10-0556 (PLBG)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253_ BUILDING.& SAFETY DEPARTMENT INSPECTIONS (760) 177-7153
BUILDING PERMIT.
_ Date: 6/23/10
Application Number: -10-000005_56 r_ _ Owner:
Property Address: 47940-_ VIA JARDIN DAVID ABERDEEN
APN: 643-130-041-41 -26152 - 47940 VIA JARDIN
Application description: PLUMBING LA QUINTA, CA 92253 W
Property Zoning: LOW DENSITY RESIDENTIAL D
Application valuation: 1046 JUN
t UI
Contractor:
Applicant: Architect or Engineer: CALIFORNIA DELTA MECHNICAL IY � 9„p IjJWTA
6052 E,. BASELINE RD, #155 Cl�fI'T.
MESA..AZ 85206
_ (480)898-0007
Lic. No.: 811114
------------------------------------
UCENSED CONTRACTOR'S DECLARATION - - _ WORKER'S COMPENSATION DECLARATION
I hereby affirm.under penalty of perjury that 1 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 the Business and Professionals Code, 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 ,
License Class:/B-C10-C36 )� -LicenseNo.: 811134 - for by Section 3700 of -the Labor Code, for the performance of the work for which this permit is
!/E!.i. 144
issued.
C actor: 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 STATE FUND Policy Number 1697823
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 should become 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 Code, I shall forthwith cflLnply with those provisions. . that he or she is exempt therefrom and the basis for the alleged exemption.. Any violation of Section 7031.5 by - . • �6 p/� ' ��
any applicant for a permit subjects the applicant to -a civil penalty of not more than five hundred dollars ($5001.: e: l p�icant:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and L//
the structure is not intended or offered for sale (Sec. 7044, Business. and Professions Code: The WARNING: FAI URE 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 her 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 Contractors' State License Law.). whose benefit work is performed under or pursuant -to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , BAP.C. forthis 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 will subject
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 Ihave 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 building construction, and hereby authorize representatives
of this county to enter upon a above-mentioned property for inspection p�urrp�oses.
Lender's Name: - t� /� // / /,�/�'�/✓
• /� - be nature (Applicant or Agent):
Lender's Address: N
LQPERMIT
Application Number
10-00000556
Permit PLUMBING
Additional desc .
Permit.Fee 22.50
Plan Check
Fee
5.63
Issue Date . .
Valuation
_
0
Expiration Date 12/20/10.
Qty Unit Charge Per
Extension
BASE
FEE
15.00 -
1.00 7.5000 EA PLB
WATER HEATER/VENT
7.50
----Special Notes -and Comments
INSTALL NEW 38 GALLON GAS WATER
HEATER.
2007 CODES.
-----------------_-----------------------
Other Fees
---------------------------------
BLDG STDS ADMIN (SB1413)
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
Jun.23. 2010 8:48AM STEVE
No, 3054 P. 5/5
Yrescri five Celifficate of Com lienee: Residential CF -IR -AL
Residential Alterations WA TF. HATER (Page I of
Project Name: ( i Climate Zone R of Stories
*
General Information `!
Site Address: 7 is 1n, Enforce�tAgengp:� rt„ .• te:
Da
Building Type Single Family 11Multi Fatuity Circle the Front Orientation: N, F, S. W, or degrees
Conditioned Floor Area (CFA): ProjectTypo: ❑ Alu melons O Eovelope ❑ Fenestration ❑ Roof O HVAC
R tacementorchangtOut ❑ Dud lacement Wster Hcakr
List water heaters and boilers. for both domestic hot water (DEW) heaters and hyt*oWc space heating. Individual dwelling DHW heaters mast be
gas or propawe fined and may not exceed 50 gallows. Hot water pipe insulation from the DHW heater to the kitchens) and on all tordwTmu ed hot
waterpipes is rNuked in all component➢adages in all climate zones.
Water Heater Typelkltel DisMbutiou T rn a� t 91
Ype Nt®ber In Tank Energy Factor or Insulation
AT e Stgadard, Recirculate tem Capacity (gal) I Thermal Efficiency R Values
1. Indicate Type (Storage Gia, Heat Pump, lmtmdmteoas, ems)
2. Recirculatltxg systems servingmeltlple dwelling u nlu sha11 meet the Ma&cadation requirements of§150(n), lire Preaerrptive requirement do
not allow the bistallatian of a recbVdating water heating sXetem fir single dwelling waits.
3. The external water heating tank and prpes shall be Insulated to meet the requir=mtj of§150 (j).
• A certW Wt this Certiff0 to of Co liana dtictlmentation is accurate and complete.
Name: r Signimm.
Nt4 10 HA/50A1
U0111p1°''Ca.C; oDp-,Ua 'Ca-�-
Address 60 6 � /5S If Applieablo EJCEA. or O CEPE
City/ We2ip:(Certification i1):
&S a ,¢ Z $5606 P'on°: F66 -6q2. -5Z :?-3
11upons5k Buff tg Dwipter's Declaration Statement
• I em eligible under Invision 3 of the California Business and Professions Code to accept responsibility for the building design identified on this
Certificate of Compliance.
• I certify that the energy feahm and performance specifications for the building design identified on this Certificate of Compliance conform to
the requirements of True 24; Parts 1 and 6 of the California Code of Regttlatibns.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design m the other applicable compliance forms, worksheets, calculations plans and specifications submitted to the enforeemcnt
agency for aermovel with We 6211 iws..-.. 6 . �:_ . _
Name: &OAMR, 'Y0H1vs0/✓ - - Signatma:
Company:
arIu- D .a
8-/ Zl I1/--T/
OcaC
Addtss:e05-6+ G. Lcense:
Citylsatw:
Phone.
866-6q2 -5Z-7
For assklAnee or questions regarding the Enelgy Standards, contact the Energy hotline at: 1-800-7T2-3300.
.Registration Number: Registration Date/1"atne:
2008 Residential Compliance Forms
1EMProvider.-
February 2010
Jun -23. 2010 8:48AM STEVE
Flo, 3054 P. 4'/5
B;11 #
G ty 4f La Quints
Building 8C Safety A1v1s1on
P.O. Box 1504, 78-495 Calle Tampico
Permit #
La Quinta, CA 92.253 - (760) 777-7012
(�
Building Permit Application and Tracking Sheef
Project Address:
O K-0
j1/ Owuces Name:
A. P. Number:
Address 4 % /�� O Q=al
Legal Description:
o
City, ST. Zip- �'5 7153
Contractor.laL' lit L�Q'Ca4
Telepbone:
Address:
Ptwoct Description:
c ty. sT. zip: no b a&- 3 9
Telephone:
` V
Stale Lia # : (
r,
City Lim M, /0 00 �{
Arcb., Bug, Designer
Address:
`
City, SZ Zip.
Telephone:
Construction Type:
Stan Mo. #:
Project type (eircfc ono): New Add'n Alter ' Iepair Demo
Name of Contact Persom
5q. Ft: #Stories: # units:
Tcicphone # of Contact Person: 866-6 q Z —5-z-7 3 FsamasA Value of Project Q
APPLICANT; 00 NOT WRITE BELOW THIS LINE
#. Submittal Re 'd Reed TRACI(VG ' PFAMITrM
Plan Sets
Pian Checkspbmltted It¢m Amount
str•aetnral Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Caleo,
Called Contact person Plan Check Balance;
. Tittc 24 Cales.
Plans plcked up Construction
Plead plain plan
Plans resubmitted Mechanical
Grading pian
2a°Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. approval
Plans resubmitted
Grading
IN RQTJ,9Tr•
Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Celled Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
school Fees
Total Permit Fees