BPLB2014-10494781--�495FCALLEPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPLB2014-1049
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
79923 DANDELION DR
APN:
604493002
Application Description:
WATER HEATER CHANGE OUT 40 GALLON
Property Zoning:
Application Valuation:
$800.00_
Applicant:
ALL STAR WATER HEATERS INC
FF
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C36 License No.: 812894
Datv/2_ / Contractor:
0 W N ER -BU It9ER-BECLARATI ON
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 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 Addre:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/2014
Owner:
GARY PASH
79923 DANDELION DR
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 maintain 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 Labor Co Lferthwith—
comply with those provisions.
Date/ Z — A / A
WARNING: FAILURE TO SECURE W S' 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 city to enter upon the above.
mentioned property for inspection purposes.
Datd2 `641y Signature (Applic
L
FINANCIAL •• 1
DESCRIPTION ACCOUNT QTY
AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY f 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
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
TOTALS:00
Description: WATER HEATER CHANGE OUT 40 GALLON
Type: PLUMBING Subtype: Status: SUBMITTED
Applied: 12/16/2014 PJU
Approved:
Parcel No: 604493002 Site Address: 79923 DANDELION DR LA QUINTA,CA 92253
Subdivision: TR 24197-2 Block: Lot: 37
Issued:
Lot Scl 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
CONTACTS
Details: WATER HEATER CHANGE OUT 40 GALLONS 2013 CPC. 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
(
Printed: Tuesday, December 16, 2014 11:05:37 AM 1 of 2
SYSTEMS
a
DESCRIPTION
ACCOUNTQTY
INSPECTIONS
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY _
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE
1 101-0000-42404
1 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
TOTALS:00
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, December 16, 201411:05:37 AM 2 of 2
RWYSiEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED_ COMPLETED
DATE - DATE'
RESULT REMARKS NOTES
PLUMBING FINAL*"
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, December 16, 201411:05:37 AM 2 of 2
RWYSiEMS
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 Addressi- q
,Q
] DA/ Ck
Owner's Name:
A. P. Number:
Address: �^
Legal Description:
City, ST,
ntract
Co or: r
Tele ho —
P
Address: Q A'A
Project Description: '
City, ST, Zip: 1`
Tele ho
p _
...........................
r
State Lie. # : �'
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
ancY
Occupancy:
Construction nTYPe: :
State Lie. #:
Project circle one New Add'n Alter Repairair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: Q,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
t
.
2qd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Died
Plans picked up
S.M.I.
H.O.A. Approval
-
Plans resubmitted
Grading
IN IiOUSE:-
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
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS — WATER HEATER
CEC-CFIR-ALT-04-E (Revised 06114) CALIFORNIA ENERGY COMMISSION..
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E . WATER HEATER
Prescriptive Residential Alterations for Water Heater (Page 1 of 2)
A. GENERAL INFORMATION
Site aifii"rens:
pp BuildingType:
ingle Family Dwelling
03
cQ ltG'E/
o MultiFamily•Dwellings. .
City, Zip Code:
. - P, t j i w `?2,_Z -L2 Climate Zone:
10
G. WATER
HEATING SYSTEMS' Section 1561.9(b) .
Ol
02
03
04
OS 1
06
07
08
09
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 (%)
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.
g
G.,
2
-
WATER HEATING SYSTEMS
Water heating compliance for an alteration is described in Section 150.2(b)1G.. For singledwelling a gas or propane water heater, wiWa 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:gasor propane water
heater. Demand recirculation�is not:allovted for`electricwater heater. If there:is no natural gas connected to the building, an electric water -heater may be replaced with
another electric water heater. Houvever,;changing from gas to.electk is.not allowed.. MUlti=family central systems ,must `use certified .egdipmehi as defirled under Section
•110.1 and 110:3:
NOTE: E: if the proposed instal
lation.does notmeet the requirements allowed spe ifically for alterations, use form CFaR-NCB-01 to document the water. heater alteration.
Instructions for,.sections with column numbers are given below:
1. Water Heating System Identiifi:40.on:or Name; enter a unique name for the Water Heating. System_
2. .Water heating system type: Domestic Hot Water.(OHW), Hydroni.c, Combined Hydronic, or Central.. DHW is for domestic hot water, hydropic is a water heating
system used for space heating only; combined liydroriic are whenthe water heater will provide both space conditioning and.domesiic hot water:
3. Water heater type: For non -central systems only.Small Storage or Small. lnstantaneous.are.aliowed. For.central systems pick'fromlarge Storage, Small Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect.