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BPLB2015-001578-495 CALLE TAMPICO � D LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0015 D [r -J " II II Property Address: 54961 FIRESTONE APN: 775151037 FFB 03 2015 U Application Description: WATER HEATER CHANGE OUT 0 ALLON Property Zoning: OF LA QUINTA Application Valuation: $800.00 CITY TynEVELOPMENTDEPARTMENT Applicant: (____ --_ ALL STAR WATER HEATERS INC GTY.OF LAQUINTA 30300 PUERTO VALLARTA WAY GQMti1UNITV©�VELbPIN1TDEPARTMENT 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 70001 of Division 3of the Business and Professions Code, and my License is in full force and effect. License Class: C36 License No.: 812894 Contractor: OWNER LDER 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 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/3/2015 Owner: JAY MCINTOSH 54961 FIRESTONE 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 Labl shall f hwith comply with those provisions. Da(ts74� �APPIi WARNING: FAILURE TO S E W E ' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT A MP 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DA GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATT, RNEY'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 representaEre:. cit 72upon above- mennttiioonned property for inspection purposes. Date Signatur pplicant FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE DESCRIPTION BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY 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 • •• Description: WATER HEATER CHANGE OUT 40 GALLON Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 2/3/2015 PJU Approved: Parcel No: 775151037 Site Address: 54961 FIRESTONE LA QUINTA,CA 92253 Subdivision: TR 21381-3 SEE ASSESSORS MB 769-41 Block: Lot: 6 Issued: 40 FOR CMS 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 Details: WATER HEATER CHANGE OUT 40 GALLON 2013 CALIFORNIA PLUMBING CODECARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOF TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME _ ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY -MENIFEE CA 92584. (312)330-3384 CONTRACTOR ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY MENIFEE CA 92584 (312)330-3384 OWNER JAY MCINTOSH 54961 FIRESTONE LA QUINTA CA 1 92253 (312)330-3384 Printed: Tuesday, February 03, 2015 9:43:30 AM 1 of 2 RWY57fM5 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT$1 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 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 TOTALS:•• INSPECTIONS SEQID INSPECTION TYPE' INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES. PLUMBING FINAL" Printed: Tuesday, February 03, 2015 9:43:30 AM 2 of 2 RWYS TEMS Bin # ,. ' Oty of La Quin to . Building K Safety Division P.O. Box 1504, 78-4.95 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address Owner's Name: ` A. P. Number: S �S l ��j� Address: Legal Description: City, ST, Zip: t Contractor: >'>> Address: 3 a -9j V av 0✓f Project.Description: letPl City, ST, Zip:. 1 l Q Q) G] �. ��(,Y� Telepho c: � �� �:::;.;.::;>.,:::.:.;:;:,:�.�,:-:•:;::.;:•;::•:�;::: State Lic. # City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone:Construction Type: :Ncw Add n Alter. Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: OC, APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Rcq'd Rcc'd TRACMIG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cala.Called Contact Person Plan Check Balance. Titic 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'4 Review, ready for corrections/issue Electrical Subconfactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.T. II.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 CEGCFIIR-ALT-01-E (Revised 06114) CALTORNIA ENERGY-COIAMISS104— CERTIFICATE OF COMPLIANCE CF . 111 -ALT -0 . 1-E WATER HEATER., —Prescriptive Residential Alterations for Water Heater (Page 1 of 2) A. GENERAL INFORMATION Site 'Addr'es­s':: B "Idin Type:Single py-Le --ro family Dwelling Multi Family Dwellings City, Zip Code: 2 Climate Zone. 10 G. WATER HEATING SYSTEMS (Sectibn.150.2(b0)1,, 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 Systetn Type Heaters St6rage Type Value Type Value R7Value Savings Distribution System Identification Type in Volume Fraction Type Distribution or *§teov (gal) Type Name h/, I 1 110, 2 -1 WATER HEATING SYSTEMS Water heating,c6ruipliance for an alteration is described in Section iS0,2(b)1G. For single:dwelling a gascir propane water heater; with a - storage tank of 60.gaticins maximum bvinstantanecius k .(tan. less) can be used. -Dwelling Unit distributio'nwsystems are limited to StandardArunk and branch or demand:recirculation-for gas or propane water heater. Demand, recirculation -is not allowed f6r-electric-water. heater. If there is'no natufalgas connec!,e& to the'bUilding, an . electric water h . eater.may be replaced. with .another electric water ter heater. However, changing from gas to electric is not allowe4.Multi-family central systems must use certified,equipmerit as defined under Section 110.1 and 110.3: NOTE.: If the proposed installation does:not meet the requirements allowed specifically for afterations; use. form UiR-NCB-01 to document the water heater alteration. Instructions for sections with column numbers.are given below: 1.. W4er Heating System Idehtfficatfoh or-NaMe:.oni.ter a uniqde name for the Water Heating System. 1. 1Nat6ir heating system ,type: Dome.stic- Hot Water-(DHW), H�yclronic, Combined Hydr,onic, or.C. entr.al.. DHW is for -domestic hotwater, hVd.roruc is a water heating system used for space heating only; t6mbiried hydion'ic arewheti ih6 water and Oqmesffchot water. 3. Water heater type- For non-central.systems only Small Storage or Small Instantaneous are allowed. For central syst - eins pick'from Lar'geStorage, Small Storagej H.eat.Pump, Boiler, Large Instantaneous,, Small Instantaneous or indirect- CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E WATER HEATER Prescriptive Residential Alterations for Water Heater (Page 2 of 2) 4.. Number of water heaters in system:ln 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. 5. Water heater.volume (gal); tankkcapacity in gallons. For individual Waterheaters for a dwelling unit this will be 60 gallons or less. If instantaneous; enter n/a. For multifamily central systems enter the total storage volume. 6. Fuel Type: Gas, Propane; Electric.(Only if natural gas is not available) 7. hated Input Type: Enter the equipment input rating type, for gas or propane fired units are.Btuh, for electric fired system the units are kW. 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 Cornrt ission 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 lnsuiation 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..ihis requirement applies to any building with eight or more units. Ifthe system is no or project i0ndividual 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, Dernand 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. Name: 00%ner a Authorized agent oContractornat Company: ontractor li se #: 02 Address: o P l 1, l Phone: City/State/Zip: S / Date: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-77Z-3300.