Loading...
12-0051 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000051 Property Address: 51295 CALLE GUATAMALA. APN: 770-161-003-3 -000000- Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 650 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Bu 'ness and Professionals Code, and my License is in full force and effect. License Class: C36 License No.: 731855 ate/J-5-1� Cp tr ctor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 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.). 1 _ I 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/18/12 Owner: SIMPSON LINDA S 51295 CALLE GUATAMALA LA QUINTA, CA 92253 Contractor: 1 g��i STATE WIDE UMBFNCi<tt 2012 40244 CATI COURT INDIO,36- 315 9CA 92 -IT OF9�A (760) 6 ' ,,tJilir�rA Lic. No.: 7318 --------------- - - - 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. - 1� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T Code, for the performance of the work for which this permit is issued. My workerscompensation insurance carrier and policy number are: Carrier SOUTHER INS CO Policy Number WSIO047530-01 _ 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 s uld become subject to the workers' compensation provisions of Section 3700 of the Lab de, I shall forthwith comply with those provisions. to � Ap t: WARNING: FAI E 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 1 have read this application and state that the above information is correct. I agree to comply with all city and c my ordinances and state laws relating to buil 'ng construction, and hereby authorize representatives. of thi ounty [o ;;uponabove-mentioned prop for inspection purposes. ate: Applicant or Ag ntl: 12-00000051 Permit PLUMBING Additional desc . Permit Fee . . 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 7/16/12 Qty Unit. Charge Per Extension. BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE 40 GALLON GAS WATER HEATER. 2010 CODES. ---------------------------------------------------------------------------- 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 LQPERN11T Prekd tive.Certificate of Residential Alt rations Pm'ect Name: M U ince: Residential Climate Zone: CF -IR -AL's -DW Page l of 2 Permit M General Information Site Address ; -)JO, / Enforcement Agency-.' Date: Building T in le Famil .0 Multi amil Project Type lac:enWrit or Change Out of Water Heater WATER HEATING List nii44y installed water heaters and (oilers for loth domestic hot Nater heaters (DWH) and llldrottic space heating. NrNiy.installed D.►VH heaters and boilers must be gas. propane. or rue the existing et h . DisuibWM Type.. Water ticarer r (Sardand Numt+cT fn Tank F BY. or'x TypdTIM Type (( System Capacity (gal) Tbcm ai Efficiency External Tank Insulation R -Value' 1. Indican Type (Storage Gas, Heat Pump. Instantaneous, etc.) 2. Recirr dating systems serving mWilple dwelling units shall wet the recirculation requirements of §I f0(n): requirements do not allow the installation of a recirculating Nater heating system for single dwelling hunts. 3. The a aernal water hewing tank and pipes shall be insulated to meet the re uirements of f l The Prcscriprive. Contractor or Homeowner (Documentation Author's/Responsibie Building Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Pmfessions 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 requimments of Title 24, Part I and 6 of the California Code of Regulations. The building design features identified on this Certificate of Compliance arc consistent with the information provided to document this building design on the other applicable compliance forts, worksheets. calculatiions. plans and spoci6catiau submitted to the enforcement agency for approval with this building itli'MLX' X . Name: Si Address: L16d License: qO-d Phone: 773-77777 Bin # Cit of L Quinta Building 8' Safety Division ' P.O. Box 1504, 78-495 Calle Tampico � La Quinta, CA 92253 - (760) 777-7012 . Building Permit Application and. Tracking Sheet Permit # �� ` Project Address. 9S C!&% 14e u p Owner's Name: Sb A. P. Number. Address/ 5, COM-0 Legal Description: < City., ST, Zip: Contractor; I P Telephone-.% Address: �.( (fin l ` Project Description: (� ` City, ST, Zi p(I • l4,4 n Telephone� a : – �� �_ State Lia Arch., Engr., Designer: Address: City, ST, Zip:' Tele p hone: S ic. #: ;,.' ? c} `�`v s .it's; k a >!>;::' ?tom-^ w!''< Construction Type: Occupancy: Project circle one): New Add'n Alter Repair Demo Name of Contact Person: ;�, <a 122oLa Sq. FL: # Stories: # Units: Telephone # of Contact Person —t> Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°° Review, ready for correctionsJissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up 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