BPLB2015-005278-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2015-0052
Property Address: 55516 FIRESTONE
APN: 775151078
Application Description: HEARN REPLACE 40 GALLON GAS WATER HEATER
Property Zoning:
Application Valuation: $1,750.00
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* y 2 �% Contracto'-��
41
W!"i 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.).
(1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/2/2015
Owner:
DONALD EATON HEARN
4 TOP
CHEL RD,b%1824 a
APR ® 2 20151
Contra tor. CITYOFLAOUINTA
HARRI Q,dUkNITJ ?ffiIMIIN'0DEA DENT
31-170 IVE 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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
oo 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.
Da�te„5 4, 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.
Signature (Applicant or Agg Ste* �� �l
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION y
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: 1c, (-, t-- 11 - C% -4-.v%,- Date Prepared: 31-3c)) I C-
A. GENERAL INFORMATION
01
02
01
Project Name:
05
02
Date Prepared: 15
03
Project Location:
SSS (o 0
04
Building Front Orieritation(deg or cardinal):
05
CA City:
La.
06
Number of Alferpa pwelling Units: r` y
07
Zip Code:
Ct2'LS3
08
Fuel Type, �[ a Q,,�, ' N a4 .Gr- S
09
Climate Zone:
{ y'"
30
Tp6l,Conditioned Floor -Area (ft2):'�
11
Building Type
Insula
12
slab A�rea-(ft2) *`
13
Project Scope:
\e,C� �Ip G elan LWAsi
Wee- -r 1
1171' —W v
H \1 :'
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 qe`ll 7 1 0811 %09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
�Prop"osed ►y
Required
Comments
Continuous
Cavity Insulation
R -value R -value �+ a Q_' ctor
AppendixJA4
Reference
LI -Factor
Table. Cell
CRRC Product ID
DeckInitial
'on
Compliance
Pitch
Exception
(4 i�Number ,Orploduct
Type
Insula
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
.At w
o ff XV Pit W% *,P
C. ROOF REPLACEMENT (Prescriptive Alteration, Set ib n150.2(b)1H)� IRV
01
02
03
04 #
05�
06
W t0.7o* I 08 I 09 10 11 12 13
R -value �.
IMS Proposed Minimum Required
Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC Product ID
DeckInitial
'on
Compliance
Pitch
Exception
(4 i�Number ,Orploduct
Type
Insula
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
P1�
� � ... X41 4
•r /•. '}\�r
7` ..
+ Vii a\
NOTESRoof
area covered bybF diy g ntegrated photo�olta anVVels and solar therma411panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatmgirmust comply wiih�installation criteria from section 110.8(1)4.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS -
CEC-CF1R-ALT-01-E Revised 06/14 r CALIFORNIA ENERGY COMMISSION k t1rr'
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: S - e sk esne Date Prepared: 3is
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) _,1y
AlCk
04
01 02
03 ..
Alteration Type Orientation
Maximum Allowed ft2 Comments
06
+I� i�'� .. Rv► 7.M til
08
09
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) %0
AlCk
Ol
02
03
04
05
06
07
08
09
10'11
12
13
14
15
-Combined
Tag/
Fenestration
Frame
Dynamic
Orientation
N, S' W, E, or
Area
Removed
Area <
Added
Net
Added
Maximum4l.6
Allowed
Exterior
Shading
SHGC
from
ID
Type
Type
Glazing
Roof
ft2
ft2
Area ft2
— U of c or
U -factor
Source"
SHGC
Source
Device
CF1R-ENV-03
AN
V4
a
Net Added Westt�acing'Fenestratior rreea
f
b
Existing + Addeda stja itis ng Fenes�trat on�Area
c
Maximum Allowed West-facing;Fenest�ation Area
.iri
d
�uVAllowed West-facl ng Fenestration
Is West -facing Fenestration Area < jM� ayxi'imm
e
^Net Added Fenestration Area (all orrinkations)
f
�Ezisting+Addded-Fenestration Area (all o�rienytet ons)
g
Maximum Allowed Fenestration Area (all orientations)
♦�* a
h
Is Existing + Adiied-Fenestration Area < Maximum Allowed Fenestration Area (all
_ orientations)
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
Proiect Name- pct Ir C7—m
F. SPACE*CONDITIONING(SC) SYSTEMS – HEATING/COOLING (Prescriptive section 150.2(b))
0
01 02 03 t f
w
Dwelling Unit Name Dwelling Unit CFA (Ft2) Com0*
CALIFORNIA ENERGY COMMISSION cY`
CF1R-ALT-01-E
(Page 3 of 4)
Date Prepared: 3 tS
G. WATER HEATING SYSTEMS (Section 150.2(b)1G)
01
01
02
03
04
05
06
07
08
belling Unit
�0'10
{11
1 —12
13
14
15
Alteration to the Space
Dwelling Unit Name
of
Water
, *Identification or Name
Conditioning System(s)?
Comments
(j/
'+c+' — 01 �T
Water Heating
Water
Heater
'Heating
3
Back -Up
System
Water
Water
Heaters
Storage
Rated
Rated
Heating
Exterior
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
in
Volume
Fuel
Input
Input,
*Value
Efficiency
-,Efficiency
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Type;
Typed
value
Loss (%)
R -Value
Fraction
Distribution Type
Distribution Type
c, 2
1
4
v
..
A
"� S$ ,
oA
R
S�ctwciarca
_
,
0.1
�
„ A
w UR — _41k 7� T tl%,%r .
H. SPACE CONDITIONING SYSTEMS AND WATERT`NG SYSTEM IN'MULTIFAMILYDWEL'LING UNITS
01
02 i
03\\
05
06
'
v Central WaterlHeating
(
belling Unit
Dwelling Unit:
Dwelling Unit Total CFA
t((ff2�
System Identification or
Name
�V1later Heating System
Alteration to the Space
Dwelling Unit Name
kyr, .r®
, *Identification or Name
Conditioning System(s)?
Comments
'+c+' — 01 �T
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
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 4 of 4)
Proiect Name: Date Prepared: 31-3ol IV
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT - :. N� N
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.[.
Documentation Author Name:
SS
Documentation Author Signature: \�
�—
VJ
e-v Gr �C
A Aft,
Company:
Asr
Signat re Date: �('�,i o" 'N
3 30 I
c,l
1S �*
Address:
CEA/ OERS Certification Iden`tificatio&(if applicable(: 14
City/State/Zip: �
I C/A Ci Z2? c�
Phone:
Et
�7coo '`,;I3
o s t� l�.�y►,
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of -perjury, under the laws of the State of California:
1. The information Certificate is
provided on this of Compliance true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building ern�or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and manufactured d'evlces, 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'Reg atlonss..
Certificate are wit
4. The building design features or system design features identified on this of Compliance consistenvi
Fie information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted tort he enfo cement agencyfor,approval with this b ding permit application.
building for building,
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the permlt(s) issued the and made available to the enforcement agency
-of.
for all applicable inspections. I understand that a registered copy this CertificatAf Compliance is�r{'ecjyu�lred'to be included with the documentation the builder provides to the building
µ
owner at occupancy.r �o '�.4' 4 �.rl►
Responsible Designer Name:
Responsible Designer Signature:
Company: `+► fyTt� Y „ �--7/
Date Signed:
Address: -
License:
City/State/Zip:
Phone:
For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
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 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:00
Permit (DOR -M --S
PERMIT NUMBER
City of La Quinta BPLB2015-00.52
Description: HEARN REPLACE 40 GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 4/2/2015 SKH
Approved:
Parcel No: 775151078 Site Address: 55516 FIRESTONE LA QUINTA,CA 92253
Subdivision: TR 21846-2 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,750.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
'^13�:. . ^" TY.
Details: WATER HEATER CHANGE OUT- 40GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
� ,a,U.
> i
� ( T
F "�; f'� r , � ��"
�U ADDITIONAUSITES,
_:.
0.
ow -r ,
tl1+s" A. i �k.=A'..'
F;
�..a��
�! x
♦1.1.t� �� .'CHRONOLOGY
'^13�:. . ^" TY.
:.,7' '.'iTf`
a r y�y.-••... �,�y _
.`.♦s..x: } l3f
fr•..:
,3•l. i�'._ c' d "i iv{''Srr' i
'`h .S
OPT.,CONDITIONS��`'�
L.^.S.y.$ ,t,.�.
-0, jimlill
I t y ie Fq ,yam yf • _
- CONTACTS
. . .._. .: .....e .. � •. s.. a �'
HARRISON ENTERPRISES I NC DBA G
WA"111♦MMAIMVM
THOUSAND
�®
CONTRACT OR
HARRISON ENTERPRISES INC DBA G
y FINANCIALINFORMATION
i
Thursday,EU
f
Z
SUK �ImMm
OF
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404 7F--07 $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
Printed: Thursday, April 02, 2015 2:13:42 PM 2 of 2
U L.1 SYSTEMS
Bin #
City of La Quinta
Building 8r• 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: SS S O
Owner's Name: .H eery
A. P. Number: --2-'
Address: 5SS W � e-AtO nc-
Legal Description:
City, ST, Zip: LC, Q Qy h,! a CA QZZS 3
Contractor:
A r tea;
—
Address:3 \ 1'j O �2Sery
Project Description:
City, ST, Zip: I4\Ouc �10.� nnSCA QZZ'1 to
kc�cc- 40 Gc,1 b 00"Ver 1A eCLA C-
hone:
Telephone: 60- 343
State Lic. # : b0�3 (b
City Lic. #.:
Arch., Engr., Designer:'1
Address:
City., ST, Zip:
Telephone:
:
Con truction Type: Occupancy:
Y
Lic. #ProJect
dd'n Alter Repair r Dem
oStato
hPa circle one): New A
Name of Contact Person:
Sq. Ft.: #Stories:
I # Units:
Telephone # of Contact Person:
Estimated Value of Project: r %5o • exc a
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rce'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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:-
''d Reyiew, 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
I
U*
;ff�
I .
I
Total Permit Fees
MAR 3 0 'IM
CITY OF LA QuINTA
COMMUNITY DEVELOPMENT