Loading...
13-0040 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number.3;000.00040 Property Address: 78219 CRIMSON CT APN: 604 -024 -052 - Application description: . PLUMBING Property Zoning: MEDIUM DENSITY RES Application valuation: 889 Applicant: Architect or Engineer: AJ /A ------------------ 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 Class: C10 C20 C3 cense No.: 8.71­1­1.14Date:S C2 6/3 Co_ntractor::: 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.). (_ 1 1, 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.). C_ ) 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: . VVI Lender's Address: LQPERMIT Owner: SCOTT, GEORGE / LESLIE Contractor: CALIFORNIA DELTA MECHNICAL 6056 E. BASELINE RD, #155 MESA, AZ 85206 (866)692-5273 Lic. No.: 811114 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/10/13 -------'---------------------------------------— 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. _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 hwit t comply with those provisions. Date: 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 building construction, and hereby authorize' representatives of this county t enter upon the above-mentioned property f ns action purposes. Date: '3 Signa_tuie (Applicant or Agentl: Application Number . . . . . 13-00000040 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . Valuation 0 Expiration Date 7/09/13 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 40 GALLON ELECTRIC WATER HEATER LIKE FOR LIKE INSIDE HOUSE (CLOSET). 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 JAN/10/2013/THU 11:17 AM DELTA MECHANICAL—NV -FAX No,702-369-9578 P.002 . 't Bin # Qty of ,ice Qurnta Bulway a 3afecy E*hion Permit # A. P.O. Box 1504,'78-495 Calle Tampico La..Quinta, CA 92255 -:(760) 777-7012 Building Permit Application'and Tracking Sheet • Projoa Address: g IMC6 011350A r Owner's Name: A P. Number Address: i Legal Descripdon City, 3T, Zip; La Qunik. I CA, Contractor.&hanicad TeIepboae Address: BOSO. ePtojectDescription: pkg Of? . city, sT, Zcp: . AZ' Ific lr r.. ;i Tcicphona: •5073 i e State Lia i Arch,., Rage, Dcsigaw. i Address: ; City., ST, Zip: Tel®phoae: Consttvction Typo , Occupaacr. Stats Lit- #: Project type (circle one): New Add'n Alter ikmo Name of CwM4 person: Sq, Ft.: # Sioxits # Utrits: iTelephone # of Caxrtact Peisosa - .3(G E'ftated Value of Project: +3 APPMANF: DO NOT WRITE BELOW THIS LIM aY submittal Rcq'd Ret'd IItAiC, PSRMITFESS 1 Plea sets PIw Citack submitted• Ttem Amount i strqctuf Cato. Iteviewed, ready for eorrectiow Plat► Cheek Deposit Trus Calm Called Contact Person plan Qtecu Ba[onoe. '• TINe20 CalcL Plass picked up Constracdotr Flood plain plan Plans resubmitted ' Mecbaaicat Grading plan Z'! Review, ready far correctiowLtemue Electrical Subcontaetor List called Contact Person Plum ins Grant Deed Plans picked up SxL B.O.A. Approval P1ars resubmitted Gmtding IN XWpUSR., " Rodew;' ready ft corrxnonsrtssue Aevelope r Impapt Fee PlumIngApimval.Called Coutaet Person Pub. Wks. Appr - Date of permit issue School Fees Total Permit bees I JAN/10/2013/THU 11:18 AM DELTA MECHANICAL -NV FAX No,702-369-9578 P.003 1 Prescriptive Certificate 4 Com liance: Residential CF• 1R-ALT-D14W Residential ,Alterations P,ge I Utz Pro rut Marne: jV i m—sson ( Climatte Zune: Permit #: General Information Site Address:'rA.V Enforcement Agency: Date: I R 13 6uildink Tyoe: 0ingle Family 0 N(ulti Family I Projet:t Type: 0 Replacement or Chan,,e Out of Water Heuter NVATER HEATING _ 1 certify that this Certificate of Compliance documentation is accurate and complete, List newly installed tevt/er heaters and boilers for both domestic hol n•uter hearers tDIVH) and lq•drocic space hectring, Newly installed D VH heaters and boilers must be vos.proporte, err use rhe e.,isiin it I nve. Water Heater Distribution Typo Number In Type/Fuel Type(Standanl.: system Reeireulatin) Tank Energy Factor or Capacity (gal) Thermal Efficiency conform to the requirements of Title 24, Forth t and 6 of the California Code of Regulations. Eu sTank Insulation R-Vilue� A S 40 Name: 1 L-17 Company!1111 Date: 1 �iL 14 k CC6n� Cat TA L3 ,iJdress: License: C ityt stateizip: Phone: 1. Indicate Tvpe (S/oroge Gas. Heat Pump, Instantaneous, etc.) 2, Revirrulaling systeonr servin3 multiple dwelling units sholl /neer the recirculation reyuire/nents of y150(n), requirements do not allow rhe insrallation of a recirculating wetter heating system for single dwelling units. J. The e.rrernal water heuting tank and i es shdil be insulated to weet the re uirrotemis o' 150(j7. 771e Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) _ 1 certify that this Certificate of Compliance documentation is accurate and complete, • -I am eligible under Division 3 of the Califomia" Business and Professions Code to accept responsibility For the building design identified on this Certificate of Compliance. + I 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, Forth t and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance hue consistent with the information provided to document this building design on the other applicable compliance forms, worksheets. calculations. plans and sp t cations submitted to the enforcement agency fora oroval with this building ermit a lication. Name: 1 L-17 Company!1111 Date: 1 �iL 14 k CC6n� Cat TA L3 ,iJdress: License: C ityt stateizip: Phone: meso-) A2.1 `du -'5W73 $'° City of La Quinta Building 81' Safety Division P.O. Box 1504, 78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 719 o',l Q ;rn ,sonr Owner's Name:. A. P. Number: Address: C Legal Description: City, ST, Zip: tCAS Contractor: Telephone: SQY • " F; i Address: it�c Project Descriptions f t��n City, ST, Zip: ��,� di ((a �CcC f '4ct'%kt—r• Telephoner .r 77J-�rri,: ..MQ�1 a 'v. i ' - i 1 ! n °S iCie b0 id State Lie. # : CityLie. #; Arch., Engr., Designer: Address: 1 City, ST, Zip: Telephone: P � mF State Lie. Construction Type: Occupancy: Project type (circle one): New Addf n Alter (9),Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: Name of Contact Person: T06A SAS Telephone # of Contact Person: - 5M &t {o APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted item Amount Structural Cales. Reviewed, ready for corrections Plan Clredc Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mecharitcal Grading plan 2i° Review, ready for correctionsAssue Electrical Subcontactor Inst Called Contact Person Plumbing Grant Deed Plans picked up S:M.L ROTA. Approval Plans resubmitted Grading IN ROUSE:- '"' Review; ready for correetionsAssue Developer Impact Fee Planning Approval Called Contact Person AX.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees JAN/10/2013/THU 11:18 AM DELTA MECHANICAL -NV FAX No,702-369-9578 P, 003 1 Prescriptive Certificate of Compliance: Residential CF-1R-ALT-DffW Residential Alteration$ Page I of ? Pru�ect Name. 1f i MSSDO Jr I Climate Zone: 15 , permit #: 1 General Information Site Address: '(1590 i Enforcement Agency; Date: Q 13 BuildinitTvoe: 9litnele Family ❑ Multi Family I Prulect Type: 11 Replacement or Change Out of Water Heuter WATER HEATING I ce tify that this Certificate of Compliance documentation is accurate and complete, List newly insralleJ %hoer heaters and boilers for both domestic hot water heaters tDiVH) and hydrwtic spore !tearing. Veivly installed DWFI heaters and boilers must be wos. propane, or use dee e.visrine fiteI true. Water Heater Distribution Type TypeiFud Type (Stand" _ Recirculotin) Number In Tank Energy Factor or $ygtem Capacity (;al) Thermal Efficiency Eitemul Tank Insulation R-V.)lue► AS M 421-05 enforcement agency fora oroval with this building permit application. Name; $ignatu m 1 J t Company: Date: 3 1. Indicate Type (Storoge Cas, Heat Pump, Instantaneous, etc.) 2, Recirculating systeu,ts servin3 multiple dwelling units shall ineet the recirculation requirements of 3/50(n). regrrireatenrs do not ulluw the installation of a recirculating xater heuting system for single dwelling units. 3. The external water heafing tank and pipes shall be insulated to meet the re uirrntents of J 150(). The Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Staterneat) I ce tify that this Certificate of Compliance documentation is accurate and complete, • I am eligible under Division 3 of the Califomia• Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • l certify that the energy features =d performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, part I and 6 or the California Code of Regulations. • The building design features identified on this Certificate of Compliance ase consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations. plans and sp t cations submitted to the enforcement agency fora oroval with this building permit application. Name; $ignatu m 1 J t Company: Date: 3 AJJress: License: ks to 52alot 9D -4 155 N City/statdZip. Phone: H e ) A2 gs-V,4 U - 9-5a-73 eZa�