11-0660 (PLBG)C > r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 '
Application Number: 11� 0.0.000.660
Property Address: 78340 SINGING PALMS -DR
APN: 643-181-011-23 -2043
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1200
Applicant:
Tdy/ 4 4a Q"
Architect or Engineer:
BUILDING & SAFETY .DEPARTMENT
BUILDING PERMIT
Owner:
LYNN MCFARLAND
78340 SINGING PALMS DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
A REEMDY ROOTER & PC
PO BOX 77355 4
CORONA, CA 92877 t
(951)272-8966 j
LiC. NO.: 790544 j( +r�/N �O 011
CITYOF LA 0i imi—
LICENSED CONTRACTOR'S DECLARATION WORKER'S CO
I hereby affirm under penalty of erjury t at I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the follo
Section 7000) of Division 3 of.(e Busin essionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of con
Lice lass•. C36 License No.: _790544 for by Section 3700 of the Labor Code,
Date: bh1PL0 gdiracti
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.).
(_) 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.).
1 _ ) 1 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: r (X
LQPERMIT
Date:. 6/16/11
MPENSATION DE "
wing declarations:
sent to self -insure for workers' compensation, as provided
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 CA INS CO Policy Number 460073170106
I certify that, in the per ance of the work forwhichthis permit is issued, I shall not employ any
person in anyman er so s subject tothe workers' compensation laws of California,
and agree that, if shou ec sub) ct to the workers' compensation provisions of Section
/t--3700 of the b r Co e, I sh If rthwi ly with those pr isions.
Date: LX pplicant:
WARNING: SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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.
I . 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 h'permit, or cessation of work for 180 days will subject
.permit to cancellation.
I certify that I have read this application and state t t the a v ation is correct. I agree to comply with all
city and county ordinances and state laws relating t building o s uctio and hereby authorize epresentatives
of/thi/s county to enter up he above-mentioned p operty f i sp coon p s.
.'ate: ignature (Applicant or Agent):
Application Number
11-00000660
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
22.50
Plan Check Fee
5.63'
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/13/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 7.5000
EA PLB
WATER HEATER/VENT
7.50
Special Notes and Comments
INSTALL NEW 40 GALLON
GAS WATER
HEATER.
2010 CODES.
--------------------------------=-------------------------------------------
Other Fees . . . . .
. . . .
BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
----------
Paid Credited
---------- -7 -------- ----------
Due
-----------------
P.ermit 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
LQrBnnt1T
Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW
Residential Alterations , Page I of 2
Project Name: MC Climate Zone: Permit #: 6&0
WATER HEATING
-
List newl. installed water heaters and boilers for loth domestic hot water heaters (DWH) and hydronic space heating. Newt -v installed
MH heaters and boilers must be gas. propane, or use the existin ueIt)-pe.
Water Heater Distribution Type Number In Tank Energy Factor or
External Tank
Insulation
Type/Fuel Type' R circu��, )L System Capacity (gal) Thermal Efficiency
R -Valuer
N l (.
Address: Ucense:
ao L<6 /7505(411
City/StatelLip: Phone:
C'd�, q��a l qct 0179 IF 9 c�
1. Indicate Type (Storage Gas. Heat Pnnnp. Instantaneous, etc.)
2. Recirculating. systems serving multiple dwelling units shall meet the recirculation requirements of §150(n).
The Prescriptive
requiretnents do not allow the installation of a recirculating water heating system for single dwelling units.
j. The e_vernal water heating tank and pipes shall be insulated to meet file requirements of § 150(j),
Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement)
• t certify that this Certificate of Compliance 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 Certificate 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. Partl and 6 of the Califomia Code of Regulations.
. The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
huildine desien on the other annlicable compliance forms. workA—e-c'u.. calculations. plans. and specifications submitted to - the
enfo menu agency for -approval with this building permit applicitlon.
-
N �
igna
nn
Company: Date:
N l (.
Address: Ucense:
ao L<6 /7505(411
City/StatelLip: Phone:
C'd�, q��a l qct 0179 IF 9 c�
Bin #
City of La Quinta
Building 817 Safety Division °
P.O. Box 1504, 78-495 Calle Tampico ,
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �0
Project Address: W"3tgo S` l
Owner's Name: C r- ,
U —1-
A. P_ Number:
nn
Address: ` O 40
Legal Description:
City, ST, Zip 14
LAQ U 3
Contractor: A
Telephone: O } ,,
Project Description: Y ��
Address: 1 �� ��
City, ST, Zip: rd CCA. 4 (31
~
Telephone: amom�c i
State Lie. # :Q b " City Lie. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #: qq.((�� r •Nzr
Name of Contact Person . C
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:-
Estimated Value of Project: OG
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain. plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontattor 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 correctloasfissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees