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11-0949 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-=00000949 Property Address: 47875 VIA-JARDIN APN: 643-1'30-035-35 -26152 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 750 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: B. WELCH 47875 VIA JARDIN LA QUINTA, CA •92253 LICENSED CONTRACTOR'S DECLARATION 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: C36 ' License No.: 880103 rs tract o . - OWNER:BUILDER DECLARATION hereby affirm under penalty ofperjurythat 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' Slate 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' StateLicenseLaw.). 1 _ 1 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: 9/01/11 0 Ssp 012011 LA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate ofconsent 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 EXEMPT Policy Number EXEMPT 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 de, I shall forthwith comply with those provisions. t/ '/ Ap - an WARNING: FAILURE TO SECURE ORKERS' 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 forthonthis 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 LaQuinta, its officers, agents and employees forany 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 thiscountyto enter upon the above-mentioned pr rty for inspection purposes. pare: `- It • S' ature (Applicant or Age Contractor: Applicant: Architect or Engineer. ALVAREZ, JORGE A. P.O. BOX 984 THERMAL, CA 92274 IIUI (760)777-3613. It' Lic. No.: 880103 I`JI P"' LICENSED CONTRACTOR'S DECLARATION 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: C36 ' License No.: 880103 rs tract o . - OWNER:BUILDER DECLARATION hereby affirm under penalty ofperjurythat 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' Slate 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' StateLicenseLaw.). 1 _ 1 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: 9/01/11 0 Ssp 012011 LA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate ofconsent 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 EXEMPT Policy Number EXEMPT 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 de, I shall forthwith comply with those provisions. t/ '/ Ap - an WARNING: FAILURE TO SECURE ORKERS' 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 forthonthis 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 LaQuinta, its officers, agents and employees forany 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 thiscountyto enter upon the above-mentioned pr rty for inspection purposes. pare: `- It • S' ature (Applicant or Age Application Number 11-00000949 - Permit PLUMBING.; Additional desc . Permit Fee` 22.50 Plan Check Fee 5.63 Issue Date Valuation 0 Expiration Date 2/28/12 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 ,1 . LQPERMIT .. ' . Prescriptive Certificate of Compliance: Residential CF;1R-ALT.DR Residential Aftirittiohs' J; , fA, Page I of 2 P e: a 5RAC_k Climate Zone: I Permit #: J. General Information Siti Address: "V5- 3OLQA;E_ =__Enforciment Agens y: Date. - B uildin'T le: ingle Family 0 Multi. Family_ I Project Type: O,Repla66meftt or Chan gi_Out of WiitefHeater. WATER HEATING - List nevviv installed tvater heaters, and boilers for both doinestic hot svdter,,healersj(DWH) and hydronic' Apace Ieatm, Newlyinstalledt DWH- heaters and boilers must be as, propane, or use the existing fit I type. witer He'afer Distribution Type Number.ln Tank' A�-, rj I - Epergy F�aqqr 9!, External Tank lniulati6n Type/Fuel Type' - "' ­­ (5wndanl. --:7-Recirculatinge system "Capacity (gal) Theirmal Efficiency ,$ignatuTe; J_C Uk .7. Company: Date: N Address- - Lieen]serr City/StatdZip: Phone: 7(oo-7?7-,3(P1_3 4. --indicate Tvpe (Stordge'Gas, Heat Piano, Instantaneous. etc.) 2. systems ling sysms -serving-multiple- dwelling units'sliall',pneit the;:-recirridalidn requirements .6f -P rescr�iplive -water L. do notw1low the installation of a recirculating heating systenifor single' dwelling tmits.,* requirements g tank and pipes s4� 1-77re,external uuter. heatin4116e insulated to meet the re4uirelnentslof § 15 0u). T Contractor; or Homeowner (134kumentation Author?s/Risonsible ffiiilding Designer's DMiration Stat4'inint)­:-- lete. O"i certify that this Ceiritificate of Compliance documentation is accurate and'CoMpr ' and F�;iess-.? eWthe building' design _A I .am. eligible under Division 3 of the California Business ions Code'to accept responsibility' i, H identified on this.Certificate of Compliance. 16i the building design identified on this' C ertificate of Compliance 1. certify. that- the energy features and performance specifications ; .conform to the requirementsitle 24, Part land 6 of r the California Code of Regulations.,.-. The building gn-,Te'atures identified on this Certificate of;Compliance -_*if-Corripance are consistent with' the information provided to document this I - . biiildingdesign-on the -other applicable -compliance' forms, worksheets, calculations. plans and specifications submittid. to the ,enforcement agency for approval with this building permit appli tion. Name- ,$ignatuTe; J_C Uk .7. Company: Date: N Address- - Lieen]serr City/StatdZip: Phone: 7(oo-7?7-,3(P1_3 - 4 GA nr;lgn in 1. Per Section 1500) of the 2ous tnergy tmciency oianuiuus. QAnril 2010 2009 Appliance Efficiency Regulations for Slinall Water Heaters, Small Water Heater Is defined as: Type Input Gas Storage 75,000 Btu/hr or less Oil Storage 106,000 Btu/hr or less Electric Storage 12 RW or less Gas Instant 200,000 Btu/hr or less Oil Instant 210,000 Btu/hr or less Electric Instant 12 kW or less Heat Pump 24 amps or less 1. Per Section 1500) of the 2ous tnergy tmciency oianuiuus. QAnril 2010 If rated Energy Factor does not EXCEED minimum Federal Minimum Values Below, an External Insulating Blanket (R-12, Ener -Factor minimum) shall be Installed' Water Heater Fuel type Effective Jan 20 2004 30 Gallon.. 40 Gallon 50 Gallon Gas-fired storage -type water 0.62 - (0.0019 x- V) 0.563 0.544 0.525 heaters Oil -fired water heaters 0.59 - (0.0019 x V) 0.533 0.514 0.495 (storage and instantaneous .Electric storage water heaters (excluding tabletop water 0.93 - (0.00132 x V) 0.890 0.877 0.864 heaters Electric tabletop water 0.93 - (0.00132 x V) 0.890 0.877 0.864 heaters Gas-fired instantaneous water 0.62 - (0.0019 x V) 0.563 0.544 0.525 heaters Electric instantaneous water heaters (excluding tabletop 0.93 - (0.00132 x V) 0.890 0.877 0.864 water heaters Heat um water heaters 0.93 - 0.00132 x 0.890 0.877 0.864 V = rated volume in gallons 1. Per Section 1500) of the 2ous tnergy tmciency oianuiuus. QAnril 2010 Bin # Qty of La Quinta Building 8L Safety Division r P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: �� Owner's Name:U e-(c-.k A. P. Number: Address: 1_47R.1-77 \ I t1 k- Legal Description: City, ST, Zip: q. -L7 Contractor: '(J�LCM (/3 r CI Telephone: <<:<'> <:'z<:>?•.`<:'s Address: C LF- Project Description: City, ST, Zip ci 22.7 y GC e74 0 Q CvA s Cs�P Telephone: I &o_9 I .?�<>>€�:<;:.,<::«::<::<:;.;:.;:.;>;;.;:•;::�:.«>:•«;>: State Lic. # City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: - Telephone: 2i2:i° :... ii'v`L::%:ii':::�: Construction Type: Jccupancy: .. - State Lie. #: Project type (circle one): New Adc'n Alter Repair Demo Name of Contact Person:Sq. Ft. i #'Stories: #Units: Telephone# of Contact Person: — - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount ' Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called-,Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construct®n 'Flood plain plan Plans resubmitted Mechanical Grading plan 21' Review, ready for corrections/issue ' 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 X_ .