14-0382 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA,QUINTA, CALIFORNIA 92253
Application Number:
14.00000382
Property. Address:
50650 NECTAREO
APN:
772-360-027- - -
Application description:
PLUMBING
.Property Zoning:
LOW DENSITY RESIDENTIAL
Appl'icailon ValUatlOn'.
1150
Applicant: Architect or Engineer:
v
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LICENSED CONTRACTOR'S DECLARATION
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT t
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 Class: A C36 C42 License No.: 765155
r �
Date: LI -1-14 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).:
(_ I 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 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Date: 4/07/14
Owner:
ROBERT PARKER
50650 NECTAREO
LA QUINTA, CA 92253-
(760)777-1517
Contractor: D I�
RESCUE ROOTER 1
1520 W. LINDEN STREET t
RIVERSIDE, CA 92507 l% ` 2014(951)341-9371 El%
Lic. No.: 765155 C1iy'?ei
QUIN7A
r-ig -.N'r e CEP -
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under.penalty of perjury one of the following declarations:
I have and will maintgin 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 d. -
Q I have anwill 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 LIBERTY INS Policy Number WC7631508631
1 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 fi ith co r with those provisions.
Dateg 7'l�( Applicant:"�CY''//
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 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 an_d county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspe i ses.
C(-7.("(
Date: Signature (Applicant or Agen0:
y
Application Number, 14-00000382
Permit . . PLUMBING 2013
Additional desc .
Permit Fee 11.92
Plan Check Fee
..00
Issue Date . .
Valuation . . .
. 0
Expiration Date 10/04/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG WATER
HEATER/VENT
11.92
------------------------------------------
Special Notes and Comments
-----u-------
WATER HEATER CHANGE OUT - 75GALLON/GAS
[2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING
CODES.
----------------------------------------------
Other Fees . . . . PERMIT
-----------------------------
ISSUANCE M/P/E
90.57
PLAN CHECK, PLUMBING
11.92
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 102.49
.00 .00
102.49
Grand Total 114.41
.00 .00
114.41
Qin ii,
r
QLy ofLa a Quinta .
Qty
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 5
Owner's Name: �� r� ��Lt' r
A. P. Number:
Address: 5v G_ O Nz.c
Legal Description:
City, ST, Zip:
Contractor: " L U. C
Telephone: --7 —151 7
Address: Aj AeProject
Description:
City, ST, Zip:
Telephone: o!!> -.�12✓`71
State Lie. # : 7
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip: t
Telephone:
:<->:;`;•;:<<•::->->;»'•%%!->:«>•>:,:->:->:<->:::
atcY=
Constructionn Type: Occupancy:
State Lie: #:
Project type (circle one): New Add'n Alter Repair Demo .
Name of Contact Person:Sq.
Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balan=e
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans 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.1.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
IN
Prescriptiye- Certificate of Compliance: Residential CF-tR-ALT-DRW •
Residential Alterations Page i of 2
Project Name: Yf ,e•r Climate Zone: Permit M.
WATER HEATING
.List new4'• installed water heaters and boilers for built domestic hot water heaters (DWH) and Indronic Wce heating. Nealy installed
D.WH heaters and boilers must be gas. prowpwane, or ttse the existing el "ve
Wats Water D��� Numbc M Tank Energy Factor ur
TypdFvel Type' R cc!EO!W System Capacity (gal) Thermal Effciawy
External Tank `
lasulatiom
R-Vakwi
ud err Z3
1. Indicate Type (Storage Gas, Heat Ptanp: Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of VAR).
requirements do not allow the installation of a recirculating water heating system jor single dwelling units.
j. The eve water hearing tank and pipes shall be insulated to meet the requirements o t
The Prescriptive,
Contractor or Homeowner (Documentation Author's[Responsible Building Designees Declaration Statement)
• 1 certify that this Certifiare of CompliaAcc documentation is accurate and complete.
• I am eligible under Division 3, of the California Business and Professions Code to accept responsibility for the building design
identified on this Cetxtifw ate 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, Pan I and 6 of the California Code of Regulations.
.. The building design features identified on this Certificate of Compliance arc consistent with the information provided to document this
building design on the other applicable compliance forms, worksheem calculations. plans and specifications submitted to the
enforcement for approval with this building permit licatio L
Name: Signature: _
Conv-y: oma:
Address: License:
l Zv 5\- U S i 55
City/StatdTp: Phare:
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