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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 ------------------ 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: CA*- �lZSo7 L 51 L(1-Gt 71