BPLB2016-005178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-itit 4 XP Qu&M
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0051
l IIIIII
VIII
I'll
IIII
Property Address:
56165 RIVIERA 20
APN:
762022014
Application Description:
BOGGS / CHANGE OUT (1) 40 GALLON GAS WATER HEATER
Property Zoning:
Application Valuation:
$805.00
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
te: Contra
OW . II�fCR DECLARATION
I hereby affirm and erjury that I am exempt from the Contractor's State
License Law for the ing 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 for a
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.).
(1 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 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: 3/22/2016
Owner:
MARY BOGGS
56465 RIVIERA
LA QUINTA, CA 92253 _
Contractor:`a j l4K 2 2 209
ALL STAR WATER I -EAT RS INC
30300 PUERTO VAELARTA WAYOO , f ()C,1W)jF
MENIFEE, CA 92584v0i�hJ9iv?V!?E�vcLOn:r„' DLF:n15't'vT
(951)301-0067
LIC. 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'
co e s rovided for by Section 3700 of the Labor Code, for the performance
of for which this permit is issued.
I have and will
maintain workers' compensation insurance, as required by.
ction 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: _ Polity 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 be the
workers' compensation provisions of Secto the Labor Code, I shall fo ith
comply with those provisions.
Dat 2 p scant:
WARNING: FAILURE TOSECURE 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 corr
I agree to comply with all city and finances an a ati to building
wSr
construction, and her orize re es of this city to en on the
above- n pro spection purposes.
Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION. ACCOUNT CITY. AMOUNT :, PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 3/22/16
PAID BY METHOD
RECEIPT # CHECK # CLTD BY.,
ALL STAR WATER HEATERS INC CHECK
R14080 2681 RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY:'AMOUNT.
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
3/22/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY,
ALL STAR WATER HEATERS INC
CHECK
R14080
2681
RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
3/22/16
PAID BY
METHOD
- RECEIPT #
CHECK #
CLTD BY
ALL STAR WATER HEATERS INC
CHECK
R14080.
2681
RSE
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$7.25
3/22/16
PAID BY
METHOD
RECEIPT.#
CHECK #
:CLTD BY
ALL STAR WATER HEATERS INC
CHECK
R14080
2681
RSE
Total Paid for PLUMBING FEES: $19.34 $19.34
Description: BOGGS / CHANGE OUT (1) 40 GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 3/22/2016 SKH
Approved:
Parcel No: 762022014 Site Address: 56165 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 24801 Block: Lot: 8
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $805.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
CA
92584.
KEN4REDWINGS@HOT
MAIL.COM
CONTRACTOR
ALL STAR WATER HEATERS INC
30300 PUERTO
VALLARTA WAY
MENIFEE
I
CA
I
92584
I
KEN4REDWINGS@HOT
MAIL.COM
OWNER
MARY BOGGS
56465 RIVIERA
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Tuesday, March 22, 2016 12:00:55 PM 1 of 2 C9 1 SYsrCMs
PARENT PROJECTS
RONn INFORMATION
ATTACHMENTS
Printed: Tuesday, March 22, 2016 12:00:55 PM 2 of 2 CB?WIYST(.'MS
CLTD.
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
3/22/16
R14080
2681
CHECK
ALL STAR WATER
RSE
HEATERSINC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0 •
$91.85
$91.85
3/22/16
R14080
2681
CHECK
ALL STAR WATER
RSE
HEATERSINC
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
3/22/16
R14080
2681
CHECK
ALL STAR WATER
RSE
HEATERSINC
WATER HEATER/VENT
101-0000-42600
0
$7.25
$7.25
3/22/16
R14080
2681
CHECK
ALL STAR WATER
RSE
PC
HEATERSINC
Total Paid for PLUMBING FEES: $19.34 $19.34
TOTALS: $112.19 $112.19
PARENT PROJECTS
RONn INFORMATION
ATTACHMENTS
Printed: Tuesday, March 22, 2016 12:00:55 PM 2 of 2 CB?WIYST(.'MS
Bin #City
of La Quinta
Buifding SI Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�nl�i2b iI0 '�
Project Address:'�(k.GS i ,e
Owner's Name: r_10h �
A. P. Number:
Address:
Legal Description:
City, ST, Zip:Rul
COntfaetor« '
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T�lenliort: �2.4
t. MT ';
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Address Gir%
Project Description-
City, ST, lip:
.er ei
Telepho e
State
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. Il:
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F ` :``"` -t; a^�'
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MEAL :: :;:::.
Construction Type: Occupancy!
Pro'etit e (circle one New Add'n Alter Repair Demo
J typ.. (.i ) P
Name of Contact Parson:
Sq. Ft:;
# St . _s.
# Units:
Telephone # of Contact Perso :
Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
M
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Clieck I3alance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21d Review, ready for corrections/issue
Electrical
Subcontac(or List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SM.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`' Re.•iew, ready for corrections/issuc
Developer Impact Pee
Planning Approval
Called Contact Person
A.I.P.P,
Pub. Wks. Appr
Date of permit issue
School ices,
Total Permit Tees
STATE OF,CALIFORNIA
RESIDENTIAL ALTERATIONS — WATER HEATER
CEGCFIR-ALT-ot-E (Rev+sed 06114) CALIFORNIq ENERGYCOMINISSiON'
CERTIFICATE OF COMPLIANCE MR -ALT -01-E WATER HEATER
Prescriptive Residential Alterations for Water Heater (.Page 1 of 2)
'A. GENERAL INFORMATION
_ .:. ..........
w. Site.ai3dress=--_
_. ing ype: >ingle Family Dwelling
U 1'�I�GZ /jZ V ❑ Multi Family Dwellings
City, Zip Codec l �-Z 3 Climate zone: 10.
G. WATER.
HEATING SYSTEMS Sec000,450.2(4)IG)....
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
t
�✓
Gas
WATER HEATIWG SYSTEMS.
Water heating compliance for an alteration Is described in Se ion 150.2(b)1G.. for?single dweNing; a gas.or propane water heater, with a. storage tank of 60 gallons maximum
or instantaneous:(tankless) can be>used. Dwelling Unit distributiowsystems are limited to Standard trunk and branch or demand recirculation for gas or propane water
heater: Demandrecirculation, is not allowed for electric water heater: Ifthere is rib 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. Multifamily ceiitral:systems;must.use certified equipment as defined under Section
110.1 and 110:3::.
NOTE: ifthe proposed installation does not meet the reouirements'allowed specifically f6vailterations, use form ItFSR-NCB-01 to document thewater heater alteration_
Instructions:fonsections with column numbers are given below:
1. Water Heating System Identification or Name: entera unique name for the Water Heating System.
.2. `Water heating system type: Domestic Hot Water(OHV1WI, Hydronic, Combined Hydronic, or Central. DHW is fordomestic hot-water; hydronic is a water beating
F system used for space heating only; combined hydronic are when the water heater will provide both space conditioning anddomestic hot water.
1- Water heater type: For non -central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, Small Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect.
CERTIFICATE OF COMPLIANCE CFIR-ALT-014 WATER HEATER
Prescriptive Residential Alterations for Water Heater (Page:2 of 2)
44. NuMber of water heaters in system: Insingle-family and m.ulti-farnily. With water heaters in each -dwellirvit units the value is 1i For. 010 1 ti7farhily centtalsjistems
serving itiultiple dwellingunits.efit.e'r'"the iot4l'humb6r.01 f Water heaters..
5. Water heater vglume .(gal).* taqkcapadity in gallons:. For indWidbaLWat0r'heaters for a. dwellirig,.uhitthis Will beor . 60gp1lon . I'ss�, - it instantaneous* enter n/a. For,
5 e
multi4amily central systems..enter thetoiai's,torago volume.
6. Fuel Type: Gas, Piopne, Electric (only if natural gas is not available)
7. Rated Input Type.:, Enter the, equipment input ritinglype, for gas or propane fired units are 8tuh, f6e,*electfic fired sy'tteimtho units are W.
8. Rated Input Value4fnter the numeric value of rated input..
9. HeatirgEfficiencyType; Energy Factor; AWE; or Thermal Efficiency. From ,product literature or a Califorhi'..Energytiihim
a , . issibndirectory,.
10. Heating Efficiency Value. -Enter the value from product literature or a California Energy Commission directory-
11. Standby Loss (percent): kppllies.'only t6.11arge storiage.Witer'heaittirs, Enter nja for .small. storage or instantaneous. water heaters.
12. Exterior'Insulation RI-Malue:.Epter. the R7valueif exterior.insulation omthtstdrage'tank is installed
13. tiad.c-wup solar savings fraction: If complliance�requires a back_up W)Prscontribution
.,..Yg!err,in.diote.thes.6lat.
14. Ceritial. DHW* D&ribiW&h:Systirh-'Fo-r mufti4arftily. buildings With UsiTV acerftral. distrib
uti6n-systen ademand recjrcu.latiomsy#em.with at least.two distribution
loops rriust be-instal1e8 Orem individual " nits i�nte . rn/4:
This.re4 i�nt a.ppliesto any building With eight more units, if the,system'i� non -central or project isu,
15. D�vefling.-Un it 614W Dlstdb6iloiit�pe: For a b DHW this -field. -shall beStandard.. if non -centra then.pick from Standard Demand Recirculation Manual
.
6ontrolj Qemand Riedirculatiort —Sensor Control., it non -central. -electric water heater this,mustbe Sia*ridard; no recirculation system shall be Installed.
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name Block oOwner o Authorized agent ntracto;
Ken
g .
CompanyWaters
araere
rlic6nse#:
ontracto—8 94
Address:30300 Puerta Vallara
Phone: 951-301- 0801627
Cy,StatelZip,
Menifee, CA 92584
Date,
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.