BPLB2015-0054i
fC
VOICE (760) 777-7125
78-495 CALLE TAMPICO I ,
0` D
1
(760) 777-7011
LA QUINTA, CALIFORNIA 92253FAX
COMMUNITY DEVELOPMENT DEPARTMENT i INSPECTIONS (760) 777-7153
BUILDING PERMIT `
Date: 4/2/2015
Application Number: BPLB2015-0054
Owner:
Property Address: 52400 AVENIDA VALLEJO
LOUETTA RILEY
APN: 773263008 „
52400 AVENIDA VALLEJO • '
Application Description: RILEY LOUETTE WATER HEATER Cl- LLA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,750.00 r
D
a
Applicant:
0
LA
l a ` `
Contractor: • ,
RESCUE ROOTER
RESCUE ROOTER -'
0 OUTSIDE CITY LIMITS CITY OF IA
QUINTA 0 OUTSIDE CITY LIMITS ' f
LA QUINTA, CA 92253 COMMUNITYDEVELOPMENTOER4RTMEN7
LA QUINTA, CA 92253
(901)271-9700
Llc. No.::LIC-0111366
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, '
. I liave 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: License No.: :LIC-0111366
of the work for which this permit is issued.
y
•,I have and will maintain workers' compensation insurance, as required by
ate: 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 policy number are:
OWNER-BUILDER DECLARATION
Carrier:- Policy Number: _ '
I hereby affirm under penalty of 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
orkers' compensation provisions of Section 3700 of the Lab r Code, I shal • hwith
signed statement that he or she is licensed pursuant to the provisions of the -
comply with t ose rovisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Divisi
r
of the Business and Professions Code) or that he or she is exempt therefrom and the
0 te: 9 Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fo a
permit subjects the applicant to a civil penalty of not more than five hundred doll s
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
( ) 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 Professioris 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 improvemeN
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 reason2.
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:
I certify that. I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances and state laws rel ting o buildin
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this city to en up the ab e
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
' Lender's Name:
mentioned property
/for inspection purposes.
te: L ` Signature (Applicant or Agent):
Lender's Address:
i
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS ; WATER HEATER
CEC-CFIR-ALT-01-E (Revised 06/14) I ; CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E WATER HEATER
Prescriptive Residential Alterations" for Water Heater (Page 1 of 2)
I
A. GENERAL INFORMATION j
Site address:
j : Building Type: it Single Family Dwelling
03
❑ Multi Family Dwellings
City, Zip Code: Q ItJtA 1 3 Climate zone: IS
G. WATER HEATING SYSTEMS .Section 150.2(b)1G)
01.
02
03
1 04'1
1 05
1 06
07
08
09
10
11
12
13
14
15
Water
Heating
Water
Heating
Water
# of
i
Water
Fuel
Rated
Rated
Heating
Heating
Standby
Exterior
Back -Up
Central
Dwelling
System
System
Heater
Watk
Heater
Type
Input
Input
Efficiency
Efficiency
Loss .(9oi
Insul.
Solar
DHW System
Unit DHW
Type
Heaters
Storage
Type
Value
Type
Value
R -Value
Savings
Distribution
System
Identification
Type
in
Volume
Fraction
Type
Distribution
or
system
(gal)
Type
YP
Name
N
w
5,(o4.
v
6L c.
Wk -1%,
N A
--
S-r-koo
it.
—
!EL=
WATER HEATING SYSTEMS ! f
Water heating compliance for an alteration' is described in Section 150.2(b)1G. For single dwelling a gas or propane water heater, with a storage tank of 60 gallons maximum
or instantaneous (tankless) can be used.- D welling 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. ;I
NOTE: If the proposed installation does not!meet the requirements allowed specifically for alterations, use form CFIR-NCB-01 to document the water heater alters Iteration.
Instructions for sections with column numbers are eiven below:
1: Water Heating System Identification or. Name: enter a unique name for the Water Heating System.
T. 2. Water heating system type: Domestic Hot Water (DHW), Hydropic; Combined Hydronic, or Central. DHW is for domestic 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 InStalinaneous, Small Instantaneous or Indirect.
i
FINANCIAL INFORMATION
DESCRIPTION '',ACCOUNT
CITY AMOUNT'.!:-' PAID' c DATE
-PAID
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
B Y
METHOD'-,
T-CHECK. B I Y,__
r, n.,PAID
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIP ON.i'. 7
TI
QTY
AMOUNT
PAID I D'
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID -BY:
:METHOD ObL
It E EIPTL#�L,_'�
�ICHECK#
tCLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
', DESCRIPTION'
:�`ACCOUNT
AMOUNT
PAI)
PAID DATE
�QTY,
,
�:
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAIDW
OD,e N METH.
''RECEIPT #.`v;.-
CLTD BY_'
DESCRIPTION
COUNT �
Ai
PAID
WATER HEATER/VENT PC
101-0000-42600
0
$7.125
$0.00
METHOD
RECEIPT,
CHECK #
CLTD B Y
-Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS: $112.19 $0.00
Description: RILEY LOUETTE WATER HEATER CHANGE OUT
'
Type: PLUMBING Subtype:
Status: UNDER REVIEW
Applied: 4/2/2015 PJU
Approved: .
Parcel -No: 773263008 Site Address: 52400 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 83
Lot: 15
Issued:
UNIT 10
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $1,750.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
�` ;;; NAME ; ;
Details: WATER HEATER 50 GALLON CHANGE OUT PER 2013 PLUMBING CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
-STATE
'ZIP
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
�` ;;; NAME ; ;
;. -�ADDRESk
�: CITYa `
-STATE
'ZIP
PHONE"
APPLICANT
RESCUE ROOTER
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)698-3575
CONTRACTOR
RESCUE ROOTER
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)698-3575
OWNER
LOUETTA RILEY
52400 AVENIDA
VALLEJO
LA QUINTA
CA
92253
(760)698-3575
... CLTD"
U DESCRIPTION ACCOUNT QTY = 'AMOUNT PAID PAID DATE ,RECEIPT # CHECK # ^METHOD PAID BY ._
BSAS S61473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:'
Printed: Thursday, April 02, 20152:28:54 PM 1 of 2 Cff?SYSTEMS
�d F�CLTD
- - SCRIPTION
" ACCOUNT :, ,
QTY
T
AMOUNT
''PAID"
EPAID DATE.
RECEIPT #-
CHECK #
METHOD °
`y'PAID BY,:.
'
(.
t
- n•
BY
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 forPLUMBING FEES: $19.34 $0.00 -
• 00
REVIEWS
�k`STATUS `REMARKS
REVIEW TYPE�< ,REVIEWER SENT DATE DUE DATE ;DATE ' , _yNOTES:•�
Printed: Thursday, April 02, 2015 2:28:54 PM 2 of 2 CRIVEW SYSTEMS
INSPECTIONS
SEQID,'INSPECTION TYPE _ INSPECTOR • .y SCHEDULED COMPLETED
' RESULT. • : " REMARKS ` ? NOTESt `
DATE _ .DATE
..-
_
Al
PLUMBING FINAL** BLD
'
REVIEWS
�k`STATUS `REMARKS
REVIEW TYPE�< ,REVIEWER SENT DATE DUE DATE ;DATE ' , _yNOTES:•�
Printed: Thursday, April 02, 2015 2:28:54 PM 2 of 2 CRIVEW SYSTEMS