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BPLB2015-0090`6 4VOICE (760) 777-7.25 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7_53 BUILDING PERMIT a Date: 7/13/2015 Application Number: BPLB2015-0090 Owner: Property Address: 79297 SIGN OF SPRING MICHAEL DEBATES APN: 600420035 79297 SIGN OF SPRINGS , Application Description: DEBATES RESIDENCE WATER HEATER CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,000.00 Applicant: CAMPESINOS UNIDOS INC P 0 BOX 39 BRAWLEY, CA 92227. 3�30lyrvnW��� iN� �ibaadlN ��� VIP 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: B. C36 License No.: 6181 Date: ` � r(� 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 ekempt 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).: (_) 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.). (_) 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: Contractor: CAMPESINOS UNIDOS INC P 0 BOX 39 BRAWLEY, CA 92227 (760)344-4500 Llc. No.: 618140 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 workEs' compensation, as provided for by Section 3700 of the Labor Code, for the performence 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 not employ any person in any manner so as to become subjectto the worker' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co�r%yw ith those provisions. Date: Appl�ic WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP -0 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CDDE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permi- issued as a result of this application , the owner, and the applicant,. each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if wort is not commenced within 180 days from date of issuance of such permit, or cessaticin of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to bu.ilding construction, and hereby authorize representatives of this city to enter upon the above• me\t1l0J�ed propert/y for inspection purposes. Date: ,(� Signature (Applicant or A ` . :: ;S •� '�, . f,� u�,;.,:.. ., E ;DESCRIPTION ,E., ACCOUNT�'�� TY 5 4 4 Q�AMOUNT��PAID „ . �_ .: , ixPAID:Dl.TE y,..« . _:n{. s .: * ; ✓§$,.4h1., sIi ,sA-v$`3L%xg,6vt, S4iF&E ,. ,.. . :g Wi'.a=i::::A a' 1a,�aCFkS>F atb BSAS SB1473 FEE:,.1010000• -20306 0$1'00 i Z,f”: `&a„s�4£T"•Y ps'+•�x } G x i?E }Yy°J`+:4,6? C Y=Da S"i"yS" I J S�Q'4 '' , e% T':.]�'I YP .:..:x+'paY c � S .'¢�' r F S"'t .i 5 't$Y ,l'i: %::Xn. Y3'Yi ."yh rix 4 '. �e '.i>✓".Si n'W.—,,, �'.'IVIETHOD b;3 , ` } RECEIPT#CHECKS#.. rCLT+D EYE CAM PESINOS UNIDOS INC CHECK R7675 6721. EVA T66 Paid forBUILDING STANDARDS /k 1 ADMINISTRATION BS -_' $..' f •' 00 $1.00 x '� L E k >y �z,i.'�: '�"`Ss"�. , ¢ ,�C'§'�"'`. '€ `L� �3�e'. 1'.•� �'� �= DESCRIPTION x�: �" �N %� � � :,:5�• ` S '�QT . y QTIf� d'�° ;.z k9%'a�i�, �?h+ PAID �t..��S DL.TE E. nV..dh yE.ACCOUNT� L „AMOUNT PAID -PERMIT -ISSUANCE "''101 0000=42404 F;$89 79 ;' ;:. $89.79 '" :", 7%13/]5'; Y: v PAID>BY� f� .....�Se�' xf_�•.s:f+',i�'+aiti�:u"Wr{{f`€„C�S°.%wk7 �S; °�METHOD:.�.. "vi b`,sf3. .�,'`,*'�,r�i�`�k �Pk`%�•>e,.U''�.,f' RECEIPT}#� %i sy�'�y�.��k'�`i" .�*Ni .: �F CHECK# �, ,:-ut.,='::� 's�"•`�#-w xCLTDEY° -•"w.:..F..SM -�¢.:�?x..FFSPE/5�.4 'Esso :n'.21,'':',F£2$^.%<: CAMPESINOS UNIDOS:INC CHECK R7675 6721 EVA :.� Y�r DESCRIPTION^' t��:..> w .'. .-': ,?�t c_Es� a,� �C 3.a,�' : QTY# .'k 2 rats AMOUNT r- ar• �'.s..,. UNarE r: PAIrmUPAIDDI,TE PERMIT ISSUANCE 101=00004240.34 0 $2 06, $2.06 js"S '_Q,�#?!lF °1"�ivW`fr � `h � _e .i�a'".54�x`,s .' $.YH'3Y+,+ �,•'c?'v'Ys'6i4'.5+vrY,£W. ..h 'RECEIPT#� �vhnF'dm?X Yx°•''4'eT� WCHECW �CLTD EIf PAID B ' _, ,.r.._ ., z. ovf !: -_ ;METHOD,��Y ,., .. :E iffEY.e Ys4vS II-•:Y`x. _i. � a ,> f riI8.6+Nix.'$z.`. Er'33kNx Se Jbe�, x j ? . W!-sk ',3i .rif;,n4d,� i.x xM3M':iwi,r .{:i,.'oW-, ^,-.r.7-F,;,,m CAMP_ESINOS UNIDOS;INC,• - ..., . : GASH R7676 ' ;EVA Total Paid'forPERMIT ISSUANCE ; ::" ' /$91 85 $9,1:85 ' ',AR. ' :;�.'e:^,;t..„nyrir z -z ,..-" _-_~• Y s jl ESCRIPTION°�'` "�' ..��',,-:n :;`. �. ACCOUNT'' : •ti'kr�""'-r s;>a x �r., .:i QTY" AMOUNT=. PAID M=� gl � ,.E � • X1"$S''Y. i�> . 4 „ E,SRe i ."' '` r'-[<`%:. §. ^"a.Y;:Cx`n't., j: GAS SYSTEM; 1',4 OUTLETS 101'0000142401x' $12.09 7/13/1$`_ 95 ,�.: MEN f� : , ":."..E '.„cd;4.r:Y%g' °r,«d^ x3f15, f 3{Z �`. T¢.,;._. m S }A;>'`,e.:r.x<r: Y AgxC.d:. f!" it .CHECK#ERCLTOiEY ,}s.�PAID},BY��xMETEIOD S'�w•: ...:..> y,f.nSJS..'�6.**;..ii'x�"•"sr'....:+.+ceG:iwF.9;"i,,,.1�.%.'?:tz'l..f`C:y.'$��sa%c'L*}�E•'i.:i?iXi£s.;e"FO.":.,m✓.E.°'w.i.:...i..?'✓�ISf7.'iiz �i..r'c`�w4''L'-,�t5� ba.f}Eer,Cti.°«€`'e.,'�.v"Cw.;e..``.k�E.E kx:: CAMPESINOS:UNIDOS,INC „CHECK R7675 6721 EVA Egg-.9`:4-^:B�gs%'Sgdfc`fda"'Wx�xa: DESCRIPTION x r ' ACCOUNT QTY � MOUNT ' . 5..� J 1:eke {x,`F.'r,:.i WP.:AIDE IM Eq - PAIDYD��,TE«' .»� GAS SYSTEM, 1 4 OUTLETS PG 101 0000-42600 • 0 ;$24 17,. $24,.17 7/13/L5 yy �'c' S, "F _'„�'yk "R `•. `rte'!'.. •e4i^.Y°'^§'. ``v'im. �. a�'e$ Y%a {fvW'`%ii`,t S£' Y '. e. D' X, .. i-1 x'"°:..�, ,?'Y '0-- I` �METHOD`#�� : i ^ S: xrYe,:r•1:.Y$� MJ'Y.. . RECEIP..T #� .. ` CHECK #� CLTD�f:1( ` . CAMPESINOS UNIDOS INC CHECK I EVA,,,2X . ; _ �i`.`,v.". v ,..,'' k".-"�v5w- 'ki. •::i f �€ -.."F 'iR -t kai 'xf� Yf»�IrE.�X� ACCOUNT z xrayQTY �yR7675 & i�[:j4 i1e•.. .,s_TSf ,b..4-4'�v, AMOUNT y6721 rf"",4.4{ PAID PAIDD�TE: u� ;,DESCRIPTION �� I €;gym �;,iNtU CUM WATER HEATER/VENT .:101-0000742401 y ;, 0,:,: $1209 $12:09 7/13/15 f:'2- msRk'�v4 ,� ,S %.. ( .'w=:{n$„k" PrP: METHOD v£i. H ,v>mo, �i.-. ,a RECEIPT #�y ��«, p.CHECK # g�4CL'TD BY -, «x..:%.,4. a. P..s-t°.kw. F,#i.',4� ..✓`.tn ':cA.:sxdyf. r':'t"z`fr�.'.'Y:.WlA:: v'::M'a"':rk f r.``-..g;.e:iihNia>Pz..�CR1 CAMPESINOS UNIDOS;INC . CHECK F :, R7675 6721 .EVA' , m�.-- % #j.'#. 3.FtSa "- 'n Y'SR'i:d,v+.: .,£E i.: } r,� d '�. xY.a!kli-,, u>lY 6 -�%i.' „_ EiTfy.y " '.E :.ss' R P bT' •'� y ,:� 4� � 'yj e`PAI'D�� hPAID DATE: DESCRIPTIONS WAC T*,4�QTYw.AMOUNT WATER HEATER/VENT PC X101-0000-42600. 0' .$7.2S, *-"�,'+ $n'aa x a'xn`•+5`'R"n� ;rts,`ti,S at ....,.Tf :� �,pk°'.. yid; :u"Ft.' ,�:.3k:`.rY x�. •+,,,'as4`�sq r:'°� METFIOD i 4?s1ERECEIPT#,4 q--,n'N &L`t+*..;s";*'. y CHECK#�t:l¢'CLTOBK� ,yPAIDBY '�i.''k.�i, P#ii`ti""',+✓iY4V �r,4+- Y? 'T'."`r:::r+SYxf: :, "te:,P.. E$:�.,J,�Er :: tE : FC-�.:?'> ,. �f ':Yr.-e`rY e�YF'!S`.::..�^ .YbE,L 111,11 CAMPESINOS UNiDOS`INC CHECK R7675 6721 EVA', Total Paid forPLUMBING;F'EES ',-' $55 60 ,.'- $55.60 , Bin # City of La Quint'a Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico 00La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: -79P/2- 17;�h G D s�r;Owner's Name: G 11 (? A. P. Number: Address: 7�77 Legal Description: / Contractor& �/l t --� %1,Os %t City, ST, Zip: 4� VV% 'p %Z�� t . / N"' Telephone: ��vr_ 6S �7� �•r•;'•:�::��-;���4x.��;,: Address: (�� 3 Project Project Description: City, ST, Zip: , t✓ ��� 7 a C Telephone:X > >:>: :.:.::.:r.:.:,:rv::•. K:.:::: State Lic. # Arch., Engr., Designer: Address: City., ST, Zip: Telephone: P f.�y.?<,v> .....................: Construction Type: Occupancy: State Lic. #:v;a Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contact Person: 76 0 : � Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked no Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"! Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Description: DEBATES RESIDENCE WATER HEATER CHANGE OUT Type: PLUMBING Subtype: Status: ISSUED Applied: 7/13/2015 EVA Approved: 7/13/2015 EVA Parcel No: 600420035 Site Address: 79297 SIGN OF SPRING LA QUINTA,CA 92253 Subdivision: TR 31311 Block: Lot: 62 Issued: 7/13/2015 EVA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: 1/9/2016 EVA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. - FINANCIAL INFORMATION Printed: Monday, July 13, 2015 9:50:55 AM 1 of 3 - SYSTEMS ADDITIONAL CHRONOLOGY' CONDITIONS', NAME TYPE � NAME" ..tADDRESSi ;CITY STATE ZIP; - ¢PHONE f FAX` EMAIL APPLICANT CAMPESINOS UNIDOS INC P O BOX 39 BRAWLEY CA 92227 (760)565-8072 CONTRACTOR CAMPESINOS UNIDOS INC P O BOX 39 BRAWLEY CA 92227 (760)565-8072 OWNER MICHAEL DEBATES 79297 SIGN OF LA QUINTA CA 92253 (760)565-8072 SPRINGS FINANCIAL INFORMATION Printed: Monday, July 13, 2015 9:50:55 AM 1 of 3 - SYSTEMS }DESCRIP,TION "' 4'> "' ": ,•'F ACCOUNT CITY AMJOUNT PAID PAID'DATE RECEIPT#• T,CHECK#;,z a METHOD PAID BY, BY s BSAS 561473 FEE 101-0000-20306 0 $1.00 $1.00 7/13/15 R7675 6721 CHECK CAMPESINOS UNIDOS EVA INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PERMIT ISSUANCE ' 101-0000-42404 0 $89.79 $89.79 7/13/15 R7675 6721 CHECK CAMPESINOS UNIDOS EVA INC PERMIT ISSUANCE 101-0000-42404 0 $2.06 $2.06 7/13/15 R7676 CASH CAMPESINOS UNIDOS EVA INC Total Paid forPERM1T ISSUANCE: $91.85 $91.85 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 7/13/15 R7675 6721 CHECK CAMPESINOS UNIDOS EVA OUTLETS INC GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 7/13/15 R7675 6721 CHECK CAMPESINOS UNIDOS EVA OUTLETS PC INC WATER HEATER/VENT .101-0000-42401 0 $12.09 $12.09 7/13/15 R7675 6721 CHECK CAMPESINOS UNIDOS EVA INC F WATER HEATER/VENTCAMPESINOS 101-0000-42600 0 $7.25 $7.25 7/13/15 R7675 6721 CHECK UNIDOS EVA PC INC Total Paid forPLUMBING FEES: $55.60 $55.60 TOTALS: PARENT PROJECTS Printed: Monday, July 13, 2015 9:50:55 AM. 2 of 3 CRWlYSTEMS 30ND INFORMATIC ATTAruAACRITC Prescriptive Certificate of Compliance: residential CF-IR-ALT-DHW Residential Alterations Page I of 2 Project Name: Climate Zone: Permit #: General Information Site Address: Enforcement A enc : t,.,l v,,ot a Date: - ✓$' Building T Sin le Ffamily ❑ Multi Family Project T Re lacemcnt or Change Out of Water Heater WATER HEATING •rI certify that this Certificate of Compliance, documentation is accurate and complete. 'responsibility. List newly installed water heaters and boilers for both domestic hot nater Beaters (D WH) and h dronic space heating. DWH heaters and boilers must be gas. pro ne: or use the existing uel type. New/r installer! Disuibutiar Type Water. Heater Numbc7ln Tank Etiergy.Factorcx Type/Fuel Type' (Standard. i System Capacity (Sal) Thermal Efficiency , Recinculati ) External -Tank Insulation R -Value• l G / i6 enforccruent'i9ency for approval with this building permit application., Name: ,,S�Signature: 1. Indicate Type (Storage Gas, Heat Ptunp. Instantaneous. etc.) 2. Recirculating systents serving multiple dwelling units shall ineet the recirculation requirements of • §150(n). requirements do not allow the installation of a recirculating Nater heating sistem for single dwelling units. 3. The erterna/ Nater heating tank and pipes shall be insulated to nteet the re uireinents off 15 The Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) •rI certify that this Certificate of Compliance, documentation is accurate and complete. 'responsibility. • 1 am eligible under Division 3 of the California Business and Professions Code to accept for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Com_ pliancn- conform to the requirements of Title 24. Parti and 6 of the California Code of Regulations.. • The 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 enforccruent'i9ency for approval with this building permit application., Name: ,,S�Signature: Company: \ Date: Address`. - 3 License: 61 pyqc) City/StatorLip: Orr Phone: