BPLB2017-0033Ct
Q. VOICE (760) 777-7125
78-495"CALLE TAMPICO 0 D
FAX (760) 777'7011. -
LA QUINTA, CALIFORNIA 92253. DESIGN & DEVELOPMENT
DEPARTMENT INSPECTIONS (760) 777-7153'
BUILDING PERMIT
Date: 2/22/2017'
' Application Number: BPLB2017-0033
.Owner:
Property Address: 48704 VISTA PALOMINO
SUSAN ANDERSON
APN: 602200021'
48704 VISTA PALOMINO.'
Application Description: ANDERSON / CHANGE OUT (2)HOT WATER HEATERS LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,000.00
Applicant:
Contractor:
FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI
FERRAUD INDUSTRIES INC DBA VALLEY PLUM BI
78886 AVENUE 41
78886 AVENUE 41 .
BERMUDA DUNES, CA 92203
_ BERMUDA DUNES, CA 92203
(760)347-3629:
'
Llc. No.: 273088
--------------------
LICENSED CONTRACTOR'S DECLARATION
---------------------------------------------
f ..
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter,
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect..
compensation,, as provided for by Section 3700 of the Labor Code, for:the performance
License Class: C36 ' License No.: 273088
of k for which this permit is issued. '
,. 11 Q
' �1%
�AT/ I have and will maintain workers' compensation insurance, as required by
Date: e�7- 1 Contractorv�^�`, r ('
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:.
OWNER -BUILDER DECLARATION
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48830353
1 hereby affirm under penalty of perjury that I am exemptfrom the Contractor's State
_
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that inthe' performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers' "
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to.the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provision's of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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
Date (� Applicant
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as�owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000): IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions.Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE;
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES..
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
APPLICANT'ACKNOWLEDGEMENT.
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of.sale.).
the conditions and restrictions set forth on.this application.. .
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose.
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant.to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the. Contractors' State License Law.)..
employees for.any act or omission related to the workbeing performed under or
I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is correct:
I hereby affirm under penalty of perjury that there is a construction lend ing'agency for
I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name:
Date - i Signature (Applicant or Agent): L �il.°—*-'
Lender's Address:
Date:. 2/22/2017 .
AppiicaIiac� AlLmbg( BPLB2D17�0033
Owner:• "
Property Address: '48704 VISTA PALOMINO
SUSAN ANDERSON
APN: 60220002148704
VISTA PALOMINO
Application Description:. ANDERSON / CHANGE OUT (2)HOT WATER HEATERS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,000.00
Applicant:
Contractor: .
FERRAUD.INDUSTRIES INC DBA VALLEY PLUMBI.
FE RRAUD INDUSTRIES INC DBA VALLEY P.LUMBI ..' ., .
78886 AVENUE 41
78886 AVENUE 41
BERMUDA DUNES, CA 92203
BERMUDA DUNES, CA 92203
... •.•
(760)3473629
Llc. No.: 273088
Detail: CHANGE OUT (2) HOT WATER HEATERS. 2016 CALIFORNIA BUILDING CODE,
`.`',.'DESCRIPTION ACCOUNTQTY
AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
?FINANCIAL
INFORMATIONt,
QTY
•
`.`',.'DESCRIPTION ACCOUNTQTY
AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PERMIT ISSUANCE
101-10000-42404
0
$96.27'
Total Paid for PERMIT ISSUANCE: .$96:27
DESCRIPTION
ACCOUNT.
QTY
AMOUNT:
WATER HEATER/VENT
101-0000-42401
0
$25.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/,VENT PC
101-0000-42600..
0
r $15:20
Total Paid for PLUMBING FEES: $40.54
DESCRIPTION
ACCOUNT
QTY _
AMOUNT'
TECHNOLOGY ENHANCEMENT FEE.
502-0000-43611
0
$5.00,
A. GENERAL INFORMATION ,
Site:address: v.,7 p V VS-� - G. Y—\ Vk v
Building Type:
I Single Family Dwelling
❑ Multi_Family Dwellings
City, Zip Code: , A
Climate Zone:57
06
G. WATER HEATING SYSTEMS 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
r -
Fraction
Type
Distribution
or
system
(gal)
'_Type
e
7 S-
Po o r
v.
115,0
-tu
I;.
WATERMEATING SYSTEMS
Water heating compliance for an alteration is.described in Section 150.2(b)1G. For single dwelling a.gas_or propane vaater heater, with a storage tank of 60 gallons maximum '•
or instantaneous{tankless)'can be used..Dwelling Unit distribution systems are limited to Standard trunk and _branch or demand recirculation for gas or propane water`
heater. Demand recirculation isnot allowed for -electric water'heater. If there is, no natural gas connected to the building, an electric water heater may be replaced with
another'electric water heater. However,.changing from gas to electric is not allowed. Multi -family, central systems must use 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 CFI11-NCB-01 to document the..water heater alteration:
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 system type: Domestic Hot Water (DHW),.Hydron.ic, Combined Hydronic, or Central. DHW is for domestic hot water, hydronicis 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 CFIR=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_
fi 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: Ifcompliance'requires a back-up solar system,•indicate the solar contribution (e.g., 0.30). Externatcalculations 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: For a 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: -
Nam 00wner o Authorized agent contractor
Company:
Cont actor license #:
Ad ff�J•
Phon
City/State/Zip: V nn �aa d .3 .:
v oC �v V`p e 5
Z Z..
Date: a. ^:. .; / 7
rte.
Bin # Qty of La Quilt
Building 81- Safety Division
Permit;`; 78-495 Calle.TaPipico
La Quinta, CA 92253 - (760) 777-701,2
Building -Permit Application and Tracking Sheet
Project Address: "70�1 Vtr's N
O Ownearnc: so
A. P. Number:
Address: l y\o
Legal Description:
City, ST, Zip: L.P4 Q t) t I / 2 7 1j _3.
Contractor: '
TeleP ho e3 3 3
00 0_7
Address: '1 U -0001D
kAVC-• qk
Project Description:
City, ST, Zip. Pf! W���� cJ N`SL 4
,- {p,� p
�/�irlJ�ftnr VAC_ _ -V
Tel h
e P r�1 V
(0 (o � IO �
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-p- �7 t
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i�lOV� ovl Q , Sv !/ �c
State Lic. # : *r 2,2302)0
City Lic. #.bo C3O'( U
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone-
cT:
Occupancy:
Construction Type: an
w A dd'n Alter Repairair Demo
o Project
P (circlele one): • Ne
State Lic. #
-
Name of Contact Person:
Sq. Ft_:
# Stories:
# Units:
Telephone #.of Contact Person:
Estimated Value of Project:
APPLICANT: DO. NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan.
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
'
II.O.A. Approval
Plans resubmitted
Grading • '
IN HOUSE:-
'"' Reyicw, 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