BPLB2016-000178-495 CALLE TAMPICO Twit D 44� Qum&
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0001
Owner:
Property Address:
53677 VIA BELLAGIO
JOHN MAVREDAKIS
APN:
777170009
83 CREST ROAD E
Application Description:
MAVREDAKIS / 75GALLON GAS WATER HEATER
ROLLING HILLS, CA!
Property Zoning:
Application Valuation:
$2,645.00
Applicant:
IE INC.
32115 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.: 686310
Date: ( S 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).:
(_) 1, 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:
i 111111 11111 1111 111179
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
HARRISON ENTERPRISw S I
31170 RESERVE DRIVE�
THOUSAND PALMS, CA 9.
(760)601-3500
Llc. No.: 686310
016
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., 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: I g Applicant:5
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 ATTORNEYS 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: I B 1 Signature (Applicant or Agent): � �� �`—
FINANCIAL •1•
DESCRIPTION ACCOUNT
CITY 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
CITY
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
CITY
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:00
Description: MAVREDAKIS / 7SGALLON GAS WATER HEATER
CONDITIONS
NAME TYPE
Type: PLUMBING Subtype:
Status: APPROVED
Applied: 1/8/2016 SKH
Approved: 1/8/2016 SKH
Parcel No: 777170009 Site Address: 53677 VIA BELLAGIO LA QUINTA,CA 92253
Subdivision: TR 29894-2 Block:
Lot: 321
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $2,645.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: WATER HEATER CHANGE OUT- 75GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
OWNER
JOHN MAVREDAKIS
83 CREST ROAD E
ROLLING HILLS
I CA
1 92253
Printed: Friday, January 08, 20161:33:01 PM 1 of 2
R�sYsTEms
Printed: Friday, January 08, 20161:33:01 PM 2 of 2
)SYSTEMS
` _
_
CLTD�
DESCRIPTION
ACCOUNT
QTY
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
Printed: Friday, January 08, 20161:33:01 PM 2 of 2
)SYSTEMS
B►° #
Qt. of4 Quints
Building ff Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
( Building Permit Application and Tracking Sheet
Permit #
'0
Project Address: 53677 Via Bellagio
Owner's Name:. John & Christie Mavredakis
A. P. Number.
Address: 83 Crest Road East
Legal Description:
City, ST, Zip: Rolling Hills, CA 90274
Contractor: General Air Conditioning
Telephone: 310-544-4405
Address: 31170 Reserve Drive
Project Description: Replace 75 Gallon Water Heater
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
`,>:•
State Lic. # : 686310
City Lie. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephoner Y' '`,, °' `°
State Lic. #:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of Project: $2,645.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Reed
TRACKING PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mecharilcal
Grading plan
2s4 Review, ready for corrections/issue
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
X�[
SEC-CFIR-ALT-01-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION '"F"
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 6)
Project Name: Date Prepared:
A. General Information
01
02
01
Project Name:
02
Date Prepared: I do
03
Project Location:- )% O►
04
Building Front Oien qt on (deg or cardinal):
OS
CA City:
06
Number of Alt rgc3'•gwe ling Units: `" 1
07
Zip Code:
08
Fuel Type: ` , 6
09
Climate Zone:
10
Tool Conditioned Floor, (3
11
Building Type
12
SaL�A"e'a{ 2)'
13[Project
Scope:
I epi cmc.&- `ZS G0.,LoY,:E•..ia-�e:i eaY'
1'�4
ageetions to Min m� . eed Solar
eflectance dnd MlniWum Thermal or SRI
150.2(b)1Hi'Y
el's I.4r-Se low -N, -
B. Building Insulation Details (Section 150.2(b)l)
01
02
03
04
OS
06 4 07 Q8 g ' 09
10
11
Tag/ID
Assembly Type
Frame
I Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Proposed 4
Required
Comments
Continuous
Cav Insulation%
value „%,_ vAq, U-factoii�,,J
Appendix JA4
Rgference
U -Factor
Cell
09
10
11
12
13
14
C
Proposed
Minimum Required
Aged Solar Aged Solar
C. Roof Replacement (Section 150.2(b)1H)
"
1
1
01.
02
03
04 05T,
06
0
08 r
09
10
11
12
13
14
C
Proposed
Minimum Required
Aged Solar Aged Solar
roduct
R-valu ea
uc�
Tag/
Method of
Roof
ID
pro`
Deck
lath I Solar Aged Solar Thermal SRI
Reflectance Reflectance Thermal
SRf .
ID
Compliance
Pitch
„(Exception Nunn_ l
�fy'pe
InsuIR".
Reflectance Reflectance Emittance (Optional)
(Max) (Min) Emittance
(Optional)
NOTES ((
• Roof area covered by laing,i; tegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
31t
• Liquid field applied comply with installation criteria from section 110.8(i)4.
1
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
R_f
;EC-CFIR-ALT-01-E (Revised 04/15) CALIFORNIA ENERGY COMMISSION'
CERTIFICATE OF COMPLIANCE MR -ALT -01-E
Prescriptive Residential Alterations (Page 2 of 6)
Project Name: Date Prepared:
D. Fenestration/Glazing Allowed. Areas and Efficiencies (Section 150.2(b)1)
01
02
03
04
05
06
07
Maximum
Allowed
Maximum
Allowed West-
Existing Existing West -00
�C
Fenestration
Area for All
Facing
Fenestration
Fenestration Facing
Area for All Fenestration
Maximum Maximum
Allowed Allowed
Maximu
l�cvt�
Mawmum`
Allowed9
k
�
Alteration
orientations
Area Only —
Orientations Area
U -factor U factor
SHGC.
Type
(ft)(ft?)
(ft)Wy
(Windows) (Skylights)
(( 11 ows)
(Sky,J,M15
Comments
�y,� n
;n p
?
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Septernber2015
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
Pi
CEC-CFIR-ALT-01-E Revised 09145 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF11R-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 6)
Project Name: Date Prepared:
E. Fenestration/Glazing Proposed Areas and Efficiencies — Add (Section 150.2(b)lA)
01 02 03 04 05 06 07 08 09
10 0
i 12 13 14
Tag/ID
Fenestration Type
Frame
Type
Dynamic
Glazing
Orientation
N, S, W, E
Number
of
Panes
Proposed
Fenestration
Area (ft)Area
Proposed
West Facing
Fenestration
(ftZ)
Proposed (
U-faol
ource
Pr setl
Source
Exterior
Shading
Device
Combined
SHGC from
CF1R-ENV-03
"_
AN .
—N
15
Existing + Proposed Fenestration Area
16
Maximum Allowed Fenestration Area
9'
ok ��
'
17
18
Compliance Statement'I
Existing+ Proposed West -Facing Fenestration Area
As.
19
Maximum Allowed West Fenestration Area
20
Compliance Statement
21
Proposed Fenestration U -factor (Windows)
22
Required Fenestration U -factor (Windows]
23
Compliance Statement
rp
24
Proposed Fenestration SHGC (Windows)
i
25
Required Fenestration SHGC (Windows).
26
Compliance Compliance Statement `
27
Proposed Fenestration U -factory A g ) 4.A 1111'
28
Required Fenestration UTIoo(S�ylights)
*'
29
Compliance StatemelF
r>
30
Proposed Fest atibn SHGC (Skyligh
>o iw v
31
Required Ferikration SHGC (S; ylights)
32
Compliance Statement % O
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015
s
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE _ CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 6)
Proiect Name: Date Prepared:
F. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2M16)
01 02
03
04
05
06
07 08 9
10
1
12
13
14
Area
Area Net_Exterior
Combined SHGC
Tag/ Fenestration
Frame
Dynamic
Orientation
Removed
Added Added Proposed`P'roob3ed
A
Shading
from
ID Type
Type
Glazing
N, S, W, E
(ftz) -
' (ft2) Area.(ft?) -U-factor
Source;
'r:SHGC
q5o ii Fie
Device
MR -ENV -03
15 Net Added West -facing Fenestration Area
16 Is Net Added Fenestration Areas 0 for west -facing fenestration?'
17 Net Added Fenestration Area (all orientations)
18 I's Net Added Fenestration Area S 0 for all orientations?
19 Proposed Fenestration U -factor (Windows)
20 Required Fenestration U -factor (Windows)
21 Compliance Statement
22 Proposed Fenestration SHGC (Windows) }
23 Required Fenestration SHGC (Windows) ga
24 Compliance Statement
25 Proposed Fenestration U -factor (Skylights) 1
26 Required Fenestration U -factor (Skylights)
27 Compliance Statement' s
28 Proposed Fenestration SHGC (Sky/s
29 Required Fenestration U-fa%ooiFs(Sky�hts)
30 Compliance StatementQ„P N�
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
September 2015
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
F
CEG-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION "W1
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Residential Alterations, (Page 5 of 6)
Project Name: Date Prepared:
G. Space Conditioning (SC) Systems - Heating/Cooling (Section 150.2(b))
01 02 03'
Dwelling Unit Name Dwelling Unit Total CFA (ft) Comments
H.. Water Heating Systems (Section 150.2(b)1131
Ol
02
03
04
05
06
07
08
09
10' 11 0,tk.
Dwelling Unit:
Alteration to the Space
Conditioning System(s)?
13
14
15
Water
4 of
Water
Heating
Water
Water
Heater
,
,lo
Back -Up
Central DHW
Dwelling Unit
System
Heating
Water
Heaters
Storage
Rated
Rated
��M4 ng
Heating
Exterior
Solar
System
DHW System
Identification
System
Heater
in
Volume
Fuel
Input
Input
cien�cyy
��pfpp
Efficiem- tandby
Insul.
Savings
Distribution
Distribution
or Name
Type
Type
system
(gal)
Tye
Type
Val ey
tiype
a U[a111„ - Loss (9a)
R -Value
Fraction
I Type
I Type
Dial)
S\- %-LI
I
I 7S
I Gas
. i3hv1.
,A. V, )AI
Cc kstm
51rQ11J1V=V_a
w
1. Space Conditioning Systems and Water Heating Systems�in IVINJtifamity D eTiN nit
01
02
:a3t;a,
, 04 W+ -
05
06
Dwelling Unit Name
Dwelling Unit Total CFA
(ft)'
tal Water Heatin
> 151 0-s IentificatiS o.
• Na
Dwellin . '
WaterMMeaa ng System
IdenIdentification or Name
Dwelling Unit:
Alteration to the Space
Conditioning System(s)?
Comments
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards -2013 Residential Compliance September 2015
STATE OF CALIFORNIA
:RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 6 of 6)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Docu ntation Author Name: -
Documentation Author Signature: it,�
Company. -
Signatu e D te: _
Address:
- CEA/ HERS Certification identili` Con�j'if40 kable): .
t'
ptY/State/Zip:
11nov CA Ci227L-
Phone:
7�__.,y3 >'42,9
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certifythe following under penalty of perjury, c�
p ty j ry, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct. �
2. lam eligible under Division 3 of the Business and Professions Code to accept responsibility fo th building�designn m design identified on this Certificate of Compliance (responsible
designer).
�
3. That the energy features and performance specifications, materials, component,danufactured dev -' s or the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of thejglifornia Code of R�ggu' llkiotl�
4. The building design features or system design features identified on this ertiae of Cornplian •e aheel6nsiste with t e�'i formation provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to thee rs $'cement agenc�f r�appr al with Is bui . in�g,-hermit application.
Fid.`.? b i1
.
S. I will ensure that a registered copy of this Certificate of Compljanee�� a made ava lU.Vith the buildin. r Itis) issued for the building, and made available to the enforcement agency
of�2Kis building
for all applicable inspections. I understand that a registere o Certificat Compliance is regtti ed ta=be included with the documentation the builder providesto the
ownerat occupancy.
Responsible Designer Name:
Res nsi le;. igner Signature:
Company: ..q
04 n
Signed:
it
Address: G.�
License:
City/state/zip:
Phone:
NZAQ
'assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-,800-772-3300
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015