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BPLB2017-0171
78-495 CALLE TAMPICO 4.4 QuM r/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: PLUMBING/ Application Number: BPLB2017-0171 Property Address: 45925 LAS COLINAS APN:" 604460011 Application Description: MERRICK / 50 GAL WATER HEATER CHANGE OUT Property Zoning: Application Valuation: $4,080.00 Applicant: A R S AMERICAN RESIDENTIAL SERVICES OF C .965 RIDGE LAKE BLVD #201 - MEMPHIS, TN 38120 D Q U. DEC 18 2017 CITYOFLAOUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: CC36, C10, C20 License No.: 765074 Date: �� 1, Contractor �2� OWNER -BUILDER D RA N I hereby affirm under penalty of perjury that am exe t 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 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 th'e 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.). (� 1 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 VOICE (760) 777-7125 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/18/2017 Owner: MATHEW MEERICK 45925 LAS COLINAS LA QUINTA, CA 92253 Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAVE BLVD #201 MEMPHIS, TN 38120 (951)276-9744 Llc. No.: 7650:4 WORKER'S COMPEN°ATION 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 ofwork for which this permit is issued. I have and will maintain workers' :ompensation insurance, as required by. Se on 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: LIBERTY INSURANCE CORPORATION Policy Number: WA763D508631017 _ I certify that in the performance cf the work for which this permit is issued, 1 shall not employ any person in any manner eo as to become subject to the workers' compensation laws of California, and agree :hat, if I should become subject to the workers' compensation provisions of Sectior 3700 of the Labo I shall forthwith comply with th se provisions. Date: � l Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLLARS ($100,J00). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F -:)R IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. " APPLICANT ACKKOWLEDGEMENT 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 Cit+ of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or- following rfollowing issuance of this permit. 2. Any permit issued as a result of this app ocation 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 cancellati in. 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 orcinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the ove- mentioned pr erty for inspection purposes. Dater Signature (Applicant or Age Date: '12/18/2017' Application Number: BPLB2017-0171 Owner: P ro pe rty Ad d ress: 45925 LAS COLINAS MATHEW MERRICK . APN: 604460011 45925 LAS COLINAS Application Description: MERRICK / 50 GAL WATER HEATER CHANGE OUT LA QUINTA, CR 92253 Property Zoning: Application Valuation: $4,080.00 Applicant: Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD #201 965 RIDGE LAKE BLVD #201 MEMPHIS, TN 38120 MEMPHIS,TN 38120 (951)276-9744 Llc. No.: 765074 Detail: 50 GALLON WATER. HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO -FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •• • .,..DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $2.44 Total Paid for Credit Card Fee: $2.44 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.80 Total Paid for PLUMBING FEES: $20.80 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT ' QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: Bin .# Crty. 0 QU%nta Building 8T Safety Wsion P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address L%4 4U 1,61TA l 5 � � � •035 ; Owner's Name: J . A. P. Number. Address: Legal Description: Contractor l G&5: City, ST, Zip4-V /;IT11 ` 9�a 1-6 Telephone; -��_©� >.,>...�-;�`•':%r. r�.y Address:? ® Project Description: S City, ST, Zi PW Telephon ��j-07J° .. ` 2 State Lic. # • % City Lic. #• 0/P -c673 Arch., Engr., Designer Address: City., ST, Zip: Telephone: ' ' ° State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:�g' # Stories: #Units: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACICTIVG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cal es. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Cate$. Plans picked up Constructloir Flood plain plan Plans resubmitted.. Mechanical Grading plan tad Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plwnbing Grant Deed Plans picked up S•M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^` Review, ready for corrections/issue Developer ]impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 8� t 9 ' STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS - WATER HEATER a ;EC-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: y �J qZS L s Building Type: ❑ Single Family Dwelling ❑ Multi Family Dwellings City, Zip Code: 0 1 2Z IS Climate Zone: 10 G. WATER HEATING SYSTEMS Section 160.2 b 1 G 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 -Valle Savings Distribution System Identification Type in Volume Fraction Type Distribution or system (gal) Type Name - ' ' LJ G u0 N N r t GU Lf-� WATER HEATING SYSTEMS Water heating compliance for an alteration is described in Section 150.2(b)iG. For single dwelling a gas or propane water heater; with a storage tank of 6d gallons 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'asAefined 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 given 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. CERTIFICATE OF -COMPLIANCE CKR-ALT-01-E WATER HEATER Prescriptive Residential Alterations for Water Heater (Page 2 of 2) 4. Number of water heaters in system:.In 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. S. Water heater volume (gait): tank capacity in gallons. For Individual water heaters for a dwelling unit this will be 60 gallons or less..If instantaneous, enter n/a. For multi -family central systems enter the total storage 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 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 Commission 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 insulation 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. This requirement appliesto any building with eight or more units. if the system.is non -central or project is individual 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, Demand 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: G .- 00wner o Authorized agent-gContractor Signature: Contractor license #: (pC95 Company: C Address: .bOO M rS City/State/Zip; ; v� r5 �L1� J i' cA a5c Phone: �/ Date: D G c1 � _ 1� For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300.