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14-0133 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000133 Property Address: 42800 WASHINGTON ST APN: 609-040-007- - Application description: PLUMBING Property Zoning: MEDIUM DENSITY RES Application valuation: 3500 Applicant: C' �N Architect or Engineer: PA. 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE 760 777-7012 FAX (760) 777-7011 �INSPECTIONS (760) 777-7153 Owner: LA QUINTA HOUSING AUTHORITY C/O LA QUINTA HOUSING AUTH 78495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: MR ROOTER PL P.O. BOX 338 PALM DESERT, (760)779-019 LiC. No.: 92 Date: 2/11/14 ------------------------------------------------------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C36 License No.: 928636 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: ? 1 1 ty Contractor — _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor I I— 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: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the - Carrier TOWER SELECT Policy Number WCCO032923 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 3700 of the Labor Cod 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 ($5001: Date: '2 1i ' % Applicant: (_ 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.). (_ 1 1, 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.). (_ ) 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 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 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. 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 county to enter upon the above-mentioned property or inspection purposes. Date: '2 11 I o% Signature (Applicant or Agent): Application Number . . . . . 14-00000133 Permit PLUMBING 2013 Additional desc . . Permit Fee . . . . 35.76 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/10/14 Qty Unit Charge Per Extension 3.00 11.9200 EA PLBG WATER HEATER/VENT 35.76 -----------------------------------------------•----------------------------- Special Notes and Comments WATER HEATER CHANGE OUT - (2) 30GALLON AND (1) 100GALLON/GAS WATER HEATERS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. LOCATED IN UNIT G-7, H-7 AND LAUNDRY ROOM. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E. 90.57 PLAN CHECK, PLUMBING 7.15 Fee summary Charged Paid Credited --------------------------- Due -----'------------------------- Permit Fee Total 35.76 .00 .00 35.76 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.72 .00 .00 98.72 Grand Total 134.48 .00 .00 134.48 LQPERMIT Bin #City of La Quetta Building 8i' Safety Division P.O. Box 1564, 78-495 calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit I I Project Address: _ t OO WuSt%i S4 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: VAC 9-OD-�� TIlnw+5i Telephone: > ;<>: ;:?h'•<:<=%: >>;<`~<r :: : Address: 0nn1 SN t C Project Description: City, ST, Zip: o�SCV►� ��F'�I" SA- fnMAM a 90 OVA nas Ka+ Telephone: bo -o1g0 r:::j::riJ �:i$'i::vi �;i!r vii:M:!0}:r Jiri>!^: :.:,.:>•<:.;:;.;;�;s� �>-;��!;.:!>;.,•;:::.. _ w� S Ark >12 lov-. '�Ilwh. State Lie. # : 6 (c, City Lic. #; VAI(ec VVA*,1, Arch., Engr., Designer: ro�� Address: City., ST, Zip: Telephone: <:;;:;; <:.::;,<•<; f: State Lic. # :<: < .......Project Name of Contact Person: Construction Type: Occupancy: ' a circle one): New Addn Alter Repair Demo J ) ' P h'P Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Z APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING FERMIT 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 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Tees Prescri tive Certificate of Compliance: Residential CF-1R-A.LT-DHW Residential Alterations Pagc 1 0(1 Pmiw Name: J:)"600 WAS %"Avr-, S er-+-Climate Zone: / Permit is / General information .Site Address: 'Ja- 1600 w1ASl✓tt R' Enforcement Agency: Date: Buildin Type: ❑ Single Family ❑ Multi Family Project Type: ❑ Replacement or Change out of Water Heater WATER HEATING • 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 resl"uibility for the building design List ne%44'v installed tooter heaters and boilers for butte datnestic hot water heaters (DWH) and Irtdrottic spore heating. Ne%l.v installed D.tVH heaters and boilers must be as. e. or nese the existin d h enforcement agency for approval with this building permit uranium. Distribution Type Water Heater (Standard. Numbs In Tank E—ly F -tor External Tank Insulatim TypdFi►d Type Reci System Capacity (gal) 'brant Efficiency. R -Values V , ukllun S �D oda City/StarorOP: Phone: qt !��' I V' —1��—m "Gl . Ilia a stv.�r�lw•t-d Z 0 6 �- ttur� , s-iw `Oct 0 3 1. Indicate 7)pe (Storage Gas. Heat PtarW. Instantaneott.r. etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements r.f §150(n). The Prescriptive. requirements do not allow the installation of a recirculating water heating system for single dwelling units- nits3. 3.The evernab water heating tank and pipes shall be insulated to neer the rc uiret rents of 1150U). 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 resl"uibility for the building design identified on this Certificate of compliance. • I certify that the energy features and pe formance specifications for the building design identified ON this Ccniftcate'of Compliance conform to the requirements of Title 24. Pant I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance am consistent with the infomution provided to document this building design on the other applicable coTpliance forms, wotkshoets. caicutationns. plans and spocifica(was submitted to the enforcement agency for approval with this building permit uranium. Name: Si /� 1/N 1 i] d/V$�t Y� — Cexnpany: Data: to i(Y)L-1 l 1 a-�b 3� City/StarorOP: Phone: qt !��' I V' —1��—m "Gl Page 1 of 1 Kay Hensel From: Karen Frane Sent: Monday, February 01, 2010 1:45 PM To: Kay Hensel Subject: FW: CERTIFICATE OF OCCUPANCY FOR 42800 WASHINGTON STREET INDIO The records request worked! Since the Washington Street Apartments were not located in La Quinta when they were corstructed, we don't have this information on file. I thought I'd pass along the construction final dates for you to add to Building's files for the WSA. You never know when it will come in handy. I did not ask for the building records for the WSA; I only needed the dates the apartments were finaled. Karen M. Frane City Manager's Office City of La Quinta Ph: (760)777-7074 Fax: (760) 777-7101 E-mail: kfrane@la-quinta.org From: Sims, Cheryl [mailto:CSIMS@rctlma.org] Sent: Monday, February 01, 2010 1:02 PM To: Karen Frane Subject: CERTIFICATE OF OCCUPANCY FOR 42800 WASHINGTON STREET INDIO HELLO KAREN; I DID NOT FIND A CERTIFICATE OF OCCUPANCY FOR THIS ADDRESS. OUR PERMITS SAY THAT BLDGS A -D WERE FINALED 11/3/80, BLDGS E -H & J WERE FINALED ON 11/5/80. 1 HOPE THIS INFORMATION S HELPFUL TO YOU. CHERYL SIMS 2/1/2010