13-0742 (PLBG)P.O. BOX 1504 ^�� VOICE (760) 777-7012
78-495 CALLE TAMPI / -
CO FAX (760) 777 7011.
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153'
BUILDING PERMIT
Date: 6/14/13
Application Number: 13-00000742 Owner:
Property Address: 48645 VISTA TIERRA NAVARRO DENISE
APN: 646-081-023- - - 48645 VISTA TIERRA
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760)464-2835 D
Application valuation: 185 G
Contractor:
Applicant: Architect or Engineer: TOMMY ROOTER Al. ' !Zi�i3
80975 INDIO BOULEVARD. #C3
INDIO, CA 92201 C�
(760) 574-4444 P1����Q01
Lic. No.: 930133 NC��Ehr 4
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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.: 930133
Date: —(3 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, 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 _ 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 _ 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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 NORGUARD INS Policy Number THWC435917
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 1 should become subject to the workers' compensation provisions of Section -
3700 of the L Code I shall forthwith comply with those provisions.
^1 —�5 '
Date. 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 ($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 county to enter upon the above-mentioned pr ty fo/r/' spection purposes.
Dat LLHSignature (Applicant or Agent); `e
Application Number . . . . . 13=00000742
Permit PLUMBING 2013
Additional desc .
Permit Fee 11.92 Plan Check Fee
.00
--- Issue Date Valuation . .
0
Expiration Date 12/11/13
Qty Unit Charge Per
Extension •.
1.00 11.9200 EA PLBG WATER HEATER/VENT
11.92
---------------------------------------
Special Notes and Comments
--------
WATER HEATER CHANGE OUT-.40GALLON/
NATURAL GAS [2008 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2010 CALIFORNIA.
BUILDING CODES.
-
- --------------------------------------------------
- Other Fees BLDG STDS ADMIN (SB1'473)
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 .. -
06/06/2013 THU 15:09 FAX La Quinta Bldg & Safety
8fn #
Cit}r of La Quinta
Building 8t Safety Dhtlon
Permit 0 P.O. Box 1504, 78.495 Calle Tampico
_ La Qufita,. CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Project Address: a (p4 e y • Owner's Name:
A. ?.Number. 0.r Y'
Address: ya l0 45 12. rrc ,
Legal Description:City, ST, Zip: , C.
Contractor: 1
Nl (LAn n Telephone:
Address. �a', Project Description:
City, ST, Z'
Telep e. U p 5-7
State Lic. #
Arch., Engr., Designer.
Address:-
City.,
ddress:City., ST, Zip:
Telephone:
State Lia #:
Name of Contact Person:
Telephone # of Contact person.
# Submittal Rei
Plan Sets
Structural Gales.
' Truas C�ics.
Title 24 Cales.
Flood plain plan
Grading pian
Subeontector List
Grant Deed
H.O.A. Approval
IN HOUSE:
Planning Approval
Pub. Wks. Appr
School Fees
APPLICANT: DO NC
Reed
Plan Check submit
Reviewed, ready fo
Called Contact Per
Pians picked up
Plans resubmitted
2" Review, ready fi
Called Contact Per
Plans picked up
Plans resubmitted
Review, ready to
Called Contact Per
Date of permit lssui
2001/001
29 4L i I IIC 'Cc
V
Construction Type:
Occupancy: e51
Project type (circle one): New Add'n Alter Repair Demo
Sq. Pc: # Stories: #Units:
Estimated Value of project
T WRITE BELOW THIS LINE
TRACKIIVG PERMIT FEES
ed item Amount
corrections -Pian Check Deposit
on
Plan Check Balance
'
'Construction
.
Meebanical
r eorrectionviissue
Electrical
on
Plumbing
S.M.I.
Grading
correctlons/isme
Developer Impact Fee
on
A.LP.P.
Total Permit Fees
`l�
Prescri tive Certi icate of
Residential Alterations
Project Name: 6y 5 \1 .
r ,
:. Residential
Climate ZAW:
' CF-iR-ALT-DHW -
Page 1 oC
Permit C
General Information
Site Address: Enforcement Agency: Date:
Buildin T Sin le Famil O Multi
Family Project T Replacement or Change Out of Water Heater
WATER HEATING
List ne%44v installed ►carer heaters and boilers for both domestic hot water heaters (DWH) and hidronic space heating. NMr installed
DIM heaters and boilers matt be gax propane. or nit the existing el to .
Water Hater
Type Tyk
DWrb+rion Type E06=1 Tuck
(S Number In Tank Energy Factor or
System Capacity (Fal) Thrnaal Efficiency 6 a
-V luc' ..
7a
Lf nC
r
1. Indicate Type (Storage Cas. Heat Puetp; Instaetaneous, etc. )
2. Recirculating systeea serving nutltlpk. dwelling units shall meet the recim ladon requirenwnts of VAn)_ The Prescriptive
• require- leeu do eat allow the installation of* recirculating water heating s)stent for single dwelling units.
J. The external water heating tank and pipesAWI be insulated to meet the rerepents of l
Contractor or Homeowner (Docomentatioo Author'dResponsible Building Designer's DecUaration Statement)
• I certify iliac this Cenificue o(Compliance documentation is accurate and complete. .
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design
identified on this Certificate of Compliance.
• 1 certify that the energy features and perfonrunc a specifications for the building design identified onithis Certificate of Compliance
conform to the mquisements of ride 24, Part I and 6 of the California Code of Regulations. '
. The Iwtilding design festures identified on this Certificate of compliance am coniatant with tate information provided to document this
building design on the other applicable compliance forms, worksheets, akulatimm plans. and specifications submitod to the
enforcement asency for approval with this building a icacioa
Name.:
r Dm:.
Addresscot-
: :
_)vC\�� \C3X0133
City/Sta dzip:. Phone:
L�a Q1
r
2013-06-T2— 02:34" 7603934062 Istalled Sales P 1/6
SSZR135A LOWE'S HIW, INC'. ELQ 0208
PAGE: 1 DATE: 06/12/13 78-865 HIGHWAY 111
LA QUINTA CA
ORDERED FOR: DENISE NAVARRO PHONE: (760)771-5566
ADDRESS: 48645 VISTA TIERRA
LA QUINTA CA 92253 PHONE:
VENDOR NAME: TOMMY ROOTER CONTACT:
ADDRESS: 80975 INDIO BOULEVARD PHONE: (760)574-4444
INDIO CA 92201 FAX: (760)444-2717
PROJECT: 383443217 40 GAL WATER HTR INSTALL.
LOWES P0: 157403444 LOWES INVOICE: 94365 ASSOCIATE: JOE TORRES
EST DELIVERY: 06/14/13 AR NUMBER:
QTY ITEM "ITEM DESCRIPTION BIN VEND_PART# COST EXT -COST
- --------------------------------------------
1 106177 BASIC LABOR WTRHTR-GAS LES 185.00 185.00
S 75GAL
1 106186 LAB INST WTRHTR-EARTHQUAKE 0.01 0.01
STRAP
FREIGHT S 0.00
TOTAL $ 185.01
•