BPLB2015-0055�74Tity
78-495 CALLE TAMPICO ,
LA QUINTA, CALIFORNIA 9225? /�
t COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2015-0055( 1
Property Address: 78830 SUN BROOK LN J
APN: 604291003
Application Description: REPLACE (1) 40GALLON GAS WATER HEATER I
Property Zoning:
Application Valuation: $1,695.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 686310 ��
Date Z Contrac�g��
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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/2/2015
INT4 G V132015
COMMUNIIYDEVOELOPMFNTnM
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(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'
compensati as provided for by Section 3700 of the Labor Code, for the performance.
of the,work for which this permit is issued.
1 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.
7
r-
Da.t' a.X
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:n2 I t J Signature (Applicant or Agee
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
s CALIFORNIA ENERGY COMMISSION
C F 1 R -ALT -01- E
(Page 1 of 4)
Date Prepared: -3);301 1
A. GENERAL INFORMATION
01
02
01
Project Name: -
02
Date Prepared: 330 Is
03
, Project Location: $$,50 L
04
Building Front Cirieriiation(deg or cardinal):
05
CA City: L
06
Number of Mrea,'PZe lling Units:
07
Zip Code: ci ZZ - 5-3-1 ...
08
Fuel Type. fi. #� �� 6 C, S.
09
Climate Zone: i
10
T,otal,Conyditioned Floor -A ea (#,Qj4
11
Building Type
12
SIab,Area(h2)
13
Project Scope: e k G ee_ 'HO GGaX0n11.)ClNeC WeCAerC
'1'� � • '�►� �
Ilk K 1w.
B. BUILDING INSULATION DETAILS (Section 150.2(b)1){
01
02
03
04
05
06 d*�7��67 • 08yf` 09
10
11
Tag ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
`— J P opposed
Required
Comments
�AppendixJA4
continuous
Cavity Insulation
R -value, R -value a U=factor
Reference
U -Factor
Table. TCell
,d-Broduct
1 W
T r. "le
NOTES 5�t v -
• Roof area covered b�uiila ng�;ntegrated phtito aic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applieducoatingsfmust comply wit installation criteria from section 110.8(i)4.
aw. A-'rA ii+ 7"'r Y V d. V. 1�
C. ROOF REPLACEMENT (Prescriptive Alteration, S ion'A50.2(b)1H) �
w
01
02
03
04 ,qb
05\
06
% t0.7oill' 1 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
�
CRRC PPrrrooduct ID
y� umber , x
Type _
R -value:
E cckk,�
jlln ula iA
alb Proposed Minimum Required
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
40, �Rk'`.r '
,d-Broduct
1 W
T r. "le
NOTES 5�t v -
• Roof area covered b�uiila ng�;ntegrated phtito aic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applieducoatingsfmust comply wit installation criteria from section 110.8(i)4.
• f
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: '
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
CALIFORNIA ENERGY COMMISSION
CFIR-ALT-01- E
(Page 2 of 4)
Date Prepared:
D. FENESTRATION/GLAZING AREAS ALLOWED. (Section 150.2(b)1) _ y
04 `` d
01 02 03
w
Alteration Type Orientation Maximum Allowed ft2
Ilk
UL V
E.. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) -*40,r
V4
01
02
03
04
05 .
06
07
0,8
f(
a/' .11
12
13
14
15
Combined
Orientation
Area
Area t
Nee
Maximum%
ti
Exterior
SHGC
Tag/
Fenestration
Dynamic
N, S, W, E, or
Removed
Added
Added
Allowed
Shading
from
ID
Type
Type
Glazing
Roof
ft2
ft4�
Area ft2
U of ctor
U -factor
Source
SHGC
Source
Device
CF1R-ENV-03
rr
.046
0V
V
a
wig
� 'Net Added West;�f.aang"Fenestration�A�ea
�,►
y
-
b
Existing +'Added=gest adng Fenestrafion Area
--
c
Maximum Alictwedd West-facinggti gene �t%ration Area
y
d
Is West -facing Fenestration Area,<�Mraximum*Allowed We-sty-`ffacing Fenestrations
'
e
�,�.,j4k Net Added Feratio Area (all qri ttati_ s)
fEz
sting+AddeF `stration Area (all
orientations)
g
A Maximum �Allowed Fenestration Area (all orientations)
'
h
Is Existing +'Add8edYenestration Area <``Imaximum Allowed Fenestration Area (all
_ orientations)
I NN
u '
Registration_ Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance r " June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: ?8 s-50 su-'0 ; oc:4-- L -r-,
CALIFORNIA ENERGY COMMISSION few
C F 1 R -ALT -01-E
(Page 3 of 4)
Date Prepared: 3 30 15
F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b))
01 02 03 t# '4*
Y
Dwelling Unit Name Dwelling Unit CFA (Ft2) Com *,T,%,
� Ott A`4 .
G. WATER HEATING SYSTEMS (Section 150.2(b)iG) _ V --f
01
02
03
04
05
06
07
08
A, OP
k 10
f1,1%,r
�12
13
14
15
System Identification or (
Name
Watet; eating System
'
Alteration to the Space
q °{
Water
,Y ;fin'
�<Identificatio'n or Name
NHeating
S
Back
Water Heating
Water
Heater
gHeating
Exterior
-Up
Solar
Dwelling Unit.DHW
System
Water
Water
Heaters
Storage
Rated
Rated •,
Identification or
Heating
Heater
-in
Volume
Fuel
Input .1
Input
Efficiency
Ef�fic`ienccy
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
. Type
system
(gal)
Type
Type,
Value
Type
value
Loss,(%)
R -Value
Fraction
Distribution Type
Distribution Type
� �-�
St o��
LI o
N'i r
v
V
ii, �
�s5
�►.'4�
R 8
S� C cedar
H. SPACE CONDITIONING SYSTEMS AND WATER H#EAT%NG SYSTEM IiMULTIFAMILYD FEEING UNITS
01
02 ,
_ 03V
bov
05
06 _
'
w Central Waterzeating
belling Unit
Dwelling Unit:
Dwelling Unit To'taI GFA
t(ft2
System Identification or (
Name
Watet; eating System
'
Alteration to the Space
y
Dwelling Unit Name
,Y ;fin'
�<Identificatio'n or Name
Conditioning System( s)?
Comments
IX
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E Revised 06/14
CERTIFICATE OF.,COMPLIANCE
Prescriptive Residential Alterations
Project Name:'72$30
,rr
CALIFORNIA ENERGY COMMISSION
C F 1 R -ALT -01-E
` (Page 4 of 4)
Date Prepared: '-7.)-3c4S
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT,
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. '' �. K% "
Documentation Author Name:
Documentation Author Signature:
Company:
Signat re Date:
6�.ev�l
7 �o
Address: i
3 l\ -)O \�� exve
CEA/ HERS Certification IdenYificationl(f applicable): "4]!
••
Cis ty/State/Zip:
acv sr✓.�. d o��rn
Phone: VtoV ;
59�Q,''3 43 74rB
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.
Compliance
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of (responsible
designer). pvit�es,3.
That the energy features and performance specifications, materials, componentsand manufact iidfor 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 'Regulations.
4. The building design features or system design features identified on th'i�s"`ClC• ertificate of Compliance are consistent wit Fie information provided on other. applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enfo cement agency''fonapproval with this building permit application.
`a+ \� +a
yk 'l 1� A for building,
S. I will ensure that a registered copy of this Certificate of Compliance shall be made,aava lable with the building permit(s) issued the and made available to the enforcement agency
cop of be included the documentation the builder to the building
for all applicable inspections. I understand that a registered this Certiffiicarte�of Compliance is required to with provides
owner at occupancy. -s F
Responsible Designer Name:
M6
ponsible Designer Signature:
Resim
Company: -'v ,
vzr %r
Daie Signed:' r ;..
Address: Ilk1l&10
License:
City/State/Zip:
Phone:
xxA
For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
i
Registration. Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance - ,June 2014
i
FINANCIAL
DESCRIPTION a w.' .ACCOUNT. QTY; AMOUNT PAID ..,
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
"PAIDyBY,�' - „ ;'.METHOD ��' i� RECEIPT #' , CHECK# ,'
CLTD'BY'
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 `$0.00
'DESCRIPTION . 1 ,:°
'ACCOUNT A
QTY
AMOUNT ;,
L .' PAID,
PAID DATE
PERMIT ISSUANCE f
101-0000-42404
0
$91.85
$0.00
c PAID BY . '
`METHOD.
RECEIPT # ►
CHECK #� „
CLTD BY '.
' Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION "y .. r �'�
ACCOUNT '
QTY
`}_ 'AMOUNT':
" PAID S,
;PAID DATE
WATER HEATER/VENT
101-01000-42401
0
$12.09.
$0.00
PAIDBY,:
.RECEIPT#
M CHECK#
CLTD BY
, A
;DESCRIPTION r'.
ACCOUNT - : ,
Q TY>>'-•
.AMOUNT :'
= 'PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600.
_01
$7.25
$0.00
PAID BY =�' ' ,.`
METHOD s
:. RECEIPT #
CHECK #
CLTD BY:
I Total Paid for PLUMBING FEES: $19.34 $0.00
• ��
Description: REPLACE (1) 40GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 4/2/2015 SKH
Approved:
Parcel No: 604291003 Site Address: 78830 SUNBROOK LN LA QUINTA,CA 92253
Subdivision: TR 23995-1 Block: Lot: 3
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 - Zoning:
Finaled:
Valuation: $1,695.00 Occupancy Type: F Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:. WATER HEATER CHANGE OUT - 40GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES. _ •_i ,
ADr •
• •
•
NAME TYPE NAME- - .. - • ' 'VADDRESS1 r CITY = ESTATE ZIP; PHONE ,h FAX 'EMAIL
APPLICANT. HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE' THOUSAND CA 92276 (760)772-4812
STE A PALMS
CONTRACTOR HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE THOUSAND CA 92276 (760)772-4812
STE A PALMS
OWNER JOHN DEMNY 78830 SUNBROOK - LA QUINTA. CA 92253 ' '(760)772-4812
Printed: Thursday, April 02, 2015 2:29:25 PM , 1 of 2 CRTSYSTEMS
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DESCRIPTION ~
ACCOUNT "" . -
QTY-
AMOUNT =
AM
PAID.
PAID DATE
RECEIPT #
_
CHECK #
,METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
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$91.85
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DESCRIPTION ~
ACCOUNT "" . -
QTY-
AMOUNT =
AM
PAID.
PAID DATE
RECEIPT #
_
CHECK #
,METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00. $0.00 < F
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT 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
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7.
SEQID INSPECTION TYPE. INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE • DATE {"
PLUMBING FINAL** BLD
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Printed: Thursday, April 02, 2015 2:29:25 PM
2 of 2 . CR LJ SYSTEMS
Bin #
City of La Quinta
Building 8I• Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit '#
Project Address: '�g `� 3p �vr� COa�+ L. -v,
Owner's Name: �o�r�emtl
A. P. Number:
Address:L,-1
Legal Description:
City, ST, Zip: -L c- vihA G _CA gzzsai'
Contractor: G
exG a�
Telephone: ne. o C— i Z - y i
.................................
Address: .3 111p \�e-Se.xvC
Project Descr iption:
City, ST, Zip: I oU Z �G` CA C17--L-X.
7Pe (gc e LlooAlb Uo14e_cAer
ne 3 __A
TeleP h —
Telephone: Z 8,8
State Lic. # : 6$6310
City Lie. #•:
Arch., Engr., Designer:
Address:
City, ST, Zip:
�
:TelePhone:
Construction TY Pe: ancY
Occupancy:
State L ic. #•
Project type (circle ne • New Add' n Alter Repair Demo
Name of Contact Person:Si evth
Sq. Ft.:
#Stories:
#Units:
Telephone #.of Contact Person: '9.S k— z_L4) -Qo -76
Estimated Value of Project, f (qS , CAS
APPLICANT: DO NOT WRITE BELOW THIS LINE
11
Submittal Req'd Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical '
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
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 Fee
5
Total Permit Fees
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT