11-0461 (PLBG)"
P.O. BOX 1504^� VOICE (760) 777-7012
78-495 CALLS TAMPICO"14FAX (760) 777-7011
LA QUINTA,. CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
- ' BUILDING PERMIT
Date: 5/05/11
Application Number: '�711-f; OA000462-=�Owner:
Property Address: 51734 VIA SORRENTO ROSSO GAIL
APN: 777-340-034 - - 51734'VIA.SORENTO
Application description: PLUMBING LA QUINTA,. CA 92253
Property Zoning:, LOW DENSITY RESIDENTIAL ( ,
Application valuation: 950
• Contractor: Q
App 'cant: Architect or En ineer: ALVAREZ, - JORGE A. D
P.O. BOX 984
THERMAL; CA , 92274 MAY 0 5 2011
(760)777-3613
Lic. No.: 880103 CITY OFtAQU1NTA
FINANCE DEPT.'
- 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.
Dates -S -I I (Contractor:
:
_ 1 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 y1surance 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 EX�R'IPT ' 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' compensationlaws 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 hould 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 a„1•s 11 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 -- S S– _
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: AppliLcanrei
- - -
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: FAILURE TO SECURE WOR ERS' 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 herownemployees, provided that the . DOLLARS 15100,0001. 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, 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 apermit 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,
I am exempt -under Sec. , B.&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
performed under or following issuance of this permit.
Date: Owner: - 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
- CONSTRUCTION LENDING AGENCY permit to cancellation.
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of -the • - I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relatingbuilding. const ruction, and hereby authorize representatives
of this county to enter upon the above-mentioned pr ty for i spection purposes. - -
Lender's Name:
�Datei. �- Signal re_IApplicant or. Agentl: -
Lender's Address: �–`v -
LQPERMIT
Application Number. ..
. . 11=00000461
Permit . . ..,'PLUMBING
,
Additional desc
Permit Fee
22.50
Plan Check Fee
5.63
Issue Date
Valuation
0
Expiration -Date
11/01/11
Qty Unit Charge
Per
Extension
BASE
FEE.15•:00
7.00 7:5000
EA PLB WATER HEATER/VENT
7'.50
Special Notes and Comments
REMOVE AND REPLACE 75
GALLON GAS
WATER
HEATER.
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
- OPERMIT
Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW
Residents! Alterations' Page I of 2
Project Name: R lL Ste' Climate Zone: Permit #:
General Information
Site Address: 1'7 eft _ . .Enforcement 'A enc LR k: 6 Mte:,f5=15jj
Buildin T .. in le Family O Multi Family Project Type: ®'Re lacentent or Change Out of Water ,Heater
WATER HEATING
•' 1 certify that this Certificate of Compliance•documentatioit is accurate and complete. •. 11
List newly installed water heaters andboilers-for both domestic hot ►taster heaters�(D.WH).,and hydronic space heating. `Newly i_nfialled
DWH heaters and boilers must be, us,ro ne, or use the e.ris�inglidel type.
Water Heater Distribution Type Number In Tank
Type/Fuel Type' (Staralartl. System , Cap ity Igal)
Recircutatin
En ergy,Facta or s ;, s
Therfnal Efficiency;
External Tank
(emulation
: k;vatue�_ .
__ (NrJ Pc 9_cn(Q2
" building' design on the other applicable -compliance forms. ,worksheets, calculations, plans and specifications submitted .to the
-1.2
Name:
signatuctn
Company:
Date:
Address:
I tntdicate Tvpe (Storage Cas:Heat Aunp Instantaneous, etc.)
2. Recirculating systems sirving multiple .Jw'"ellrng' units shall ineet ' the. recirculation _ require nests ,of . f l AnX,
regWrentents do not allow the installation of a recirculating xater, heating syste►n for single dwelling runts.
to ►reef Thi re ul►r►nents o' /SXU."
J. The external water bestir tank and: i s shalt to
.The Prescriptive
Contractor or Homeowner (Documentation Author's/Responsible -Building Designer's. Decd O ion Stste�nt)
w`
•' 1 certify that this Certificate of Compliance•documentatioit is accurate and complete. •. 11
• I.am eligible. under Division 3 of the California Business and Professions Code to. accept iesponsibility for the11 building design
identified. on this Certificate of Compliance.
• I certify that the energy features:and perfotrnai ce specifications' for`the building. design identified oi`'this Certificate of,Compliai nce
conform to the requirements of Ttlb 24,.Partl and 6 of the California Code of Regulations:
• The building design features identified on4his 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:
signatuctn
Company:
Date:
Address:
License: '
City/stateaip_:
Phone-
hone:_7&0-_2'77-3( 3
_7&0-_2'77-3(o13
04 nril min
Storage Water Heater 1's defined as:
Max Ott/hr per Gallon -30 Gallon 40 Gallon 1 50 Gallon
4,000 . 1 120,000 160,000 200,000
2009 Appliance Efficiency Angulation$ for Small Water Heaters.
Small Water Heater is defined as:
Type
Input
Gas Storage
75,000 Btu/hr or less
Oil Stora a
105 000 Btu/hr or less
Electric Storage
12,kW. or less
Gas Instant
200,000 Btu/hr or less
Oil instant
210000 Btu/hr or less
Electric Instant
12 kW or less
Heat —Ptimp
24 am s or less
Storage Water Heater 1's defined as:
Max Ott/hr per Gallon -30 Gallon 40 Gallon 1 50 Gallon
4,000 . 1 120,000 160,000 200,000
1. Per Section 1500) of the 2008 energy tmmency iia 1U?XU*.
(&Anril 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 Ty
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
I
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 pump water heaters
0.93 — 0.00132 x
0.890
0.877 0.864
V = rated volume in gallons
.J.
1. Per Section 1500) of the 2008 energy tmmency iia 1U?XU*.
(&Anril 2010
La r,
Building lm Safe y Division
Permit: 11 'P.O. Box 1504, 78-495 Calle 1anvico
\ I 3 La C?i_finta, CA 92..7..5:f - (MO) 777-701:2
\1, ` Building i'f'rmir • pplication and 'ii•`i' ding Sheet
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Address:
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Project type. (i.trtac vnc�: i;•: I�dt{'n Alterit�prur mento "
- ._-�--- -- : _•_tom _
1 Name orconttct Person: S, i Vic+o
+ 1 .9 .trus. It, Units:
r Teleph-� one ff of Contact Person: f Stif;itttcJ faille A' Project'.
APPLICANT: IC riN DO NOT W'RI 1 f 1.3i'LOWmis LINE {
l 1, tiuhtntit t! {et t, i f
t lt(_i�r'�Cx
A
ry1 IiI{Cvli'i i i"I i
it .a.z....
i'I�u';efs ltem Amount
I k ! to (It%c!; SUYsrnetc <i
f+ Structural ('ales• t - �•y 1{eriet.ed, rradl- for corrections { 111»n Check Deposit f
it
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N Truss l':�lcx.� j _ 1� i t', die8 L:oln;tct 3'. t-,r,u 43hlance -
Energy caics. -i- � ;`lulls pidied up ,I 1'1.311structiou _
�J iiluoti jtiaiet plan nicdtattical� �^ Y
Gradiug plan i 7•nA Review, ready for cot r:-dion"'Assuc i ' Ele.ctrical
L' Subcontaclorl,isl'^ is f;aifcd C.'oneua f't:rsmt '!
i 1 Vitunitin
!;
Grant fJccti Phnst jic'hed u ,
ii. ii_(J.A. Approval Nam; resaLmitw(i i t>r.tding I
t'
IN HOUSE.- '"' , r .. � li
! i. x" r..icu, rca<l, for c��ircr.tiiln ,esstic Developer impact i ec
I
t)� 1�'iauning A-ppl ora, ,�--� s Ji i:atfeti Ci!uta,ei Person � ii h.l..i'.P.
Pub. Wks. Appt' 3 !i Date of hermit issue
Schuoi Fees {� 't_. _- — •• _
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