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BPLB2014-101178-495 CALLE TAMPICO D An, VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/1/2014 Application Number B—�^�BPLB2014=1011 Owner: Property Address 44445 LAS VISTAS DR ANDREW DYE APN: 604175007 44445 LAS VISTAS DRIVE Application Description: WATER HEATER CHANGE -OUT LA QUINTA, CA 92253 Property Zoning: � Application Valuation: $850.00 n 11 11 �S Applicant: D 2014 Contractor: JORGE A. ALVAREZ AUG 01 JORGE A. ALVAREZ PO BOX 984 PO BOX 984 THERMAL, CA 92274OF �QU�NTA TMENT C(I'f PMENf DEPM THERMAL, CA 92274 WDMMUNfN DEVEtlJ 7/-c (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 ontractor: OWNER -BUILDER DE LARATION 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 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.). (_) 1, 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: 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 3700 of the Labor Code, I shall forthwith comply with thoseprovisions.provisions. 'Date: 7 pplicant: WARNING: FAILURE TO SECURE WORKERS' 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 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. V J v / gnature (Applicant or Agent): 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 BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY Total Paid forPERMIT ISSUANCE: $90.57 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $11.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.15 $0.00 PAID BY - METHOD RECEIPT # CHECK # CLTD BY Total Paid forPLUMBING FEES: $19.07 $0.00 TOTALS:0• N Submittal Blr► # Rcc'd City of La Quanta 1� Building 8r Safety DkIslon Plan Check submitted Item Amount P.O. Box 1504, 78-495 Ca11e TamplCo P errrift N La Qulnta, CA 92253 - (760) 777-7012 ; Building Permit Application and Tracking Sheet Project Addressl.-t1.-1.qLJ,155y i S}_S Owner's Name:�� Q . A. P. Number: Address:14Ltqq S L_Q.S V i Sf45 Legal Description: City. ST. Zip: L0. Contractor: Telephone: ( Address: D (;6 q Project Description: City. ST, Zip: MCIA � C('?-Z-I 11 WRQ-40,a G-.CC'S Telephone:,(.Ap- ,(6C(-1S C'*e(— r State Lic. # : b ,2) 1)_ [o City Lie. Arch., Engr.. Designer: Address: City, ST. Zip: Called Contact Person Plumbing N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance.. Tide 24 Cates. Plans picked up Construction Flood plata plan Plans resubmitted Mechanical Grading plan r Review,.ready for corrections/issue Electrical Subeoutactor 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 correctionalissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees PRESCRIPTIVE CERTIFICATE OF COMPLIANCE CF-111=ALT Domestic Hot Water Alteration / Replacement ^ • Pa e 1 of 2 - ,Site Address: Enforcement Agency: Date:. v %Ska S Permit Number: .. Climate Zone: _ - Building Type: t 'OSingle Family ❑ Multi Family NOTE: This form is not to be used for Newly Constructed Buildings, Additions or Other Alterations WATER HEATING List newly installed water heaters'and boilers for both domestic hot water (DHFP) heaters and hydropic space heating. Newly installed DHW heaters and boilers must be gas, propane or use the existing fuel type. . External Water Heater Tank Tank Type/Fuel Distribution Type Number Capacity Energy Factor or Insulation T, e,� , (Standard, Recirculating)2 - In System . (gal) Thermal Efficiency R,Value3 C-� �.S - �� O 2 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 req'uirem'ents 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§l50. . Documentation Au'thor'/ Responsible Building Designer's Declaration Statement • 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 Certificate of Compliance. • I certify that the'eriergy features and performance specifications for the building design identified on this Certif cafe of Compliance conform to the requirements of Title 24, Parts 1 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: Q- \mCr re T_ Company: ate: (Z 1 v rnb-1 n 8-- (- L/ Address: License and Expiration: (0 City/State/Zip: Phone: ' r tvta� C cc22� �� _760 -W 'ga 7 S For assistance or questions regarding the Energy Standards, contact the California Energy Commission's Energy Hotline at. 1-800-772-3300. Permit Number: BPLB2014-1011 Applied: 8/1/2014 Issued: Status: APPROVED Parent Permit: Parent Project: Approved:8/1/2014 Finaled: Details: INSTALL NEW 40 GALLON GAS WATER HEATER. 2013 CODES Description: WATER HEATER CHANGE -OUT Site Address: 44445 LAS VISTAS DR City, State Zip Code: LA QUINTA, CA 92253 Applicant: JPRGE A. ALVAREZ Owner: ANDREW DYE Contractor: JPRGE A. ALVAREZ LIST OF SENT DATE RETURNED DUE DATE TYPE CONTACT STATUS REMARKS DATE Printed: Friday, 01 August, 2014 1 of 1 �srsrrMS DESCRI PTION PermitTRAK ACCOUNT (ITY PAID $110.64 BPLB20144011 Address: 44445 LAS VISTAS DR Apn: 604175007 $110.64 . BUILDING STANDARDS ADMINISTRATION BSA $1.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 PERMIT ISSUANCE $90.57 PERMIT ISSUANCE 101-0000-42404 0 $90.57 PLUMBING FEES $19.07 WATER HEATER/VENT PC101-0000 42600 0 $7.15 WATER HEATER/VENT 101-0000-42401 0 $11.92 TOTAL FEES PAIDi Date Paid: Friday, August 01, 2014 Paid By: JORGE A. ALVAREZ Cashier: KHE Pay Method: CHECK 2063 Printed: Friday, August 01, 2014 11:25 AM 1 of 1 CRIAf Iwwcvcrl:"c