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BPLB2015-000678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92J5: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: RESCUE ROOTER 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 BPLB2015-0006 54801 INVERNESS WAY ` & 4 aQ" MMUNITY DEVELOPMENT DEPARTMENT 2 HOT WATER HEATER CHANGE OUT $3,469.00 BUILDING PERMIT 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.: :LIC -0111966 Dat ( Contractor OWNER -BUILDER DECLARATION 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).: (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 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.). ( 11, 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 n 77-7125 [� AX 76 77-7011 INSPECTIONS Q ) 77-7153 JAN 0 6 2015 015 CITY OF LA QUINTA Owner: COMMUNITYDEVELOPMENtOEF PETER THERON 54801 INVERNESS WAY LA QUINTA, CA 92253 Contractor: RESCUE ROOTER 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (951)341-9370 Llc. No.: :LIC -0111366 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 those provisions. Date: I ` 0 — S Applica Ae 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 u above. mentioned property for inspection purposes. Date: / Signature (Applicant Agent STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 3 of 4) Project Name: -rH E(Lo -J V.1)Fj iu v c5jcwt�S S Date Prepared: /- 8 I S� F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) %X� Ni 01 02 03 f� Dwelling Unit Name Dwelling Unit CFA (Ft2) Com_A- �Ilk WONW�W."UM G. WATER HEATING SYSTEMS (Section 150.2(b)1G)00,1\.`W' 01 02 03 04 05 06 07 08 y Central Water,Heating t! 4+ . - System Identification or ( 0), �0'10 jfl¢ w P —12 13 14 15 Water Heating # of Water � 6'' (j/ System Water Water Water Heater Rated Rated Heating ,�� CHe } Exterior Back -Up Solar Heaters Storage put,— Dwelling Unit DHW Identification or Heating Heater in Volume Fuel Input %I Efficiency Effifingncy Standby Insul. Savings Central DHW System System Name System Type Type system (gal) Type Type, ),, Value Type's Value Loss,(%) R -Value Fraction Distribution Type Distribution Type L� t�' l , ' r.I v Tem 2 (� r 1` V5��. i +r` �� ,otk,ft. Hk-P TeA- L vJ � y \ G,�•° 14 0, 1) - _*%%, 1) - .►tiXN�!f- H. SPACE CONDITIONING SYSTEMS AND WATER HEAT INN G SYSTEM IN,+MULTIFAMI%DWELLIhG UNITS 01 02 " 03N\ 1&b40 05 06 Dwelling Unit Name owelling}Unit.To'taI,GFA (ft2)\, y Central Water,Heating t! 4+ . - System Identification or ( 0), Dwelling Unit 1Nate�Heating System 4entification or Name Dwelling Unit: Alteration to the Space Conditioning System(s)? Comments ._�eAName vim# Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations.. (Page 4 of 4) Project Name: -rk)t5" N IW 144 SY Z?a t V c` -Ge -N E5 5 Date Prepared: J . 51 - / S DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: nn /�N+OR�� 1� LLEc*' Documentation Author Signature: � Company: Signature Date: Address: CEA/ HERS Certification Id(e [ific'tion cif applicable): SZO W 'L l �J EN S SII�" 4 ek City/State/Zip: Phone: � t VE:As 106 4-0?.S0 i 0"* 11 o RESPONSIBLE PERSON'S DECLARATION STATEMENT ^ � 4 L&` I certify the following under penalty of perjury, under the laws of the State of California low 'v, 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responslbllYa Ity for the building de�s`igor system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compone�s and manufactured dPyit�, or the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of'Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent WA a information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the`enforcement agencyfor>approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Comglian e-ghtall be made available with the building�permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy -of this Certificateo`f Compliance isrequired'to be included with the documentation the builder provides to the building C owner at occupancy. ,,-` Responsible Designer Name:" RespoA,sible Designer Signature: �y 1� Company: ^� � - �' ` Date Signed: Address: M License: City/State/Zip: � ��u y Phone: For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 FINANCIAL INFORMATION DESCRIPTION 'ACCOUNT : QTY AMOUNT PAID' PAID DATE BSASSB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/8/15 PAID BY METHOD RECEIPT # .. CHECK # CLTD BY RESCUE ROOTER CHECK R3349 6732 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE' PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 1/8/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RESCUE ROOTER CHECK R3349 6732 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 1/8/15 • PAID BY METHOD RECEIPT # CHECK # CLTD BY RESCUE ROOTER CHECK R3349 6732 MFA -DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 1/8/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY RESCUE ROOTER CHECK R3349 6732 MFA Total Paid forPLUMBING FEES: $38.68 $38.68 Permit Details PERMIT NUMBER City of La Quinta BPLBZ0150 B ! e - Description: 2 HOT WATER HEATER CHANGE OUT CHRONOLOGY Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 1/8/2015 MFA Approved: Parcel No: Site Address: 54801 INVERNESS WAYLA QUINTA,CA Subdivision: Block: lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,469.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 - No. Unites: 0 ADDRESSI Details: REPLACE 2 50 GALLON GAS WATER HEATER IN GARAGE PER 2013 CBC STATE ADDITIONAL SITES Printed: Thursday, January 08, 2015 2:47:11 PM 1 of 2 cJ sysrrnns CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT RESCUE ROOTER 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (213)705-0683 CONTRACTOR RESCUE ROOTER 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (213)705-0683 OWNER PETER THERON 54801 INVERNESS WAY LA QUINTA CA 92253 (213)705-0683 Printed: Thursday, January 08, 2015 2:47:11 PM 1 of 2 cJ sysrrnns 71 0- ro-q-�w 0 W' - - INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" ".. ELTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY BY� PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 1/8/15 R3349 6732 CHECK RESCUE ROOTER MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 1/8/15 R3349 6732 CHECK RESCUE ROOTER MFA WATER HEATER/VENT 101-0000-42600 0 $14.50 $14.50 1/8/15 R3349 6732 CHECK RESCUE ROOTER MFA PC Total Paid forPLUMBING FEES: $38.68 $38.68 TOTALS: $131.53 $131.53 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" Printed: Thursday, January 08, 2015 2:47:11 PM 2 of 2 C9?1ff,1Y-STCMS Bin # ~ City of LA Q uin to . Building 81: 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: �L� �O /Nvc, LVVLEs s' &jk4 V Owner's Name: 7 i( fi1_fe ir a n A. P. Number: Address: q V Z✓ N e5j t o Legal Description: City, ST, Zip: 1_4 2 Z Contractor: 215-S"C � Telephone: � Address: /SZ0 fiJ LI oZoi S r Project.Deseription: VJ FI 'Qlt l�l�tc City, ST, Zip:. ' � 4 V t k S 4 L t_ [/a Y2 S° 7 5-o (.. lJt I Q ✓ a t' Telephone: 9V 3 y/ Y3 7 :,:.:::::.:::::::::,,.: State Lic. 4: City Lie. #; ) 3 & Arch., Engr., Designer: Address: City, ST, Zip: Telephone: '3f Construction Type: Occupancy: • State Lic. #: Pro ect a circle one): New Add'n Alter Repair Demo J �P Name of Contact Person: P ✓ 1 h t'0V' Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: 2 I '7p!� O(pg Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets PIan Check submitted Item Amount .Structural CAM. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. 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 Decd Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN IIOUSE:- Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue 7-1 School Fees Total Permit Fees