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08-0455 (PLBG)4-Qam& 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 Application Number: 08-00000455 Property Address: 48629 CALLE APN: 646 -121 -015 - Application description: PLUMBING Property Zoning: LOW DENSITY Application valuation: 500 Applicant: ESPERANZA RESIDENTIAL Architect or Engineer: oIt— LICENSED CONTRACTOR'S DECLARATION I 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 License is in full force and effect. LicenseClass: /Cf36 License No.: 828264 Date: J (7 Contractor: ���WNER-B�DER 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 th6 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.). 1 _ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPER 11T Owner: SAATY RAMZI G 48629 CALLE ESPERANZA LA QUINTA, CA 92253 ( Contractor: ` D d FOY, SCOTT A. 43579 MAIN STR INDIO, .CA 9220 MH� 9 (760)775-9405 1 2008 Lic. No.: 828 64 CIop r Date: 3/14/08 0 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 045040239 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so 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 Code, 1 shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERSSAT N 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 1 have read this application and state that the above information is correc . 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 for inspection urpo Dater Signature (Applicant or Agent): Application Number . . . . . 08-00000455 Permit . . . PLUMBING Additional desc . . Permit Fee. 22.50 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/10/08 Qty`" Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE WATER HEATER WITH NEW 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 LQPEMI IT ' City of La Quinta BwMg 8t Safety Mfdon Box 1504, 78495 Caffe Tampko 1a QiMta, CA 92253 - (760) 777-7012 Building Permit Application and Tracidng Sheet Pefrrdt #P.O. d� Project Address: Y'C, Owner's Name: .Sq 19 ►A'I Liv A- P. Number: Address: GS r'G Legal Description: City, ST, Zip: Contractor ��- Address: Telephone: Project Description: / City, ST, Zip: 1 / Telephow: b-77--!� - State Lic. # :City Lic. #:1jG05 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: '!!q ction Type Occupancy: type (circle one): New Add'n Alter Repair Demo State Lic #: Name of Contact Person: 2EWmated # Stories: # Units: Telephone # of Contact Person: Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Beed TRAC3MG PERMIT FEES Plan Sets Plan Cheek submitted item Amount structural Calcs. Reviewed, ready for eomeetions Plan Check Deposit Trus Coles. Called Contact Person Pian Check Balance Title 24 Cales. Places picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for eorrectionaJissoe Eieetrieal Sabeontaetor List Called Contact Person Plumbing Grant Deed Plans peeked up SM L IMA. Approval Pians resubmitted Grading RV HOUSE:- Review, ready for eorTeetionsrsssue Developer Impact Fee Planning Approval Called Contact Person A"T. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL. (Page 3 of 4) CF -1R Project Title SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. OR D Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Proiect Climate Zone in the RM AoDendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously D 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. WATER HEATING SYSTEMS Distribution Type D Sealed Ducts all climate zones(installer testing and certification and HERS rater field verificationrequired.) D TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testin and certification and HERS Rater field verificationrequired.) D Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verificationrequired.) OR D Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Proiect Climate Zone in the RM AoDendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously D 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. WATER HEATING SYSTEMS Systems serving single dwelling units Water Heater ix2auel Type Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per D dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby Loss % not allowed. 0 Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. v Check box if system does not meet criteria of "Standard" 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 submittal. ❑ 1Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater ix2auel Type Distribution Type Number in System Rated Input' (kW or Btwbr) Tank Capacity (gWIons Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulation R -Value h. ( Gas v os System serving multiple dwelling units Water Heater Type Distribution Type Number in System Rated Input' Tank (kW or Capacity Buift) (aIons Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulation R -Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat 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 Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a 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