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12-0271 (PLBG)c&ty/ -4 4 Q - 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) 777-7153 BUILDING PERMIT C Date: 3/21/12 Application Number: C12-0000027_1_ Owner: Property Address: 54885 INVERNESS LINDA ALTMAN n APN: 775-091-027- - - 54885 INVERNESS (f d Application description: PLUMBING LA QUINTA, CA 9223 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 881. '"►a�� , CQ1 ? �? , Contractor. (� r Applicant: Architect or Engineer: CALIFORNIA DELTA M 6052 E. BASELINE RD' i5 ;;C • ,t��i4 MESA, AZ 85206 . ri Ii� (866) 692-5273 Lic. No.: 811114 �ey -------------------------------'----------------------------------------------------=------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _ 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 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: C,10 C20 C3 - nse No.: 811114 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ",11ate: o ractor: 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 STATE FUND Policy Number 1697823-11 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 tallforthwith 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: / `� ate- plicant: (_ 1 AL 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.). (_) 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. , 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: Fir LQPEPMIT WARNING: FAILAE 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 t 's co my to enter upo the above-mentioned property f p tion ur Kate: nature (Applicant or Agent): (, LQPERMIT Application Number . . . . . 12-00000271 Permit PLUMBING Additional desc . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date Valuation. 0 Expiration Date 9/17/12 . Qty Unit -Charge Per Extension BASE FEE 15:00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ----------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW 48 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 LQPERMIT I] I Prescriptive Certificate of colmpiiance- Residential Nater $eattn- CF-iR=�L'1'i i Generai Info rmarion Site Addressg sib n 3 i Climate lane; Dete; IYOT'E: Phis 1'pnn is only tared for al erasion pr sddrtion oflpater hear)„o V4't{iT�� gE'.ATTN'C List ware)- heaters and boilers for- both domestic hot waxer (�� healers and hyd-onic space heating: Individual dwelling-b$w heaters must be go-9orpropane fired, and nsay not exceed 50 gallons. Tot water pipe insulation from the idtchert(s) and on all undergotchd hot water p' es is required tri. all com onent ackages it7 all climate zones. DaYFD hearer to the Uat x heater Tie / Ilis�cbutlon Type, Energy Factor or Fuel e' Number of Teak Capacity Thermal External Tank Standard SY em al) Bft:cienc ula 3 Standard I f7_5r - _ _ Y hong-VaIuc L ate TJpe (Storage "Os; Seat j"t"p, Info t=eaus, etc,) eulathe systeh7s serving r7vuln�(dwelling svtiis shall fleet the recirculation rquirerr7e50(n),llow the trutalltildlut water heatb7 s stem orsnedwellin cu'sare) heatia7gr�rkandpipessha/lbe?nsulatedromeeryherequiremenrso}ISOG). Corltxactor (Docuiaentatiart Antllor's /Responsible besi ex's Declaratioia Statement) • I certify that this CerEfmate of Coutpliancc docmr e„t,pou.is accurate end complete. I am eligble tinder Division 3 of the Califbmia $nsin this Certificate of complixnee_ eas and Fmfessions Code to accept responsibi]irl for the bzalding dcsiga idmffmd an • I C-ir y that the energy featorea and performance apecificatioas for the build�ng design identi&ed to'he regnirments of Title 24, Parts 1 and 6 of the California on tills Certificate of Compliance conforaA Code of Regulations_ • , The building design features ident4ed on this CertiiEeate of CnmpUance sre cousrsteat with the iufn matinu bu$dmg design on the Other applicable compliance forms, worksheetD, calculations, Provided to dnctrmeat this ao fora roval whit this buildin em=it ap IicatiaxL ° p and speciTieations submitted the cnforce�eut i�'� dw K 8lgnatiirt: Co,npa..Y.C811fornia Delta i1Ae anic, A3drese'6056 E, Baseline: Rd„ # j 55 City/Star4VZip;Nleaa, A? 85206 0 Datt, 3 Zi License. -8.l 1114 Phone:866-692-5273 BIZ Z:�OL' l:eSid2nC[at LCn^�7ii�^.)YC?.�"J/'!nS March 2010 600/600'd 8L56-698-ZOL N Xdd ISN—IVDINVH03W V113G Ind I8: IO G9A/ZI0Z/IZ/aVW Total permit Fees 600/800'd 8L56-698-Z0L 'ON Xd9 AN-IVDINVH03W V113C Wd I8:10 G9A/Z10Z/1Z/aVW ' Bin #_ i, po#may �� i i� ��ty ®f La Quanta L Puild/ng sr Safety ))Msion Permit # 1 $$Oi0 $$ V P.O. Pox 150, 78-495 Calle Tampico 92�z�- (T60) �'77.7012 .Perm1G ' �ulldtn A g Application and Tracking Sheet '. Project,4ddtess:��V5 UJ —•�'�� ,l G(/' Owner's Name: A. P. Number 8S 15 `M' Address: ✓ �� Legal IO'cri tion- /A-,"1 0 �ldy, ci S I LI t1 City, ST, Zip:(Gj �y �L ,i �T Contractor, Q Telephone: (%� /)�jG� r.. ' Address: 6056 �,v �. / h� _/ �5� ProjectDearription: ►�u7 City, ST, Zip: / Z c b J,ig ( �l / F1,,,, TcicpLone: D�G State Lic # : City Me. & 10 i{OO 4 Arch,, iingr., Designer .. I Address: City., ST, Zip: Telephone; Consonaction Typo: O-apano)r � , •, . (\b l� S[ffia Lia #: - Prajecttype (circle oue): NcW Add' Atte- epair Demo N, Name of contact Person; Sq. Ft: # Stari�s: ~ # Units - Telephone # of Colitact Person: 966-6 Q d'V'alue of?roj=t- APPLICANT; DO NOT WRrM 13ELOW THIS LINE # 6ubmitial 8e 'd Reed 'rltACiS wu . P)�ASTF FP;ES Platt Sete Plan Check submitted Item Amount Structural Calca. Re'v CW4 ready for correction Pian CheekDeposit Truss CalmCalled CotltactPernon Ilan CheckBalance, Title 24 Calcs. Plans picked up Coaeq'httion _ Flood plain plan Plats resabmitted Mechanical Grading plan 2nd RrvL-w, ready for corrections/issue Vect1t1C8[ Subcontaecor List Called Contact Berson Plumbing GrantAeed Plana picked up }3.0-4- AppraVat Plans resubmitted Grading Reyisw) ready for eorrections/(ague Yleveloper impact Pee Plaan1ngAppr0val Called ContaetPerson Pub.'Wks. Appr Date oPpermlt Issue ; Schodl Bees Total permit Fees 600/800'd 8L56-698-Z0L 'ON Xd9 AN-IVDINVH03W V113C Wd I8:10 G9A/Z10Z/1Z/aVW