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08-0458 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0'8-0000.0358 Property Address: 78580 SAGUARO DR APN: 646-312-043-93 -000000- Application description: PLUMBING Property Zoning: MEDIUM DENSITY RES Application valuation: 500 Owl _Q Wflylk... W�, M -M Applica t Architect or Engineer: t..s ii`dP� ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that.) am licensed under provisions of Chapter 9 Icommencing 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.:. 828264 oma rr d Contrac �LARATION. I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the. following reason ISec. 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 torfile a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law ICliapter 9 Icommencing 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, 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 ISec. 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 _ 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 VOICE (760) 77.7-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/08 Owner: HERRICK MICHEAL 78580 SAGUARO ROAD LA QUINTA, CA 92253 ( Contractor: D FOY, SCOTT A. 43579 MAIN STRE R INDIO, CA 92201 MAR 14 2008 (760)775-9405 Lic . No.: 82826 CITY w ......-_ 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 bf the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ACE INC Policy Number C45040239 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 3790 of the Labor Code, I shall forthwith comply with those provisions. tDate: - � App plicant:r�� WARNING: FAILURE TO SECURE WORKERS' MPENSAT ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE -HUNDRED THOUSAND DOLLARS (5100,000). 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. 1 "gree to comply with all city and county ordinances and state laws relating to building construction, and hereby ahorize representatives of this county to enter upon the above-mentioned property for inspection purR95 ,L. / Application Number . . . . . 08-00000458 Permit PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/10/08 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 WATER HEATER WITH NEW 50 GALLON GAS UNIT Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 22.50 ---------- .00 -----`---- .00 22.50 Plan Check Total .00 .00 .00 .00 Grand Total 22.50 .00 .00 22.50 LQPERMIT City of La Quints BwMg at Safety UvWm P.O. Box 1504, 78-495 Cage Tart�O U Quima,.CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet pan*g j Project Address: M50 cT L/G J Owner's Name: A. P. Number. Address: ' ii d Legal mon: City, ST, Zip: Lls [/ Contractor. Address: �� G . S� Telephone:S Project Description: City, ST, Zip: Telephone: Z25 ^ '• State Lic. #: City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo Name of Contid Person: Q , G Sq. Ft: #Stories: #Units: Telephone # of Coated Person:13--513EstimaDed Value of Project lj APPLICANT: DO NOT WHITE BELOW THIS UNE # Submittal Req'd Ra'd TRACKKNG PERMIT FEES Pian Sets Plan Cheek submitted Item Amount Stmctmxl Caics. Reviewed, ready for corrections Ptah Check Deposit Trus Calcs. Called Contact Person Plan Cheek Balance Title 24 Caks. Pians pirated up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsilssoe Electrical Sabeoatactor 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A-I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R Project Title Date. SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are OR ❑ Alternative to Sealed Ducts and Refrigerant Charge ITXVs (See Package D Alternative Package Features for Proiect Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. QR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section I 50(m) and duct insulation requirements of Package D. . _ Y :1 W -VA N 1 1 !3.`j`63001u1. Distribution Type ❑ Sealed Ducts all climate zones nstaller testing and certification and HERS rater field verificationrequired.) ❑ TXVs, readily accessible (cliriiate zones 2 and 8-15 only) ❑ (Installer tesiing and certification and HERS Rater field verificationrequired.) Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verificationrequired.) OR ❑ Alternative to Sealed Ducts and Refrigerant Charge ITXVs (See Package D Alternative Package Features for Proiect Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. QR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section I 50(m) and duct insulation requirements of Package D. . _ Y :1 W -VA N 1 1 !3.`j`63001u1. stems servina single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby Loss % not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential ❑ Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. in this case, the. Performance.Method must be used and must be included in the submittal. Check box to verify that a time control is required for a recirculating system pump for a system serving multiple ❑ units stems servina single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' (kw or Ba,/hr) Tank Capacity (gWions Energy Factor ori Thermal Efficient Standby Loss % Tank External Insulation R -Value Ke Cvctem cervine multinle dwelling units ---- --- -- --- - -- Water Heater T Distribution T Number in S stem Rated Input' (kw or BvAr Energy Tank Factor or 'Capacity Thermal Ions Efficient Standby Loss % Tank External Insulation R -Value 1. For small gas storage water heaters (rated inputs of less'than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water.pipes from the heating source to the kitchen fixtures that are 3/a inches or greater in diameter shall be thermally insulated as specified. by Section 1.50 0) 2 A or 150 Q) 2 B. Residential Compliance Forms March 2005