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11-1314 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: l-11-00001314 Property Address: 4=1-79335 .HORIZON PALMS CIR APN: - 604-110-053-89 -19903 Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 850 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DUNCAN DONALD D 709 S 31ST ST RENTON, WA 98055 Contractor: Applicant: Architect or Engineer: ALVAREZ, JORGE A. P.O. BOX 984 THERMAL, CA 92274 (760) 777-3613 �X Lia. No.: 880103 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. License Class: C36 License No.: 880103 ate: 2- O -� ntractor. 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 (5500).: (_ 1 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/08/11 CITY OF S.A t' UI NTA FN_AN'CE'0!PT 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 E} EMPT . Policy Number EXEMPT ertify 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 th abor Cod shat forthwith comply with those provisions. atf7 e: I'l—s—iri, pplicant: - WARNING: FAILL14 TO SECURE WORK RS' 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 oI s county to enter upon the above-mentioned prop fo inspection purposes. Date: 'O —II Si ture (Applicant or Agent): Application Number 11-00001314 Permit PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . Valuation . . . . 0 Expiration Date 6/05/12 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 50 GALLON ELECTRIC 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 . Prescriptive Certificate of Com liance: Residential CF -IR -ALT -MW Residential Alterations Page 1 of 2 Project Name: C Climate Zone: 1 Permit tt: General Information Site Address: ' o Enforcement Agency: A_C�. Date:. Building Type. -Mingle Famil 0 Multi Family. , Project T e: a lacement or Change Out of Water Heater WATER HEATING List newly installed water Treaters and boilers for both doenesdc hot water heaters (DWH) and lydronk space heating. Newly installed D heaters and boilers must be gas, propat or use the existingfiteI type. Water Heater , Distribution Type Number In - u (Standard, Tank Energy Factor or Eatemal Tank _ F TYiT�uel Type' ' � • Recirculatin >:• System Capacity (gal) Thermal Efficlency R-Vahtet - R- CL 1. Indicate Type (Storage Gas, Heat Putnp, Instantaneous. etc.) 2. Recirculating systems serving multiple dwelling units shall ineet the recirculation requirements of §ISQ(n).: The Prescriptive requirements do not allow fire installation of a recirculating water heating system for single dwelling units. J. The external water heating tank and pipes shall be Insulated to meet the requirements of §150U). Contractor or Homeowner (Documentation Authoes/Responsible Building Designer's Declaration Statement) • i certify that this Certificate of Compliance documentation is accurate and complete. • I 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. e I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Part t and 5 of the California Code of Regulations. a 71u; building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations. plans and specifications submitted to the enforcerricnt agent [ora prowd with this building perm_ it application. Nan= — Sigtntute: Company: �� .' nate: iWQress: License: Citytstatelzip: Phone: ��- C -N 7Uo-- - ZSC►3 GA nril MIf) Storage Water Heater is defined as: Max Bttdhr per Gallon 30 Gallon 1 40 Gallon 50 Gallon 4.000 L__120 000 160,000 200 000 2009 Appliance Efficiency Regulations for 9mali Water Heater: Small Water Heater is defined as: Type input Gas Stora a 75,000 Btu/hr or less Oil Storage 105 000 Btu/hr or less Electric Storage 12 kW 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 Storage Water Heater is defined as: Max Bttdhr per Gallon 30 Gallon 1 40 Gallon 50 Gallon 4.000 L__120 000 160,000 200 000 1. Per Section 1 buo) or ine zuuo rneryy cl 16o 1 a.y % avu .+ --- Anril 2010 If rated Energy Factor does not EXCEED minimum Federal Minimum values Below, an External Insulating Blanket (R-12, Energy Factor minimum) shall be Installed' Water Heater Fuel TM Effective Jan 20 2004 30 Gallon 40 Galion 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 — (0.001.32 x V) 0.890 0.877 0.864 heaters Electric tabletop water 0.83 — (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 aallons 1. Per Section 1 buo) or ine zuuo rneryy cl 16o 1 a.y % avu .+ --- Anril 2010 � Safctv DivisionIluilding P).Permit 11 01. BOX 1504, 78-119!; calle Tampico'king. Sheet/villastabs ry cily �x,uh ynXf,Pvxipno: ---------- -------'---------' State Lie. lk folepholle ,,, OF Person: IN [IOUS School Vevs PERTY7.1'r FEW,; �w�u strUctilml Calm It - Grant I'Med PERTY7.1'r FEW,; �w�u