BPLB2017-001478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPLB2017-0014
T-it4t 4, 4 QuIRZ
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
51638 VIA SORRENTO
APN:•
777340030 i
Application Description:
STOCKING RESIDENCE / HOT WATER HEATER
Property Zoning:
Application Valuation:
$800.00
Applicant:
,
ALL STAR WATER HEATERS INC
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
t f Dat —d (O-1-% Contract/or:
0 R Btl CLARATION
I hereby affirm under pe ty of that I am exempt from the Contractor's State
License Law for the fo 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 they
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).:
(_J 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/2017
V Y•
QUINTA, CA 92253
✓qN
ALL STA�d HE -'T INC/
30300 PUERTO VA'4'! R A 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC49818705
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 beco bject to the
workers' compensation provisions of Section 3700 of e,' I shal hwith
comply with those provisions.
Dat
L-2C-Z-Ap_ ..
WARNING: FAILURE TO SECURE WORKERS' 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
above-mentioned property for inspection purpos —�
DESCRIPTION' ACCOUNT QTY AMOUNT
BSAS S131473 FEE .101-0000-20306 0 N$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA! •$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT -ISSUANCE y
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
-ACCOUNTQTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
'$12:67
DESCRIPTION '
ACCOUNT
QTY-
AMOUNT
WATER HEATER/VENT PC
101-0000-4260Q
0 `
$7.60
STATE,QF CA0 f. RNIA
RES:t.IENTIAL.ALTERATIONS -- WATER HEATER
;CEC-CFiR ALT-Ot=£ (Revised 06!14) •
CALIFORNI_..
CERTIFICATE OF COMPLIANCE
A EiVERGYCOkIMISStON
CF1R ALT.01 E WATER HEATER
Presclriptrve Residential Atterat+ons for V1later,Neater .
2).
':A.• GENERAL lNFQRMATION•: , , - -
Sote a�isiress -- .. .......... _.._. ......
u'I >t .9 }tie Single Family Dwelling
S Q s
Gty, Z,ip Code
c o,.M
ultiFamlly. pweJ{Ings
_Climate: Zone,
10:
G WATER.;HEATIiVG SVSTEniLS Section,150
01_
Water
Heating
System
Identification .
or
Name ...:
02 .,..
Water
Heating.
System .:
Type
...
Q3
Water
Heater
Type
04
#of
Water
Heaters .
in
_ .
system_
05
Water
Heater
:Storage
: Volume
(gal)
06
Fuel
Type
07
Rated ..
Input
Type
08
Rated
Input
Value
-
09 10
Heating Heating
Efficiency Efficiency
Type Value
11
Standby"
Loss (%)
12
Exterior
Insul.
R -Value
13
Back-UpCentrah
Solan
Savings
Fraction
14
DHW System:
Oisi7i6ution
Type
1b
Dwelling
Unit DHW
System
Distribution
Type
I r. as
S.
_
....,.
_
.. ...
.
lJUATE6t>f1 EA7`ING>51lSTEMS.
UVatec Reating compliance fo.i.an alteration is'm Section 15o 2ib)1G. For single:dwelling...gas:W00pane:wa erheater with a:storage tank ofi fi0.;galfons maiimum
or instantaneous (tankless) can be used Dwelling Uriit distribution systems a:re limited to Standard trunk and'branchpr demand rQcrculation for: gas or Pro , ane.watei
heater"Demand reclrcu)atron isnot allpwed`for electric water.,heater: If there.is no aatural'gas Connected to the building an electric water heater may be re laeed.w'r'h
another e)ectnc waterfiieater. However, changing.from gas to electric: is noa:allowed:. Multi-family:central.Systems must:n"se certified.equipment as:define:d:under Section
110.1 and 110:3:.
NOTE; I'the proposed installation.,does snot;meet the 'requi'reme.r fs;allowed specific..11yfor;alteratiions .use•form CFIR,NCR-01 to document,the.water heater alterat on.,
Instructions:forsections.wiih.column minters are giVijfi below:
1., !Nater Heating>System identification.or Name: enter a unigLi name for the. Wafer Heating System.
2 Water.heating system type: Domes ic,Hot. Water (OHW); Hydropic, Combined: N,ydron�c.; or CentraL:DHW.,is for;domestic hoi••water; tiydronic.ks a waterh ating:
system used'for space Cleating only, combined hydromc:are wheri the water heater will provide bothapace conditioning and domestic hot•water:
3 Waterheatertype:,For non -central ystemsonI Sm allStorageorsmalLlnstantaneo.us:are:all owed. Forcentrafsysterns oic'kfiomLarge.Storage,Small,Sforage;;
H.eat:Rurnpi Boiler; Large lnstantaneous„ Small Instantaneous or Indirect-
Bin # e a
.0y.
.�'ry La
Building 8t'Safety Division
Permit # 78-495.Calle Tampico '
,r La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project .Address, .�) lQ r Owner's Name: S
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:' `'�/
�I Gla
S
T ele h
P
Address: •, J
Project Description:
City, ST, Zip -
e7 rp ...
/�
Tlehe 0
POg 71)
:::.:::.:::.::;:.
�y
State Lic. # : Cf L`� C
City Lie.
Arch.,'Engr., Designer:
Address: ,
City, ST, Zip:
Tele h '
P one:
>•n
struct
•Co
i n
T Y aneY
Pe: Occupancy: u
'State ic.#•
ProJect tyPa (circle one • New Add'n• Alter RePair •
Demo
Name of. Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT' WRITE BELOW THIS LINE.
tl Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount .
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs..
Called Contact Verson
Plan Check Balance
-Title 24 Cafes.
Plans picked .up
Construction
Flood plain plan*
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact -Person
l
Plumbing
Grarit Deed
Plans picked up
S.M.1.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"! Revieiv, ready for corrections/issue
Developer Impact Fee:
Planning Approval
Called Contact Person
i
A.I.P.P.
Pub. \Vks. Appr
Date of permit issue
.Schotil Fccs;
Total Permit Fees