The URL can be used to link to this page

13-0114 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000114 Property Address: 52145 AVENIDA CORTEZ APN: 773-201-020-12 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 1023 Applicant: T4hfVOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Architect or Engineer: 01 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 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�Cl�s�s:C-/-1-0 C20 C3 U seNo.: 811114 Date:G(J_/�3 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 _ 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.). (_ 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 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 Owner: GERALD COUCH 52145 AVENIDA CORTEZ LA QUINTA, CA 92 r Contractor: CALIFORNIA DELTA 6056 E. BASELINE MESA, AZ 85206 (866)692-5273 LiC. No.: 811114 Ix,u FEB Eo5201J [CAL E7Pb50F LA QUINTA FINANCE DEPT. Date: 2/05/13 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. !1C I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor i 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 becom�cpl ers' compensation provisions of Section 3700 of the Labor Code, I shallthose provisions. \Date• �3 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 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 and county ordinances and state laws relating to builditruction, and hereby authorize representatives of this coyity P enter upon the above-mentioned property , spection p poses. Date: ,5- Signature,(Applicant or Agent): _ Application Number . . . . . 13-00000114 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation 0 Expiration Date 8/04/13 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 50 GALLON GAS WATER HEATER LOCATION IN GARAGE. 2010 CODES. ---------------------------------- 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 Qin # City Of La Quinta Building &r Safety Division P.O. Box 1504,78-495 Calte Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:' CGr Owner's Name:. &CCLI A. P. Number: Address:52145 Legal Description City, ST, Zip: LIOL a Contractor: be AiC&L Address: &Self ne gd # 15,5Project City, ST, Zip: ao(0 Telephone•% :,fit , Description: c on �a -� : gin,a, � Telephone: ., p X. State I.ie. # : City Lie. #. 0 Arch., Engr., Designer: Address: City, ST, Zip: Telephone:r' �.��ii°:V��•:" ,E State Lic. #:�� >r •:, f '�.;;:: .��t of Contact Person: Construction Type: Occupancy- P QName Project type circle one New Add'n Atter Re air Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Req'd Recd TRACMG PERMPFFEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance- Title 24 Caic s. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up II.O.A. Approval Pians resubmitted Grading hN HOUSE:- '"' Review, ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ._Prescriptive Certificate of Compliance: Residential CF•tR-:1L'F-DH`V ! j Residential :llter,ur017S P:rye t ;rr prowct N:lrrie: Sa WS Veru �tt— chnnatr Zone: IS Permit i«: I General Infurrnation Site :\ !dress: �t��j A\/CAl�C Z i Enforcement Agency: La Qu {4— Date: 029 Buimint• 'r -,,-e: tm,le Fanidv ❑ `(ulti Farnily Project rvice: ❑ Reelacement or Cham_e Out Of Water lleater WATER HE:\TIVG ! cervi *11 t^at tris Certificate of Compliance docurrerntation is accurate and compiete. List trewty itr.stulle•d water heater crud Itoders /• r loath doltiertic hot rrcuer lreuters ;l WH) and hvilrcmic• space healing. I 1 O Nil heaters and bailers must he "us. vtwuane, or use floe e.ri.siin . /ire! ,'. ue. Newly installed ',Vstcr Heuer ry` p iRicl Pype Distribution Tye � � Standard, R�s:!r.ulatinr � :`lumber !n Tank Energy Factor nr 1 t $ysttm C.;pactty !;ai) I Thermal Efficiency t Ememal'rank Insolation R Value cnfi,rcment aeerr v f or aoonr;a( with this building permit aoPliruiun. sin 95 Company: j j(O: b,L 1 k H e- c- r��. l , t aq Z13 :\,!dress: License: ' fz w Cir !Scrrei"l..ip; i Phone: I 1. Indicate 7'vpe iSrnrage Gess. Neat Pump, Instantaneorrs, e!c.) ?. Recirculating s^stems ver. -ins multiple chvelling units .shall meet r/te recirc:elarion requirements of j/50(a). r-: uirerrre» tis do m,,t _!flow the installatinn o a recirc•ulurin•- water hearing s} stem;`or s•ing to cherfling units. J. The �.ctenrul coater healing waw and pipes• shall be insulwed !o weer rhe requirements of j 130(j). The Prescriptive I j Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) ! cervi *11 t^at tris Certificate of Compliance docurrerntation is accurate and compiete. • I am eligible under Division 3 of the California -Business and Professions Code to accept responsibility for the building design identit,ed or. this Certificate of Compliance. • I certify (hat the :nervy features and perfonnarice specifications for the building design identilied on this Cer ificate of Compliance conform (o the requirements of Title '_-1, Part I and 6 of the California Code of Regulations. • The buildin; design Features identified on this Certificate of Compliance are cons istenr.with the informationprovided to document (his building design on the other applicable compliance kxms, worksheets, ,calculations, plans and spMjrtcations submitted to the cnfi,rcment aeerr v f or aoonr;a( with this building permit aoPliruiun. varne: Signature:/ Company: j Date: b,L 1 k H e- c- r��. l , t aq Z13 :\,!dress: License: ' fz w Cir !Scrrei"l..ip; i Phone: I