The URL can be used to link to this page

12-0884 (PLBG)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8%07/12 Application Number:12�A00.0 8841 Owner. Property Address: 44065 SWEETBUSH LN NICKIE O'BARR APN: 604-0.81-033-116 -22982 - 44065 SWEETBUSH LANE Application description: PLUMBING LA QUINTA, CA -92253 Property Property Zoning: LOW DENSITY RESIDENTIAL t Application valuation: 800 ' ' ., Contractor: Applicant: Architect or Engineer:. CAMPESINOS UNIDOS, INC. a P.O.7 BOX 39 ~ BRAWLEY,,CA 92227. f (760)•344-4500 - J/� LiC. No.. 618140 _ 4 s LICENSED CONTRACTOR'S DECLARATION - , WORKER'S COMPENSATION DECLARATION - ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of,the Business and Profession 91and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided a Class: ' C36 L' a No.: 618140 +ZD for by Section 3700 of the Labor Code, for,the performance of the work for which this permit is - n/ _ � ` L onvactor: .. '- 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 ' OWNER -BUILDER DECLARATION insurance carrier and policy number are: - 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the • Carrier CYPRESS INS Policy Number 3330058264-111' - . '•following reason (Sec. 7031.5, Business and Professions Code: Any city.or county that requires a'permit to _ I certify that, in the performance of.the work for which this permit is issued, I,shall not employ any construct, alter„improve, demolish, or repair any structure, 'prior to its issuance, also requires the applicant for the ; person in any manner so as to become subject to the workers' compensation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the -provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section • 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 - 3700 of the Labor Code, I shall forthwith comply with those provisions. -1'2 - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - D pplicant: ),% 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL • Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP.TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided thai: the ^ • DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN' improvements are not*intenaed or offered for sale. If, however, the building or improvement is sold within ---SECTION 3706 OF THE LABOR CODE, -INTEREST, AND ATTORNEY'S FEES. - • 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.)., + - - _ - APPLICANT ACKNOWLEDGEMENT 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the �. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of • conditions andrestrictions set forth on this application. • - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this applicatiodis made, each person at whose request and for -. - pursuant to the Contractors' State License Law.). '” whose benefit work is performed under or pursuant to any permit issued as a result of this application, . ' • 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmlAs 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. - Date: Owner: * - 'M .. 2. Anypermit issued as a result of this application becomes null and void if work is not commenced - - - 1 - within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY , - permit to cancellation. - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all ' • work for which this permit is issued (Sec. 3097,. Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives - - - of U7 totter upon the above-mentioned propert r1p pection purposes. ` Lender's Name: .. IP-- • i ' �./gnatuwre te: (Applicant orCgLender's ! • Address: d- - LQPERMIT _ . • - r _ . Application Number 12-00000884 ^ Permit -PLUMBING Additional desc... Permit Fee 22.50." - Plan Check -Fee •.5.63 Issue Date. Valuation 0 Expiration Date 2/03/13 Qty Unit Charge Per Extension BASE FEE 1 15:00; 1.00. .7.5000 FA PLR WATER HEATER/VENT 7.50 ------------------------------------------------------------------------------- - special Notes and 'Comments INSTALL NEW 40 GALLON GAS•WATER.HEATER, 2010 CODES.". . -----------------_--.-------------------- " Other .Fees --- --- BLDG STDS ADMIN ;(SB1.473) - ----- 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.,7; 29.13. .00 .00 29.13 LQPERMIT Prescriptive Certificate of Compliance: Residential CF -IR -AL -T -MW Residential Alterations Page I of 3 Project Name: C. ki 9 DC -N -f Y-. Climate Zone: Permit #: General Information Site Address: ' v S . .W e " Enforcement A erit Date: 21— Building T Sin le Family 0 Multi Family Project Type: O Re lacetrKrit or Change Out of Water Heater WATER HEATING • I certify that this Certificate of Compliance documentation is accurate and complete. List newh installed warty heaters and boilers for loth domestic hot Hater heaters (DWH) and hYdronic :space heating. New h installed DWH heaters and boilers must be giaus. prOpmane, or use the existing tel type. Water Heater TInsulation YPE TYPe DS�r Number In Tank Energy Factor or �• System Capacity (gal) Thermal Ffficiewcy External Tank R- alue3 • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design cn the other applicable compliance forms. wortstteets• calculations. plans and specifications submitted to the enforcement agency for approval with this budding permit application. Na Signature: 4 . Cly(\^,/r�� . Date: 1 Address: o bo License: City/SuMYzp 1. Indicate Tvpe (Storage Gas. Heat Pturrp. Instantaneous, etc.) 2. Recirculating, systems serving multiple dwelling units shall meet the recirculation requirements of §/SO(n). requirrments do not allow the installation of a recirculating water heating system for single dwelling units. i. The external water heating rankandpipes shall be insulated to neer there uirements of J150(j). The -Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) • I 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. • 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, Part I and 6 of the California Code of Regulations: • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design cn the other applicable compliance forms. wortstteets• calculations. plans and specifications submitted to the enforcement agency for approval with this budding permit application. Na Signature: 4 . Cly(\^,/r�� . Date: 1 Address: o bo License: City/SuMYzp Phone: x w� C� tiZL Aa.- .. .. k • . . t Bin # City of La Quints Building & Safety Division' P.O. Box 1504, 78-495 Calle Tampico 0 Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Q /► .� o d- Project Address: 4 N t Owner's Name: j GQ.6 Y, A. P. Number: Address: Ll Legal Description: City, ST, Zip: LPi Contractor: rriS hd �o s. Telephone: 6 i) �� -�2(, (o '`> v:><>> •'•`'<: y:?'.:::<:; Address: ,� ,(3p Project Description: City, ST, Zip: J5fa�� C `'j XLID Telephone:' 6 -3 qY , G(Sv t) ^'i >:;r •�iiiii;:+. �:y C<:i:{:y{:}��ii}'iii ;: ff,,•::<;..:::: A.; •;::.,;•:: > State Lic. # : IT City Lic. #. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ::k:':>{#r�• h.• ;<>%'``w"""' ?' <.....c: :' %:::.'::% : %<: ;:; ;;etc>> Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: S -E Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:f) +� �'� /� m Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # 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. 77— Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Pians 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:- view, ready for correctionsrissue Developer Impact Fee Planning Approval d Contact Person rDateof A.I.P.P. Pub. Wks. Appr permit issue School Fees Total Permit Fees