BPLB2014-101378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2014-101.3
Property Address:
54145 AVENIDA RAMIREZ
APN:
774211019
Application Description:
WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$800.00
Applicant:
STATEWIDE SERVICES INC DBA STA
73804 DINAH SHORE DRIVE
PALM DESERT, CA 92211
,AUG 11 2.014.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/11/2014
Owner:
DUNE CLAIRE
54145 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
STATEWIDE SERVICES INC DBA STA
73804 DIN AH SHORE DRIVE
PALM DESERT, CA 92211
(760)393-6115
L►c. No. 936147
i
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LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C36 License No.: 936147
Dat 1 ) 49 Contraeter;��
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 con'sfruct, alter, improve, demolish; or repair any
structure, prior to its issuance, also requires tfie,applicant for the permit -to file a signed
statement that he or she is licensed pursuant to the provisionstof the Contracto�!
axkrt�ya` 4�•ih'�t"-P'#�iT_43L"4G�w'fit�s �4 'std i ��4� r<3 �':T.' y`� �i:a�f'..�..,�Y�C'J.•�,:.q '� (f� ; SF� � :•,i3"S'1C.
�„Gt� R T N *-U A, r .� ` AxCCOUNT� 4T �'� AMOU�s � � ME, �"��P�'91 ATs�E��
BSAS SB1'473:FEE, 101 0000 20306 0
$1.00 -
'.-$o.00
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�� " r PA D BYS_METH`OD f` s z�� CEIPT # ''
!vz�4.1str.R`�k-1!i�`�^+.-.+•'i.�.�..
CHECK#pCLTDSBY
Total Paid forBUIL`DING'STANDARDS ADMINISTRATION BSk: $100, $0.00
,. :.
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¢ .` DESCRIPrTIOIV '`✓aE
fJ'.ahs F� F 4_sad.air_ �Ye'•i�'cr-'Tni•�rR � Ell
;" i x r Strrh'r';:4�.icv3�f r•� �
z ACCOUNT,
cn 31 ... ,7A-za,....rYtn ti,. exty� '�r„a�". 0
�r,� r i c. >.a ''u"�, L " � j
qTYAMOUNT
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�U+y� Kffil,'
PAID'
.k EA'
PAID DATE�3:
PERMITISSUANCE. '
101 0000'42404 n
i0'. ,, . $90 57 F
$0.00
;4t ^.$" r '.�`.•az+5':rs -sA. Pyr -7
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a^ri` " h °:;.k"�x°:fr
','r.'CHhECK #.
Total Paid;forPERMITjSSUAIVCE .$901! 57. $0.00
:: .. • , s DESCRIPTIONy 'w asuv
? �s -, :f
ra Y ACCOUNT � ; .f
,ToY
CRT', �
AINIOUNT
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PAID 11111111-
�rPA D DATE
sr�: ri� 1� aux
WATER HEATER
W NT
;101 0000 42401
0"
$1192 ;
$0.00
F ca• ¢ PAID Bl( .. ;G�' mi —
`'iz?!��::,..n..w.:�Jt.,,�tsr':.w.Y�wSw'�^n�..d1�..:.bnVRHih~MV �YY.S'S^4E'.YLYt+.5;:':•`.:MAur:sAw5'.:�:i
EllMETHOD.Y .�
a
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w• DESCRIPfTION: �'�Tas
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r�Y
t �MO;UNT� �
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-�'�`r�'PA D.
�)Ilkii.. 'CNJ�AKV'{�''w: fis
pAIDy A}TE
�'..�`ca[aiy8•
WATER HEATER/VENT—'PC
101 0000 42600 `,
0 ,.,
. $7.15
$0.00
4'Rt e" yrs x h : pr ,.
M��.11
' METI OD:, 4
"�L��,�,:::� �:�t�Ull,
_ R CEIP�T�# ` �'
$,�`��� .�.������ ' ��:
I C IECSK#:
y .:�•�;�� ���
CLTD Yti�y
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Paid for PLUMBING FEES . fi "$19 07 A $0.00
I _ .
Pr8cr..i five-Certif>cit'te of. Com
Residential Alt tions
Project. Name: Lj
Residential
Climate Zone:
CF-iR-ALT-DHW -
Page 1 of 2
Permit #: '
General Information
Site Address:Enforcement A enc Date:
Buildin T in le Famil ❑ MultiFamil Project T e lacement or Change Out of Water Heater
WATER HEATING
List ne% installed rvater'heoters and boilers for 66th doinestic hot water heaters (DWH) and lmdronic space heating.
Newly installed
DIVH heaters and boilers must be gas. ne; or use the exis(ing PUe1 ow.
Disuibution'T'ExtErnal
WaterHanter� Numtx-rIn Tink Enorgy'Nctoror
Tank
_111sulatim
(StardazdYPC
TYPd _q Type Recrtni System capacity(gal) Thcnnai Efficiency..
R -Valuer
1. Indicate Type (Storage Gas, Heat PtwV Instantaneotti, etc.)
2. Recirculating system serving multiple dwelling. units shalVineet the recirculation requirrikenrs of fl An).
The Prescriptive.
requirenrenrs do not allow thi installation of a recirculating water heating system for single,dwelling units.
j. The eVernal water heating, tank and pipes shall be'. insulated to meet thereuirements o
Contractor or Homeowner; (Docuateuttttiou Author's/Respoaribk Building Designer's Declaration Statetuent)
• 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 Ccrtificatc,of Cortspliance.
• 1 Certify that the energy fcaturrs;and performance specifications for the building design identified on this Certificate of Compliance
conform to the requirem encs of `Title 24„ Part l and 6 of thaCalifornia Code of Regulations.
. The building design fezturies identified on this Certificate of Cor*ianoe air consistent- with the' information provided to document this
building design on the od=-applicable .compliance forints; worksheets,- calculations. plans and spociacafkms submitted to the
mcnl for approval iiith this buildin rmit lication_
Namc: sijq
K t
Address: Uccry1q;.
v `1 �C�ILf
a- _ t
cityfs
3in # Qty of J a Quanta
Qty
Building 8z Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project AddresJ
Telephone # of Contact Person:
4 Z
Owner's Name: 0- (rte 0t�
A. P. Number:
#
Add
Legal Description:
Recd
City, ST, Zip:
Contractor:
+ ���
Telephoner
Address:
-tom.-' 6L V,), .
Project Description:
City, ST, Zip:
1 ` { •
�E✓ ',G
Telephon
Truss Cates.
State Lie. # :
,
City Lie. #t
Arch., Engr., Designer-
esignerAddress:
Title 24 Calcs.
Address:
Pians picktld up
City., ST, Zip:
Telephone:Q Construction type: Occupancy:
State Lie. #::r : 3 s`�' Project circle one • New Addn Alter R air Demo
j . nPa c >. 'eP
Name of Contact Person:. Sq. FL: # .Stories: # Units:
Telephone # of Contact Person:
VI t U
Estimated Value of Project:
l
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
a
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picktld up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review .ready for correctionsfissueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
'"' Reyiew,iready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. ApprDate
of permit issue
School Fees
Total Permit Fees