13-1177 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA -QUINT -A, CALIFORNIA 92253
Application Number: 13-00001177
Property Address: 43277 PARKWAY ESPLANADE W
APN: 609-380-997-26 -293233-
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT ,
Owner:
D BYEON
43277 PARKWAY
LA QUINTA; CA
LA QUINTA, CA
ESPLANAD
92253
_ LIC_ENSED'CONTRACTOR'S'DECLARATION ,
1 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 Licenseis.in full foice and effect.
Li,rseClass•C36'. Ucense'No: 9,30133 -
Date:�� - 1'• Contractor CXJi./
• - OWNER-BUILDERDECLARATION
I hereby affirm under penalty of perjury that I am exempt from-.the'Contracfor'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 pursuantto _the provisions of.thewtontractor•'s State
Licerise Law'(Chapterf9 (commencing with Section 70001 of Division 3'6f the Business and Professions Code) or
that he or she is exempt therefrom and the -basis for the alleged'exemptwn 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).:
(_) I, as,o _ 'of'the property; or my. employees -with wages as.th' mFsole'contpensation, will Bo the ,work, and
I
he structure iilis nofintended:or offered forsale.ISec'. 7044 Biisinessand'Professions- Code
:•'The
Contractors' State License law does not apply to -an owner ofpioperty who.builds or improves thereon, .
.and who Coesahe. work himself oi,herself'thriough his or her•own.employees; provided that'. the
improvements;are not intended of offeied,for sale. If, however, the building or improvement is sold within.
one year oficompletion,�the,'owner-builder will have the burden of proving that he or she did not build or
improve forthe purpose of sale;)..
(_ 1 I;n 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 town owner of
propertywho builds or improves thereon, and -who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). I ' - - .
(—) I am exempt under Sec. , B.&P.C: for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affinn 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:
c -
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/18/13
WORKER'S COMPENSATION 'DECLARATION.
I hereby affirm under penalty ofperjury one -of the following rieclarations: —
'I Kave and:will maintain a certificate of consent to self-iiisure for workers' compensation, as provided
for,by Section 3700 of the Labor Code.:for the.pe`rformance of the work,foi 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 [he work for.which this, .permif is issued: My workers' compensation
insurance earner'and'policynuniberane
Carrier NORGUARD INS 'Policy. Number' THWC435917
certify that,Jn,the_ performance of the work for which this permit is issued,.l shall not employ any
. persohin'"any maiirierrso 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 C I shat .forthwith comply with. those prowswns.
DateApplicant:
.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
D6LL49S'IS100,000).*.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 o6this application. -
1. Each person upon whose behalf'this applicationis 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,.
theowner,-and the applicant, eacti 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 ounty to enter upon the above-mentioned pr y for ' spection purposes.
.at
1 v Signature (Applicant or Age1 )./.
Contractor:
Architect or Engineer:
TOMMY ROOTER
80975 INDIO BOULEVARD
INDIO, CA 92201
.(760)574-4444
Lic. No.: 930133 -
_ LIC_ENSED'CONTRACTOR'S'DECLARATION ,
1 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 Licenseis.in full foice and effect.
Li,rseClass•C36'. Ucense'No: 9,30133 -
Date:�� - 1'• Contractor CXJi./
• - OWNER-BUILDERDECLARATION
I hereby affirm under penalty of perjury that I am exempt from-.the'Contracfor'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 pursuantto _the provisions of.thewtontractor•'s State
Licerise Law'(Chapterf9 (commencing with Section 70001 of Division 3'6f the Business and Professions Code) or
that he or she is exempt therefrom and the -basis for the alleged'exemptwn 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).:
(_) I, as,o _ 'of'the property; or my. employees -with wages as.th' mFsole'contpensation, will Bo the ,work, and
I
he structure iilis nofintended:or offered forsale.ISec'. 7044 Biisinessand'Professions- Code
:•'The
Contractors' State License law does not apply to -an owner ofpioperty who.builds or improves thereon, .
.and who Coesahe. work himself oi,herself'thriough his or her•own.employees; provided that'. the
improvements;are not intended of offeied,for sale. If, however, the building or improvement is sold within.
one year oficompletion,�the,'owner-builder will have the burden of proving that he or she did not build or
improve forthe purpose of sale;)..
(_ 1 I;n 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 town owner of
propertywho builds or improves thereon, and -who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). I ' - - .
(—) I am exempt under Sec. , B.&P.C: for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affinn 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:
c -
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/18/13
WORKER'S COMPENSATION 'DECLARATION.
I hereby affirm under penalty ofperjury one -of the following rieclarations: —
'I Kave and:will maintain a certificate of consent to self-iiisure for workers' compensation, as provided
for,by Section 3700 of the Labor Code.:for the.pe`rformance of the work,foi 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 [he work for.which this, .permif is issued: My workers' compensation
insurance earner'and'policynuniberane
Carrier NORGUARD INS 'Policy. Number' THWC435917
certify that,Jn,the_ performance of the work for which this permit is issued,.l shall not employ any
. persohin'"any maiirierrso 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 C I shat .forthwith comply with. those prowswns.
DateApplicant:
.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
D6LL49S'IS100,000).*.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 o6this application. -
1. Each person upon whose behalf'this applicationis 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,.
theowner,-and the applicant, eacti 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 ounty to enter upon the above-mentioned pr y for ' spection purposes.
.at
1 v Signature (Applicant or Age1 )./.
Application Number . . . . . 13-00001177
• Permit . . . PLUMBING'2013
Additional desc .
Permit Pee . . . . 11.92 Plan Check Fee
.00 .
Issue Date . . . . Valuation . . .
. .0
Expiration Date . 3/17/14
Qty Unit Charge Per
Extension
' 1.00 11'.9200 EA PLBG WATER HEATER/VENT
11.92
Special Notes .and,:Comments
WATER HEATER CHANGE OUT - 50GALLON/GAS
[ 2 0 0.8 ENERGY] CARBON, MONOXIDE ALARM (S)
TOBE tNS.TALLED ` PRIOR'` TO FINAL.
INSPECTION;. 2010, CALTFORNIA.BUILDING
CODES,. J
:z -
Other Fees . . . . BLDG. STDS ADMIN.- (SB1473)
;, 1.00
- PERMIT ISSUANCE M/P/E
=90:.57
PLAN.CHECK,'PLUMBING
7-1 5.
Fee summary Charged Paid Credited
=-----_-_-----------------------------------.-=-'----
'Due,
Perinit `Fee' Total °.11.92 00 00
'11.92
Plan Check Total- :00 -.00. J.0.0
..00
Other Fee -Total. .98.72 .00 .00
98.72
Grand:.:Total 110.,64 00 .00•.
1-10.64
LQPERMIT
06/06/2013 THU 15:09 FAX La Quinta Bldg b Safety
2001/001
Bin #
City of Laa:"Qurnta
Building.8r'Safety Dlvislon. -'
P.O. Box 1504, 78=495 Calle. Tampico
La Qufita,. CA 92253 - (760) 777-7012
Buiiding Permt.Applcation and Trickink Sheet
Permit #
M
Project Address: 3 P (LW � jq h'
Owner's Name:
A. ?.Number.
Address:LA 22—) W Ifs P1a Aid
Legal Description:
Contractor: �� m rn Q`
ci Y' S.I zip:
;: Telephone:(gip - Li C'� `d'ps
Address. (D't Jc d -4 C-3 j
Project Description: dr
City, ST, zip: a, 3&-, 1.
Telephone l _pC) Shy 444,--A":
State Lia # : 3 C) 3 3
City
Arch., Engr., Designer
Address: a
City., ST, Zip:
Telephone:
State Lia #
t s c
Construction Type: Occupancy:
' Pmject type (circle orie): New. Add'n Al Rep 'Demo
of
Name.ofContact Persan: a f
_
Sq. Ft._:
# Stories:
#Units:
Telephone # of Contact Person: Lo —5 I
Estimated Value of Project:
M
APPLICANT: DO, NOT;:WRITE BELOW THIS LINE
#
Submittal
Req'd
RecId
JRA CMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Cbeck Deposit
Tress Calm
Called Contact Person
Plan Check Balance
Title 24 Calc&
Plans picked up
`Construction
Flood plain plan
Pians. resubmltted
Mechanical
Grading pian
Z°! Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person t
'Plumbing
Grant Deed
Plans picked up
S.M.I.
N.O.A. Approval
Pians resubmitted
Grading
WHOM: -Developer
ready for co riectliins/�ssne
Developer Impact Fee
Planning Approval
Z
Called Contact Person-
AyP,P,
Pub. Wks. Appi
Date of permit issue
School Fees
Total Permit Fees '
i
Prescriptive, Certiflicate, of Compliance: Residential 74R-ALT-DHW
Residential Alterations Page I oft
Project Name: w Climate Zone: Permit #:
General information
Site Address: -13A)) VT%_,-Li5 Enforcement Agency- Date: _
Building T Single Family Multi Fimily I Project Type: E Re lacetnent or Chane Out of Water Heater
WATER HEATING
List newly, installed water heaters and boilers for both domestic hot water treaters (DWH) and hydronic space heating. Newly installed
DWH heaters and boilers must be gas. propane, or use the eristin el type.
Water Heater Distribution Type Number In Tank 'Energy Factor or
TypelFuel Type (Standard. System Capacity (gal) Thermal Efficiency
Recirciilatin
External Tank
Insulation
R -Value
1 Q
• 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, Pait l 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 on the other applicable compliance forms. worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit lication.
me:
C 1 a r
1. Indicate Type (Storage Gas,'Heat Pump, instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n).
requirements do not allow the installation of a recirculating water heating system for single dwelling runts.
J. The external waterheatin tank and pipes shall be insulated to meet the requirements of §1500).
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.
• 1 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, Pait l 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 on the other applicable compliance forms. worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit lication.
me:
C 1 a r
Company:
Date:
fn M 41 c)
9-)-7-13
Address:
sono
License:
93c) 132>
City/Stat ip:
1_rmo Clr_�
Phone: -
- L -1L