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BPLB2016-00877• Application Valuation: $33,000.00 Applicant: HARRISOWENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20. C36 License No:: 686,310/I� Date:�/ ' Contractor: s&L -14 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, after, 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 ) 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: � c9 c–• C� �. N{.Il•��il/ VOICE (760) 777-7125 78-495 CALLE TAMPICO 31170 RESERVE DRIVE 0 D . LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 (760)343-7488 MV COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/13/2016 Application Number: BPLB2016-0087 Owner: Property Address: 48290 PASO TIEMPO LN LN HELEN LABAYNE APN: 646360016 25 FLORENCE LN Application Description: Property Zoning:. LABAYNE / REPIPE HOUSE AND CHANGE OUT WATER HEATER PALM DESERT, CA 32253 L= Application Valuation: $33,000.00 Applicant: HARRISOWENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20. C36 License No:: 686,310/I� Date:�/ ' Contractor: s&L -14 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, after, 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 ) 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: WORKER'S COMPENSATION- DECLARATION I hereby affirm under penalty of perjury one of 4he following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 -:)f the Labor Code, for the performance of t`h� 1wor�k 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: Polity 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 thalL if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 o, Date: 1 Applicant: �J !�— WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERACyF IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00[). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKN OVrLEDG EM ENT 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 th.e 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 representatves of this city to enter upon the above-mentioned property for inspection purposes. Date: V7Signature (Applicant orAgent): A"kA u , � c9 c–• ® C-- Contractor: �o , L HARRISON ENTERPRISES INC DBAgE�ER I IR 31170 RESERVE DRIVE rn Q THOUSAND PALMS, CA 92276 m o an rn (760)343-7488 MV Llc. No.: 686310 WORKER'S COMPENSATION- DECLARATION I hereby affirm under penalty of perjury one of 4he following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 -:)f the Labor Code, for the performance of t`h� 1wor�k 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: Polity 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 thalL if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 o, Date: 1 Applicant: �J !�— WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERACyF IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00[). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKN OVrLEDG EM ENT 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 th.e 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 representatves of this city to enter upon the above-mentioned property for inspection purposes. Date: V7Signature (Applicant orAgent): A"kA u , FINANCIAL • ' + • + _ , `DESCRIPTION , ACCOUNT ;'•,` y "QTY • AMOUNT `'t a.' PAID ' 'PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 T?' y a nPA1D BY .°'' <r ;t METHOD £` RECEIPT # ,1 CHECK # `CLTD BY.' Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 zt• DESCRIPTIONm ACCO NT- QTY i r* AMOUNT` _ PAID ' ° ' PAIDDATE' PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 tPAID. BY ; �'- METHOD ; RECEIPT # ' _, CHECK # CLTD.BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY�AMOUNT x PAID' '` }PAID`DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 ' PAIDBY e' METHOD _ RECEIPT # W P E CHECK # t •g yCLTD BY .; DESCRIPTION; 4° f C: s ,ACCOUNT r ;r Q TY AMOUNT `.. -PAID::'.- I PAID,DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID;BY "n` w METHOD bf x xaRECEIPT# x CHECK #w CLT D BY y' DESCRIPTION �� i ACCOUNT._'�y� ::.QTY ` r'.AMOUNT� PAID,-'<<�_- 'PAID OATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $169.26 $0.00 $ „ "PAID BY METHOD ?.RECEIPT # CHECK V"'(11D BY°'.'a DESCRIPTION P :: ..'Y; f e,ACCOUNT QTY• AMOUNT, _ PAID PAIDf DATE; WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $169.26 $0.00 PAID BY "- �': ' METHOD:S RECEIPT # CHECK #A CLTD BY Total Paid for PLUMBING FEES: .$357.86 $0.00 TOTALS:00 Description: LABAYNE / REPIPE HOUSE AND CHANGE OUT WATER HEATER Type: PLUMBING Subtype: Status: APPROVED Applied: 6/13/2016 SKH Approved: 6/13/2016 SKH Parcel No: 646360016 Site Address: 48290 PASO TIEMPO LN LN LA QUINTA,CA 92253' Subdivision: TR 27840 Block: Lot: 29 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $33,000.00. Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 - — ZIP Details: PLUMBING- REPIPE HOUSE AND CHANGE OUT (1)75GALLON GAS WATER HEATER. [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. , CHRONOLOGY' NbITIONS CONTACTS 'rola: ,`•','brut np " '' innoi.i���„ ry , ,; uiytW'w, n ..���ui s , u.,,,,w,�, ,....,, ,. ...,,,., ...... ..r :,,.... - ,r+..,�.. ., ,- . s c +NAME TYPE n �.NAME,,ADDRESSl . "` CITY `= r _ - $TATE - — ZIP - PHONE - - FAX~ EMAIL �3 APPLICANT HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA 92276 FRANCISCO @CALLTH E. GENERAL AIR PALMS GENERAL.COM CONTRACTOR HARRISON ENTERPRISES INC_ DBA 31170 RESERVE DRIVE THOUSAND CA 92276 FRANCISCO@CALLTHE GENERAL AIR PALMS GENERAL.COM - OWNER HELEN LABAYNE 25 FLORENCE LN PALM DESERT CA 92253 �:i 77777'.c.cFsE_ : w, . ' a...:.. e ='rr fi • e{,� wr •";N.�.3> e k; .ftx4.y .e{' . F .�:CP 4 ;. W . N '"m•r.. : Pyern."i 4. ""'.7"..^.w" :t OT,,. .. AMOUN.T `P^Az I.kD✓... § AID.: )ATE ' RECEPT# CHECK # METHODDESCRIPTION PAID BY-, r x ,.4 .F. r$ BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $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 - WATER SYSTEM 101-0000-42401 0 $169.26 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $169.26 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $357.86 $0.00 • •� .. ... . :.r INSPECTIONS .c E PARENT PFtOJ CT Printed: Monday, June 13, 2016 2:14:57 PM 2 of 2 Cff?wsysTrm,s BOND INFORMATION .. •ATTACHMENTS Printed: Monday, June 13, 2016 2:14:57 PM 2 of 2 Cff?wsysTrm,s CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE�Ol i310� BY c - CD Jed �t� � A •;'�,�� 9" bdrru 111 00 Due_ STATE OF.CALIFORNIA RESIDENTIAL ALTERATIONS — WATER HEATER CEC-CFIR-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT=014 WATER HEATER Prescriptive Residential Alterations for Water. Heater (Page 1 of 2) A. GENERAL INFORMATION Site address: T o PQ Building Type: Single Family Dwelling o Multi Family Dwellings City, Zip Code: - Climate Zone: Aft, G. WATER HEATING SYSTEMS Section 150.2 b 1G 01 02 1 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 -Value Savings Distribution System Identification Type in Volume Fraction Type Distribution or system (gal) Type MN�a� (m�ef /j � /y� Q WATER HEATING SYSTEMS Water heating compliance 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 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 central3ystems must use certified equipment as defined 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 CF1R-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 riumber of water heaters. 5. Water heater volume (gal): 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 isnot 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 SysternJor multi -family buildings with using a central distribution system a demand recirculation system with at least two distribution loops must be installed. This requirement applies to 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: o0�er Authorized agent icontractor Signature: a( Company: VNkAr- CLI Contractor license #: USLP Address: lSl�'ZS7^ Phone: City/State/Zip: T 0 CC VAA a- ca ( R q22 7 LP Date: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Bin.# City 0 illntd Building iii• Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �✓f�l.(�Z�f (o ` Project Address: �' d 1 Q e Owner's Name:. A. P. Number: Address: D -)-q P MA Legal Description: Contractor: tew_'kIN(Lly,�� City, ST, Zip: til qS 3 �/.�C•GY�4.iQY•� .5,. Telephon bio• Hca, 3S hazz3 Address: - , Project Description: �� Q City, ST, Zip: d �l Telephon : = State Lie. #: City Lie. #;q-1 Y OF LA QUIN Arch., Engr., Designer. • Address: APPROVED City,, ST, Zip: Telephone: State Lie. #: �, � i'~�'' •� • v. Name of Contaet Person C .Q_ G �� Constn 2616Oc9Xz) S.W1. U . Project pe cryo a one): New n er eparr emo Sq. Ft.: # Stories: # 1Inits: Telephone # of Contact Person. -ROD -15(0-1 - C41 q I Estimated Value of Project: 3 00 0 • C) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING FERMrP FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Delposit. Truss Calcs• Called Contact Person Pian Check Balance Tide 14 Cates. Plans picked up Construction Flood plain plau Plaits resubmitted.'. Mechanical Grading plan 1'" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'id Review; ready for corrections!issue Developer ImF act Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees