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BPLB2015-009478-495 CALLE TAMPICO VOICE (760) 777-7125 • ' LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FAX (760) 777-7011 FAX (760) 777-7153 BUILDING PERMIT Date: 8/5/2015 Application Number: BPLB2015-009.4 Owner: Property Address: 44665 CALLE SANTA BARBARA MARYB ANN WORRELL APN: 604382039 44665 CALLE SANTA, BARBARA Application Description: WORRELL RESIDENCE -WATER HET.R CHA , OUT LA QUINTA, CA 92253 Property Zoning: IMF- AUG Application Valuation: $850.00 0 5 2015 1b. Applicant: _ Contractor: JORGE A ALVAREZ CRO AQUINTA JORGE A,ALVAREZ PO BOX 984 COMMU_NIT_Y_D_F_'_JELOPMENTDEPARTMENT PO BOX 984 THERMAL, CA 92274 THERMAL, CA 92274 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 Professions Code, and my License is in full force and effect. License Class: C36 License No.: 8801/03 -� Contract! OWNER -BUILDER DEC RATION 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ), 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'orher own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yea(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.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: o CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a constructionJending agency for the performance& the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's (760)698-8975 LIc. No.: 880103 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: Policy Number: I certify that in the performance of the work for which this permit is issued, I shall hot employ any person in any mannerso 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 370 f the Labor Code, I shall forthwith wmply.with those. provisions. Dat�o'S^ I S Applicant-. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALUSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000).. IN,ADDITION TO THE COST OF COMP.ENSATION,.DAMAGES AS.PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a. permit subject to the conditions and restrictions set forth on this application. '1:' Each.person uponwhose behalf this application is made, each person atwhose 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:CityofyLa 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 180Aay0rom date of issuance of such permit, or cessation of work for 180 days Will subject permit to cancellation. I certify that I•haye 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 representafives.ofthis city to enter upon the above• mentioned property for inspection purposes. D��- 5,, Signature (Applicant or Agent�f'/ , ..' :..;'Ee �'TA``aZ•,.dyz4..3i �v.` nvL:, E.�. : Jv� g"R : "x. C7'5 --:?i 'Y:.. ".�'S"-M {c A' !„i3, r�SE"Z MEMBER, -DESCRIPTIONy=,-";:`ACCOUNT QTYAMOUNT J'''7i ,1-` v5k ::. :R.' IS PAID 6.;Pi41DFDATE. BSAS SB1473:FEE 101-0000 20306 > .. �d 0 $1 00 $0.00 s""i3da hYt Fs ��: : iF�;+:7:{.' VY• - sta�.-� :s. ° E to � Y . E METI ODk �_R ^3s�`e! . , SEiGnvn`vi�S<i')s7RY' 11. 11 ji'z,z� ' ki�tW' (, z �RECEIPT<# atom" 'N a`-i'ivw.,°'u'¢:e"3`"FwT' w�.4.. "yE•J ,r�. ' :5.. . . yl tai �K � �OHECK�p#� :fina'�:Xi��. '...,diS:LRvh'3e..vv1�`„cib:;; a,::'i%:Yi€'� Total Pya�id for.BUILDING STAN DARDS.ADMINISTRATION BSA $f.061 'fix&_ "F;:'Y`'.::u�YA$`,,F'xd;13. DESCRIPTION P.T.. �. �� AOCOkJNTQT1(°AMOUNT � i� �� V$�p0y.00 ni i":i`. J : aT .�..✓.,,,T'<`i'xv„b "Y'Yav"'iy. 'Y..' :^ _ ,^"�` ���P.QID$:�P,AIDDATE aFx'� t ra § PERMIT'ISSUANCE 1010000-42404' 0 "$9185 $0.00 " ye:. ?'.. ,t=c' 3 'c sc-s':z`tti '+ .. ,r „ adill MIN PA vBwY 4 � ,,.s ' Yd�`f ,,:Ton i. ?'y kS;. >Y !: '�sY<: :; METI ODS � � ._.' 4�� �r � � �� "e '3b 7:k-.ECFV.,.@��.'•:F k' H E f t,#ECEIPT #'10` � �� .. _� 'rxnq �!f#�`E . Y' ? CHECK BY "tea �4 Total Paid-forPERM IT=ISSUANCE:$91 85 h. $0.00 "`er�."MINIMS s—�,�N" NINE t. ,Pi A.I,DDa�A�TE`"CC.QNT :u;etn=;a.as..;•k:a3r: WATER.HEATER/VENT. 101 0000-42401' . 0 t $,12 09 $0:00 A— M e '>�'i `..:',w%" x�,#,,.v"s-x+'F3 e ..' +-saws' '+'4E� .. b• !. 4.32" s PAIDBY, .. .W ..a'"rs',,.,&..;:rax3E:as>.es3�his�atac'. " .: d'�Yd6..'.....fh�..S:nF:a�.., +"��( `' �i �gn �a+:. °METFIOD N »• o^ ii 'x. .. 1,'n ..•Yo- .'Ti' . m. ., v 4 >:' i TSa RECEIPT# dxu ... t% e?�AiN i. .se .e ? ,: CHECK#E' _ CLTD Y � �;e '�. W: ....:i,n:.r4d . w ,.: _..,�.. .' ." . ° _ :DESCRIPTIONEs.; �. ��a w man..>_ x�� , t'?,':..-+.'rP'�,?-.?"a ACCOUNTr ... -a. as.v: _�?� QT�Y�MOUNTPAIf)�� , _ Vii:&5 '�a_".`a lE e.n aaa7m,u an : 3 tr.0 a_�x> s,a�.t�.3J. �PAID'DATE° WATER HEATER/DENT PC :' 101-00,66-`426.00 0 t $7 25 $0.00 nET"'d '.'"a5T, r' - PAID BYi�€ NO ._ d . p g--Nzy r3� � uj .ag `f ,_- ., METIOU€��R�ECEIP�T.# .', ' � ""' P. 3i`? _ Y . Rp .c w'� 'F°'' � �EK SIR :; , -' 4 �i CLTDaBYy Total Paid forPLUMBINGfEES $19 34 :, $0:00 • e 00 Description: WORRELL RESIDENCE WATER HEATER CHANGE OUT Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 8/5/2015 PJU Approved: Parcel No: 604382039 Site Address: 44665 CALLE SANTA BARBARALA QUINTA,CA 92253 Subdivision: TR 25953 Block: Lot: 130 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $850.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE 50 GALLON GAS WATER HEATER 2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR,TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Wednesday, August 05, 2015 1:31:24 PM 1 of 2 SYSTEMS PARENT PROJECTS Printed: Wednesday, August 05, 2015 1:31:24 PM 2 of 2 C sysrenns Projed address: 4(a S A. P. Number. Legal Description: Contractor r Adams: p.p -C> City, ST, Zip:T o r na n l Telephone: 1 X0.717.3 io State Lic. # : Fs to to 3 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contaa Person: City of La Quints Building a Safety DJvfslon P.O. Box 1504, 78-495 Cape Tampico La Quinta, CA .92253 - (760),777 7012 Building Permit Application and Tracking Sheet le QLA}q, Owner's Name: Mary Arw N W. . Address. �pla'� lie :`h/l'ha City. ST, Zip: c• cC Telephone: t{ Projed Description: e City Lie. #: .$ t-1_ -cLr6 ?!� ✓ his'Demi ■ N Submittal Req'd Recd TRACMG PERMIT FEES Plan Sete Pian Check submitted item Amount Structural Cafes.Reviewed, nerdy for corrections Plan Check Deposit . Trus Cales.Caged Contact Person Plan Check Balance Title 74 Cala. Pians pierced op Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2 ! Revlew, ready for eorrectionvUsue Electrical Subeontactor IM Called contact Person Plumbing Grant Deed Plana picked up S M L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correcdoas&mn Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees J STATE OF CALIFORNIA s RESIDENTIAL ALTERATIONS — WATER HEATER CEC-CFIR-ALT-01-E (Revised 06/14) GALIFURNIA.ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT=01-E WATER HEATER Prescriptive Residential Alterations for Water Heater (Page 1 of'2) A. GENERAL INFORMATION Site address: Building Type: Single Family Dwelling ❑ Multi Family.'Dwellings City, Zip Code: tv�. dut n�c� Cdr _ _ Climate Zone: 10 G. WATER HEATING'SYSTEM$;(Section 150.2(b)1G)_. 01 02 03 04 05 06 -`07 08 • 09 10 11 12 13 14 15 ' Water Water Water #:of Water Fuel Rated Rated Heating Heating Standby Exterior Back -Up Central Dwelling Heating Heating Heater Water Heater Type Input Input Efficiency Efficiency Loss (%) Insul. Solar DHW System Unit DHW System System Type Heaters . Storage Type Value Type Value R -Value Savings Distribution System Identification Type in Volume Fraction Type Distribution or system (gal) Type Name s}.n> WATER HEATING SYSTEMS - Water heating compliance for an alteration is described irr5ection 150i2'(b)1G. For single dwelling a gas or propane'water heater, with a storage tank of 60 gallons maximum or instantaneous (tankless) can be used. Dwelling Unit distributiorrsystems are limited to Standard trunk and branch'or,demand recirculation for gas or propane water heater. 'Demand ,recirculation is not allowed°for electric'waterheater..lfthere Is..no natural gas connected to the building; an electric water heater may be replaced with another-electric-.wat&r heater. However-, changing frorrigas to electric Is riot;allowed. Multi -family central systems must use a certified equipment as defined under Section _..'110.1 and 110.3. NOTE: If the proposed installation does not meet the requirements allowed specifically for alterations, use form CFIR-NCB=01 to document the water heater.aIteration. Instructions for sections with column numbers are given below: 1. Water'Heating System Identification or Name: enter a unique name for the Water Heating System. 2. Water heating iy'stern type,: Domestic Hot Water (DHW), Hydronic, Combined Hydronic, or Central. DHW is for domestic hot water, hydronic is.a water heating system used for space heating only; combined hydronic are when the water heater will provide both space conditioning and domestic hot water. 3. Water heater type: For non -central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, Small Storage, Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect. CERTIFICATE OF COMPLIANCE CF111-ALT-01-E WATER HEATER Prescriptive Residential Alterations for Water Heater (Page 2 of 2) 4. Number of water heaters in system: In single-family and multi -family with water heaters in each dwelling units the value is 1. For multi -family central systems serving multiple dwelling units enter the total number of water heaters. 5. Water heater volume (gal): tank capacity in gallons. For individual water heaters for a dwelling unit this will be 60 gallons or less. If instantaneous, enter n/a. For multi -family central systems enter the total storage volume. 6. Fuel Type: Gas, Propane, Electric (Only if natural gas is not available) 7. Rated Input Type: Enter the equipment input rating type, for gas or propane fired units are Btuh, for electric fired system the units are kW. 8.. Rated Input Value: Enter the numeric value of rated input. 9. Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory. 10. Heating Efficiency Value: Enter the value from product literature or a California Energy Commission directory 11. Standby Loss (percent): Applies only to large storage water heaters, Enter n/a for small storage or instantaneous water heaters. 12. Exterior Insulation R -Value: Enter the R -value if exterior insulation on the storage tank is installed 13. Back-up solar savings fraction: If compliance requires a back-up solar system, indicate the solar contribution (e.g., 0.30). External calculations are required. 14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system with at least two distribution loops must be installed. This requirement applies to any building with eight or more units. If the system is non -central or project is individual units enter n/a. 15. Dwelling Unit DHW Distribution Type: Fora Central DHW this field shall be Standard. If non -central then pick from Standard, Demand Recirculation — Manual Control, Demand Recirculation — Sensor Control. If non -central electric water heater this must be Standard, no recirculation system shall be installed. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • I certify that this Certificate of Compliance documentation is accurate and complete. Name:❑Owner IOC ❑ Authorized agent Contractor e, �MQc .re Z Signature: Company: LU M�rji f\ Contractor license #: /,a 8-C) /v3 Address: Phone: - `7—%`% 13 " 3�2 u City/State/Zip: Date: —� For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.