BPLB2014-1039nr 6 2014 U
NOV 2
78-495 CALLE TAMPICO t Q�i D 4
LA QUINTA, CALIFORNIA 92253 CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPAR LIME•NTIr'DEVELOPMENT DEPt\R7'MNT
BUILDING PERMIT
Application Number: BPLB2014-1039 Owner:
Property Address: 48265 PASO TIEMPO LN ROBERT LOWRY
APN: 646360008 48265 PASO TIEMPO
Application Description: WATER HEATER CHANGE OUT - 50 GALLON GAS LA QUINTA, CA 9223
Property Zoning:
Application Valuation: $5,148.00 n
VOICE (760) 777-7125
FAX (760) 777-7011
TIONS (760) 777-7153
Date: 11/24/2014
Applicant:U Contractor:
VENVEST BALLARD INC DBA RIGHTI �J VENVEST BALLARD INC DBA RIGHTI
3030 MYERS STREET 3030 MYERS STREET
RIVERSIDE, CA 92503 RIVERSIDE, CA 92503
CITY OF LA QUINTA
COMMUNITY DEN (951)276-9744 DEPFv7TMENT
(951)276-9744
Llc. No.: 880269
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 License No.: 880269
tate: l,� �� Contractor:i
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).:
(_) 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 Address:
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 ofthe Labor Code, for the performance
of th , or which this permit is issued.
Frave and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performa:ice 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 10 become subject to the workers'
compensation laws of California, and agree that, i= I should become subject to the
workers' compensation provisions of Section 370E of the Labor Code, I shall forthwith
comply with those provisions.
Dat: Applicant
WARNING: FAILURE TO SECURE WORKERS' COMP_ ON 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 INISECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLLDGEMENT
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 Cit= 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 applicaticn 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 ordinan=es and state laws relating to building
construction, and hereby authorize representatives of this city to enter u e above•
mentioned
�property for inspection purposes.
e�� if-
Dat&e—,� Signature (Applicant or .,gent):
;,: ' 'DESCRIPTION -,
FINANCIAL 1 -
�' ` '"`"�ACCOUNT�7 `' QTY "AMOUNT, -I
;PAID=' ;, PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
PAID BY a ^4a
f_Y; . METHODS tF " # :RECEIPT#
.CHECK#' * CLTD BY>
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00•,
DESCRIPTION';ACCOUNT
,�
QTY
iAMOUNT.J •
_ `PAID
s
PAIDZATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
METHOD rRECEIRT#
CHECK#
k'CLTD BY.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION,`
T=+; ACCOUNT r ,"�
CRTY
AMOUNT
-<< PAID
PAID -DATE:
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
Yr ` v ' _ . •PAID BY :P
'+ i., METHOD'. t
t
r '`,RECEIP.T # t;='
CHECK #. T"; " f
*� CLTD BY. '
.. �l ...
-:DESCRIPTION ° t~
,rte ,.
,';3ACCO.UNT
QTY
u...,
AMOUNT
,, -PAID
PAID'DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00 '
PAID BY _ �" ''�'
.� `'METHOD k
-- t --RECEIP,T•# "T
, 'CHECK # �` `"
CLTD BY.
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS:00
Description: WATER HEATER CHANGE OUT - 50 GALLON GAS
Type: PLUMBING Subtype: Status: SUBMITTED
Applied: 11/24/2014 SKH
Approved:
Parcel No: 646360008 Site Address: 48265 PASO TIEMPO LN LA QUINTA,CA 92253
Subdivision: TR 27840 Block: Lot: 21
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,148.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT - 50GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES. .
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
Printed: Monday, November 24, 2014 4:03:31 PM 1 of 2 R SYSTEMS
PHONE'xT a, FAX _
T'T,` EMAIL ' ' f.
CONTACTS
aNAMETYPE NAME `` £^' = ADDRESSI CITY
'STATE, �- ZIP
APPLICANT VENVEST BALLARD INC DBA RIGHTI 3030 MYERS STREET
RIVERSIDE
CA
92503
(760)564-6086
CONTRACTOR VENVEST BALLARD INC DBA RIGHTI 3030 MYERS STREET
RIVERSIDE
CA
92503
(760)564-6086
OWNER ROBERT LOWRY 48265 PASO TIEMPO
LA QUINTA
CA
92253
(760)564-6086
PAID DATE
EC
REIPT #
CHECK # METHOD
£PAID BY c-
FINANCIAL INFORMATION
'DESCRIPTION''; K ': A000UNT QTY_AMOUNT PAID ,
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
BSA:
$0.00
,
Printed: Monday, November 24, 2014 4:03:31 PM 1 of 2 R SYSTEMS
w.
DESCRIPTION
CITY
XVIO`UNT,�;,'
I
'PAID"
4PAIDDATE-,,
' '
RECEIPT#
-,�; . i"
7�77 " ��:
OCHECK #
-
Mif!-161)�'
- -
- ".
PAID BV:.
C LTD
-ACCOUNT
ya:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
4 Total Paid for PERMIT 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
TOTALS: $112.19 $0.00
Printed: Monday, November 24, 2014 4:03:31 PM 2 of 2 CRW.IYSTEMS
BOND
INFORMATION
ATTACHMENTS
Printed: Monday, November 24, 2014 4:03:31 PM 2 of 2 CRW.IYSTEMS
81n..H.
City Of La QUtnta
Building 8c Safety Aivlslon
P.O. Box 1501,78-495,0116 Tamplco
La;Qulnfa, CA 92253--(760) 777-7012
Building Permlt Application and. Tracking Sheet
t'eiinit#
jQ bla 1 1
Pro)ecl Addnas: 48265 Paso Tie m o Ln
OWhcr's.Name: ,Sa Ily howry
A.:P. Nurnber. 646-360-008
Aa—': 48265 Paso Tiem o Ln ..
Legal Desai lion:
city,; $T; zip: La Quinta,: CA 92253
Contractor Ri ghtime Plumbing
Telephonc:.760-564-6086
Address: 3030 Myers St
ProJectDescription:
Clty,'9.4p: Riverside CA 92503
Replace 50 gallon gas
Telephone: 951-276-9244
Cltyra�,a:106859,
slatetic.4:880269 `
ArdL,.Ew., Design«: N/A
Address:.
City, ST; Zip:
Telephone:
Construction Type: Occupancy:
SFata Lic
Pmjcd-typc (circle otu}: New . Add'n Alter Repair Demo
Name of Contact Person: Jane Recktenwald '
sy: Ft.:
ii Storles: N=Unito:
Telephone # of Contact (Person: 714-336-6159
Estimated value of Projcu 5,148.00
APPLICANT: DO NOT WFOI-BELOW:THIS UNE
p Submittal
Req'd 'Rev'd
TRACKNG, PERM tT FEES -
Plan Seb
Plan Ckeek submitted
Itgn Amount
Struetorfl Calcs.
Reviewed, ready-forcoriecuons Plan: Check Deposit.
Truss Cala.
Called Contact Person Plan Check Balance •
Title 24 Calci.
Plana picked up Coustrucuou
Flood plat. plan
PIStu resubmllted Mecbanlcal
Grading plan'
2' Review, ready for eorrecdo issue L Electrical
Subcontactor-1 st
Called Contact Person Plumbing
Grant Dc6d
Plans kicked up 5.11.1.
ILOAL Approval
Plans resobmlucil Grading
1N HOUSE--
''` Review, ready foi.correeuonsrissuc Developer Impact Fee
Planning Approval,
Called Contact Person
Pub. Wks. Appr •
Datc'of permit Blue
Sebodl Fees
Total Permit Fees
STATE
ALTERATIONS -- WATER HEATER
IA ENERGY
1.""""" ClF1R•ALT-01•E WATER HEATER
Presaiptive Residerma) Aiteradons for Water Heaver Page 1 of 2)
A. GENERAL INFORMATION
Site address:
y�6a(P —T try o L -n.
BuiidingTVpe:
Singie Family Dwelling
*tY,.Zi Codes
-
Climate Zone:
o Mufti Family:Dwetii
10
Q. WATER-HEATiNG
SYSTEMS Section 160.2
b 1 Q
01 .
.02 1 03
04
0s
1 06 •
07
08.
09
10
21
12
13
14
is
Water
Heating
Water Water
Heating Heater
Nof
Water
Water
Heater
Fuel
Type
Rated
Input
Rated
Input
Heating
Heating
Standby
Exterior
SadrUp
Central
Owe(tmQ
System
SPtem' Type
Heaters
Storage
Type
Vatue
EHidency
Type
Efflde►cy
Value
Loss w)
insul.
Solar
0HW System
um DHW
Identification
Type
in
Volume
R -Value
Savings
Distribution
System
em
or
system
(ea0
rYactiort
Type
Distribution
Name
Type
140,0
i=U621
N
NIA
Wandod
ATI if NATM SYSTEMS ~
Water heating compliance for an alteration is described In Section Lw.2(b)16. For single dwelling 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. Demand recirculation is not allowed for electric water heater. If there is no natural gas connected to the building, an electric water heater maybe replaced with
another electric water heater. However, changing from gas to electric Is not allowed: hAuttt4amily central systems must use certified equipment as defined under Section
110.1 and 110.3.
NOTE: If the proposed Instaltatfon.does not meet the requirements allowed spedfically for alterations, use form CF1R-NCB-01 to document the water heater alteration.
InstructiM for sectiolls With columnnumbers are elven b low:
I. Water Heathtg System Identification or Name: enter a unique name for the Water Heating System.
2. Water heating system type: Domestic Mot Water (DHW), Hydronlc, Combined Hydronk, or Central DHW Is for domestic hot water, hydronic Is a water heating
system used forspace heating only; combined hydronlc 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, Baiter, targe Instantaneous, Small Instantaneous or Indirect.
CERTIFICATE OF COMPLIANCE CUR -ALT -014 WATEWHEATER
Prescriptive Residential Alterations:forWater Heater (Page 2 oft)
4. Number, of water heaters in system: In single-family and multi-famlty with water heaters In each dwelling units the value is 1. For multi -family, central systems
serving multiple dwelling units enter the total number of water heaters.
S. Water heater volume (gal): tank capacity M gallons. For Individual water heaters for a dwelling unit this will be 60 gallons or less.. If instantaneous, enter n/a. For
mull-fam(iy central systems enter the total storage volume.
6. Fuel TVpe: Gas, Propane, Electric (On_ty If natural gas is not available)
7• Rated input Type: Enter the equipment input rating type, for gas or propane fired units are 8tuh, for electric fired system the units are W.
8. Rated input Value: Enter the numeric value of rated Input.
• -S. Heating EfficiencyType: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory.
,10, cleating EfAdeney Value: Enter the value from product literature or a California Energy Commission directory
12. Standby lass (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. Bade -up solar savings fraction; B compliancerequires a back-up solar system, indicate the solar contribution (e.g., 0.30). External calculations are required.
14. CentraPOHW Distribution System; For muttl-family buildings with using a central distribution system a demand recirculation system with at least two distribution
loops must be lnstalled. This requirement appilesto any building with eight or more units. If the system Is non -central or project is Individual units enter n/a.
1S. Dwelling Unit DHW Distribution Type: For a Central DHW this field shall be Standard. If non -central then pick from Standard, Demand Recimulatlon — Manual
Control, Demand Recirculation — Sensor Control. If non -central electric water heater this must be Standard, no recirculation system shall be installed.
DOCUMENTATION AUTHOR'S DECI ARATiON STATEMENT
• i certify that this Certificate of campdance documentation is accurate and complete.
Name: a A „ Cr)Npj GOwner o Authorized agent-lContractor
Signature:
Adams. •
Address: C
bO 0Phone:
1
d�rJ1•,.
City/State/11p: R i ve r50 -e ca -Date:
Contractor fioense q: (V
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at:1-800.772-3300.