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08-0456 (PLBG)P.O. BOX,1504r '1' 78-495 CALLE TAMPICO LA QUINTA;. CALIFORNIA 92253 Application Number: 08-00000456 Property Address:. 78,925 SKYWARD WY AP.N:' 609-470-021-40 -23773 - Application dcscription: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 500 Applicant: j Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that faro 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: C36Gicense No.: 828264 Date: Contractor:. { O NER•BUI ER 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.). - (_) 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 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: CURRENS STEVEN D 78925 SKYWARD WAY LA QUINTA, CA 92253 (760)772-1858 Contractor: FOY, SCOTT A. 43 MER �EETE IND (76 5-9405 LicUt - MAK2 144 2008 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/08 r VIVC1d�cr ,.M ------------------ 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 ACE INC Policy Number C45040239 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner sous 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, II -shall forthwith comply with th6se provisions. Date Applicant: ��' i � Il WARNING: FAILURE TO SECURE WORKERS' OMPENSAY ON 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. 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and here uthorize representatives of this county to.enter upon the above-mentioned property for inspection rposes - Date Signature (Applicant or Agent): Application Number 08-00000456 Permit . . . PLUMBING Additional desc . Permit, Fee 22.'50 Plan Check Fee 00 Issue Date':.... Valuation . . O. Expiration Date 9/10/08 Qty Unit Charge Per Extension -.BASE--•FEE-_...._-_--LL " 1.00 7..5000 EA PLB WATER HEATER/VENT 7.50 ------------_-------- Special Notes and Comments " ----------------------- --------------- REPLACE WATER HEATER WITH•50 GALLON GAS UNIT \ Fee summary Charged Paid Credited Due Permit Fee Total 22.50 .00 00 22.50 Plan Check Total .00 .00 .00 .00 Grand Total 22.50 .00 .00' 22.50 Bin # 0ty of Lel Quints Bm7(fing $r Safety DivWm P.O. Box 1504, 78-495 Cape Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet pennit # Project Address: O` 2 b SY-a.1 wayY� W Owner's Name: C A. P. Number.. Address: -i6g2- 5 (�,xWord IJJGI I egnl Description: Coub-Ador. Address: rr\cx \Y) City, ST, Zip: `(- (0Il(1itk CAA q Z,ZS'J //� � [r . ' Telephone: ' ; � Fa"•���"�`��?. Project Description: City. S"f, Zip. TY -\ CAor P tYI-`— C 0. O r Telephone: 7V i" cJ - 0 Ql l <.: }F: 7Y City Lic. #; ArvIL. Ew.. Designer. Addr� • City,, SIT, Zip: i///lA/t{ VTj is\rt`•51`�.ti ^'r, ytY i%. /tl21N/�/ S5A.AYAW it Gl )iTU11C: 9 ;�»;tr �,��, < �? ,• $laic Lic 1{: `k > Wr""m,;"' Ntune of Contact Pcrsnn: SEtqe, Cwf enS Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Derr o Sq. Ft.: # Stories:#Units: Telephone I of Concoct Pelson: - — 5 —T -Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE p ttnetntttai R ,4 Recd TRACKNG PERMIT FEES Pbw S:ts Plan Cheek submitted Item Amount Strottural Caleq. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Pian Cheek Balance Me 24 Calor. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2? Review, ready for corrections/usue Electrical Snmautettor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.0 -A. Approval Plans resubmitted Grading IN ROUSE. "' Review, ready for corrections/issue Developer Impact Fee lKnaning Approval Called Contact Person A.LP.P. Pats. W is_ Appr Date of permit issue Schvvl Fees Total Permit Fees CERTIFICATE OF COMPLIANCE::RESIDENTIAL (Page 3 of 4) CF -ISR Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -411 Form must be provided to the building department for each home for which the following. are required. V/ Distribution '1'ype ❑ Sealed Ducts all climate zones Installer testing and certification and.HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verificationrequired.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR Alternative to Scaled Ducts and Refrigerant Charge /TXVs (See Package'D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ waled as cunfirined (Iuuugh field verification and diagnostic testing in accordance with procedures in the RrsidCntial ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS r Distribution '1'ype Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per 13 dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby Loss % nut allowed. 0 Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the. Residential I Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of"Standard" system, and does not comply with the Preapproved O Alivrnalive Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. G Check box to verily that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Writer I )enter f /Fuel 'I' Distribution '1'ype Number in System Rated Inputs (kW or Btulhr) Tank Capacity ( ►ons) Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulatiom R -Value; lr1 ,R S GAS I L4uw . , t X Svttlem servinu multiule dwelling units Water I-Icater Type Distribution Tyvc Number in System Rated Input' (kw or Btu/hr) Tank Capacity ( Ions) Energy Factor or Thermal Efficient Standby Loss %) Tank External: Insulation R -Value: I . For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water beaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters. list Rated Input and 'Ibermal Efficiencies. PIDe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are v✓4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005