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BPLB2015-0034' c 78-4 CALLE TAMPICO' LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: TdwOF.�wR�rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPLB2015-0034 60458 LACE'LEAF CT CT 764330074 TRILOGY/CHANGE OUT 50 GALLON GAS WATER HEATER $850.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: AUBREY MOORE 60458 LACE LEAF COURT LA QUINTA, CA 92253 Date: 3/2/2015 O N Applicant: Contractor: N JORGE A ALVAREZ JORGE A ALVAREZ PO BOX 984 PO BOX 984 THERMAL, CA 92274 THERMAL, CA 92274 (760)698-8975. Llc. 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 Professions Code, and my License is in full force and effect. License Class: C36 License No.: 880103 J� Date: �� " o2 — Contractor: + / OWNER -BUILDER DECLARA ION 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 Di is �n3of the Business and Professions Code) or that he or she is exempt therefrom and thbasis for the alleged exemption. Any violation of Section 7031:5 by any applicant fo 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 ) 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 Lender's 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 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 370of the Labor Code, I shall forthwith comply with those provisions. ate: 3-2--� J� Applicant: WARNING: FAILURE TO SECURE WORKERS' COMP SATION 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 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 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 of this city to enter upon the above mentioned property for inspection purposes. Date: !d J Signature (Applicant or Agent): . ' ETATt OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFiR-ALT-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations Project Name: v \r L F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) 01 02 Dwelling Unit Name Dwelling Unit CFA (FQ) G. WATER HEATING SYSTEMS (Section 150.2(b)1G) 01. 02 03------- 04 05 06 07 08 00 Water Heating Back -Up 4 of Water Exterior Solar a" 4C System Water Water Water Heatera� System Rated R -Value Fraction Identification or Heating Heater Heaters in Storage Fuel Input Rated 1%� eating Name System Type Volume , ,Input' Efficiency Type system (aal) Tvoe T.— %1 if , r.._ � � I H. SPACE CONDITIONING SYSTEMS AND WATER 01 02 ,I Dwelling Unit .TotaIxCFA Dwelling Unit Name (ff7_I Registration Number: CA Building. Energy Efficiency Standards - 2013 Residential Compliance 10 Date Pre 03 Y COMMISSION CF1R-ALT-01-E (Page 3 of 4) SYSTEMS IWIVIULTIFAMILYjDW_ELLING UNITS 03 04�b 05 06 IrtN�at,raHating Dwelling Unit Dwelling Unit: ientification or t Watem.Heating System Alteration to the Space fame o. %A,;,,,dIdentificationorName ConditioningSystem(s)? Comments Registration Date/Time: HERS Provider: June 2014 yl 0 12 13 14 15 Back -Up Exterior Solar Dwelling Unit DHW Standby insul. Savings Central DHW System System Los&(%) R -Value Fraction Distribution Type Distribution Type SYSTEMS IWIVIULTIFAMILYjDW_ELLING UNITS 03 04�b 05 06 IrtN�at,raHating Dwelling Unit Dwelling Unit: ientification or t Watem.Heating System Alteration to the Space fame o. %A,;,,,dIdentificationorName ConditioningSystem(s)? Comments Registration Date/Time: HERS Provider: June 2014 SIMM OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E (Revised 06/14) CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations Project Name: 11V�i-gN 2. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and com Documentation Author Name: Company: Documentation Author Signature: Signature Date: HERS Certification Ideofificatfori (if applicablel: Phone: CALI CF1R-ALT-01-E (Page 4 of 4) Date Prepared: Z - If 5 RESPONSIBLE PERSON'S DECLARATION STATEMENT r,. * �'7► I certify the followingunder penalty of perjury, P ty i fry, under the laws of the State c California: ' 1. The information provided on this Certificate of Compliance is true and correct. ��°°KOO 2. I am eligible under Division 3 of the Business and Professions Code to accept respons(bl ;for the building defss or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specificati%e ill ons materials, components,�and manufactureefor the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the Cali crnla Code of fl �s. ., � ��,,,,��gLla�ons. 4. The building design features or system design features identified on thltertificate of Com41ianc.'e% consistent wli. h formation provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted tort nforcement agent f V pproval with &s building permit application. 5. I will ensure that a registered copy of this Certificate of Compliancetsiall be made avail owner at occupancy. able with the building permit(s) issued for the building, and made available to the enforcement agency sponsible for all applicable inspections. I understand that a registec�copy of this Certificgteo�f Compliance is,required'to be included with the documentation the builder provides to the building � eta ^ ReDesigner Namc: qk •^" 4 Company ; 6Z p�Urn bpi Address. ' C) City/State/Zip: nsibleDesigner Signature: Date Signed: License: 8-0 0 3 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: CA Building Energy Efficiency Standards -.2013 Residential Compliance Registration Date/Time: ctft-'8l 7.5 HERS Provider: June 2014 DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BS4 $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY. Total Paid for PLUMBING FEES: $19.34 • $0.00 TOTALS:• 00 Description: TRILOGY/CHANGE OUT 50 GALLON GAS WATER HEATER Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 3/2/2015 SIKH Approved: Parcel No: 764330074 Site Address: 60458 LACE LEAF CT CT LA QUINTA,CA 92253 Subdivision: TR 30023-1 Block: Lot: 123 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 JORGE A ALVAREZ Details: PLUMBING - REPLACE 50 GALLON GAS WATER HEATER. 2013 CALIFORNIA BUILDING CODES. THERMAL CA z Printed: Monday, March 02, 2015 9:11:27 AM 1 of 2 „ , SYSTEMS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JORGE A ALVAREZ PO BOX 984 THERMAL CA 92274 (760)771-3175 CONTRACTOR JORGE A ALVAREZ PO BOX 984 THERMAL CA 92274 (760)771-3175 OWNER AUBREY MOORE 60458 LACE LEAF COURT LA QUINTA CA 92253 (760)771-3175 Printed: Monday, March 02, 2015 9:11:27 AM 1 of 2 „ , SYSTEMS Printed: Monday, March 02, 2015 9:11:27 AM 2 of 2j�j®"�/%� p i.-1 SYSTEMS '# - CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT CHECK # METHOD PAID BY BY BY PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE PLUMBING FINAL" Printed: Monday, March 02, 2015 9:11:27 AM 2 of 2j�j®"�/%� p i.-1 SYSTEMS City of La Quints Bullding & Safety Division Permit If P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA .92253 - (760) 777-7012 Building Permit App1%ation and Tracking Sheet Project Address: 51 o - ' l= Owner's Name: -,e f A- P. Number. Address: c{ Legal Description: City. ST, Zip:. Contractor. l-- , '1 e- C A `iZ25 wCxM-z- Telephone: - Address: Project Description: City, ST, Zip.�� 01 so Telephone:.0 (� 'iQci$--75 f SGL � r' Ck-�•e. r' State Lic. # : 1 6.3 -City Lice #;105 33 S Arch., Eng., Designer. Address: City, ST. Zip: Telephone: Construction Type: Occupancy:State Lic. #: b . Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. FL: I# Stories: #Units: Telephone # of Contact Person: Estimated Value of Project:S—Q OPD it -AMY nn ...,,. . M Submittal Plan Sets Req'd Recd or.'LV vv 1 n1a UIVt TRACX3NG Plan Cheek submitted PERMPT FEES Item Amount SlracdanJ Cala Reviewed, ready for corrections Plan Check Deposit Truss Calm Called Contact Person Plan Check Balance Tide 24 Cala ' . Plias picked up Construction Flood plain plan Plias resubmitted Mechanical Grading plan 2'! Review, ready for oorrectionsftwe Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correetiondissae Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. APpr Date of permit inane School Fes Total Permit Fees