BPLB2016-0050I I �� � �1 i5
V �'1J � �� '—�� VOICE (760) 777-7125
78-495CALLE TAMPICOTwit "�"� Ip
LA QUINTA, CALIFORNIA 92253 UINFAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT `� '� �f�1 S$,E 4 a0w S (760) 777-7153
BUILDING PERMIT
Application Number: BPLB2016-0050 I I"I'I IIT IIII II'I ' C��I'��'��j�"iE��F`s��•rEN„(}EQrl3iihtkhTDdte: 3/22/2016.
Owner:
Property Address: 78079 COBALT CT 19 PETER MORE
APN: 604023019 78079 COBALT CT
Application Description: ,PETER MORE / WATER HEATER CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $809.00
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
9 (commencing with Section 7000) of Division 3 of the Business a ess
and my License is in full force and effect.
License Class: C36 License No.: 812894
i
Da a� �Z2 �VII Con or:
OW LDER DECLARATION
I hereby affirm and penal perjury that I am exe pt €ro1�i t e Contractor's State
License Law forth W10.2
reason (Sec. usiness and Professions Code: Any
city or county that require o 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).:
(_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 ) 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 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
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}tZk for which this permit is issued.
rll�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. becomes the
workers' compensation provisions of Section 3700 of th Code, I sh rthwith
comply with those provisions.
Dat$ — 2, G Ap nt:
WARNING: FAILURE T 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 relay
construction, and hereby authorize representatives of this nter upon the
above-mentioned property for inspection purpo
Signatu pplicant or Age
DESCRIPTIONACCOUNT
FINANCIAL INFORMATION
AOUNCITY. PAID'
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
PAID BY
-METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$0.00
DESCRIPTION
ACCOUNTQTY
AMOUNT-
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID' BY
METHOD
RECEIPT #.1,
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
CITY.
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: PETER MORE / WATER HEATER CHANGE OUT
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 3/22/2016 RSE
Approved:
Parcel No: 604023019 Site Address: 78079 COBALT CT LA QUINTA,CA 92253
Subdivision: TR 18915 Block: Lot: 6
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $809.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
30300 PUERTO
VALLARTA WAY
Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
NAME TYPE
NAME - ADDRESS1
STATE
ZIP
PHONE
FAX
EMAIL
CONTACTS
CITY,
APPLICANT
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584
(760)345-2576
KEN4REDWINGS@HOT
MAIL.COM
CONTRACTOR
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
I
CA
IMAIL.COM
92584
(760)345-2576
KEN4REDWINGS@HOT
OWNER
PETER MORE
78079 COBALT CT
I LA QUINTA
I CA
92253
1 (760)345-2576
... FINANCIAL INFORMATION
Printed: Tuesday, March 22, 2016 11:44:32 AM 1 of 2
cmSYSTEtr1S
INSPECTIONS
Printed: Tuesday, March 22, 2016 11:44:32 AM 2 of 2
���srsrr•Ms
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
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
$91.85
$0.00
Total Paid for PERMIT 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 $0.00
• • ••
INSPECTIONS
Printed: Tuesday, March 22, 2016 11:44:32 AM 2 of 2
���srsrr•Ms
ell*
ATE OF
RESIDENTIAL ALTERATIONS — WATER HEATER
CEC=CFI R -,ALT -01-E (Revised 06/14) CALIFORNIA. ENERGY COMMISSION -
CERTIFICATE OF COMPLIANCE MR -ALT -01-E WATER HEATER
I'Prescirtgbye Residential Alterations for Water Heater (Page: I of 2)
G:. WATER HEATING SYSTEMS (Sec# b 150.2(b)1G).:_.
01.
02.
03
04
05
06
07 1
08
09
10
11
12
13 .1
14,
15
Water
Water
Water
*of
Water
Fuel
Rated
Rated
Heating
Heating
Standby
Exterior
Back -Up
Central
Dwelling
Heating
Heating
Heater
Water
Heater
Type
Input
Input
Efficiency
Efficiency
Loss (%)
Insul.
Solar
DHW System
Unit DHW
System
System
Type
Heaters:
Storage
Type
Value
Type
Value
R -Value
Savings
Distribution
System
Identification
Type
in
Volume
Fraction
Type
Distribution
or
-system
(gal)
Type
-Narne
r /W*1
GFS
L2�N
YO
[Gas
1-79-
P1
I
... ... . . ....
.. ........
.1
r
WATER HEATING SYSTEMS
Water heaiin't6omplimcef6rah 51t ration is described )n Section 150.2(b)1G. For?single.dwelling'a gasor propane etank-of60gjlldhsmii1m6`
M
or instantaneous,(tahMss) can be used. Dwelling Unit distribution systems re limited to.$.tondard.-trunk and branch ,Qr,demand reckviation for gas or propane. water
heater * demand : recirculation is ript'alldwed for eleatic water heater! If there is rid natural 'gas°c6nn'eddto the building,an electric water heater may be replaced with.
another electric water heater. However, changing from gas to electric. is not allowed. Multi-farhily.t6t!ttal.systemt',mijst:ute artified.equipriherit as defined under'Section
110.1 and -110.3::.
NOTE! IfAhe Proposed installation.does not meet the reo6irements'allowed specificallyfor alterations!, use form it.FiR-NCB-61 to document the water heater alteration_
lnstructionsfor:sections with column numbers are piven below:.
1. Water Heating System Identification or Names enter. a. Unique name for the Water Healing System.
-1. Water heatirig.system type: Domestic.Hot Water(QHW, Hydronlc, Combined. .Hydronic,.or Central. DHW is fordomestie hot water; hydronic is:a water heating.
systelrry used 'for space heating,Qnly.; combined hydronic are when the water heater Will provide both spate conditioning and domestic hoi.waier.
I Water heater type:,For non -central systems, only Small Storage,or Small. Instantaneous are allowed. For central systeins pick from Laige.Storage, .5mall Storage,
Heat Pump, Boiler, Large Instantaneous, Small ins i
taplaneous or Indirect.
l � ,
CERTIFICATE OF COMPLIANCE 04 CFIR-ALT-01-E WATER HEATER
Prescriptive -Residential Alterations for Water Heater (Page. 2 of 2)
4_, Number of water heaters in system: In -single46mily andmulti-i6mily wiih water heaters in each. dw6ll'ing units the value is L For mijIti7ftn1ilY central systems
serving MUltiple:dWellin&'Units.entetthe total number.of water heaters.
5. Water beater volume (gal): tank-capa(dity in gallons. For individual waterhOaters for a dWelling.unitthis Will be 60'gplions or less. it instantaneous, enter n/a. For
multi -family central systems enter the total lstorage 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 ' uh, f6felettric" fir are kW.
Bt ed syst0m.the units
8. Rated Input Value: Enter tlik-iiiinieric value of rated input.
9. HeAtingEfficiency Type: Energy Fac.torj,AFUE,-or Thermal Efficiency. Fforry product literature or a California',Energy. , Conimission directory.
10. Heating Efficiency Value.- Enterthe valuefrorn product literature 'or a California Energy Commission directory --
11. Staridlij Loss (percent): Applies only to. -large storage wafer heaters, Enter n/a-for..smalFst rage or -instantaneous. water heaters.
12- Exterior Insulation R-Value:.Enterthe R-value.if exterior insulation on the storage'tank is insta.116d.
13. Back-up solar savings fraction: If compliance requires a back-up solar system indicate the solar contribution(e.g., 0.30). External'calculatiorm are required.
14. Central DHWD1Aribution$ystim: For multi -family. buildings with usi . ng a central distribution -system a- demand recirculation
on system with at . least -two distribution
loops Must be installed, This.re
qujrernent applies to any building with eight or more units. If the-systern-lis 66n-ceritfil br project is,iridividual units enter n' A.
15. :DiNelling.Unilt DAW Distribution fj": For a Central DHW this field shall be Standard. if no'n-central then pick.from Standard, Demand Recirculation - Manual
Control, Demand Recirculation —Sensor Control. If non-cehtra I.vlectFic water heater'this must i
Y�t: be Standard; no. recirculation s sern shall. be Instal.led. led.
_
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name oOwner o Authorized agent tractor
Ken Block Wa
Company: All Star Water Heaters
Contractor license #: 812 g4
Address. 30300 Puerta Vallarta
Phone: 951-301-0067
City/State/Zip: Menifee, CA 92584
Date:
-.2
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bin #
City of La Quinta
13uifding 9 Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #i
Project Address: C3 QLt
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: ou /v�t�
Contractor; . /+I r , �
n to -
Address: 3 0.3 G� p
Project Description' a ...
City. ST, Zip: "!
WA
a.: l`.
Teleph e. �_
4
'' � zON ����t
MEMO.
,
State Lic. ,� : -
City Lic. #:
.e
Arch., Engr., Designer.-
esigner:Address:
Address:
City, ST, Zip:
Telephone:
;::� �}. ,-i�._. :.../< ,
'
# •. q A %<:
Construction Type: Occupancy:.
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person: i
Sq. Ft.; :T4
Stories::
# Units:
Telephone # of Contact Pd _ G� —Z
ers n:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
tt
Submittal
Req'd
Reed
TRACMING
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 Cales.
Pians picked up
Construction "
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SAI.I.
II.O.A. Approval
Plans resubmitted q
Grading
IN IiOUSE:-
=rd RcYiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Pecs,'
Total Permit Pees
J