BPLB2015-006754455 Avenida Madero
BPLB2015-0067
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t'r ^F4 QuiKrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2015-0067
Property Address:
54455 AVENIDA MADERO
APN:
774231009
Application Description:
SALVATIERRA / REPLACE (1) 40 GALLON GAS WATER HEATER
Property Zoning:
LA QUINTA, CA 92253
Application Valuation:
$800.00
Applicant:
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C36 License No.: 812894
Date -7-1J Contrac
OW ER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following rea 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.).
(1 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/2015
Owner:
DAVID SALVATIERRA
54455 AVENIDA MADERO
LA QUINTA, CA 92253
C
0
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Contractor:
o
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
z+ z
r --3O
(951)301-0067
Uc. No.: 812894
Z
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 tfor which this permit is issued.
K37CO
have and will maintain workers' compensation insurance, as required by
S, Aof 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 work
compensation laws of California, and agree that, if I should become subje the
workers' compensation provisions of Sect thrshall forthwith
comply with those provisions.
Date 1 `V Ap ' nt:
WARNING: FAILURE TO SE_UREWORKERS' 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 cit the above-
mentioned property for inspection purposes.
Date! ,21 /_ / Signature i r Age
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 forBUILDING 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 A
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
• • ••
Description: SALVATIERRA / REPLACE (1) 40 GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 4/27/2015 SKH
Approved:
Parcel No: 774231009 Site Address: 54455 AVENIDA MADERO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 260 Lot: 9
Issued:
UNIT 24
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $800.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584
CONTRACTOR
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584
OWNER
DAVID SALVATIERRA
54455 AVENIDA
MADERO
LA QUINTA
CA
92253
Printed: Monday, April 27, 2015 10:56:37 AM 1 of 2 cel"
SYSTEMS
Pel'1'Yllt Detsdl!'S PERMIT NUMBER
BPLB201+5-00.67
City of I Quinta
777-7
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
PLUMBING FINAL" BLD
PARENT FR94ECTS
BOND INFORMATION
ATTACH M ENTS
Printed: Monday, April 27, 2015 10:56:37 AM 2 of 2 jjV► j I//
LJ U SYS7EM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT 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
729 L
L ML
777-7
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
PLUMBING FINAL" BLD
PARENT FR94ECTS
BOND INFORMATION
ATTACH M ENTS
Printed: Monday, April 27, 2015 10:56:37 AM 2 of 2 jjV► j I//
LJ U SYS7EM5
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS — WATER HEATER
CERTIFICATE OF COMPLIANCE
for Water
CF1111-ALT-014 WATER HEATER
(Page1 o(2)
A. GENERAL INFORMATION
Site adtir-essi7— 73/01,din Type; Single Family Dwelling
v 'o Multi Family Dwellings
City, Zip Code: - Climate Zone; /0 110
G- WATER HEATING SYSTEMS Section .0:2 b IG)..
01.
Water
Heating
System
Identification
or
ame
02-
Water
Heating
System.
Type
03
Water
Heater
Type
04
#-of
Water
Heaters
in
system
OS
Water
Heater
Storage
Volume
(gal)
06
Fuel
Type
07
Rated
Input
Type
08
Rated
Input
Value
09
Heating
Efficiency
Type
10
Heating
Efficiency
Value
11
Standby
loss (%)
12
Exterior
Insul.
R -Value
13
Back -Up
Solar
Savings
Erection
14
Central
DHW System
Distribution
Type
15
Dwelling
Unit DHW
System
Distribution
Type
WATER HEATING SYSTEMS.
'Water h'eatmg compliance fog an alteration is described In Section150.2(b) G, gr singie dwelling, a gas.or propane waterheater, with a: sfoiage tank of 60: galtoris mazimu.m
or instantaneous (tankless) can be; used. Dwelling .Unit distribution systems areilmited to, Standard runk and branch'ordemand`rearcvlationfor gas orpropane. water.
heater: Demantf recircutatron is rapt ailOWed for 0l ,ctric:water heater: if thOe',is no natural'gas connected'to the building an electric water beater may be r taced.vsrith:
another electric water heater.,:However, changing from gas to.eledric, is not; allowed:. Multi-farmly.centralsystems;must.use certified:equipment.as defined.undersection
1101 and 110.3::.
NOTE_: If the proposed installation.does not meet the requirements'allowed specifically for alterations; use form Cf1R-NO3-01 to document thewater heater alteration -
Instructions fonsections
lteration.
Instructions.fonsections with column numbers are Riven below:
1. Water Heating System Identification or Name: enter.a unique name for the Water Heating System.
2. Water heatjing system. type: Domestic.Hot Water (DHW), Hydronic, Combined Hydronic, or Central. DHW is fordorriestichot-water; hydropic is a water heating.
system used forspace heating only; combined hydronic are whe'the water heater will provide. both space conditioning and domestic hot water.
i 3 Water heater type:. For non -central systems only Small, Storage or Small. Instantaneous are allowed. For central systems pick from Lafge Storage, Small Storage,
1
Heat Pump, Boiler; large Instantaneous, Small Instantaneous or Indirect.
i
ffi
f
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
WATER HEATER
Prescriptive>.Residenttal;Alterations for WaterHeater (t?age;2 of 2)
A : Number ofwater_heaters msystem to single: family and.mult fatuity witfiwraier heaters in;each dwetUng".unitsth.e value, isa For<mu{t .family;ceritral systems
serving multp{e:iiwelling:iinis.erite;the•total'tiumber of water tieater5
- 5. Water hgaterv9tume.(gal);:tank capacity in gallons: For mdividval water heaters foc`a duiel{ing uriitahis will:be 60'gallons.o less. if instarataneous,;enter nja. Foc
:
multi -family central systems_enterthe-total storagevoiuine.
6`. fuel T.yper.Gas, Propane; Electric (only if natural gas is not available)
..7. . Rated lnput7ype Enter the equiprnmeni input rating type; fo.r gas or propane'fired units are;Btuh,fior>electric:fired sysiem.tkie units are kw.
B. Rafed Input Value- Enter the numencwalue of rated inputu .
9. _ Heating Efficiency Type Eneigy Factor, AUE.:ar Thermal: fffc ency fromproductaiterature or a Caiifomia Energy Commission directory;
10. Heating Efficiency Value Enter the value from product literature or ataliforhia Ene gy Commiss ori directory'.
_11:: Standby Loss (percent) Applies on,N large storage water heaters Enter n/a for small storage or Instantaneous water heaters'.;
12: Exterior lnsulation R:Va{ue..Enter.theR,vatue ifeicterior:insulatioiton thes#otsage',tank is iiistatled.
13. Back=up solar savmgs:fractaon tf campliance;requires a tiack p solarrsystem` mdica2e the solar cgnfnbutiorr(e g ,Q;3oj:' ficternal;calculations areregaired
- 14: --CeriWI.-DHW DIsfritiuUOn Sysiefvit:P r""inulti-family: uiI irigs•with using a central distnbution•sysiem a demand recirculation y rpmith atfeast two distribution;
loops must be installed This;fiequireMent applies taany,buildin$ vrith'eight;or moremni— . if the system is<rion cent s! or project s"ir diyiduaf:unrts enter nja.
T5. Dwelling Unit DHW Distritiation Type: Fora Central DHW this fieldshall be Standard.<If non ceritratthen ickfrom Standard; Derriarid Rearculatior :— Monual
p
Gonirol, Demand RO&Wlatidh sensor Corticol lf..rion cei tral:el& he waterheater'this must be standard ;rto recir ulationsysiemshall;be` t stalfer
For. assistance or questions regarding the Energy Standards, contact the Energy Hotline at:1-800-772-3300.
bin #
`
City Of La Quinta
Building &r 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: 'S 17, aow' o
Owner's Name: a
i rfpt
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Q (Ruih—/
Contractor: L L a
Tel -
e hon
P 3
Address: 30,3 00 ltd
Project Description:
City, ST, Zip:
1
007Lf 0 65
ele h n
TP 0 d Q
.............
-
State Lic. #
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Te0.lephone: e.
XXProjecta
Construction n T
o e: Occupancy:
type:
State Lic. #:
circle one): New typ ( ) e Add.'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
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:-
3' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees