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09-0927 (PLBG)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-0000092:7,- Property Address: 78705 ' VIA SONATA APN:-. 646 -050 -001 - Application description: PLUMBING _ Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 757 Applicant: Architect or Engineer: 0(A - VOICE (760) 777-7012 4 4 Q" FAX (760) 777-7011. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 77777153 BUILDING PERMIT Date: 9/01/09 Owner: HODGE ROBERT 78705 VIA SONATA LA QUINTA, CA 92253' 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. Licen Class: B -C10 -C36 License No.: 811114 ate: �✓ A�ontractor. E~T/' 0-4�10'~ 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 ($5001.: (_ 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 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 thathe 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 am exempt under Sec. , BAP.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 Contractor: CALIFORNIA DELTA 6052 E. BASELINE MESA, AZ 85206- (480)898-0007 Lic. No.: 811114 ------------- ----------------------- - - �--- 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. 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 1'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 37,00 ot;thp Labor Code, I/s/hall fro/rthwith comply/mowith �those /provisions. Date:!v PP pplicant: [�Er T�, ✓ .e+T(�~ 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 ($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 ttljier co tt to/enntter upon th above-mentioned property for i spection purpose�� ,� D� ate:""/ "�/vim nature (Applicant or Agent): ��N��� '✓//) !7," Application Number . . . 09-00000927 Paid Permit . . . PLUMBING --=------------:--' Permit Fee Total 22.50 Additional desc . ---------------------- .00 22.50 Plan Check Total Permit Fee 22.50 Plan Check Fee ". 5.63 Issue Date 1.00 Valuation 0 Expiration Date • 2/28/10 29:13 .00 Qty Unit Charge Per - Extension BASE FEE 15.00 1.00 7:5000 EA, PLB WATER HEATER/VENT 7.50 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 Orand.Total 29:13 .00 - .00 29.13 - LQPERMIT Sep. 1, 2009 3:13PM STEVE No', 3615 P. 5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR 1TSq C>-5- Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF4R Form must be provided to the building department for each home for which the following. are required. UK 13Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously O sealed as confirmed through field verification and "diagnostic testing in accordance with procedures in the ` Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section I50 m and duct insulation requirements of Package D. rrt� AMM 13 IL L iul V 31 M ]P MIN Distribution Number Type in System Cl Sealed Ducts all climate zones installer testink and certification and HERS rater field verification required.) 13 TXVs; readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) UK 13Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously O sealed as confirmed through field verification and "diagnostic testing in accordance with procedures in the ` Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section I50 m and duct insulation requirements of Package D. rrt� AMM 13 IL L iul V 31 M ]P MIN Systems serving simile dwelling units Water Heater Type/Fuel Type Distribution Number Type in System Rated Input' (kw or Whr) Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Tank External Insulation R -Value not allowed. ❑ . Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential tAQ Manual. No water heating calculations are required, and the system complies automatic all . Check box if system does not meet criteria of"Standard" system, and does not comply with the Preapproved U 'Alternative Water Heating table. In this case, the Performance .Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system. serving multiple units Systems serving simile dwelling units Water Heater Type/Fuel Type Distribution Number Type in System Rated Input' (kw or Whr) Tank Capacity (gallons) Energy Factor' or Thermal Efficiency Standby Loss % Tank External Insulation R -Value 10 tAQ System serving multiple dwelling units Rated Input, Water Heater Distribution Number (kw or Type Type. ins stem nm/hr) Tank Capacity (plions Enerp�y Tank Factor orExternal Thermal Standby' Insulation Efficiency Loss % R -Value 1.. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are'/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 Sep, 1. 2009 3:12PM STEVE Bin # a' � POM* # Project Al*v= rl ruS A. P. Number. 3; cilly. ST. zip: t4T-,—% A 1 Telephonej.�kpjo, State Lie, Arch., Eng., Desiper Address: City, ST, Zip: Telephone: Slate Lic, #: Name of Coma Pam: Telephone # of Contact person: N Submittal Re P122 Seta Structural Calc& Truss Cales. Mile 24 CalcL Flood plain plan Grading plan Subcontactor Llit Grant Dead HAA. Approval Plaanlog Approval Pub. V4j. Appr School Fen No, 3615 �P- 2 City of La Quints Building 8t Safety Dwo" P.O Box 1504, 78-495 Calle Tampico L2 Qdnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ;a�q,a e5t.&, Owner's Name. Addm& r)S952S Sh,^, !QQt144Q_7rA city, sT, zip-. L^ C -A 51 . =T:A- Telephone Proj d Description: Construction Type: Occupancy: Project type (circle one):- New Add'n Alter Repair Demo Sq. PL: # Stories # Units: Esthnatod value of Project 16-n APPLICANT: DO NOT wRrm BELOW THIS LINE Reed TRACXNG PEPO= FUS Plan Check submitted Item Amount Reviewed, ready for corrections Plan Cbeck Deposit Called Contact Person PlaucheckBiduce Mus picked up —f?t,,s Construction resubmitted Mechanical V Review, ready for correctionsftwe Electrical Called Contact Pmou Plumbing Plan picked up S.M.I. Plans renbmitted Grading Rgvitw, ready for torrecdonirmat Developer Impact J?c* Called Contact Perron A.I.P.P. Date of permit lame Total Permit I?ea L