The URL can be used to link to this page

BPLB2016-001578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JORGE A ALVAREZ PO BOX 984 THERMAL, CA 92274 T-ihr 4 4v 4" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPLB2016-0015 52540 AVENIDA VELASCO 773295004 GEORGE / CHANGE OUT (1) 40GALLON GAS WATERHEATER $900.00 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: License No.: 880103 Date: _7 Contracto`.�� OWNER -BUILDER DEC TION 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 for a 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 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 11111111111111111111 08 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7,153 Owner: MICHAEL GEORGE 6820 PUGET BEACH RD NE OLYMPIA, WA 92253 Contractor: JORGE A ALVAREZ PO BOX 984 THERMAL, CA 92274 (760)698-8975 Llc. No.: 880103 Date: 1/27/2016 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. W I have and will maintain workers' compensation insurance, as required by Sectio— 3 00 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 those provisions. Dat — Applicant, WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 ab W,entioned property for inspection purposes. Date: I_Q2_&_ Signature (Applicant or Agent): b D D V N p C a C" 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. W I have and will maintain workers' compensation insurance, as required by Sectio— 3 00 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 those provisions. Dat — Applicant, WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 ab W,entioned property for inspection purposes. Date: I_Q2_&_ Signature (Applicant or Agent): b FINANCIAL INFORMATION DESCRIPTION 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 $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: GEORGE / CHANGE OUT (1) 40GALLON GAS WATERHEATER Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 1/27/2016 SKH Approved: Parcel No: 773295004 Site Address: 52540 AVENIDA VELASCO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 150 Lot: 21 Issued: UNIT 16 Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $900.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. U.nites: 0 NAME Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JORGE A ALVAREZ PO BOX 984 THERMAL CA 92274 CONTRACTOR JORGE A ALVAREZ 'PO BOX 984 THERMAL CA 92274 OWNER MICHAEL GEORGE 6820 PUGET BEACH RD NE OLYMPIA WA 92253 Printed: Wednesday, January 27, 2016 8:35:32 AM 1 of 2 T LJ SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE - RECEIPT # CHECK METHOD PAID BY I-CLiD BY PERMIT PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT 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:•• BOND INFORMATION ATTACHMENTS Printed: Wednesday, January 27, 2016 8:35:32 AM 2 of 2 r sysrcnns ��J INSTALLATION CERTIFICATE CF-6R_-MECH;-01 Domestic Hot Water (DHW) flPa e.1:02 Site Address: i Enforcement Agency: Permit Number: 3. Central Water Heating In Buildings with.Multiple Dwelling. Units (required for prescriptive) TO COMPLY - ALL BOXES MUST BE CHECKED ' ❑ All hot water piping in main -circulating loop is insulated to requirements of §1500) ❑ Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping that meets the requirements of Section 1506) ❑ Central hot water systems serving more than 6 dwelling units - presence of either a'time control or a time/temperature control ' DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division�3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible. person). - • I certify that. the installed features, materials, components, or manufactured. devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and.the installation is consistent with, the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -1 R) form approved by the enforcement agency that. identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the' building, and made available to the'enforcement agency for all appUcable Irispeetions. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at.occupancy. Cm any Name: (installing Subcontractor or General Contractor or Builder/Owner) " \— . \D.I R ' .. - Responsible Person's Name: Responsible Person i ture: CSLB License: Date Signed: Position With Comp y (Title): , 2008 Residential Compliance Fornrs j 'August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-01 Domestic Hot Water (DHW) (Pa e l of 2 Site Address: Enforcement Agency: Permit Number: WATER NF.ATIN(: CYCTFMCr Heater Type CEC Certified Mfr Name 8c Model Number Distribution Type (Std, Point -of- Use, etc) If Recirculation, Control Type a of Identical Systems Rated Input (kW or Btu/hr)t(gallons) Tank Volume Efficiency (EF, RE)t Standby Loss (%)t ISM Note l: For small gas storage (rated input less than or equal to 75,000 Btu/lir), electric resistance and heat pump water heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75,000 Btulhr), list Recovery Efficiency (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list the Thermal Efficiency and Rated Input. 2. Mandatory Measures TO COMPLY - ALL BOXES MUST BE CHECKED ❑ §110-§ 113: Water heaters, showerhead and faucets are certified by the California Energy Commission. §1500): Water System Pipe and Tank Insulation. And Cooling Line Insulation 1. Storage tank insulation ❑ A. Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater; and ❑ B. Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. 2. Water piping and cooling system line insulation thickness and conductivity ❑ First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-B; and ❑ Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. ❑ Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. ❑ § 151(f)8D: If indicated on the CF -I R, all hot water piping that nuns from the hot water source to the kitchen fixtures is insulated per Standards Table 150-B. 2008 Residential Compliance Forms August 2009 Bin # City Of La Quints Buliding & Safety Division Permft # P.O. Box 1504, 78-495 Cage Tampico La Quanta, CA .92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:� �ve�t Owner's Name: i ._� 4 c A. P. Number: Z. �12►1�e� ��i�lC< � Address: Legal Description: City, ST, Zip: 1 R 0. CA ci U� � Contractor:�Si �� i l rv� .n rA T.r....l.n... �/ . r\ - U .l /,.0 -C Address: 9 Project Description: , p City, ST, Zip: 4Y\G .� CLA q ZZ -1 -I 10.C2 /o l� a Telephone: -1-,3 City Lic. #; State Lia # Arch., Engr., Designer. Address: City, ST, Zap: Telephone: Construction Type: Occupancy: State Lic. #: Name of Contact Person: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of.Project: 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Reed TRACKENG Plan Cheek submitted PERMIT FEES item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Tran Cales. Called Contact person Plan Cheek Balance. Title 24 Calea. . Plans picked up Constraetion Flood plain plan Plaus resubmittal Mechanical Grading plan 2'' Review, ready for eorrections/issue Electrical Subcontaetor List Called Contact Perm Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for con eetiondissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fee: Total Permit Fees