BPAT2015-000978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
I .1 ... . ,
TAtiP
ry �.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPLB2015-0009
52510 AVENIDA RUBIO
773283001
WATER HEATER CHANGE OUT
$800.00
Applicant:
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
LICENSED CONTRACTOR'SDECLARATION
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: C366 f Lice a No.: 812894
DatJ(���%' Contractor:
I OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that l 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 Divisi n
of the Business and Professions Code) or that he or she is exerript:therefrom and the
for the alleged exemption. Any violation of Section 7031.5'6y any applicant fo 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 Name
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 )
Date: 1/14/2015
Owner:
ROBERT RAMIREZ
52510 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
(951)301-0067
Llc. No.: 812894
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�mairitain 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 or Code, I shall forthwith
comply with those provis' s.
�at Applicant:
WARNING: FAILURE TO SE RS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT A PLOYER 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 to1he 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 t r upon the ab
mentioned property forins ection purposes.
D'at �` Signature (Applicant or
STATE OF CALIFORNIA "
RESIDENTIAL ALTERATIONSNP
CEC-CFIR-ALT-01-E Revised 06/14)CALIFORNIA ENERGY COMMISSION (r�
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 3 ofA),
Project Name:IVZE�Ml Date Prepared: Q'
F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/CC►OLING (Prescriptive section 150.2(b))
pl 02 Q3 l`.
Dwelling Unit Name Dwelling Unit CFA (Ft2) Commnt JA'
O x- r
G. WATER'HEATING SYSTEMS (Section 150.2(b)iG)
01
07
03 :.
04
05
-06
07...
-OS
0 ,
S. 10
1>l
i 12 >.
13
14.
15
Water Heating
Water
Back -Up
`Water
Heater
�'Y°ti
DHW
System-
Water
Water,
Heaters
Storage
Rated
ted
t
Heating ,.
_
Hemp
'
Exterior
Solar
Dwelling,Unit
Identification or
Heating
Heater -
in .
Volume
Fuel
Input
np
Efficiency,
ffi�iei c .
�`ValUe
.Standby ..
Insul
SavingsA
Central DHW System
System
'
Name
System Type
Type -
system
(gal)`-: '
. Type
Typed
s,_Value=•.
f Tygg F}
R=Value.
Faction
0istribution?ype.i
Distribution Type
H. SPACE CONDITIONING SYSTEMS AND' WATER HEA�T�JVpGSYST* tlMS IN�IVIULTIFAMILY DWELLING UNITS
Ol
Dwelling Unit Name
02
'�
Dwelling UnittTota1SCFA
(f[2j ', "'.
03 ��
. ,Central Water HeatingDWeIIIng
System ltlentification or t
Name �,
04'
Unit
WarHeating System
F Identification or Nam
05
Dwelling Unit:
Alteratiori to•the Space '
Conditioning System(s)?
06
Comments
e .. ,���a
"o N
'rN 6FFaY 1
Registration Number: Registration Date/Time: HERS Provider:
r'A Rnil.iinn rnar— G.ffirionry rt—Anrric _')hll Racirlarftial r'mmnlinnra i-. )nlA
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION k C17
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Proiect Name: % r111111-1eel Date Prepared: 7— j y1_/
DOCUMENTATION AUTHOR'S.D,ECLARATION STATEMENT
1.. I certify that this Certificate of Cc mpiiance,docume_ ntation,is accurate arid complete. _ '
Document tion Author Name: Documentation Author Signature:}. -
.-- ..�1
Company: V U _' Signature D
Address: z, HERS Certrf¢ation ldenti ¢aij�on�(if applicable)
a. y
'�7 City/State/Zip-Rho
¢<'
.. - P �, f ,.f.• h� r
4,y„ids _
Y,T
RESPONSIBLE PERSON'S DECLARATION.STATEMENT
I certffy the following under penalty of perjury; under the laws of the State of California°„'
1. The information providedon this Certificate of Compliance is true and correct NZ t
2. 1 Division the Business; and Profess'io'ns Code to accept-responsibility.forthe'bullding design or system,design identified this Certificate,of Compliance (responsible
am eligible�under. -3 of on
designer). - ;.sf• .. r' <
..gip
3: That the.energy features and performance specifications, materials; components aid manufactt e'.a c e�vic for,the building design or system design identified on this Certificate of
Compliance conform to the;requirements of Title 24, Part 1_and Part 6 ofthe Qajifornia Code of-RegUl''ations 5q
` �•
/Y,'{ tom' 'ld
4. The building design features or system,design features'identified on this% Certificate of Commpl�i nce�are consiisstent wtth�it e information provided on other applicable compliance documents,
enforcement ' kui din
worksheets, calculations, plans and specifications submitted to th'” agency, fora roval with this
ppp g permft.applfcation.
� GAS �+-
5. be
I will ensure that a registeredreopy of this'Certificate of.Compliancetshall made available with the�buildinmrt
g per(s) issued'for the building, and made available to the -enforcement agency
for inspections. Funderstand that a registered 0 of fhls Certif�l�cat�of C mpliance is�r�equi� ed'to be included with the documentation the builder the building
all applicable yy provides to
owner at occupancy. - ,...: 1 • .w
Responsible Designer Namc:. '1 r
Respot}iblc Designer Signature:
Company:
i'
Date Signed:"
Address:, ,
TV
License:
..•"ok
-r-.
City/State/Zip: 4 Pyy Va;�j �"
Phone:
;`�`w•� ' Epp
For assistance ofi4yestions 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
MON NMI,.m k "� 151
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BSAS 561473 FEE E' lOT-000020306 0
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Total Paid forBUILDING STANDARDS ADMINISTRATION FBSa ,. $100 $0.00,
.
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PA`IUDATE
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PERMIT ISSUANCE
`101 0000"42404 r '
0
$9185
$omO 'v
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DESCRIPTION ` 3.
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A�IVIOUNT ",
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u ; ,fix,
�pA D"D'ATE,
rac u4
WATER HEATCf
ER/VENT
5101=0000 42401
0
$12 09
_ ' ' $0.00
Y<- ••nrzt ...x,...u+.iy t2. - ";,c,'� g�'.5,;,�; s
( '. PAID BY ��
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`MEMOMETHOD
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DESCRIPSTION
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MINOR
4 .ary:�;' yore ,.s�;„.ywfio yWe16A,
10MM ,16AID
ru
ATE
f
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0
$7 25
$0.00
WATER HEATER/VENT-PC `
10170000426001
,°
z^.�'
M�."`yrs
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�, , ,t Total Paid for PLUMBING FEES $0.,00
.r�, .,,5.,.,] .�.v>,P. ..Yv df:�, sCcGr:axx . xatutr�:�a..r'Iut=rn+:.a. utas •��.S,�r�.,,>rt, .fit.. _xM.`n� ,7.,. T
M
9 r �,� ' z r • •1 1 1
-A
Description: WATER HEATER CHANGE OUT
Type: PLUMBING
Subtype:
Status: UNDER REVIEW
Applied: 1/14/2015 PJU
Approved:
Parcel No: 773283001 Site Address: 52510 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 15
Lot: 2
Issued:
UNIT 1
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $800.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details:
,u��.i 4
.-W-t
ADDITIONAL SITES -
CHRONOLOGY
FINANCIAL INFORMATION
Printed: Wednesday, January 14, 2015 9:18:38 AM 1 of 2
SYS iEMS
CONDITIONS
K41•
DDRESSlir:ClTy
STATE i2 P'4:
P AXr,;EMAI
H NEa F
k ,..
L.
,u��.i 4
.-W-t
F € ,
u.: .. -,
APPLICANT
ALL STAR WATER HEATERS INC: -
' 3030.UPUERTO
MENIFEE
C'
CA A.
92584
: (
FINANCIAL INFORMATION
Printed: Wednesday, January 14, 2015 9:18:38 AM 1 of 2
SYS iEMS
Printed: Wednesday, January 14,ZO159:z8:38AM 2ofZ
PA
77PS -41
PAII
-TION
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
PERMIT ISSUANCE
1, 101-0000-42404
0
$91.85
1 $,0.00
Total Paid forPERMIT ISSUANCE: $�1.85 $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 forPLUMBING FEM. $19.34 $0-.00
Printed: Wednesday, January 14,ZO159:z8:38AM 2ofZ
Bin #
Permit #
Project Address: S la
Cray. of La Q grin to .
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7612-
Building Permit AppJicatr'on and Tracking Sheet
V • ' Owner'sName:F6
A. P. Number:
Address: t
Legal Description:,
City, ST, Zip:Ct C
Contractor:Tcic
A f
p ho -
Address: � 3
Prcjeet:Description: F �a
City, ST, Zip:�0 . ' (�
1 .. •. ,� .�
State Lic. # : ��
City Lie. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
_
Telephone:
'`..•?.....::..:.<•::;;:.:;:::.:: ;...
%Constriction Type:. Occupancy:
State Lie. #:
`+Proic *"type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
les:'
# Units:
Telephone # of Contact Person:
Estimated Value of Project: �O- V
# Submittal Req'd
APPLICANT: DO -NOT WRITE BELOW THIS. LINE
Rcc'd '1 TRACKING PERMIT FEES.
Plan Sets
P1an.Cheeksubmitted
Item
Amount
Structural C2105.
Reviewed, rcady.for corrections
Plan Check Deposit
Truss Cala.
Galled Contaet'Pcrson
Plan Chcck Balance.
Title 24 Calcs.
Plans picked up `
Construction
Flood plain plan
Plans resubmitted .
Mechanical
Grading plan2"
Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called ContactPcrson
Plumbing
Grant Deed
Plans picked lip
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"Revicnv, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person-,.,
Pub. Wks. Appr
Date of permit issue
School.Fccs
Total Permit Fees