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11-0811 (PLBG)4 P.O' BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760),777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS '(760) 777-7153 BUILDING PERMIT 8/11 Application Number: '- "; 11-00000811--!:> Owner: D p Property Address: 44070 E' SUNDOWN CREST DR WAYMAN ROBERT N APN: 604-100-002-02 -19903 - 44,070 EAST SUNDOWN CRES - Application description: PLUMBING LA QUINTA, CA 92253 . r JUL ? 2�,� Property Zoning: LOW DENSITY RESIDENTIAL U Application valuation: 750 CITY OF LA 61UINYA Contractor: FI`CE;,rE Applicant: Architect or Engineer: ALVAREZ, JORGE A. P.O. BOX 984 THERMAL, CA 92274 (760)777-3613 fI Lic. 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 B s' ass and Professionals Code, and, my License is in full force and effect. License Class: C36 License No.: 880103 ate: ontractor: 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 ($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: - I /�. Lerider's Address: to !'r LQPERMIT 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 EXEMPT Policy Number EXEMPT ('certify that, in the performance of the work for which this permit is issued, I shall not employ any c=at, any manner so as to become subject to the workers' compensation laws of Califoinia, . and agree that, if I sl� uld become subject to the workers' compensation provisions of Section 3700 off the Labor Cod i shall forthwith comply with those provisions. Qate�6—Plican • _ /WARNING: FA URE 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 qNding construction, and hereby authorize representatives' of this county to enter upon the above•mentioned pro rrttsp ction purposes.' Date:%�f� nature (Applicant or Agen ' Application Number 11-00000811 Permit . . . PLUMING Additional desc . Permit Fee . . 22.50 Plan Check Fee 5.63 Issue Date... Valuation . . . . 0 Expiration Date 1/24/12 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 GALLOW 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 Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW Residential Alterations Page I of 2 Project [Mame: Climate Zone: Permit #: General Information Site Address: d E .&QrOU,jn tart Enforcement Agency: &-W e\t f, Date:---l&-ll Building T e: in le Family D Multi Family Project Typc W Re lacement or Change Out of Water Heater WATER HEATING List newly installed water heaters and boilers for both domestic hot water heaters (D WH) and hydronic space heating. Newly installed DWH heaters and boilers must be gas. propane, or use the existingfueI type. Water Heater Distribution Type Number In Tank (Standard, Energy Factor or External Tank Insulation Type/Fuel Types. = System Capacity (gal) Recirculatin) Thermal Efficiency R -Value 1150 2 2-12 le; 7- 2.&-� Address: License: g00103 City/State/Zip: Phone: 7 (00- 7 77-3 (o 12 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive ". requirements 'do not allow the installation of a recirculating water heating system for single dwelling -units., .3. The external water heating tank and pipes shall be insulated to meet the requirements of §150 '). Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. I •'1 am eligible tinder Division 3 of the California Business and Professions Code to accept responsibility 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 Compliance. conform to the requirements of Title 24. Part I 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 enforcement agency for approval with this building permit application. Name: Signature: Company: Date: le; 7- 2.&-� Address: License: g00103 City/State/Zip: Phone: 7 (00- 7 77-3 (o 12 GArwril 71) If Storage Water Heater Is defined as: Max Btu/hr per Gallon 30 Gallon 40 Gallon 50 Gallon 200,000 A nnn 120.000 160,000 1. Per Section 1500) of the 2008 Energy Efficiency Standards. QAnril 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 Type Effective Jan 20 2004 30 Gallon 40 Gallon 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 — (0.00132 x V) 0.890 0.877 0.864 heaters Electric tabletop water 0.93 — (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 gallons 1. Per Section 1500) of the 2008 Energy Efficiency Standards. 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