BPLB2014-1036. .?
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
c&it, 4 4 Qumr(v
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2014-1036
Property Address:
APN:
Application Description: 50 GALLON HOT WATER HEATE
Property Zoning:
Application Valuation: $1,900.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
NOV 13 2014
CITY OF LA QUINTA
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: License No.: :LIC -0003606
�( \Date: �l� �T Contractor,
NNN i
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt 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 Divisi 9
of the Business and Professions Code) or that he or she is exempt therefrom and th�
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.).
(_J 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: 11/13/2014
Owner:
RON MATERICK
55341 RIVIERA
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Llc. No.: :LIC -0003606
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
ection 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 become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: %f—�_�TApplicant.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS L,
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 to enter upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant o Ar gen
FINANCIAL INFORMATION
DESCRIPTION' _±r ACCOUNT �;• ' • * ;;QTY
: AMOUNT PAID PAID DAT E
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
„,_•• PAID BY , , ° r ;METHOD _� ;2zRECEIPT # CHECK .# CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 -'
:. DESCRIPTION _
Sr , i.ACCOUNT :...,_'
.QTY.
AMOUNTA.
PAID .�
PAID DATES
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
... PAID BY t
A METHOD _
RECEIPT #
CHECK # , ,
CLTD BY"
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION _
_ ^ =ACCOUNT
QTY_
AMOU NT,`' -
..:
PAID'
_.
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
^PAID BY, 2
METHOD r
<.•
°RECEIPT #
:CHECK #
CLTD'BY
ACOUNT'
;MOUNT"
.D'
PAID DATEDESCRIPTION
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00
PAID BY
METHODr
RECEIPT#
CHECK# FF
CLTD. BY
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS:00
t
S
�.�
pm*
ProjeCtAddteas: 55341 RIVERIA
City of La Quinta
er Safety Moon
P.O. Box 1504,'78-495 Cade Tampko
4 Quhtk CA 92253 - x(760) 777-7012
Building Pem* Application, and Tracking Sheet
OwaWsName:. RON MATERICK.
A. P. Number.
Address: 55341 RIVERIA
Legal Descr'paon:
city, sT, Zip: LA QU I NTA, CA 92253
Contractor GENERAL A/C & HEATING
lydcp o :
Addles: 31170 RESERVE DRIVE
ptojeaDesaiptton:
CitY-nZip: THOUSAND PALMS, CA 92276
Tetephona 760-343-7488
CHANGE OUT 50 GALLON HOT WATER HEATER
State Lia #: 686310. City lAc. 0,
Arcfi. Bngr., Deslgw.
Address:
City, ST. Zip:
Tine'
State Lie. d:
Name of Contact Pam: PATRICK
Construction'Iype:. Occupancy:
Project type (cnt�e one): New Add'n Alter Repair Dean
sq. Ft: B stories: d Uuit�
Estimatod.valike of Pwi=t: 1900.00
TdcP� d ofContaa Prion: 7.60-343-7488 �
APPUCANT: DO NOT WRITE BELOW THIS UNE
N
sabm[ttd
Pisa Seb
Beq'd
Reed
TRACKMG PFBDC[f FBFS
Pias Cheer sabmitted Item Amount
Shvcaral Cates.Reviewed,
ready for eorr'eedoes Plan Cb- k Deposit.
'lust Com.
Called Cmpet Pcnm Pian Qtec ' Balaace
We 24 Calci.
Plans picked up Caastrkudon
Flood plain plan
plan resubmitted biedmaieal
Gradingplan
2' Rwiew, ready for oarrectionrmue Electrical
Sabeontaetor ust
Called Conlad Person Plumbing
Grant Deed
plan puked up SAI,
ILO.A. Approval
Plans tesnbmitted Grading
IN HOUSE:-
2" Review; ready for corrections hmm Developer Impact Fee
Planning Approval
Called Contact Person A.i.P.P.
Pub. Wks. Appr
Date of permit bsac
School Fen
Total Permit Fees
11/13/2014 11:15AM 8187353575
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC- CF -1 R -ALT Revised 03/10
Prescit'i. tive Certificate of Compliance! Residential
Residaitial Alterations
Project Name: n A A 1 t
IPERMIT ERATERS PAGE 01/03
CIMR-AL
()?age 1 of
Cuia9te Zone # . # of Stories
General Xoformation
Site Address: SS� `
Enforcemeot ,agency: I Date: � 1 2,0
Building Typo,./;ogle Family ❑ Multi Family
Circle the Frost Oxienttatibn: N, E, S, W, or degrees
Project Type: 13 Alters. ons ❑ Enveloile 13 Fenestration 13 Roof ❑ HVAC
Conditioned Floor Arca (CFA):
Re lacemcnt or. Chane it ❑ Duct R lacement Water Heaier
NOTE: This form is not to be used for Newly Constructed ,Buildings or Additions
Insulation Values For Opaque Surfaces (for.Furring use the Mass and Furring Strips onstructlon table belotiv) i
,Ass- otbly Alteration.
❑ Opet,uag of tamed cavity alone—Alterations that involve the openbzs of the francs cavity Of G wall, Ceiling, Or f100r nuns/ d1lStall lite
mandatory mininitan insulation value per $150 for the altered assembly. Fill in Colum�Is A —C and enter maudtltory insulation venue in Column H.
❑ Replacement of entire assembly— Replacement of apt entire wall, ceiling, or floor dtssembly requires the installation of Component
Package- D insulation values in Table 151-C'. Fill in Columns A — J II
Opaque Surface Details For the furred portioned of Mass Walls see Furriu trips Construction Table below.
A 13 C D. E F G H I J
Pro osed 860Npf° Standard I Values From JA4 Table
Framing Thickness, Framed. Cootinuous JAA Proposed
Ta� Assembly Nam Material Spacing U- JA4 Tab c Cavity bsulation Assembly Assembly
ID or Tv eZ and SizJ or O@te5 factors Nunlbep R -value' R -Value" Row/dols U -facto.
Note .For furred assemblies, accounting for Cottirrnoucs Instdarion F -value, see Page JA4-3 and quatton 4-1. For colcula"11 fwrett walls vse the Mass and
Furrinz Construction table below.
1. For Tag/1.D indicate the identscation name that matches the building plans.
2. Indicate the Assembly Name or type: ,Roof/Ceiling, Walls, Floors, Slabs, CrL vl Spa Doors and etc... Indicate in coltann G the Frame
material and Size_ For Wood, Metal, Metal Buildings, Mass, enter 2.4, 2x6, or etc.. see J44 foi other possible frame type assemblies.
3. Enter the thiclnless for mass in inches or Spacing between framing members enter; 76 "or 24" OC; or Other for all other asseinbly descriptio:
such as Concrete Sandwich Patel, Spandrel Panel, .cogs, Straw Bale .Panel and etc...
4. ,based on the Climate Zone; enter the equivalent U factor found in JA4 Table based n lite R-Yalue front Table 151-B, C, orb
5. Enter the Table ntunber that closely resembles the proposed assembly.
6. Enter the R -value that is being installed to the wall cavity or between the framing; iherwise, enter "0 ".
7. Einer the Continuous Insulation R -value for the proposed assembly; oiltenvise, ent r "0
8. Enter the row and column of the II factor value based on Cohann F Table Number td enter the Assembly U factor ht Column J
9. The ,Proposed Assembly U factor, Column J, must be equal to or less that the Stant prd U factor in: Column E 10 comply.
Filrruxg Strips Construction Table for Mass Walls Oxzjy
A I B IC b E F G H I 1 J I K L M
Proposed Properties of.Masonry and Concrete Added Interior or Ertrrior Insulation.
Wails From Reference in. Furriug Space from Reference
Joiut A ppendix Table 4.1.5 4.3.6 4.3.7 Joint ApendLK able 4.3.13
o . o s; Final
Assembly ;, zo u o "Y ' Assembly
Mass Name or JA4 Table v $ > G7
Thivlwessl I T en N bet' d > Q U -factor ' Comment
Marcid 2010
2008 Residential Compliance Forms
11/13/2014 11:15AM 8187353575 IPERMIT ERATERS PAGE 02/03
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
r`Fr- r`F-1R-Ai T IR -A-1 NVI Al
rALIFORNIA ENERGY COMMISSION
Presmi five CertWeate of Compliance.- Residential
',CF -IR -ALT
fiesideritial Alterations
a e 5 of 7
Project Nan.
b (� l ,�(} �0.� Cr � C�
iping
'on Tbeunostat
ue Type
Climate Zone it
t! of. Stories
HVAC SYSTEMS - HEATING
Special Features specifred in this checklist below.
,List water heaters and bodersfor both domestic hot water (D). W) heaters and Irydronic
Heating Equipment
T e and Ca aci `,2,'
um Duct or
E eicacy Distribution Insula
or. T�SPP) Type and Location ° R-Va.
iping
'on Tbeunostat
ue Type
Configuration
(Central, Split,
Space, Package or. H droAc
Slab Edge (Pwimetelr) Tusulatiloa ❑ YES ❑ NO
YES: In Climate Zone 16 in, Co7mportent Packages D, R-7 insulation is required.
Heated Slab Tnsulation ❑ YES 17 NO
External Tank
Water Heater Type/Fuel
1. Itdicare Heating Type (Ce7Aral Furnee, Wall Furnace, Heat pump, Boiler, Electric
esistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where
electric heating is supplemental (i.e., if total capacity
2 KFV or 7,000 BnOtr electric heating is controlled by a time -limiting device not ex
eeding 30 minutes). See §151(6)3 exception.
3. Refer to the HERS Yertfleation section on Page 4 of the CF IR --ALT Form for additive
I requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic /it Floor, Radiators, etc.)
Thermal Efficiency
HVAC SYSTEMS - COOLING
1�linumum
Effcienoy
Duct or I
liping
Configuration.
Cooling Equipment
(SEE ER or
Distribution
Insula
'on
Thermostat (Central, Split,
Typeand Ca aci 112
C P)
Type and Location
R-V
ue
Type Space, Package or H dromic
1. Indicate Cooling Type (A/C, ea! um), Evap. Cooling, etc)
2. Refer to the HERS Verification section wiPage .4 of the CF -JR -AJ IT Fonn for additio
i 1 requirements and check applicable boxe,p.
3. Indicate Type or Location sects. H dronlc in Floor, Radiators, etc.
WATER BEATING
Special Features specifred in this checklist below.
,List water heaters and bodersfor both domestic hot water (D). W) heaters and Irydronic
space heating. Individual dwelling DHW heaters must be
gas or propane fired, .Plot water pipe insulation from the DI9'W heater to the kitchen(s)
and on all underground hot water pipes is•required in all
component packages in all climate zones.
Slab Edge (Pwimetelr) Tusulatiloa ❑ YES ❑ NO
YES: In Climate Zone 16 in, Co7mportent Packages D, R-7 insulation is required.
Heated Slab Tnsulation ❑ YES 17 NO
External Tank
Water Heater Type/Fuel
Aistributioo Type
Number In
Tank
Energy Factor or
Insulation
Type.'
(Standard, Recircula ' )
System
a aci al
Thermal Efficiency
R -Value'
1. Indicate 7�pe (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling zozds shall meet the recirculation req
cirements of §I50(n). The ,Proscriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling
Lnits.
3. The external water heating tank and i es shall be insulated to meet the requirements
of $150 l .
SPECIAL FEATURES The enforcement agency should pay special attention to tre
Special Features specifred in this checklist below.
These items may re vire written Jtzsttcadon and documentation and S clal vert (cation
.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiaor barrier rc uirement of § 151, Q2 does not apply to roof alterations.
Slab Edge (Pwimetelr) Tusulatiloa ❑ YES ❑ NO
YES: In Climate Zone 16 in, Co7mportent Packages D, R-7 insulation is required.
Heated Slab Tnsulation ❑ YES 17 NO
YES: Slab edge insulation re rued for all heated slabs in. 4.. Climate Zones. See details
[in. Table .11 S-A, of the standards.
Raised Slab Jusulatiou ❑ YES ❑ NO
I
YES: In Climate Zones 1, 2 11 13 14 & 16 R-8 insulation is require ; in Climate Zon@s
12 & 15 R-4 is required under component Package D.
2005 Residential Compliance Forms I //larch 20) 0
11/13/2014 11.:15AM 8187353575 IPERNIIT ERATERS PAGE 03/03
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
nen nc 40 Al TIU...:.....1 A114A\
CAI IF[1RNIA Pmr:pry CnMMIRSI()N
Prescriptive Certificate of Com liance: Residential.
-CF-1R-ALT
Residential Alterations
` age 6 of 7
Project Name:
Sipature:
Climate Zone #
4 of Stories
o `
or replacement ducts are installed in unconditioned.
space, the ducts are to be sealed per § I52(b) IDii and the oag
Iy installed ducts are to be insulated per § 151(f)10.
Therinal Mass
Credit for the installation of thermal mass, use the Performance
HERS VERIFICATION SUMMARY The egfo cem nt a er)cy Tlrould pay tpeciaf
attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specifed 111
be submitted to the. building inspaetor beforef curl
inspection.
Sipature:
Duet Sealing & Testing HERS verification is required for this measure,
Company:
❑ YES ❑ NO I Es: In Climate Zones 2 and 9-16, if more than 40 linear feet of new
or replacement ducts are installed in unconditioned.
space, the ducts are to be sealed per § I52(b) IDii and the oag
Iy installed ducts are to be insulated per § 151(f)10.
El EXCEPTION: Existing duct systerus that are extended,ich
are constructed, insulated or sealed with, asbestos.
13 YES 13 NO Zms: In Climate Zones 2 and 9-16, if the cxsi.stiog space-conditio
system (HVAC equipment and ducting) is replaced, the
ducts are to be scaled per § 1.52(b)lDi_
❑ YF1S ❑ NO YES: to Climate Zones 2 and 9-16, if the existing fIVAC equipmc.
t is replaced (including the replacement of the air handler,
outdoor coudcusiug unit of a split system, cooling or heating
oil, or the furnace heat ex.chan.ger) the ducts are to be
sealed per § 1.5,2(b)1E.
-Co
❑ EXCEPTION: Duct systems that are documented to have
eeu previously sealed contiu.-med tbrough !ETERS
verlSeation in accordance with procedures in the Referen
a Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet It
unconditioned space.
❑ EXCEPTXON: Eiintinx ducts stems constructed insulate
d or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for tills measure.
to the requirements of Title 24, Parts I and 6 of the Califomia Code of Regulationj.
❑ YES ❑ NO YES: Iv Climato Zones 2 and 3-15, when the existing HVAC equi
ment is replaced (including the replacement of the air
handler, outdoor condeosiog unit of a split system A/C or lie
t pmnp, cooling or heating coil, or the furoate b.cat
exclian er a refrierant char a messwomeor sball be verified
per 152(b)1F.
Central Fan Integrated (CFI) Ventilation System alld "Fan "Watt Dr,
w
Tbc ventilation requirements of 150 o do not apply to existin.e resid atial bomes.
Ducted Split Systems - Air Conditioners and Heat Pgmps: A10ow RE
ver cation Is requiredfor this measure.
❑ YES ❑ NO TITS= In. Climate Zones 10 through 15, when the existing space -co
ditiomng system (HVAC equipment and ducting) is
Te laced, the airflow and fan watt draw shall be verified per
152(b)1Ci. to meet the rc uirements of 151 7B.
Documeiota 'on Author's Declaration Statement
• I certify that this Certificate of. Com 1lanee documentation is accurate and complete.
Nam-.;
Sipature:
Company:
Date:
Address:
If Applicable ❑ ICEA or U CE
(Certification
City/State/Zip:
!'bone:
92 -2 -711(
-Co
v
Responsible tuDdimg Designer's Declaration Statement
• I am eligible under Division. 3 of the California Business and Professions Code to E
ccept responsibility for the building design identified on.
this Certificate of Compliance.
• I certify that the energy features anal performance specifications for the building design
identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts I and 6 of the Califomia Code of Regulationj.
• The building design features identified on this Certificate of Compli.auce are consistent
with the information provided to document this
building design, on the other applicable compliance forms, worksheets, calculation I,
plans and specifications submitted to the enforcement
agency forapproval with this buildiug.pcmit application.
2008 .Residential Comnliance Porins I March 2010