Loading...
BPLB2019-006378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Tihi ^& 4& Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT PLUMBING/ BPLB2019-0063 78915 VILLETA DR 604151037 TORRES / WATER HEATER CHANGE OUT $1,612.50 Applicant: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD. #201 MEMPHIS, TN 38120 Z �_ 0 _. APR 2 3 2019 CITY OF LA QUINTA DESIGN & DEVEL.OHOL NT DEPARTMENT 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: C36, C10, C20 License No.: 7 54 Contr'di : OWNER -BUILDER D£CLARATIOW I hereby affirm under penalty of perjury that I am exempt from the Contras '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.). (_) 1, 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 Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/23/2019 Owner: SAMUEL TORRES 78915 VILLETA DR LA QUINTA, CA 92253 Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD. #201 MEMPHIS, TN 38120 (951)276-9744 Llc. No.: 765074 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 Lit rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sectin 3700 of the Labor Code, for the performance of the work for which this permit is iss ed. My workers' compensation insurance carrier and policy number are: Carrier: LIBERTY INSURANCE -CORPORATION 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. 0111141111, 1 Date:/ Appllc'911llt WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAIS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI/L 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 foltowing 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 above-mentioned property for inspection purposes. b9l ^� Signature (App IIcant or Agent): Application Number: BPLB2019-0063 Property Address: 78915 VILLETA DR APN: 604151037 Application Description: TORRES / WATER HEATER CHANGE OUT Property Zoning: Application Valuation: $1,612.50 Applicant: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD. #201 MEMPHIS, TN 38120 Date: 4/23/2019 Owner: SAMUEL TORRES 78915 VILLETA DR LA QUINTA, CA 92253 Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD. #201 MEMPHIS, TN 38120 (951)276-9744 Llc. No.: 765074 Detail: 50GALLON WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES DESCRIPTION ACCOUNT QTY 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 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $8.00 Total Paid for PLUMBING FEES: $21.34, DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 taW CALIFORNIA Project Address: 789 15 . f f 1 APN #: Applicant Name: Y� Address: City, ST, Zip: 0,1, ,AJT-4 CA Telephone:C76,P 17 -cIcY4y Email: IT # 1JP1 AL -A 5 - Project Description: 56],1L� Valuation of Project $ 1Y4J,�2,se) /8495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required ` Received Pian Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees i_. Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS — WATER HEATER CFC-CF1 R -ALT of -E IRevimed 061141 CERTIFICATE QF COMPLIANCE CALIFORNIA ENERGY COA%1tSSIOr: Residential Alterations for Water Heater CFIR-ALT-01-E WATER HEATER kL INFORMATION Site address: 10 11 12 Heating Heating Standby V�Lcf TA Pa. City, Zip Code: I.A QdtJTA r,', 3 --------------- G. WATER HEATING SYSTEMS Sectian 150.2 b 1 G 01 02 1 03 04 Os 06 Water Heating Water Heating Water N of Water Fuel System Heater Water heater Type Identification System Type Type Heaters Storage in Volume or Name system (gal) 07 OB Rated Rated Input Input TYPe Value F47�`� 4rc- Building Type: Climate Zone: fK Single family Dwelling ❑ Multi Family Dwellings 10 09 10 11 12 Heating Heating Standby Exterior Efficiency EfRclenri Loss (45J Insul. Type Value Distribution R -Value 13 14 15 Back -Up I Central Dwelling Solar DHW System Unit DHW Savings Dlstributlon System Fraction Type Distribution iyps WATER IjEATIN sySTEMI Water heating compliance for an alteration is described in Section 1S0.2(b)113. For single dwelling a gas or propane water heater, with a storage'ank or60 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 is not 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. (VOTE, If the proposed Installation does not meet the requirements allowed specifically for alterations, use form CF1R-h'CB-0_ to document the water heater alteration Instructions far recti ns with olurnn numbers are loan befovr: 1. Water Heating System Identification or Name: enter a unique name for tire Water Heating System. 2. Water heating system type: Domestic Hot Water (DHW), Hydronlc, Combined Hydronic, or Central. DHW is for domestic hot water, hydronc is a water heating system used for space heating only; combined hydropic 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 system 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'y 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 systerrs serving multiple dwelling units enter the total number of water heaters. S. 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 .1,%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 M S. Rated Input Value: Enter the numeric value of rated Input. 9. Heating Efficlency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory_ 10. Heating Effkiency 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: If compliance requires a back-up solar system, indicate the solar contribution (e.g., 0.30). External calculations are required. 14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system :jith at least two distribution loops must be installed. This requirement applies to any building with a ght or more units. If the system is non -central or prefect 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 Reci%'Aatioe — "✓anual Control, Demand Recirculation — Sensor Control. If non -central e'ectric water heater this must be Standarc, no recirculation system shall be irscalled_ DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • I certlfy that this Certificate of Compliance documentation is accurate and complete, Name: Ton DOwner OAuthorized agent Aoitractor Signature: � Company Contractor license N: Address:jC)� Phone -r .7 City/State/21p: ti r Jt'll-�ff i �� Date: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.