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BPLB2016-007678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BPLB2016-0076 81255 GOLF VIEW DR 44 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/2/2016 Owner: MICHAEL KLEIN 762390027 KLEIN RESIDENCE / WATER HEATER CHANGE OUT $3,795.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 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: C20. C36 License No.: 66863310 Date: 61Z 1 Lo C7 actor. 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 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, 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 Name Lender's 81255 GOLF VIEW DR rz LA QUINTA, CA 92253 E—'—J--� LU C1 ? F_ aw CD Z r= N O �u S Contractor: C HARR150N ENTERPRISES INC I B,&5i NER�L I o 31170 RESERVE DRIVE v THOUSAND PALMS, CA 92276 1 I�� U (760)343-7488 Llc. No.: 686310 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. SS. 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. icant: w srL� WARNING: FAILURE TO SECURE 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 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. Dao (o Z I to Sig�re-(Applicant or—Agent): Su-=�5� 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 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: KLEIN RESIDENCE / WATER HEATER CHANGE OUT CONDITIONS Type: PLUMBING Subtype: Status: APPROVED Applied: 6/2/2016 MFA Approved: 6/2/2016 MFA Parcel No: 762390027 Site Address: 81255 GOLF VIEW DR LA QUINTA,CA 92253 Subdivision: TR 28838-2 Block: Lot: 38 Issued: . Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,795.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 (760)771-2091 Details: REPLACE 75 GALLON GAS WATER HEATER PER 2013 CALIFORNIA BUILDING CODE. FRANCISCO@CALLTHE GENERAli ADDITIONAL SITES CHRONOLOGY CONDITIONS STATE ZIP PHONE FAX EMAIL NAME."1W ....... _..... NAME.... CONTACTS ADDRESS. 1 CITY APPLICANT IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 (760)771-2091 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND I PALMS CA 92276 (760)771-2091 FRANCISCO@CALLTHE GENERAli OWNER MICHAEL KLEIN 81255 GOLF VIEW DR I LA QUINTA I ' CA 1 92253 1 (760)771-2091 FINANCIAL INFORMATION Printed: Thursday, June 02, 2016 7:38:04 AM 1 of 2 1 SYSTEMS INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Thursday, June 02, 2016 7:38:04 AM 2 of 2 sysTEMS CLTD DESCRIPTION ACCOUNT CITY . 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 TOTALS:00 INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Thursday, June 02, 2016 7:38:04 AM 2 of 2 sysTEMS Bin. # CIt}/ Of L a Q UIh � Building 8L Safety Aivision P.O. Box 1504,78-495 Calle Tampico 1.a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 81255 Golf View Drive Owner's Name:. Michael & Barbara Klein ' A. P. Number. Address: 81255 Golf View Drive Legal Description: Contractor: General Air Conditioning � City, ST, Zip: La Quinta, CA 92253 Telephone: Address: 31170 Reserve Drive Project Description: Replace 75 Gallon Water Heater City, ST, Zip: Thousand Palms, CA 92276 Telephone: 760-343-7488 City Lie'. fR: State Lie. # : 686310 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: y NO Construction Type; Occupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Steven Schnierer Sq.Ft : #Stories: #Units: Telephone # of Contact Person: 818-735=7876 Estimated value of project $3,795.00 . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACICTING PERMIT FEES Plan Sete Plan Check submitted item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . T ZIM Calcs. Called Contact Person Pian Check Balance Title 24 Calci. Plans picked up Construction ' 'Floodplain plan Plans resubmitted.'. Mechanical Grading plan 2id Review, ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing 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.I.P.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees STATE OF .CALIFORNIA RESIDENTIAL ALTERATIONS.— WATER HEATER CEC-CF'1R-ALT-01-E (Revised 06114) CERTIFICATE OF COMPLIANCE rPrescriptive Residential Alterations for Water Heater _ CALIFORNIA ENERGY COMMISSION CFIR-ALT-01-E WATER HEATER (Page 1 of 2) A. GENERAL -INFORMATION Site address: God V C w Building Type:ingle Karnily C�welling ❑ Multi Family Dwellings. ' City, Zip Code: L� ��� C 9 2Z 53 Climate Zone: D6 G. WATER HEATING "SYSTEMS Section 150.2(b)IG) 01 02 03 04 05 D6 07 08 09'' 10 . 11' 12 13 14 15 Water Water Water Nof Water Fuel Hated Rated Heating Heating Standby Exierlor Back -Up Central Dwelling Heating Heating Heater Water Heater Type IgpVt . Input Efficiency Efficiency. 'Loss'{%) Insui: Solar . DH%. System Unit DHW System System Type Heaters Storage Type Value Type. Value R,Value Savings D);ttibutlon, System Identification Type in Volume Fraction Type. Distribution system (gal) .. Type Name bi- oru e 1 75 Gras BZ. -1E,CW 1 r,,Jrar X58 $ •N' 4 "N d av�r�1 WATER HEATING SYSTEMS %Nater heating conipllance 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 gallons maximum br instantaneous (tankless) can be used. Dwelling Unit distribution systems are.limited to Standard:trunk and branch or derttand recirculatfori for gas or propane water )teater..Demand recirculation is not allowed for electric water heater. If there is no natural gas. connected to the building; an electric water h.eater:may bwreplaced with another electric water heater. However,, changtngYrolti gas to electric is not allowed. Multi -family central systems must use ce�tifiedequlprpe6k,a4`defibed uhder $ect(on' NOTE: If the proposed Installation • does not `meet the requirements allowed specifically for alterations, use form CF1R-NCB=01 to document the water heater'altecation, Instruction's for sections with column numberaare eiven below: 1. Water Heating System Identification or Name: enter a unique name for the Water Heating System.. 2. Water heating system type: Dptnestic 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. L CERTIFICATE OF COMPLIANCE CRR -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. 5. Water heater volume (gal): tank capacity in gallons. For individuef water heateis for a dwelling unit this will be 60 gallons or less. If instantaneous, entern/a. For multi -family central systems enter the total storage volume; 6. Fuel Type: Gas, Propane, Electric (only if natural gas is not available) 1 ` 7. Rated Input Type: Enter the equipment input rating type, for gas or propane fired units are Btuh, for electric fired. systern the.iJnitsarekW: 8. Rated input Value: Enter the numeric value of rated input. 4• •Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a'•Californla 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 Ingijlation R -Value: Enter the R -value if exterior. insulation on the storage tank is installed ' 13. Back-up solar savirigs fraction: Ilcompliance 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 requlrement applies to any building with eight or more units. If the system Is noncentral or project is individual units enter h1a. 15. Dwelling Unit-DHW Distribotio.n Type, For a Central DHW this field shall be Standard.,lf non -central then pick from Standard, Demand Reeirculation - 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: -oOw•ner" uthorized agent oContractor Signature:-. Company.:,. Ge\,1 • i v = - -Pritractor license >f: 4s $(0310 Address: 311-70 1Z�gexvc lie• Phone: �r,O - 2A 3- -74 88 , City/St'ate/Zip: meows Fla �owv�5, CSA ClZZ7S► Date:' (0 2) Iv For assistance or questions -regarding the, Energy Standards' contact the Energy Hotline at:.1-800-772-33.00. ,. , .