BPLB2014-1029Building; Per>> .it
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PERMIT NO BPLB2014-1029
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78-495 CALLE TAMPICO D 4
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BPLB2014-1029
43476 CALLE ESPADA
609620046
WATER HEATER CHANGE OUT 40 GALLON
$800.00
Applicant:
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
CAI
OCT 2 7 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
Thereby 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.
Licensee Class: C36 License No.: 812894
/ DContrary_
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 forst'
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.).
(__j 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 contractors) 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:
—
Page 1 of 1
;ViewaRepo rt�,
VOICE (760) 777-7125
FAX(760)777-7011
INSPECTIONS (760) 777-7153
Date: 10/27/2014
Owner:
ROBERT LIVON
4347 CALLE ESPADA
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
pwrformance of the work for which this permit is issued.
_ I have and will maintain workers' compensation insurance, as required by
5-ection 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 Code, I shall forthwith
comply with those provisions. _
Date: A�77—
WARNING: F URE T C93VtORKERT COMPENSATION COVERAGE IS UNLAWFUL,
AND SHAL UBl AN OYER TO CRIMINAL PENALTIES AND CIVIC FINES UP TO
ONE HUNDRED THO DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AN ORNEY'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.
�/ i
Da� ` y Signature (Applicant or
Ag nU:
http://laquinta.crw.comltrakit9lDocumentV iewer.aspx?&report=/DocumentsIPERMITSl... 10/27/2014
Permit DiStails t
Enter Permit Number 'BPLB2014-1029
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°!e Permit Details PERMIT NUMBER
za =
City of La Quinta BPLB2014-1029
�cFd�rn
Description: WATER HEATER CHANGE OUT 40 GALLON '
Type: PLUMBING Subtype: Status: SUBMITTED
Applied: 10/27/2014 PJU
Approved:
Parcel No: 609620046 Site Address: 43476 CALLE ESPADA LA QUINTA,CA 92253
Subdivision: TR 29323-3 Block: Lot: 40
Issued:
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
CONDITIONS
Details: WATER HEATER CHANGE OUT 40 GALLON 2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
INSPECTIONS
ADDITIONAL SITES
SEQID
INSPECTION TYPE
INSPECTOR
CHRONOLOGY
COMPLETED
DATE
RESULT
REMARKS
CLTD
CONDITIONS
ACCOUNT
QTY
AMOUNT
PAID
CONTACTS
RECEIPT #
CHECK # METHOD
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584
$1.00
$0.00
CONTRACTOR
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584
BSA:
PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00
OWNER
ROBERT LIVON
4347 CALLE ESPADA
LA QUINTA
CA
92253
FINANCIAL INFORMATION
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
CLTD
• DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK # METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
1 0 1
$1.00
$0.00
El Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
WATER HEATER/VENT
101-0000-02401
0 $12.09
$0.00
WATER HEATER/VENT
101-0000426000
$7.25
$0.00
PC
Total Paid for PLUMBING FEES: $19.34 $0.00
' TOTALS: $112.19 $0.00
PARENT PROJECTS
Printed: Monday, October 27, 2014 11:32:43 AM 1 of 2 R
s'±sr—
http://laquinta.crw. comltrakit9lDocumentV iewer.aspx?&report=/Documents/PERMITS/P... 10/27/2014
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
PLUMBING FINAL**
PARENT PROJECTS
Printed: Monday, October 27, 2014 11:32:43 AM 1 of 2 R
s'±sr—
http://laquinta.crw. comltrakit9lDocumentV iewer.aspx?&report=/Documents/PERMITS/P... 10/27/2014
STATE OF CALIFORNIA ,
RESIDENTIAL ALTERATIONS — WATER HEATER
CEC-CHR-ALT-01-E (Revised 06/14) 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 address:t-(� q S�ca�c, ildi g Type: Single Family Dwelling
o Multi Family Dwellings
City, Zip Code: Climate one: 10
G. WATER
HEATING
SYSTEMS Section 150.2 b l
01
02
03
04
05
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
WATER HEATING SYSTEMS
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. 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 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
110A and 110.3.
NOTE: If the proposed installation does not meet the requirements allowed specifically for alterations, use form CF1R-NCB-01 to document the water heater alteration.
Instructions for sections with column numbers are given below:
1. Water Heating System identification or Name: enter a unique name for the Water Heating System.
2. Water heating system type: Domestic Hot Water (DHW), Hydronic, 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 noncentral systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, Sma!1 Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect.
CERTIFICATE OF COMPLIANCE CF111-ALT-014 WATER HEATER
Prescriptive Residential Alterations for Water Heater (Page 2 of 2)
4. Number of water heaters in system: In single-family and multi -family 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 in gallons. For individual water heaters for a dwelling unit this will be 60 gallons or less. If instantaneous, enter n/a. For
multi -family central systems enter the total storage volume.
6. Fuel Type: Gas, Propane, Electric (Only if natural gas is not available)
7. Rated Input Type: Enter the equipment input rating type, for gas or propane fired units are Btuh, for electric fired system the units are W.
8. Rated Input Value: Enter the numeric value of rated input.
9. Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory.
10. Heating Efficiency Value: Enter the value from product literature or a California Energy Commission directory
11. Standby Loss (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. Back-up solar savings fraction: If compliance requires a back-up solar system, indicate the solar contribution (e.g., 0.30). External calculations are required.
14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system with at least two distribution
loops must be installed. This requirement applies to any building with eight or more units. If the system is non -central or project is individual units enter n/a.
15. Dwelling Unit DHW Distribution Type: For a Central DHW this field shall.be Standard. If non -central then pick from Standard, Demand Recirculation — 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 DECLARATION STATEMENT
• I certify that this Certificate of Compliance documentation is accurate and complete.
Na ❑Owner o Authorized agent ,o ontractor ignatur
Company: �ti ntractor license #:
C—OaT
Address: � c � / f /' � � Phone:
City/State/Zip: �-�7 4`'� Date: O v
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bin.#
Cir of La Quinia
Building 8r Safety Division
P.O. Box 1504,78 495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet.
Pemtit #
Project Address:zlxs L/ C 4-
Owner's Name:.
A. P. Number.
Address:
Legal Description: '
City, ST, Zip:
Contractor. G�
Telephone:
n
Address: laAProject
Description:
City, ST, Zip:l
�—
State Lic. 4: ty Lia M.
Arch, Engr., Designer
Address:
City., ST, Zip:
w
Telephone:
State Lic. #: :
Name of Contact Person:
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project Q.,
APPLICANT: DO NOT WRITE BELOW THIS LINE
ft
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss CaIcS,
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2`a Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Gradlag
RY ROUSE:-
3" Review, ready for correctioaslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees