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BPLB2014-1018Application Valuation: $800.00 r Applicant: Contractor: ALL STAR WATER HEATERS INC ' t+ ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY. 30300 PUERTO VALLARTA WAY' MENIFEE, CA 92584 '•'• MENIFEE, CA 92584 .(951)301-0067 Llc. No.: 812894 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 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 4 Tit, 4 '� "VOICE (760) 777-7125 78-495 CALLS TAMPICO OWNER -B RATION \wry .� ti* �� FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT ; \ 'Jv INSPECTIONS (760) 777-7153 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 BUILDING PERMIT any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of th 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 �lAppli Date: 9/9/2014 Application Number: BPLB2014-1018 Uwner: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Property Address: 52975 AVENIDA VILLA (_) I; as owner of the property, or my employees with wages as their sole CHAD WOOD = S APN:773333025 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST; AND ATTORNEY'S FEES. " :52975 AVENID,4 VILLA' - Application Description: REPLACE 40 GALLON GAS WATER HEATER LA QUINTA, CA 92253 - _ Property Zoning: the conditions and restrictions set forth or, 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 Application Valuation: $800.00 r Applicant: Contractor: ALL STAR WATER HEATERS INC ' t+ ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY. 30300 PUERTO VALLARTA WAY' MENIFEE, CA 92584 '•'• MENIFEE, CA 92584 .(951)301-0067 Llc. No.: 812894 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 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 tVw for which this permit is issued. Date Contract have and will maintain workers'. compensation insurance, as required by Sec0 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 -B RATION 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 workers' compensation provisions of Section 3700 of th 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 �lAppli of the Business and Professions Code) or that he or she is exempt therefrom and the Date: - 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 (_) 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 in 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 or, 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 t * 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 hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building hereby, the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and authorize representatives of this city to enter upon the above - mentioned property for inspection purposes. i Lender's Name:: a (" Signature (Applicant nt)- ' {. Lender's Address: + t .k FINANCIAL • • •ACCOUNT QTY ' .AMOUNT.;" PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAIDL • "}:BY `. ". RECEIPT # CHECK # CLTD BY, �,1• r �rK;�METFIOD .. Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; `$1.00 $0.00 a DESCRIPTION c r'' ' N :;'ACCOUNT ,QTY AMOUNT 1 PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 ' • PAID. BY G "METHOD '• RECEIPT # .4 '` CHECK # LTD BY Total Paid for PERMIT ISSUANCE: . $90.57. ' ' $0.00 , `' :. DESCRIPTION b r ' • ACCOUNT QTYF AMOUNT ?AID v PAID DATE :, ,7 WATER HEATER/VENT 101-0000-42401 0 $11.92 METHOD RECEIPT # CHECK # .' CLTD BY ' * •k DESCRIPTION "=' 1 ACCOUNT ., rQTYAMOUNT .. rr r° PAID ` 4 PAID DATE s F � . � • `� �� FSR" ; , '_ } `' WATER HEATER/VENT PC 101-0000-42600 ;0 $7,15 $0.00 BY -r METHOD ` RECEIPT # '' CHECK '; ` CLTD BY ,# ` Total Paid for PLUMBING FEES: $19.07 $0.00 TOTALS:0.0i � - .i � x � �,1• r y �J ` tyles•.• .. • _ * •k v s F � . � • `� �� FSR" ; , '_ } `' • _ 4 t. Description: REPLACE 40 GALLON GAS WATER HEATER Type: PLUMBING Subtype: Status: SUBMITTED, Applied: 9/9/2014 SKH Approved: Parcel No: 773333025 Site Address: 52975 AVENIDA VILLA LA QUINTA CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 147 Lot: 12 Issued: UNIT 15 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: SITES Valuation: $800.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 'r Details: WATER HEATER CHANGE OUT- 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. 7 VALLARTA WAY • CONTRACTOR ALL STAR WATER HEATERS INC 30300 PUERTO MENIFEE CA :92584 (559)676-6078 VALLARTA WAY'' - OWNER CHAD WOOD 52975 AVENIDA VILLA LA QUINTA CA 92253' (559)676-6078 FINANCIAL INFORMATION ,.M',> �.- .nig. '• i,' - 1• - t '- .. ., _ �' ... ,.. '' '"�'� • ,. }• _. - .a". .. - " n .� �_[r.°•� r a Printed: Tuesday, September 09, 2014 9:19:52 AM • 1 of 2 CR .. srsrEms • scurf-.r..,..1�€ t�...,r�P-w..s+ +.e k:4..+.wF^ v. ADDITIONAL SITES 'r :fit 111 1111 ki III 1 1111 Ll VALLARTA WAY • CONTRACTOR ALL STAR WATER HEATERS INC 30300 PUERTO MENIFEE CA :92584 (559)676-6078 VALLARTA WAY'' - OWNER CHAD WOOD 52975 AVENIDA VILLA LA QUINTA CA 92253' (559)676-6078 FINANCIAL INFORMATION ,.M',> �.- .nig. '• i,' - 1• - t '- .. ., _ �' ... ,.. '' '"�'� • ,. }• _. - .a". .. - " n .� �_[r.°•� r a Printed: Tuesday, September 09, 2014 9:19:52 AM • 1 of 2 CR .. srsrEms INSPECTIONS ` _` .�, gam' - r 3q . Z , - - - ,+ a �, A ^`•* i '. .SEQID «, INSPECTIONTYPE& . INSPECTOR . SCHEDULED< COMPLETED RESULT ; *REMARKS r,. "..NOTES , r . _ y x V� "v �. �}rr. x'� , � .` � ,.,., ti _ w:. -- ., "�,a :-, .` �. , - r _ .,. . ,-"' : DATE. -•.: ,.. ,,DATE . : �. � ' . t �' f' . �a �,. 1 AIS .l��+ ; 4 , »Tr~ '�=�5}4" n PLUMBING FINAL" REVIEWS JZ STATUSREMARKS` REVIEW TYPE'; I REVIEWER k -SENT DATE I DUE DATE Fa NOTE s - - >. _. >.:., +y . •. „�><:. .. '� _ ..... ?DATE .G�� BOND INFORMATION ATTACHMENTS Printed: Tuesday, September 09, 2014 9:19:52 AM 2 of 2 - srsreMs - LT s".DESCRIPTION' " ; ACCOUNT QTY. CAMOUNT - ,:PAID ' PAID DATE RECEIPT# CFIECK #^ ,METHOD z PAID BY.` . ,* BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: ' PERMIT ISSUANCE 101-0000-42404 0 $90.57. $0.00 Total Paid forPERMIT ISSUANCE: $90.57 $0.00 WATER HEATER/VENT 101-0000-02401- 0 $11.92 $0.00 WATER HEATER/VENT - 101-0000-42600 0 $7.15 $0.00 PC . Total Paid for PLUMBING FEES: $19.07' $0.00 TOTALS:• •00 INSPECTIONS ` _` .�, gam' - r 3q . Z , - - - ,+ a �, A ^`•* i '. .SEQID «, INSPECTIONTYPE& . INSPECTOR . SCHEDULED< COMPLETED RESULT ; *REMARKS r,. "..NOTES , r . _ y x V� "v �. �}rr. x'� , � .` � ,.,., ti _ w:. -- ., "�,a :-, .` �. , - r _ .,. . ,-"' : DATE. -•.: ,.. ,,DATE . : �. � ' . t �' f' . �a �,. 1 AIS .l��+ ; 4 , »Tr~ '�=�5}4" n PLUMBING FINAL" REVIEWS JZ STATUSREMARKS` REVIEW TYPE'; I REVIEWER k -SENT DATE I DUE DATE Fa NOTE s - - >. _. >.:., +y . •. „�><:. .. '� _ ..... ?DATE .G�� BOND INFORMATION ATTACHMENTS Printed: Tuesday, September 09, 2014 9:19:52 AM 2 of 2 - srsreMs - Bin # City of La Quints Building & 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 Address: 507%17 Owner's Name: A. P. Number. 7' 33,E 3Q�s Address: 5o2 %7 '0 _ �./� Legal Description: Contractor�l�-/T�� T //" �j�je City, ST, Zip:.4 . / 40 �O ( ..;' {'y,::"i�>,. •FK:a <• Y�;.'-:•:'r`:`: Address: �0�0� �� �� City, ST, Project Description: Telephone: J.f1.V1OV2; 7 City Lie. C — — State Lic. # : A f W Arch., Engr., Designer. Address: City, ST, Zip: Telephone: ; f '1� <s• 4 Y v > — Construction Type; Occupancy: Project type (circle one): New Addin Alter Repair Demo ' State Lic. #:a Name of Contact Person: �.v� Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: _ (p Estimated Value of Project:�4� APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Chest Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Coustructbu Flood plain plan Plans resubmitted Methanicse Grading plan 2'! Review, ready for correctionossue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H-O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for eorrettlonallasue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit trine School Fees, Total Per nit Fees i 4. CERTIFICATE OF "CFM ALT -01. E- lk." AlMR I'� 2:0;21Pt hes en i 1A eraficft atpr-He te ........... .. ......... ............... ......... ..... ..... .. z 4; NumberofwaYer heaters in rsystem In single famiiy;and multi ariwwi'water .heaters _in­fg' thid M ueli Ab th-61ti. cOntra syster ht &multiple d"w? Q eAdta inum'ef,Qf.:. atO'ea" te -:5 w to'hg'at,Or *,oWh* 1)ta'k y'in Ibh'FOr.'i�dMdda`� & 04er�: oa.dWe unit this :w bfessAhstantaneous<;en erwa. For mulEi mily centr•alsystems..,!grheriSe total ,; 6. - ' NO -I Typ"eGas Proo6he, i: .... Elearlclbnlylfhatural p's' is not 661e) 7- lnp.i#-fype:,.Eqjpr- tht_oqujpryfi�nt -,fMin foriga r e: i fl1 e units4re; W. -,'p* *r" 6- p' an fi t d 6 h i t s fe' B.t h f I iredsystem :8 :ltd—d. 1"' A6 Input tsen, -tir 6 9.:Heahtrg Pew: M V, Type Energy ...ommis ionreory. 10: Heating th, encIpIqteYAke, Typ!qdbAtu, California IL - Standby ss percerit) Applies onlyA', a stora e" r beaters sma1 storage or instantaneous water heaters.; ....... ... J2*.,EA dorinsolatfdfi*:i VaWe l-ritef; the R*-Va I!u -'r 0§_0 I 5-tio on e if i ezlan is. inst Balk -up .:tb ar s6tiih ction: ifm 1a,nc TegMiresabaPsclarsy�t"��'ihdiea �t g;, .30)External..cAdWio­ns':a­r' e required: .... .. 44.UnfiSl' DHW. Diftrlb bnS F 6eblfi7f6ri(y iIdi­hh: Ld��Obutidn%,y�� n -a, enand redrculaiionY4eM'....-.it'h,a f distribution- Thu :requirement P .141., ing with re: fiWis' 4 It or, projettlisinidivAdua Afnits�-�*Aiehi/ii. --i' h Aiet�'t6: b" h't..'br','m­`d­ 'T'pefFor: ai"Central Sp �07:J mojl=cernl* eppic rom.SWnd ';D naM-Rkw6- Control jQen &idgod(cujabbriSkri§aFr-CoW6JfFnon7ceiiti-al.,616ctrc�,Water- eateethi'smust be Standard, "'no�reqrqjla system. beinstalled' . . .... .. ... . M:. :DOC. UNIENTATIONAUTHOR's'DECLARATION'STATEM.... a ... .is Certificate ....... . . . . . . . . . . . . . of •. certify that m omet, . . Compliance. documentation ---- accurate ....... .%.. ......... Mania . Wner o ....pth'Ok6daj�h A t ............ .. Com .any: -on r or.. icense p­. .. ........ ...... /Phone: -7Z7 .7- City/State/Zip : tJ4 .......... -- - ---------._CV......![.... ... .. .. . ...... for assistahce or questions regardingthe :Energy Stapoards, contact the Energy Hotline :at:l400-77Z-3300.­ STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS - WATER HEATER CEC-CF1R-ALT-01-E (Revised 0664) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE I.Prescriptive Residential Alterations for Water. Heater CRR -ALT -01-E WATER HEATER (Page lof 2) A. GENERAL INFORMATION v tp, BpiIng Type: le Family Dwelling Multi Family Dwellings Y. Zip Code: di'mate Zone: 10 r, WATFR #41PAIMUM QW01=0ifilm 01 . Water Heating System Identification Or Name .......... ;� Water- Heating System Type - 03 Water Heater Type 04 # of Water Heaters in sy.1ftm, 05 Water Heater Storage Volume (g3l) 06 Fuel Type 07 Rated input Type 08 Rated Input Value 09 Heating Efficiency Type 10 Heating Efficiency Value 11 Standby Loss —12 -Exterior 13 14— 15 Insul. R -Value Back -Up Solar Savings Fraction Central DHW System Distribution Type - Dwelling Unit DHW System Distribution Type WATER HEATING SYSTEMS Water heating compliance foran alteration is des'aibed 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. Dwellin.g:Unit distribution systems are limited to Standard trunk and branch or demand recirculati . on for, gas or propane Water Heater_ Demand recirculation, is not allowedfor-0ectricwater heater. If therd,"is no natural gas connected to the building, an electric water- heater may bereplacedwith another- electric water heater. How .0 ever�.changjng from gas to:electric,is. not allowed.. Multi-familycentral systems.mustiusecertified equipmentas defined under.Section ,110.1 and 110.3. NOTE: If the proposed installation lation does not meet the requirementsallowe'd specifically forafterations, useform CFiR-,NCB-01 to document the water heater alteration, Instructions for -sections with column numbers are given below: 1. Water Heating System Idenr iftation or Name: entera unique name for the Water Heati n*g System. 2. Water hearing system4ype: Domestic Hot Water (DHW), H _yoronic, Combined 'Hy4ronic, or Central -1)"W is. for domestic hotwater; hydropic is:a.water hearing 'system used rfor space heating only; 06mbined hydropic are wherithie water heater. will provide both space co 166ning. and ­ domestic hot water - 3... Witer heatertype: For non central -ms only,Sma ntra[sy#e R Storage or Small. Instantaneous are .a11!dwed...For;tLihtral.s.y,stp- spickftbm � in Urge Storage, Small Stpragej. Heat.Pumpj Boiler, Large Instantaneous, -Small instantaneous or Indirect..