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09-0255 (PLBG)P.O. BOX 1504 VOICE (760)777-7 M ' 78-495 CALLE TAMPICO FAX (760) 777-7011 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT . . Date: 3/19/09 • Application Number: 09-00000255..; ' Owner: Property Address: 4444"0"-E-SUNDO�CREST DR MOSHER FRED .APN: 604-110-036- - 44440 EAST SUNDOWN CREST. Application description: PLUMBING LA QUINTA, CA 92253 rl Property Zoning: LOW DENSITY RESIDENTIAL ` d Application valuation: 500 pp Contractor: M/YR 2 p 209 M Applicant:.. 1' Architect or Engineer: FOY, SCOTT A. 43579 MAIN STREET C1TyQFQUINT ' INDIO,, CA 92201 Let Pr A (760)775-9405 LiC. No.: 828264 • LICENSED CONTRACTOR'S DECLARATION . WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensedunder 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 Professionals Code,,and 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 Lice Class: C36 License No:: 828264 for by Section 3700 of the Labor Code, for the performance of the'work for which this permit is issued. Date: ontractor: �) _ 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 WNER•BUILDER DECLARATION • - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier FIRST COMP INS Policy Number WS1004457 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 70001 of Division 3 of the Business and Professions Code).or 3700 ofthe or Code, I shall forthwith comply with those provisions. 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).: ate pplicant: r (_ 1 I, as owner of the property, omy. 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: FAIL E TO SECURE WORKERS' COM ENS ON 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 - • - - r and who does the work himself or herself through his or her own employees, provided that the - - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended 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 I, 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 and restrictions 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 application is 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 _ 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 harmless the City of LaQuinta, 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: _ 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 CONSTRUCTION LENDING AGENCY permit to cancellation. i hereby affirm under penalty of perjury that there is a construction JIending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree tb comply with all ' work for which this permit is issued (Sec. 3097, Civ: C.). city an county ordinances and state laws relating to'building construction, and hereby authorize representatives of ' county to enter upon, above-mentioned property for inspe n pur ses. Lender's Name: � • . _ ate - . nature (Applicant or Agent): Lender's Address: - - L&ERMrT LQPERMIT . Application Number 09-00000255 Permit . . PLUMBING -.- Add tional'-`desc Permit' Fee" 22'.50 Plan Check Fee 5.63 Issue Date . . . Valuation 0 Expiration Date.. 9/15/09 Qty Unit Charge Per Extension BASE.•FEE 15.00 1.00 7.5000 EA, PLB WATER"HEATER/VENT. 7.50 Special Notes and Comments ------------------------------- •. REMOVE & REPLACE'40,GALLON ELECTRIC - " WATER HEATER -- - - - - --- - - - -- ----- Other Fees . . . -----------,-------- '---------------------- BLDG STDS ADMIN (8B1413) 1.00. - Fee -summary Charged, Paid -Credited Due Permit Fee Total 22.50 .00 0.0 22.•50 Plan Check Total 5'. 6.3 ..00' 00l� 5:63 ` Other Fee Total, i.00 .00 00 1.00 Grand Total 29.13 .00 :00. 29.13 LQPERMIT CERTIFICATE OF CO -RESIDENTIAL (Page 3 of 4) CF -1R Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the buildingdepartment for each home for which the following, are OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features Proiect 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 ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential 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./ [I7 A IrIV D XXX A TT1U!''. QVQTL`MQ ❑ 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•verification re uired. Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verificationrequired.) OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features Proiect 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 ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential 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./ [I7 A IrIV D XXX A TT1U!''. QVQTL`MQ J J��.WJ JVD Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired'water heater per dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and .recirculation system is not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5Jn the Residential Manual. No water heatin calculations are req uired, and the system complies lies automaticall . Tank Check box if system does not meet criteria of"S'tandara"system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the Water Heater submittal. .. Number Check box to verify that a time control is required for a recirculating system pump for a system serving multiple 13 units J J��.WJ JVD Rated Enemy Tank p ' Tank Factor or External Water Heater Distribution .. Number (kw or Capacity Thermal Standby' Insulation T uelT T e in S. stem Btu/hr ( aeons) Efficiency Loss % R -Value c � o 2 11 Ann 0­nN J btum Jul V Ing ulul4f ■fir Energy Tank Iatednput' Tank Factor. or ' External Water Heater Distribution Number (kwuor Capacity Thermal Standby' Insulation Type Type in System Btu/hr) allons Efficiency Loss % R -Value 11 Ann 0­nN 1. For small gas storage waxer neaxers tratea inputs vt Icaa uka . �ti�"• — - -- - - pump water heaters, 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 Thermal Efficiencies. Pipe_ InSUIahQn (kitchen Wiles >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are '/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 Bin # G of La Quinta Building 8r Safety DivLslon P. P. i Box 1504, 78-495 Calle Tampico 0 '[Mnta, CCA 92253 - (760) 777-7012 Buildin P unit Application and Tracking Sheet P it � Permit # cA Project Address: Owner's Name: fl-iled f no 3h ler A. P. Number: Address: qqlVo r .5t,19" -Dr. Legal Description: City, ST, Zip: Contractor: S C,0-44 Y I u m I b -in q Address: 4 35; 7 9 OL7k Telephone: -7(90/3 -1A 5' 9 2: Project Description: City, ST, Zip: n 0 C R 0 1 Telephone: -7 UO .77T- 0 11. M State Lic. # L( City Lic. -7 Arch., Engr., Designer. Address: City., ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: -500 M APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req1d IkWd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance . 71de 24 Calt& Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionsilssue Electrical ubcontactor'All Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "Review, m.ady.forcorrectious/issue Developer Impact Fee Planning Approval Called Congal epn(;; n rp F,nq =71 A.I.P.P. Pub. Wks. APpr 41 it I L� (-Lf) Date of PC 1Vue Ir U School Fen MAR 19 20 0.9 UU By N Total Permit Fees