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11-0977 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000977 Property Address: 54110 AVENIDA HERRERA APN: 774-214-006-19 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 791 Applicant: rvow�T�Q. Tiht 4 4 Q" Architect or Engineer: 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 Class: C10 C20 C3 License No.: 811114 Date:9-/2-�� Contractor: _ 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 (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, 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 norintended 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.l• (_ 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 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: HARKLEROAD CHRISTOPHER SCOTT 54110 AVENIDA HERRE LA QUINTA, CA 92.253 0 Contractor: CALIFORNIA DELTA ME ICA 6052 E. BASELINE RD #155 MESA, AZ 85206 (866)692-5273 Lic. No.: 811114 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 �u 7SP12 2011 ;A Date: 9/12/11 WORKER'S COMPENSATION DECLARATION 1 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 STATE FUND Policy Number 1697823-11 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 LG.3700 of the Labor C shall forthwith comply with those provisions. Dat09111 Applicant: 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 1$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 co my o enter upon the above-mentioned propertyWf'ection pure es. ' Date: / Signature (Applicant or Agentl: Application Number . . . . . 11-00000977 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date Valuation 0 Expiration Date 3/10/12 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/ELECTRIC [2008 ENERGY] 2010 CALIFORNIA BUILDING CODES. September 12, 2011 12:32:25 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 r- LQPERMIT Prescriptive Certificate of Compbanee, Residential Water Heating CF -IR -ALT -WH WA ER HEATING List water heaters and boilers far both domestic hot water (DAM) heaters and hydroma space heating. Individual dwellingDHW healers must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchens and on all under and hot water pipes is re ed in all component packs es in all climate zones. • I certify that the energy featnres and performance specifications fat the building design identiScd on finis Cat Meate of Compliance eonfb= to the requirements of Title 24, Pots l and 6 of the California Code of xLegulations. Energy Factor or bnllding design on the other applicable compliance forms, worksheats, calculations, plans and specifications subW ted to the enforcement Water Heater Type / Distributiona Number of Tank Capacity Thermal Exhortal Tank Fuel e3 Standard stem 1 Baiency, elation R -Value' ' V Standard G 1.Weate type (S'tor'age GM, Heat Pump, Instantaneous, etc.) I. RacKvla ft systems serving multiple dwelling units shall meet the rectrcukation requbvnents of 150(n). The Prascrintive reau9v11tanta do not allow thg imlaft*n of a recircrtlatlns water hsatbxp sustlani for single dwalltng unAla_ 3, no water heating tank and pipes shall be tnsulated to mast the requbwments of 1500). Contractor Pocumeafttlon Author's /R onsible Designer's Dedaration Statement) • I aertlty that this Certificate of Compliance docwneatatlon is aeenrate and complete. • I am aligibleunder 19vision 3 of the California Business and Professions Code to accept tcspons(bMty for the bujldiug desip iden0ed on this Cartificato of Compliance, • I certify that the energy featnres and performance specifications fat the building design identiScd on finis Cat Meate of Compliance eonfb= to the requirements of Title 24, Pots l and 6 of the California Code of xLegulations. • The building design features identiffed on this Certificate of Compliance ars consistent with the hdbrmadou provided to document this bnllding design on the other applicable compliance forms, worksheats, calculations, plans and specifications subW ted to the enforcement agenoy £or opproval with this building permit aylicadom Name:A signatme: Company:Callfornla Delta Mech cel bate: % Ai Adarw,,6056 E. Basellne Rd., #155 Liaettse:811114 City/State/Zip:Mss%AZ 85206 PhO '86fi-892-6273 2008 .Residential Con pllance Forms March 2010 o 1d0INMA 41134 N00:6 HOZ Bin # City of La Quinta Building at Safety DlvWon Permit N P.O. Box 1504, 78.495 Cale Tamplco La QulnTa, CA 92253 - (760) 777.7012 �� • 09.11 Buliding ,Permit Application and Tracking Sheet Prgjeet Address: Sy Jl 6 21711 9mm • Owner's Name: A. P. Number: Address: Y H )T Leger Dcn tion: l rpi q, Tr ' City. ST, Zip: Lem QO a tA q ZI 3 Contractor; Address; �j0S6 �bag:: Xp— fj 11r0je0tDeecripti0A; l City, ST. zip: NuoZ p52� {,d �� P EGT ► �� Telepbone:Gtit- State Lie, # : City Lie, , 10 q00 Arob„ Engr., Designer, Address: ' City, ST, Zip: Telephone: Consruction 7` pa: Occupancy; Pmjeettype (oircle one): New Add'n : Lepoir Demo Stec Lia #; Name of Contact Person: Sq, Ft,: 0! Stories; # Unit9: Telephone #oPComsatPerson: $ $stimatedValue ofProjact 9 1 APPLICANT: DO NOT WHITE 13ELQW THIS LINE 0 Submittal la°d Reoed TUCKING " PF1aMIT H1i B 8 plan Bets Plan Check submitted Item Amount Structural Calcs, RevIMW, ready for eortectloue Plan CheekDepoalt Truss Cares. Called Contact Person Plan Check Balance, Tltie 24 Calcs. Piaaa pld$ d up C"structlan Flood plain plait Plans resubmitted 1ldechanlcsl Grading plan 2°d &view, ready for correetlons/Wue Electrical Subeantsatar List Called ContsctPerson Plumbing Grant Deed Plans plc$ed up tf,O.A. ApproYal Plans rasubmltted Gradlag IN ROME!- "" Ravlew, rsady far corrections/issue Developer Impact Ilea PIsnaing Approval Called Contact Person A,LP.P. Pub. Wks. Appr Date otpertnit Issue Schad] Fees Total Permit Fees 619 'd OM '9N . IUMMIN V1130 PH :6 IIOZ 6 daS I