12-0297 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
c-12=00000297-.
48225 VIA VALLARTA
649-381-002- -
PLUMBING
LOW DENSITY RESIDENTIAL
750
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HENRY REINCHERT
48225 VIA VALLARTA
LA QUINTA, CA 92253
Contractor:
ALVAREZ, JORGE A.
P.O. BOX 984
THERMAL, CA 92274
(760)777-3613 .
LiC. No.: 880103
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/12
i
tMtAR 2 2012 � D
CITY OF I A QUINTi4
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C36 License No.: 880103
-
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate3 Z2' IZ_$�ntractor:
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under, penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EMMPT MPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor C , 1 s II -forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
2 �=
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
e:
�TOSEZFIE
1_) 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
WARNING: FAIL RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
.IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , 8.&P.C. for this reason
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
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
LQPERMIT
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.
1 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 ounty to enter upon the above-mentioned property for 'nspection purposes.
— 2Z'I!;�P�Ure (Applicant or Agent):
Application Number
12-00000297
Permit . . . PLUMBING
Additional desc .
Permit Fee
22.50
Plan Check,Fee
5.63
Issue Date . . . .
Valuation
0
Expiration Date
9/18/12
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 GALLON
GAS WATER.HEATER.
2010 CODES. W a
-----------------_-_-------
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
Prescrl tive.Certlficate of Compliance: Residential CF-IR-ALT-DHW
Residential Alterations Page I of i
Project Name: Climate Zone: I J . Permit #:
General Information
Site Address: 1Ag-Z't5 \ r C,_ I Enfon:ement A enc : O -V i r>'►w Date: ^ZZ -I -k -
Building
Buildin g T e: in le Family O Multi Pamil Project e: lacement or Change Out of Water Heater
WATER HEATING
Ust newly installed tvater heaters and bollers for. both domestic hot nester heaters (DWH) and lk dronic space heating. Newly installed
MH heaters and bolters midst be gaws.pro ne, or nese the exdistinjRz tee! 1 e,
External Tank
Distn'btalon Type Factor
water Ha�ater urdarrl, Numbs In Tank fY• or
Type(Fuet Type' (Susystem Capamdty (gal) Thermal Efficiency
Insulation
R-Vahte)
Recitwlatin
=-ta.
co 2
- t
1. indicate 7lpe {Storage Cas. Heat Ptanp, instantaneous. etc.)
2. Recirrnlating systems serving maUiple dwelling units shall 'rneet -the recirculation requirements of WOW
The Prescriptive
requirements do not allow the installation of a recirculating water heating system for single dwelling units.
J. The external water heating tank and pipes shall be inndated to meet the requirements of § 150U),
o 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 an this Certificate of Compliance.
* i certify that the energy features and performance specifications, for the building design identified on this Certificate of Compliance
conform to the reyuitaements of Title 24. -Part t and 6 of the California Code of Regulations.
'ilio b-ildirb uYsign features identified on this Certificate of Compliance are consistent with the information provided to.document this
building design on tine other applicable compliance forms. worksheets, calculations, plans and specifications submitted to the
cntorccrl-�ent i eciley for avproval with this bui1ding p%,-rmit a tication ___ ___.._ _.,._.._---. ----.-..
Company:
flare:
License:
Citytstate2ip: _ M
'_�.m r- t.r,n (' A G
(&A nril 7n 11
Bin #
.,
City of La Quin to
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle'Tampico
La Quinta, CA .92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: L4 5 -,1 \ (3L VCL� C,
Owner's Name: �
Address: I22 0. N k—\ \
A. P. Number:
Legal Description:
City, ST, Zip: Ir 4 C `Z Z S3
Contractor:iyL t"CZ
Telephone:
Address:Project
Description:
City, ST, Zip: 7 lr�r C,,j
2 C O C–Lp►
Telephone: ^�
r.•,.. r•:;a..i::€>• ;y' c..:�; .;..t:
State Lic. # RF50City
Lie. #: V05 33 S
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
.0 t
x.<Vs wsi
Construction Type: Occupancy:
type (circle one): New Add'n Alter Repair Demo
State Lic.project
Name of Contact Person:Sq.
FL:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: Zt `Z :5C)
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 Cheek Deposit
Truss Coles.
Called Contact Person
Pian 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 Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctious/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