BPLB2016-000778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Titit 4 4 Qu!Kro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0007
Property Address:
47545 VIA FLORENCE
APN:
643110021
Application Description:
BLOCK RESIDENCE/ WATER
Property Zoning:
Section 3700 of the Labor Code, for the performance of the work for which this permit
Application Valuation:
$800.00
Applicant:
Carrier:- Policy Number: _
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
shall not employ any person in any manner so as to become subject to the workers'
11111111111111111111
04
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LORNA BLOCK
47545 VIA FLORENCE
LA QUINTA, CA 92253
Contractor:
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
(951)301-0067
Llc. No.: 812894
Date: 1/19/2016
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C36 License No.: 812894
of the work for which this permit is issued.
�•
I have and will maintain workers' compensation insurance, as required by
Da( / r Contractor
Section 3700 of the Labor Code, for the performance of the work for which this permit
�-
is issued. My workers' compensation insurance carrier and polity number are:
ILD TION
Carrier:- Policy Number: _
I hereby affirm under penalty o perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Lab I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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-
Da e: ( (J/ Applican
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(1 I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed'under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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
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 relatin t ing
construction, and hereby authorize representatives of this c er upon
above-mentioned property for inspection pur.
P -
DSb�` C � � Si e (Applic A
1 e
DESCR TION` {ACCO N r ° ^ AfAOUNJ ti �P A D� SPA U`DATE
,qN ;. , .X=
. �.�
BSAS SB1413 FEE 101-0000-2030"y6
0 , $1.00.
$1.00 1/19/16
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CHECKD
,3 METHOD ,t
RECEIPT #
r# PIT -TV.
ALL STAR WATER HEATERS INC CHECK
R12186
2422 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
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AMOUNT:..
PAD
PAID DATE
.'DES �
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PERMIT ISSUANCE
101-0000-42404' ..
0
w$91.85
$91.85
1/19/16
PAID:BYES � ,z�METHOD5�P,
RECENT #
`CHE K
x�
#�
ALL STAR WATER HEATERS INC
CHECK -
R12186
2422
MFA -
Total Paid for PERMIT. ISSUANCE:.... .$91.85.'. ,., $91.85.
,;DESCRIPTION ra
M
QTY
w:', z
P D DATE`„
.�. y
ACCOUNT „
SAMOUNT ^k15 .
:01' R
WATER HEATER/VENT
.101-0000=42401.. :
0
%-$12:09
$12.09.
1/19/16.
rt PAID>BY
�x
METHODS
RECEIPT #
CHECK #
CLTD B
'%_. x
A.•^t,�, , s. b.,?�.
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v
ALL STAR WATER HEATERS INC ..
CHECK :.
R12186 ".
2422.
MFA
;DESCRIPTIONS
ACCOUNT
QTY
AMOUNTS
" �PAID� "
jPAID?DATE-'
WATER HEATER/VENT PC .:
101-0000-42600
0 .•
$7:25
$7.25
1/19/16
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PAIDBY�
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RE@EIPT#CHECK
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CLTD BY
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ALL STAR WATER HEATERS INC
CHECK.:
R12186
2422
MFA'
Total Paid for PLUMBINGFEES: $19.34, $19.34
TOTALS:.:,,;:::
Description: BLOCK RESIDENCE / WATER HEATER CHANGE OUT
CONDITIONS
Type: PLUMBING Subtype:
Status: ISSUED
Applied: 1/19/2016 MFA
Approved: 1/19/2016 MFA
Parcel No: 643110021 Site Address: 47545 VIA FLORENCE LA QUINTA,CA 92253
Subdivision: TR 26152 Block:
Lot: 220
Issued: 1/19/2016 MFA
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $800.00 Occupancy Type:
Construction Type:
Expired: 7/17/2016 MFA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
FAX
Details: WATER HEATER CHANGE OUT - 40 GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
Approved to Issued
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
(760)771-2157
KEN4REDWINGS@HOT
MAIL.COM
CONTRACTOR
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584
(760)771-2157
KEN4REDWINGS@HOT
MAIL.COM
OWNER
LORNA BLOCK
47545 VIA FLORENCE
LA QUINTA
CA
92253
(760)771-2157
FINANCIAL INFORMATION
Printed: Tuesday, January 19, 2016 10:26:31 AM 1 of 2 r
SYSTEMS'
Permit Details PERMIT NUMBER
. City of La Quinta BPLB2016-0007
INSPECTIONS
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, January 19, 2016 10:26:31 AM 2 of 2 CR
SYS7Eti1S
CL
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
1/19/16
R12186
2422
CHECKALL
STAR WATER
MFA
HEATERSINC
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
PERMIT ISSUANCE
101-0000-42404
TO
$91.85
$91.85
1/19/16
R12186
2422
CHECK
ALL STAR WATER
MFA
HEATERSINC
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
1/19/16
R12186
2422
CHECK
ALL STAR WATER
MFA
HEATERSINC
WATER HEATER/VENT
101-0000-42600
0
$7.25
$7.25
1/19/16
R12186
2422
CHECK
ALL STAR WATER
MFA
PC
HEATERSINC
Total Paid for PLUMBING FEES: $19.34 $19.34
TOTALS: $112.19 $112.19
INSPECTIONS
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, January 19, 2016 10:26:31 AM 2 of 2 CR
SYS7Eti1S
Bin #
� .
City of La Quin.ta
Building 82- Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
-Building Permit Application and Tracking Sheet
Permit #
Project Address: S.
Owner's Name:
A. P. Number:
Address:--t-1�/�1
Legal Description:
City, ST, Zip:
ntra '
Co ctor:% �S
G
Tele one: -
P � I
Address: 30U
Project Description:
City, ST, Zip:
col
e h n
TcP1 o
State Lic. H:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: one:
cY•
Constructionn type: e• Occupancy:
to ic. #
S t a L
tyPa (circle one): Nev Add'n Alter Repairair
Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
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 HOUSE:-
'" Rcyiew, ready for correctionsfissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fecs,
Total Permit Fees
STATE OF CALIFORNIA
.RESIDENTIAL ALTERATIONS — WATER HEATER
CERTIFICATE OF COMpuANC£ CFiR-ALT-01-E WATER NEATER I
for Water Heater
G.. WATER.
HEATING:SYSTEMS $ik6Oon;150
01
02.
03
04
65
06
07
08
04
10
11
12
13
14.
15
..Water
Water
Water '
# of
Water
Fuel
Rated
Rated
Heating
Heating
Standby
Exterior
Back -Up
Central
Dwelling
Heating
Heating
Heater
Water
Heater
Type
Input
Input
Efficiency
Efficiency
Loss M
Insul.
Solar
DHW System
Unit DHW
System
System
Type
Heaters
Storage
Type
Value
Type
Value
R -Value
Savings
Distribution
System
Identification
Type
in
Volume
Fraction
Type
Distribution
or
system
(gal)
Type
Name
.Gas
2
.62
R-16
Standard
WATER HEATING SYSTEMS
Water heating compliance f6.7r an alteration is described in Section 150.2(01.G.. Forsingle.dwe(ling:a:gas,or propane water'heater, with a: storage tank of 60: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. Q.emand'recirculation is not allowed for- electric water heater: If there is no natural.gas conneeted to the building, an electric water heater may be replaced with
another electric water heater:•However, changing from gas to,electri.c is not. allowed. Multi-family.central systems:must use certified: equipment as defined under Section
110A and. 1.10.1
NOTE: If the proposed installation does not.meet the requirements allowed specifically for alterations, use.form CFTR-NCB-01 to document the. water heater alteration
Instructions.for.sectionsvith column numbers are given below:
1. Water Heating System Identification or Name: enter a unique name for the Water Heating System.
2. Water heating system type: Domestic Hot Water (DHW); Hydronic, Combined Hydronic, or•Central..DHW is for•doniestic hot-water, hydronic is a water heating
system used for space heating only; combined hydronic 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 systems pick from Large Storage, Small Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect.