lie followine. arc 0 reg urea. Sealed Ducts (all climate zones)(I nstal I or testing and certification and H ERS rater field verification required.) TXVs, readik accessihie (ciii-riate. zones all only) 0 �mcertification and HFAS Rater field verification required. aller tes P (Illst and liefrikerant Charge (climate zones? and.8-1 only) (lit taller testing and certification and HERS Rater field 0 0 verification required.) Olt \Is (See Pickaoe D Alternative Package Features flor A Iternative to Scaled Ducts and'Re(ri­-!liflA 0):MIC Ej Project CIimatc Zone in dic ki.-M A ppendix 8 ]"OhIc 151-C, Footnotes 7 -Id. For additions and atc5ti(MS, duets flimt nre not doe neli[ed (C; Fmve, been previously co sealed as confirmed through field asci dizign.clslic testing, ill ,(:' r(lance with procedures ill the 0 Residemial ACM N'tanual 1--ind duct .� a. 'Feet ill unconditioned j. -Ins \vkh n-.6re than 40, hhear —ispaces.slial . l'inect 111L . -L_ _Le( �tj !jf_Ljjjcjlts_of Page D. of Section 1.50(m) and duct X.VA'rVO UTV &'C(NC' SVC-ITV'C� SN,stem servinL, multiple dwelling units Energy Tank Rated I Factors or External Ulrkti. Tank I Distribu-tioll 1; 'Number 1 -l"hernijal. Standby Water Heater I Capacity 'CL Loss/u) Insulation Svstelll rit"Alf) Icle 1 --value f fri ' ncv Loss M I. For small ell7as SIOM2 'C 'Vater heaters i. rated input- ot, icss 111.111 or equal to 75,000 Bimilir), electric resistance, and heat Pump water licaters, lis( Enerf!v f'acior. For kii-e gas st onwe water he'aters (rated input of greater than 75,000 Btuilir), list Rated Input: Rccovery Ffficlency. Thermal'Efficlency and Standby Loss. For instantaneous gas water heaters. list Rated llll)Lft and ThHlmi Pipe Itistilatiori (kitchen lines _;1 31!-4 inches) All hot pipes FrOln the I)Catill� source to the kitchen Fixtures that are -3/4 inches or greater in diameter shall be. illSillaWd as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance forms I ,March 2005 Tank i Rated I , Input' Water Heater Distributi0l) i kv Check box if systern nicels, criterie. of ;i "Standard` syslern. Standard system is one v.as-fired water heater per 0 dwellinE;.1stem is unit. If dic water healer is -j• So,_,zilloii,,istli,�iiiaxi,iiiunicipa5:ityltiI recirculatioli\s or Type/Fuel Type 1 in SvSlk..ii ki./hr) not allov.-ed. Ali-1'-rnati%-(: (Vater FlUiting tableTzible 5-4 in Chapter 5 in the Residential Check box when using Preapprove d . Efficiencv Loss 0 Manual. No water heatirif, calculrmons are redun_t:d^alld the. systein com ties automatically- _ Check box if wstetil does not meet criteria of"Stailmand " systcm. and (.docs not con -,ply with the ('reapproved 0 :alternative Water Heminc, table. In !1w., case.. dic Perforr6ince Nlcihod must be used and must be included in the submittal. box to verifythat a ti.ille comrol is required -for a recil-CUlating'systern pump for it system serving 111111hPle o I.Check units SN,stem servinL, multiple dwelling units Energy Tank Rated I Factors or External Ulrkti. Tank I Distribu-tioll 1; 'Number 1 -l"hernijal. Standby Water Heater I Capacity 'CL Loss/u) Insulation Svstelll rit"Alf) Icle 1 --value f fri ' ncv Loss M I. For small ell7as SIOM2 'C 'Vater heaters i. rated input- ot, icss 111.111 or equal to 75,000 Bimilir), electric resistance, and heat Pump water licaters, lis( Enerf!v f'acior. For kii-e gas st onwe water he'aters (rated input of greater than 75,000 Btuilir), list Rated Input: Rccovery Ffficlency. Thermal'Efficlency and Standby Loss. For instantaneous gas water heaters. list Rated llll)Lft and ThHlmi Pipe Itistilatiori (kitchen lines _;1 31!-4 inches) All hot pipes FrOln the I)Catill� source to the kitchen Fixtures that are -3/4 inches or greater in diameter shall be. illSillaWd as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance forms I ,March 2005 Tank i Rated I , Input' Water Heater Distributi0l) i kv Tank Capacity Factor or Thermal Standby' External Insulation or Type/Fuel Type 1 in SvSlk..ii ki./hr) 110!15'1 Efficiencv Loss R -Value SN,stem servinL, multiple dwelling units Energy Tank Rated I Factors or External Ulrkti. Tank I Distribu-tioll 1; 'Number 1 -l"hernijal. Standby Water Heater I Capacity 'CL Loss/u) Insulation Svstelll rit"Alf) Icle 1 --value f fri ' ncv Loss M I. For small ell7as SIOM2 'C 'Vater heaters i. rated input- ot, icss 111.111 or equal to 75,000 Bimilir), electric resistance, and heat Pump water licaters, lis( Enerf!v f'acior. For kii-e gas st onwe water he'aters (rated input of greater than 75,000 Btuilir), list Rated Input: Rccovery Ffficlency. Thermal'Efficlency and Standby Loss. For instantaneous gas water heaters. list Rated llll)Lft and ThHlmi Pipe Itistilatiori (kitchen lines _;1 31!-4 inches) All hot pipes FrOln the I)Catill� source to the kitchen Fixtures that are -3/4 inches or greater in diameter shall be. illSillaWd as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance forms I ,March 2005 ,;Bin # � � ty of �.. aQulnt�-------- �. J' Building & Safety Division Permit: # P.O. Box 1504, 79-49.5 Calle Tampico 1La Quinta, CA 92253 - (760) 777-7012 aL1'tldina Permit Application and Tracking Sheet 1_Projcc.! d.dress: A. 1'. Number: -!_L _`�•�l'r__ rlx����- - 4 LQ P^ v i; Legal Description: Contractor: r 'f P,�v City, s Zip: C,�r Q-) 7 -7U Y Telephone.'•�// - >�, 1�' t r a� P t 1.��C e— � CI, NO � aAfr 94, I: / lD�r� % �.� (n 1 rs ; s ��E•r�-•�,3 t.{eY,z-...�,.�� ��(i State tate Lic. 8 : ,� �s�o ►o,�, City Lic ft II Arch., 13ngr., Designer: li Address: ---._._._..—.._.._...,.. City, S1', dip_ _ ...._._..... ._ .. 'Celephone: rt ' h� ! xt Construction'rype.; Uccupattc) State Lic. It: _--__�.-....«� I ��. 4L� Y' T - 5 , S Y•a- J �—_..--re-^'zTmTre>4l _ Projecttype Ncc•: �s Demo I ,3 -n tc 't (circle. olie)y Add'n Alter 1ti,pair Name ofC:onract Person fnits -� r L -11 Sy_ Ft.: � 1 it Stories: it,U : "Telephone # of Contact Person: Value of'apro�}ec-t: O O —Estimated _ _A APPLICANT: n0 fV0'i WRITE BELOW '!'!•fts LINE 5 Y, Submittal Rcc d TRACKl`NG ll, flan Setsi _Reca'd rERIYIPI' F'EIS t y� ���s: Ilan Check submitted ltcw Amount p Structure! Gales. Reviewed, ready for corrections flan Check Deposit Truss C:AICS. t� ! Called Contact Person N, flan Check valance w k Energy CRlcs. I tt 1'hns Flanked up -Y 4— Construction Floodplain plan € �!'tans resubmitted � ------ ttt`! n � 1.1ecllanical i� Grading plan _ the Review, ready -lite `Electrical subcoltactor 1.D$t Called Cbll[aeL I'1 a'Ynll ,� I'lllllllling Grant Deed 11 - Il Plans picked ull if ILU.A. Approval i flans resubmitted Grading ( 1 1N HOUSE: $ •h 1rf Review, ready for corrcctiuns/issuc � Developer impact Fee Planning tlppl ova8 Called Contact Person Pub. Whs. Appy Date of permit issue School Fees l l ut;al Permit Fees