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14-0248 (PLBG)T-d4t 4 4 P.O. BOX 1504,/ VOICE (760) 777-7012 78-495 CALLE TAMPICO �%•n;j FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING &- SAFETY DEPARTMENT /� �d� INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/10/14 Application Number: 14700000248 Owner: Property Address: 48516' VIA ENCANTO" WINDSOR MEL APN: 646-091-044- - - 48516 VIA ENCANTOF"FINAANCE Application description: PLUMBING LAQUINTA, CA 92253 Property Zoninq: LOW DENSITY RESIDENTIAL Application valuation: 800Contractor: Applicant: Architect or Engineer: STATEWIDE SERVICES INC83780 CORTE SOLIS ` COACHELLA, CA 92236 (760)984-0126 Lic. No,.: 936147 ----------------------- ------------------------------------------------ --------------- LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION 1 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 �BusinandionalsCode, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation,. as provided LicenseClass: C36LicenseNo.: 936147 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.Datekb__A/ Contral:!- - _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier MARKEL INS CO Policy Number MW00044634-03 ' 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 shouISPpecome 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 Co 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 /� I any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: DaQJ lJ •I gApplica - 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or hei own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building. and Safety for a permit subject. to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed -1. Each person upon whose behalf this application is made, each person at whose request and for " pursuant to the Contracmoors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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. Date:. Owner: 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 willsubject CONSTRUCTION LENDING AGENCY permit to cancellation., _ .I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all - work for which this permit is issued (Sec. 3097, Civ. C.). -city and county ordinances and state laws relating to buildinff:o� ion, and hereby authorize representatives t i county to ente upon the above-mentioned property fn purposes.Lender's Name: � � - � ate. Signature (Applicant or Agent): .,..Lender's Address: - a LQPERMIT Application Number.` 14-00000248 Permit PLUMBING 2013 �- Additional desc " Permit Fee 11.92 Plan Check Fee 00 Issue Date . . . Valuation 0 Expiration Date 9/06/14 Qty Unit Charge Per Extension LL .1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 • - Special Notes.and comments WATER HEATER CHANGE OUT - 50GALLON/GAS (2013 ENERGY] .CARBON MONOXIDE ALARM(S) TO BE INSTALLED-PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING - ---------------------------------------- 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 11.92 .00 .00 -----11.92 Plan-Check Total .00 .00 .00 .00 Other Fee Total 98.72 00 .00 , 98.72 Grand Total 110.64 .00 .00 110.64 LQPERMIT Mora's Services 760-984-0127 � Occupancy:MIN R Construction Type - Telephone: a-''mow..�,z-n-:•F- x3`ro�..: Repair Demo( State Lia #:3:� Proj cot Add'. Alter Name of Countct Person: l Sq. Ft.: ;Stories: Units j APPLICANT: DO NOT WRITE BELOW THIS LINE City Of La Quinta Submittal Building 8F Safety DivWon Rec'd' P.0. Box 1504, 78-495 Calle Tampico VPermit.# La Qufnta, CA 92253 - (760) 777-7012 Trackil�g Sheet Building Permit Application and Address: Owner'sName:mber Address:escription: City, ST, Zip: �� . Contractor: c-- f _ telephone: n Address: ��`l faProject, Description: City. ST, Zip- ip Tel _ ,(�J/r/\ Tel Called' Contact Person State-Lic. # : 4,% City Lic. 9- P•1 a City., ST, Zip: - � Occupancy:MIN R Construction Type - Telephone: a-''mow..�,z-n-:•F- x3`ro�..: Repair Demo( State Lia #:3:� Proj cot Add'. Alter Name of Countct Person: l Sq. Ft.: ;Stories: Units j APPLICANT: DO NOT WRITE BELOW THIS LINE t; Address: a City., ST, Zip: - � Occupancy:MIN R Construction Type - Telephone: a-''mow..�,z-n-:•F- x3`ro�..: Repair Demo( State Lia #:3:� Proj cot Add'. Alter Name of Countct Person: l Sq. Ft.: ;Stories: Units Telephone r of Contact Person: Estimated Value of Project 0 APPLICANT: DO NOT WRITE BELOW THIS LINE t; Submittal Req'd Rec'd' TRACF�G PERMIT FEES [ Plan Sete PlanCbecksubmitted Item Amonut saructorar Cabs. Reviewed, rcady for eorrecdom Plan Cbccic )eposit Truss toles. Called' Contact Person Plan Chet: Ealance Tltie 24 C21cs. Plans picked up Constrncdoc, Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrcctionsfissue Electrical Subeoataetor List Called Contact Pcrson Plumbing Grant Deed Plans picked up S.M.i. H O.A. Approval Plans resubmitted Grading 134 HOUSE:- '^' Review, re2dy for correctionshssue Developer Impact Fee Planning Approval Called Contact Person Pub. VA s. Appr Date of permit issue School Fees Total Permit Fees Mora's Services -Prescci .tiye Certificate of Compliance; Residential Residential Alter lulls ProjectName: MC�[j Climate Zone: . r 760-984-0127 p.2 CF-IR-ALT!DRN . . Ngc I o(2 Permit 4: General Information Site Address: % l iC> Ettfoccement etx A1C Building T Single Famil ❑.Multi Family Project TRe lacementorChan a Out o° Water Heater WATER HEATING • 1 certify that thisCurifK=c of Compliance docvnxntation is accurate and complete. ' • l..am eligible undo [Rvis'ton 3 of the California t3uaincss and professions Code to accept tespottaibiliry for the building de -sign List new h- installed worer lrraters and boilers for bath dotnesric hot eater heaters (DDH) and /ntlronir apoce.hearing. Newly insrollyd DWH !renters and Loiters crust be gas. propane. or use the existingt1 n , Oisuibuion Type Watt �� Numhrr In Tank �8Y" Fxtor LT�� 1 ypd { �YPer R (Si"�'aL Systctn capacity (gal) Thmtul Erficicrcy E.At&nal Tank R -Vanua' enfonccrtlau for approval with this buBding Permit limdott_ N S' Oa 1 -2 jf- '4 ' �7 ry L� - 1. indicate rype (storage Gas. Heat Pump. Instantaneo,u. etc_) 2. Recirculating systems serving multiple dwelling units .shall inert (he recirruladon requirements d §150(11). requirrmrnts do riot allow the installation of a recirculating water heating systent for single -dwelling units- j- The cvrehTal water hearing tank and pipes shall be insulated to meet the rr uiretnents o § 150(i) - The Prescriptive Contractor or Homeowner (Dotumentittiou Author's/Responsible.BuRding Designer's Dedm.-ation Staten*nt:) • 1 certify that thisCurifK=c of Compliance docvnxntation is accurate and complete. ' • l..am eligible undo [Rvis'ton 3 of the California t3uaincss and professions Code to accept tespottaibiliry for the building de -sign identified on alis Certificate of Compliance- • I bWify that the energy featum and perfott mmc specifications for the'building design idcndficd or. this Cettiftcate of Compliance conform to the requirements of Talc 24, Patz 1 and 6 of the California Code of Reguiad"ns. . 'Tile building design. features identified on this ct'ni(ica(e of Cotirpiirsncc ane consistent with the infonration provided to docutnent this building design on the other applicable a>nrg►lianec forms, worirshoet& laiwns plans and :peciGcattons submitted to the enfonccrtlau for approval with this buBding Permit limdott_ N S' Oa 1 -2 jf- '4 ' �7 ry L� - L t a L t