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12-0115 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000115 Property Address: 49821 CALLE ESTRELLA APN: 658-260-038- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 250 Applicant: W�ww� VA- Architect or Engineer: *34 - " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. License�WoD34 License No.: 915215 �( Date: ntractor: OWNER -BUILDER DECLARATION 1 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).: (_) 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 I, 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 Owner: ROSANNE OICALLAGHA 49821 CALLE ESTREi LA QUINTA, CA 9225 Contractor: PLUMBING INSTALLERS 13400 SATICOY STREET # NORTH HOLLYWOOD, CA 91 (818)982-6952 LiC: No.: 915215 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/12 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 TOWER SELECT IN Policy Number WCCO2130900 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 337770'0 of the Labor Code, I I hwit comply with those provisions. Dater/] �7 /)!,/ Applicant: WARNING: FAILURE TO SECURE W KERS' 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 1 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 buildirjFcoNruction, and hereby authorize representatives of this cou ty 3o reenter upon the above-mentioned property rins ion purposes. Dat Signature (Applicant or Agent): r � t Application Number . . . . . 12-00000115 Permit PLUMBING Additional desc . . ` Permit Fee . . 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 8/05/12 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments WATER HEATER CHANGE OUT - 50 GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. February 7, 2012 1:32:39 PM AORTEGA ----------------------------------------------------=----------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 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 29.13 .00 .00 29.13. LQPERMIT ' 1 • PrescrC tiye Certificate of Com liance: Residential " CFAR-ALT-DHW Residential Alterations Page 1 of z Project Name: Climate Zone: Permit sl: General Information Site Address: ', E(,� Enforcement Agency: Date: Building -T Single Family ❑ Multi FamilyTProject Type: ❑ Replacement or Change Out of Water Heater WATER HEATING iJsl nlwiv installed INpfCr Iteaters and boilers for both datnestic hot Hater heaters (DWH) and h dronic space hearing. NeKiv installed p.WH heaters and boilers must be gas. prypane. or use the existingfuel UistriMxiom Type Exiernal Tank Water Iota Numt><r M Tank Enegy Factor 4xlnsrtlatiam Type/fuel Type R (Standard, System Capacity (gal) Thermal Elficia►cy R -Value 71 1. Indicate Type (Storage Gas, Heat Pump: Instantaneous. etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirrme►f►�§I n). The Prescriptive. requirements do not allow the installation of a iecirrulating wafer heating system for single dwrlling tutits. ' 3. The external water hewing lank and p4pes shall be insulated to meet the re uirrments of J l Contractor or Homeowner (Documentation Author'stRespondble Building Desigtser''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 Cettirk-ate 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, 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 on the other applicable compliance forms, worksheet calculationm plans and specifications submitted to the enforcement for approval with this budding u applkztkxL Name: Si Mau kwU&n. coatpany: ; l: f nib) a, o "Voa� 3 �'e �-. 2� t iea►sc. Ci ROMA d D�7-R&q Z- zlam9�z Bin # 1 City of'La Quinta , Building 8t Safety Division P.O. Box 1 SO4, .78-49S Calee. Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ' Permit # �1. • �� Project Address: Owner's Name: 114 A. P. Number: Address: ' Legal Description: Contractor: ; :City; ST, p: Telephon :i<:r�s ^ ✓, Address:j..�qC)pProjec.tDes iption: City, ST, Zip: � Tele hon � if :��<,2'..::.... ;�,:a::�•• State Lie. # : Arch., Engr., Designer: City Lie. #: Address: City, ST, Zip: Telephone: State Lie. #: `-iµ - ,; fir. ni.�� x::�::�<;i �•.,, � .. .Construction : ; y `, .. ,• . y: Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Y1Af4 Sq. Ft: #Stories: #Units: Telephone # of Contact Person: _ Estimated Value of Project: / on> APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionstiissue Electrical Subcontactor List Called Contact Person- Plumbing Grant Deed Plans picked no S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees