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12-0050 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12_00.0_0.00.5.0 Property Address: 81120 CHANTICLEER DR APN: 762 -370 -022 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1211 T4tyl 4 4 Q" Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 lass: C10 C20 C3Li ense No.: 811114 Date:0/a: Contractor: 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 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/17/12 Owner: STEVE WARMICK 81120 CHANTICLEER DR LA QUINTA, CA 92253 D�LINC n �IJ Contractor: iJAN2012 CALIFORNIA DELTA MECHNICAL 6052 E. BASELINE RD, #1 5 C1'Py0!"!-A 0. UiNTA MESA, AZ 85206 F!,V02E L;EpT, (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 3700 of the Labor Code, I sh hw' h comply with those provisions. KDate: 1 / 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 Quints, 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��;Ziunature pon the above-mentioned property for ' . tion pur oses. ,Date: (Applicant or Agent): '' - Application Number . . . . . 12-00000050 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/15/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50. ----------- ---------------------------------------------------------------- Special Notes and Comments WATER HEATER'CHANGE OUT - 75GAL/GAS [2008 ENERGY] 2010 CALIFORNIA BUILDING CODES. January 17, 2012 5:20:01 PM AORTEGA ---------------------------------------------------------------------------- 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 x.00 .00 5.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 29.13 .00 .00 29.13 LQPERMIT •f Prescriptive Certificate of ComRliance: Residential Water Heatlnz CF -IR -ALT -WH General Information Site Address: \ ���- Climate Zone: I Date: l Z.b'12- NOrF: Thi arrn is onl used r alreralton or �tddittoir o water lraetin s terns. WATER MATING List water healers and boilers for both domestle hot water (DHPP) heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe kmladotn from the DEW heater to the kitchen(:)and on all undargrouird hot waterpipes is ra uired in all corVo entpaakVas in all climate aortas. • 1 cc* ftt tho ettorgy features and perforx =ec specifications for the bunftg dedgtt identiSed on tbta Certificate of Compliance conform to the requirements of'Rde 24, Porte 1 and. 6 of the California Coda of Regulations, • The bOdIng design, fut irss identified on tbia Certificate o£ Compliaaee are consistmt'with the luformation provided to documeat thin 13nergy Factor or agenoy fur sprioroval with ft buU&x vomit applicaftm Water Heater Typo % Distribution Type Number of Task Capacity Thermat Extemal Tank Fuel Typal Standard System �'DQ�886�892-5273 EfflciaAcV rn5watior, F, -Valu(' j Standard 1. Indicate 7jpa (Storage Gas, Heat,PoV. Invtntaneous, etc.) 7. Recirculating s}cf*w servtng multipte swelling unite shall meet the racircutathon requirements of 150(n). s Prseer(plive q am�gnts da not aliglp the in NHadon of a mctrcutatOw water haglaa' skm for at a dwaiu' g - t 3. The water haattng honk and pipes shall be imulaicd to meet the req<cfiwwu q f 1306). Contractor Tocumentation AWhotr's /RuponOble Desi er's Declaratiou 5tatem!nt • I certify that this Cart fieate of Campliwwa decontetitation Is accurate end eomplate. • I am eligible usAw Division 3 of the California Business and Profeasicns Code to accept n:eponsib>7 for the building dcaign id=Ued on this Certit9oate of complianec. • 1 cc* ftt tho ettorgy features and perforx =ec specifications for the bunftg dedgtt identiSed on tbta Certificate of Compliance conform to the requirements of'Rde 24, Porte 1 and. 6 of the California Coda of Regulations, • The bOdIng design, fut irss identified on tbia Certificate o£ Compliaaee are consistmt'with the luformation provided to documeat thin balldtag design on the other applicable compliance forma, wadmheets, ealmvlations, plane and speeifieatioae submitted the enforcement agenoy fur sprioroval with ft buU&x vomit applicaftm NO.M. 11 / / IA % signature: Compaay:Callfornla Delta. Me anicai Date: ,sem X71 Z_ Addreae:8056 E. Basellne.'Rd., #155 I.icenae;g:lg114 C'Wy iste(zlp'Mesa, AZ 85206 �'DQ�886�892-5273 Din # City of La Quinxa Sut(ding at Safety DMIdn Permit # P.O. Box 1504, 78-495 01le Tampico 4 Qulnta, CA 92253 • (760) 777.7012 �1..ero5� Building Permit Applicatlon and Tracking Sheet Project Address; ^L Owner's Name: A. Y: Number, Address: i �2 014* L Legal Acscri tion: City, ST, Zip. q uiA L Contractor: P}m" Ci � �L7 telephone: Address: 605-6 8, b `ro— IS:5— ProjectDeaoription: City, sr,zip:/� Z p.5�206 Telephone; .� 2 State Lie. # : city Lia l0 k00 y , Aroh„ Bag, Designer: Address: ' City,, ST, zip: Telephone: CoAstruetion Type. Occupeacy: "rojoet type (otrcie o=): New Add`a 1 :topair Demo State Lia #: Name of CotOct Person: C i�W Sq. Ft: # Sintits: ^ # Unita: xelephoaa # of Caatect 1?areon: g6 A,6 Z — 7J Bsdtnatad Value of Project 1) , ?j APPLICANT: DO NOT WHITE BELOW T141S LINE # Submitral Xt 'd 'Xtee'A TRAC-"fSMG l?1l:XtIM FM Plau Sete Plan Check submitted Xtem Amount 8trueturat Calve, ReAcned, ready for corrections Plan CbeckDepoalt Truss Cales. Called Contactrirson, Plan Check Balance. Title 24 Cates. Plans picked up Conetraetlon ' Flood plain plan Plans resubmitted Mechanical Grading plan a" Review, ready for cormctionsAme Xleettical 8ubcontactor Llst Called Contactftaon Plumbing Orant Deed Plena picked up S.Mj' FX,Q.A, Approval Plans rasubmltted Grading M HOUSM.- ' 'e0 Review, ready for eorrectionstissue Developer impact ilea Planning Approval Catled Contact Peraoa AILP.P. Pub. Wks. Appr Date of permit Issue achodl Bees Total Permit Fera poi -50H, ILI Vim 8 d ti56� 'IN. 3AhS MS: S 6106 "9l '�.pf