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BPLB2015-0118• 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ht 4 4 QuiNto COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0118 Property Address: 45055 SPRINGBROOK CT CT APN: 604291007 Application Description: LEWIS / CHANGE OUT (1) 40GALLON GAS WATER HEATER Property Zoning: 0 F=-� 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 Prof s Code, and my License is in full force and effect. License Class: C36 / License No.: 812894 D Contractor_ OWNER-BUI ER D RATION I hereby affirm under penalty of perjury that I arm, exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, siness 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.). (_) 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 Na Lender's Address: 28 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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,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 c th' permit is issued, I shall not employ any person in any manner so as to ome sub' t to the workers' compensation laws of California, and agree tha ' I should come sub' o the workers' compensation provisions of Sectio 700 of Labor e, I sh forthwith comply with those pro/wsio _ Ann1' .tom WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRItA.1NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0 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 a`ct 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 thWapplication 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 representativesof this city to enter upo e— above-mentioned property for inspection purposes. Signature (Applicant or A Date: 10/21/2015 Owner: JAMES LEWIS 45055 LEWIS LA QUINTA, CA 92253 0 F=-� Contractor. ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY :% MENIFEE, CA 92584 a_ii (951)301-0067 Uc. 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,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 c th' permit is issued, I shall not employ any person in any manner so as to ome sub' t to the workers' compensation laws of California, and agree tha ' I should come sub' o the workers' compensation provisions of Sectio 700 of Labor e, I sh forthwith comply with those pro/wsio _ Ann1' .tom WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRItA.1NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0 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 a`ct 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 thWapplication 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 representativesof this city to enter upo e— above-mentioned property for inspection purposes. Signature (Applicant or A FINANCIAL ,• 1, DESCRIPTION ACCOUNT QTY AMOUNT 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 • 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 w 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: LEWIS / CHANGE OUT (1) 40GALLON GAS WATER HEATER Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 10/21/2015 SKH Approved: Parcel No: 604291007 Site Address: 45055 SPRINGBROOK CT CT LA QUINTA,CA 92253 Subdivision: TR 23995-1 Block: Lot: 7 Issued: 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 NAME TYPE 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 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 CONTRACTOR ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY MENIFEE CA 92584 OWNER . JAMES LEWIS 45055 LEWIS LA QUINTA CA 1 92253 Printed: Wednesday, October 21, 2015 10:27:44 AM 1 of 2 C""f SV57EMS Permit Details PERMIT NUMBER City of La Quinta BPL02011M0118 - _..4a DESCRIPTION 'ACCOUNT QTY~T AMOUNT PAID PAID DATE RECEIPT# CHECK METHOD PAID BY C 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 TOTALS:$0.00 Printed: Wednesday, October 21, 2015 10:27:44 AM 2 of 2 RFIffSY57EM5 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: In single -fa ..multi-farhily with water-heaters'in each,dwelling units the value . is L For multi -family a mily.and Iti7fainily central systems serving multiple dwellingunits.entet the total number of Water heaters. S., Water heater volume (gal): tank capacity in gall.ons:. For ihdiviclual.wmer -heaters for a dwelling unit this will be 60 gallons or less. It instantaneous, enter n/a. For multi=family central systems enter the toiai storage volume. 6. Fuel Type: Gas;. Pro0aine, Electric (Only if natural gas isnot available). 7. Rated input Type.: Enter the equipment input rating type, for gas Or pro0ane.fired unitsare Btuh, The electric: fired; systemthe 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. Ebergy Corhmissi6n directory. 10'. Heating Efficiency Value, Enter the value from product literature or a California Energy Commission directory` 11. Standby Loss (percieht)c Applies.'6nly to large storage waftieri*heate . rs Enter n/a for small storage or instantaneous, I nstantan6ous, water heaters. 12. Exterior1risull,ation 11-7Value:-Enter -the R-value'if exterior insulation on the storage tank is installed. 13. Back-up solar sa.Vingsjraction- If compliance requires a back-up solar system, indicate the solar contribution (e.g., 0.30). ExterrvaI:c;§Ic0lAtiohs.are required., 14. Central DHW Distribution Systern: For rfiWa -ti-fmily.buildings with using. a central distribution system a demand . recirculation system with h at least:two distribution loops must b installed. -This reqqirernentao.plies to any building with eight or more units. Ifthe.system is no * c I v e . I . . ri� entra or project is In& idualunits enteiWa; 15. Dwelling Unit. D14W. Distribution Type: Fora -Central QHW this field -shall be Standard. if non -central then pick.f rom Standard Demand 116circulatibn Manual Control, Demand Recirculation — Sensor C6htroL. If non-ceritral,electrie water heater this, must b circulation system stem shall be. installed. u e Stanclard; no Y DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Ken Block ciOwner o Authorized agent ontractor -Signa Company : All Star Wat . er Heaters�icense #: 812894 Address:30300Puerta Vallarta P h o ne:� a51-301-0067 City/State/Zip: Menifee, CA 92584 Date: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3100. ti STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS — WATER HEATER CEC-CFIR-ALT-01-E (Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-01-E WATER HEATER Prescriptive Residential Alterations for Water Heater (Page 1 of 2) A. GENERAL INFORMATION Site address:-- 'Idi T Si �� ng ype: ngle Family Dwelling o Multi Family Dwellings City, Zip Code: is Climate Zo 10 G. WATER HEATING SYSTEMS Section 150.2 b 1G 01 02 03 04 05 1 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 (%) Insula 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 a �'1✓GAS —1 2 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.gailons 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 110.1 and 110.3. NOTE: If the proposed installation does not meet the requirements allowed specifically for -alterations, use form CFIR-NCB-01 to document the water heater alteration. Instructions for sections with column numbers are eiven 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 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. Bin # City of La Quinta Building u Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address-L-C:f Owner's Name• A. P. Number: Address: Legal Description: City, ST, Z ipj La ontract r C 0 IJ Tele P h o e: t Address: O Project Description: City, ST, Zi L 40I S le ho TeP State Lic. # : �' City Lic. #.-..... Arch., Engr., Designer: Address: City, ST, Zip: Telephone: le hone: <� ane • e• Con tructi n T • Occupancy: s o YP• PY State Lic. #: Project (circle one): New Add n Alter Repairair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain *plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for-corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. 1Vks. Appr Date of permit issue School Fees, Total Permit Fees