BPLB2015-002178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tjht4'4QuiKrcv
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2015-0021
Property Address:
51775 AVENIDA CORTEZ
APN:
773152013
Application Description:
GENERAL AIR/DONAHUE/REPLACE (1) 40 GALLON GAS WATER HEATER
Property Zoning:
LA QUINTA, CA 92253
Application Valuation:
$1,986.00
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: 686310
C�
Date: 2- I 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. . BAP.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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/9/2015
Owner:
MARILYN DONAHUE
51775 AVENIDA CORTEZ
LA QUINTA, CA 92253
8 �
z
Contractor:CU
HARRISON ENTERPRISES INC D
m II
gq.,
31-170 RESERVE DRIVE STE A
- �
CIO
THOUSAND PALMS, CA 92276
S
ry
m D
_O
(760)343-7488
c"
Llc. No.: 686310
z
H
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
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: Z- q vs 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 lb Signature (Applicant or Agent):
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS AIR
CEC-CF1 R -ALT -01-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: SI -7-)S .Avr-r.:c o- CCN-CA�r'7 Date Prepared: Z g/15
A. GENERAL INFORMATION
01
02
01
Project Name:
05
02
Date Prepared: �� �- 4 ► S
03
Project Location:
' Av e.Co c
04
Building Front Orieniatlon'(deg or cardinal):
OS
CA City;
L a Qu o11
06
Number of AIte e8- elling Units: O
07
Zip Code:
gZZs 3
08
Fuel Type. 'N4,,
09
Climate Zone:
I S
30
TOtalCondll;Poned FloorAFea (ft2);)
11
Building Type
Compliance
12
Siab,A�rea (ft2) A%,3
13
Project Scope:
O Gc..110l-% wwvec
Reflectance
M. ,.,VkA ""
A 1 '10
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 ,`� !� �`�07 08*f !tQ9
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Proposed p*
Required
Comments
4Apppendix1A4
Continuous
Cavity Insulation 6:S7
R -value R -value e) U fi ctor
Reference
LI -Factor
Table; Cell
Roof
-
CRRC Prr�oduct ID
D k
vtr �% 0 ti.r _
,w11%k
Thermal
SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
(to {Number xep,oduct
Type _
,Insulation
Reflectance
Reflectance
Emittance
e Ar'% V r? R V -A V\ -,P
C. ROOF REPLACEMENT (Prescriptive Alteration, Seectin�150.2(b)1H) *2'0
�
01
02
03
04
05;x, `'
06
-07,*V 08 1 09 1 10 11 12 1 13
�
•
R value
Proposed Minimum Required
Method of
Roof
CRRC Prr�oduct ID
D k
Initial Solar
Aged Solar
Thermal
SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
(to {Number xep,oduct
Type _
,Insulation
Reflectance
Reflectance
Emittance
(Optional) Reflectance Emittance (Optional)
NOTES
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
Liquid field oatingsYmust
• applied comply \ thh*installation criteria from section 110.8(i)4.
�c w►
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: I Date Prepared:
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1)
01 02
04
03 4 ,
Alteration Type Orientation
i. 4+* b
Maximum Allowed ft2 Comm4 ents
I5 r As
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) 1�zo
44%,
01
02
03
04
05
06
07
Q8 �
�,' . 09
*# 11
12
13
14
15
#
/ !
Combined
Orientation
Area
Area <
Net
Maximum
Exterior
SHGC
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or
Removed
Added
Added
Allowed}
Shading
from
ID
Type
Type
Glazing
Roof
ft2
Area ft2
factor
U -factor
Source
SHGC
Source
Device
CF1R-ENV-03
}ft2
`
�A
1
t V4,
a
Net Added 11es_t 1 c g eF nestrati0 ai
b
Existing + Added Fens rat o*�ANrea
4;1�Vss�t-,faang
.VISN
c
Maximum AA.Ilrowe-dWest-facings eene'st�rraation Area
e
d
Is West -facing Fenestration Area < M// aximumN*Allowed Westtfacling Fenestrations
e
a Net Added Fe,`,Vtration Area (all o; rtions)
f
.,vesting + AddediFestration Area (all onei t'at ons)
g
Maximum Allowed F nestration Area (all orientations)
�� a
h
Is Existing+Ad�ded,Fenestration Area < Maximum Allowed Fenestration Area (all
IN _ orientations)
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS o'
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT=01-E
Prescriptive Residential Alterations (Page 3 of 4)
Project Name: S1-7"75 Av. r_nidc Co.-kGz Date Prepared: 2-1 -, I I'S
F. SPACE CONDITION[NG(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b))
01 02 03
Dwelling Unit Name Dwelling Unit CFA (Ft2) Comments**
�. w o ff.
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) V=V IM
01
02
03
04
05
06
07
08
^1011
b elling Unit
1 V12
13
14
15
System or
Name 0,_*rldentification
,tWater;Heating System
Alteration to the Space
q of
Water
,(ft2)
w
or Name
Conditioning System(s)?
(
Back
Water Heating
System
Water
t
Heater
�
Rated
"`��� "`
Heating
fHe�
Exterior
-Up
Solar
Dwelling Unit DHW
Water
Water
Heaters
Storage
Rated
�t 4�;
g
Identification or
Heating
Heater
in
Volume
Fuel
Input
,%&put-
Efficiency
��rErfficiency
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Typeti
-k Value
Typed
r,}FValue
Loss,
R -Value
Fraction
Distribution Type
Distribution Type
H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS IN' V—MULTIFAMILY DWELLING UNITS
'MM -V
*4'7%l '%_° ^ V - rf
Ol
02 .•
k 03'!k.x'04'`
05
06
Central Water -Heating (
lldentification
b elling Unit
Dwelling Unit:
Dwelling �Unitfotal GFA
System or
Name 0,_*rldentification
,tWater;Heating System
Alteration to the Space
Dwelling Unit Name
,(ft2)
w
or Name
Conditioning System(s)?
Comments
r V
I
#V
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA ' 0
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: SI -7-7,S Al e -v, ,-A,. rf,-4, Z Date Prepared: z 1 ,:, j 15
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. K V
Documentation Author Name:
Sc
Documentation Author Signature:' ]�
Vol
S,.t, vz--
�v eh lr.r� ere
;; 0" 1.-,
Company:
-,e-
Signature Date: o`►� `%=O .
E:Y\ erc-' A, rc� i k ozo
I s � !
Address:
3lt-70 �eservc
CEA/HERS Certification ldentificationt(ifapplicable): 'I,
City/State/Zip:
Ims CA gZZ'7to
Phone:
���?.:, + '�'+g� '0140
RESPONSIBLE PERSON'S DECLARATION STATEMENT+
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.►
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibiyi for the building de�slg- or system design identified on this Certificate of Compliance (responsible
designer). �Y
3. That the energy features and performance specifications, materials, compone `ts, and�manufacturd 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 the California Code of 'Regulation10.
VVs
Certificate documents,
4. The building design features or system design features identified on this of Compliancetare consistent wiith,tttie information provided on other applicable compliance
worksheets, calculations, plans and specifications submitted to the enforcement ageric) f16Upproval with this building permit application.
* W 19 `ti' V A'W
for building,
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made avai abl: with the building permit(s) issued the and made available to the enforcement agency
for inspections. I copy Certificitehf Compliance is eifto be included the documentation the builder to the building
all applicable understand that a registered of this with provides
(r�eqruf�
owner at occupancy. 't moi`
Responsible Designer Name: v
Responsible Designer Signature:
Company: 'ti+ jR"�, � " �
Date Signed:
Address: v�L�
License:
City/State/Zip:�"'ti,"� �{} �``�'
Phone:
'N
For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: t Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
FINANCIAL .1.
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 forBUILDING 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: $112.19 ii
Description: GENERAL AIR/DONAHUE/REPLACE (1) 40 GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 2/9/2015 SKH
Approved:
Parcel No: 773152013 Site Address: 51775 AVENIDA CORTEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 29 Lot: 1
Issued:
UNIT 2
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,986.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT- 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX'
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(
FINANCIAL INFORMATION
Printed: Monday, February 09, 2015 2:11:22 PM 1 of 2 CRlll/
CYSiF M.0
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404 1 0
1 $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 forPLUMBING FEES: $19.34 $0.00
TOTALS:$0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
PLUMBING FINAL"
PARENT PROJECTS
Printed: Monday, February 09, 2015 2:11:22 PM 2 of 2 C§?w
CV.CiFMS
Bin f1 Cray. 0f LQ Quill to .
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
PcrmiPermit # .
t La Quinta, CA 92253 - (760) 777-7012
nr Building Permit Application and Tracking Sheet
Project Address: .51 -72-s
Owner's Name: ar Uo v�
A. P. Number:
Address: 17 7S Aveh \da CC-4C2-
C-4C2Legal
LegalDescription:
City, ST, Zip: Lc-- C A Cl 2Z5 3
Contractor: G 1 �' e`\ �•
Telephone:
`>'«:;;;:;;s<s:•:;::•;•;.:;.;::.:..<::s::
Address: 31�,p
Project.Description:
City, ST, Zip: .lhcusc� t'c\ms CA �tZZ�lo.
1aG� O C.J).Aer geC4ex-
Telephone: —)60-343- 79 �-8'
State Lic. # : 0(0310
City Lie. #:
-
Arch., Engr., Designer:
Address:
City., ST, Zip:
Tele hone:
Construction Type: Occupancy:
State Lie. #•
Project ct �P (circle one) New n Alter. taP 'u Demo
Name of Contact Person:
Sq. Ft.:'
#Stories:
# Units:
Telephone # of Contact Person:.
Estimated Value of Project: l $L ,
# Submittal Rcq'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Itcm
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Titic'24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'4 Review, ready for corrcctionslssue
Electrical
Subcont actor List
Called ContactPcrson
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'r°Revview, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees