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BPLB2016-0023LICENSED 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.: 686633100 Date: Z Ib Contractor: 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.). ( ) 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 Lender's Address: (760)601-3500 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 work 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 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: 1kO 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 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: Z l� Signature (Applicant or Agent): Ct a 43 VOICE (760) 777-7125 78-495 CALLE TAMPICO 0 D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/2/2016 Application Number: BPLB2016-0023 Owner: Property Address: 80147 VIA TESORO ANDREA HAY APN: 777310025 Application Description: REPLACING WATER HEATER / HAY SHARON 92253 c^c Q Property Zoning: N Application Valuation: $5,450.00 N or O S� Applicant: IE INC Contractor: HARRISON ENTERPRISES 1 o0 DB GEkRA 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 9 0 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.: 686633100 Date: Z Ib Contractor: 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.). ( ) 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 Lender's Address: (760)601-3500 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 work 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 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: 1kO 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 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: Z l� Signature (Applicant or Agent): FINANCIAL INFORMATION 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 TOTALS:• •0 Description: REPLACING WATER HEATER / HAY SHARON Type: PLUMBING Subtype: Status: APPROVED Applied: 2/2/2016 RSE Approved: 2/2/2016 RSE Parcel No: 777310025 Site Address: 80147 VIA TESORO LA QUINTA,CA 92253 Subdivision: TR 31349 Block: Lot: 25 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,450.00 Occupancy Type: Construction.Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 - ADDRESSI CITY Details: WATER HEATER WILL BE REPLACE BY A NAVIEN (NPE-240A-NG) TANKLESS WATER HEATER [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 IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 OWNER ANDREA HAY 92253 FINANCIAL INFORMATION Printed: Tuesday, February 02, 2016 11:00:26 AM 1 of 2 C C7EY SYSTEMS DESCRIPTION ACCOUNT CITY1. AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID.BY CLTD • 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:0-0 INSPECTIONS PARENT PROJECTS ATTACHMENTS Printed: Tuesday, February 02, 2016 11:00:26 AM 2 of 2 C9?WYSTEMS ars.# Permit # Project Address: 80147 Via Tesoro Qq* Of %a Quin: to Building a Safety i)ivlsion P.O. Box 1504,78-495 Calle Tampico 1.a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name:. Sharon Hay A. P. Number: Address: 80147 Via Tesoro Legal Description: Contractor: General Air Conditioning City, ST, Zip. La Quinta, CA .92253 Telephone: 760-771-3233 3:s>x;�w :. Address: 31170 Reserve Drive Project Description: Installing Navien NPE-240A-NG City, ST, Zip: Thousand Palms, CA 92276 ;iTele hone: 760-343-7488 Tankless Water Heater State Lic. # : 686310 City Lie. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephoner Y. `�� ' ' ° State Lic. #:=rte. • �';sys � Name of Contact Person: Steven Schnierer Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:# Stories: #Units: Telephone # of Contact Person: 8.18-735-7876 Estimated Valae of Project: $5,450.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Coles. Called Contact Person Plan Check Balance. Title 24 Cults. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2'a Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:. 30 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 -EC CFIR-ALT-01-E (Revised 09115) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential- Alterations (Page 1 of 6) Project Name: Date Prepared: ltA A. General Information 01 02 03 01 Project Name: 0.6 ;W, 07�08,j 09 02 1 Date Prepared: } a 2 Z Ib 03 Project Location: TSO 14 -7 04 Building Front bi%n5t on'ldeg or cardinal): 05 CA City: LM 06 Number of Altgr d elling.Units: +, LL 07 Zi Code: p CiZZ53 OB - Fuel TYPta.fam3 S 09 Climate Zone: )' 10 To C nsiitibnpd Floor. r#(f'2)' 11 Building Type a C 12 51" : lea(fi2)." 13 Project Scope: L- 1150.2(b)1H' 1 c v k� ems W0.�� i `F ptions to Minimti)rl , g�'tl Solar 1�' eflectance 3 d Mmi_T Thermal or SRI ' B. Building Insulation Details (Section 150.2(b)1) 01 02 03 04 05 0.6 ;W, 07�08,j 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) Proposed �" Required Comments r�. t1 I' Continuous Cad Insulatidn 48 ,- . value -Val 14AppendizJA4 Rejerence ;� U-facto�r�:c, i ble`'� Cell U -Factor 0Sp 09 10 it 12 13 14 X11 a C f. ~R-valu Proposed Minimum Required - ' - N"". V" A - C. Roof Replacement (Section 150.2(b)1H) A i� *% *06 Ol 02 03 04 � c 0Sp 09 10 it 12 13 14 X11 a C f. ~R-valu Proposed Minimum Required s�P'r{Roduct Aged Solar • Aged Solar Tag/ Method of Roof ID rodu D k� E - 1 lMal Solar Aged Solar Thermal SRI Reflectance Reflectance Thermal SRI ID Compliance Pitch xcePion Num ile hype Insula "A Reflectance Reflectance Emittance (Optional) (Max) (Min) Emittance (Optional) NOTES • Roof area covered by buil !pg i0egrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. Liquid field applied ,c In- u t comply with installation criteria from section 110.8(1)4. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: September 2015 k , ,,- i ; i I f, --i I i l i l f�►�!-.� � I i�( i i i t � -; ►�v I` t-�i--;- i i 1 iIf i 111 �I�-{ f � ! i i i �� t I• i�{ i I i� i 1 i j i i�' � i, i 1 1 i i I i i i i l i It il;�li!{Iii k , ilii!;1filiil iij^?ill'ii _Ii I ; � I i }' I �^ I_I � i--_1 { I i i i ` � i _i_► ( � ��I I i ! i ' ,,- i ; i I f, --i I i l i l f�►�!-.� � I i�( i i i t � -; iIf i 111 It il;�li!{Iii x_►1��ii i�iiiiiiii+ ;a_ r ilii!;1filiil iij^?ill'ii _Ii I ; � I i }' I �^ I_I � i--_1 { I i i i ` � i _i_► ( � ��I I i ! i ' sNavieN Premium Condensing Tankless Gas Water Heater • Certified design according to ANSI Z21.10.3/CSA 4.3-2013 standards for both indoor or outdoor installations (with optional Outdoor Vent Kit) • Compatible with 1/2" gas pipe up to a length of 24 ft* (*see Installation Manual for additional Information) • Compatible with 2" PVC vent up to 60 ft** and 150 ft** using 3" PVC vent (**with no elbows) • Gas Input Ranges NPE-150 -120,000 to 18,000 BTUh NPE-180 -150,000 to 15,000 BTUh NPE-210 - 180,000 to 19,900 BTUh NPE-240 - 199,900 to 19,900 BTUh • Hot Water Flow Rate Capacity (*based on 35°F temperature rise) NPE-150 - 6.8 GPM NPE-180 - 8.4 GPM NPE-210 - 10.1 GPM NPE-240 - 11.2 GPM • Dual Primary and Secondary Stainless Steel Heat Exchangers for optimum efficiency and durability • Built-in Control Panel - allows adjustment of temperature settings and displays the operating status and error codes • CS ffnkiff lod Technology - "A" models come included with built-in 0.5 gallon Buffer Tank and Recirculation Ptimp to provide maximum comfort NPE Series Tankless Water Heaters • INTELLIGENT Preheating - recognizes hot water usage patterns to intelligently provide hot water when needed (optional for"s-models) • Temperature Options - available temperature settings for Residential applications range from 98°F up to 140oF with high temperature Commercial mode capable of up to 182°F • Ready -Link Multi -System - up to 16 units can be cascaded together for increased hot water production • Reduced pressure loss for maximum hot water output • Ease of Maintenance and Service - allows for quick removal and simple repairs to waterway components such as the pump, water adjustment valve, and 2 -way valve • Freeze Protection - maintains normal operation daring freezing ambient temperatures down.to -5°F (standard on all models) • Uniform Energy Factor Ratings for NG and LP units NPE-180A/210A/240A - 0.96 UEF (0.97 EF for Canada) NPE-1505 - 0.96 UEF (0.97 EF for Canada) NPE-180S/210S/240S - 0.97 UEF (0.99 EF for Canada) • Compatible with Natural Gas (NG) and Propane (LPG)*** (—requires installation of included Field Conversion Kit by a qualified gas servicer) • Approved for Installations on Mobile/Manufactured Homes • Certified by CSA, NSF 5, AHRI, AB1953 CA Low Lead, SCAQMD (Rule 1146.2 Type 1 - Complies with 14 ng/) or 20 ppm NOx @ 3% 02) • 15 -Year Heat Exchanger and 5 -Year Parts Warranty (Residential) 8 -Year Heat Exchanger and 3 -Year Parts Warranty (Commercial)**** (•••• see Navien Limited Warranty) • Optional accessories are available (see below) Specification Sheet 0 Sleek Design - Compatible with Y' PVC Vent and 1/2" Gas Pipe ®co® Diagnostics Up Information p : Down Reset ---- Power ON/OFF Built-in Control Panel with Diagnostics Indoor and Outdoor 'Intake Cap do Venting Options Coupling - 2' Pipe f Non -Direct Vent (Indoor) Outdoor VentCap— { Non -Direct Vent (Outdoor) LSf ��j ;)ENERGY STA Job Name: Location: Engineer: Wholesaler: Contractor: Model No.: Submitted to: a®�a06%. 4" afflp� O�� Remote Controller Plumb Easy Valve Set (3/4') Condensate Neutralizer Ready -Link 3" Vent Termination Caps NR•2000 (30009323A- Lead Free) (GXXX00124 -Single Unit) Communication Cable Outdoor Vent Kit External Pump Wire and Wall Flanges (30009757A) (30012561 A • for Pipe Cover) (GXXX001324 • Up o 6 Units) (GXXX000546) (30010604A) (GXXX001319) (GXXX3873B) (GXXX001325 - Up to 16 Units)