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BPLB2016-001978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-iw 4 4R914rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPL82016-0019 Property Address: 78561 E DEACON DR APN: 770220006 Application Description: DUFFIELD / CHANGE OUT (1) 75GALLON/GAS WATER HEATER Property Zoning: Application Valuation: $2,250.00 Applicant: HARRISON ENTERPRISES 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 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: I 27 It" 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, 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 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 11111111111111111111 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ALBERT DUFFIELD P 0 BOX 4080 INCLINE VILLAGE, NV Contractor: HARRISON ENTERPRIS 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)601-3500 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. 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: 117--71 1 \o 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 7 Signature (Applicant or Agent) ��----� ,��FINANCIAL INFORMATION �;C DESCRIPTIONS AMOUNT' E. y fix, aaACCOUNT� E� ; QTY PAID E PAIDWDATE BSAS SB1473 FEE, . 101-0000-20306 0$1.00 $0.00 M." s ? >.METIODP. y:.;YRE EI PAID BY e Y C # CLTD BY n. ,�c �d�P CHECK x� z. �. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $0.00 f"DESCitIRTION'E'A000IJNTY''. Y .; `4r :'�., "'PAID' ti xR PAID DATE AN PERMIT ISSUANCE 101-0000-42404 0_ .$91.85 $0.00 PAIDs BY , `� ya 4y J METHOD f v REC PT #`s g CHECK # ,' C-- D Blf �' fy ¢v MJ .,,'.�- kl._". ,�yy-- Total Paid for PERMIT ISSUANCE: $91.85 $0.00 St 4§.,s._'.,DESCRIPTIONrx T ACCOUNT TY i AMOUNT t'�� � _PAID '. PAID :.N I!�«b;-:,?�„•h,��..vC-.. .� WATER HEATER/VENT 0' $12.098 $0.00 -. .S - Y,. :'i" X75:1Yik "sR PAIf) BY...` 5y1p01-0000-42401 4 "I;SSi.�T . xi 4 %A'? Y£LR�` "4'V i SS m P R. _.v>� A RYC� CHECK #r1? �4.�.¢4• . Y' §,YT CLTfD BY >> 1 _ z hMETHODR ,RECEIPs#xr�. §aF 5 DESCRIPTION ACCOUNT - 4TYAMOUNIyPA1Df PAID DATE WATER HEATER/VENT PC' . '101-000042600 0 $7.25• $0.00 r ¢PAID BY 4"^-vy4h !MET ;S 3'SX^d +,w�h...Y`<x, '4f ,,�Sa. `zREGEIPT #�' - 3F"'i` P^.+{ #,� CLTD BY ;k ��(_g .,T!! .-.5+i.,.,'E�.-.n.c., a.., ab oD+ ., y�CHECK 1,3 f Total Paid for PLUMBING FEES:' $19.34 .$0.00 • �� Description: DUFFIELD / CHANGE OUT (1) 75GALLON/GAS WATER HEATER Type: PLUMBING Subtype: Status: APPROVED Applied: 1/27/2016 SKH Approved: 1/27/2016 SKH Parcel No: 770220006 Site Address: 78561 E DEACON DR LA QUINTA,CA 92253 Subdivision: TR 28470-1 Block: Lot: 6 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,250.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 GENERAL AIR Details: WATER HEATER CHANGE OUT - 75GALLON/GAS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY •1, •9 CONTACTS NAME TYPE NAME ADDRES51 CITY STATE ZIP PHONE FAX EMAIL APPLICANT' HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA .92276 GENERAL AIR PALMS CONTRACTOR HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA 92276 GENERAL AIR PALMS OWNER ALBERT DUFFIELD P O BOX 4080 INCLINE NV .92253 VILLAGE 7� FINANCIAL INFORMATION Printed: Wednesday, January 27, 20161:25:26.PM 1 of 2 0 SYS7EAAS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS S131473 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 INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE BOND INFORMATION Printed: Wednesday, January 27, 2016 1:25:26 PM 2 of 2 CR SYS7Eti1S STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E (Revised 09115) CALIFORNIA ENERGY COMMISSION 'RO' _ CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page I of 6) Project Name.: Date Prepared: .1 z7 tkp A. General Information 61 02 01 Project Name: 02 Date Prepared: t Z7 llo 03 Project Location: 04 Building Front Oren.tioh ("deg or cardinal): 05 CA City: vtvn cz ., 06 Number of Al _ clb fling Units: 07 Zip Code: Ct 08 Fuel Type: ( 44,,€x, ws 09 Climate Zone: Is 10 Total G toned Floor,Ar6W(k2).. 11 Building Type. 12 SIab,Aieai'(112) A, 0 I3 Project Scope: .7� f 0.11©� G}� " �q��4' l� Pt i'(Ezceptionsto:Mini�mi 4. Aegd Solar flectance aid Mrnirr►um Thermal or SRI 150.2(b)1H4. B. Building Insulation Details (Section 150.2(b)1)'� 61 02 03 04 05 06.- p .. 07 > u08 09 10 11 10 11 Frame Frame Proposed 01 Continuous ' AppendixJA4 Required Method of Compliance Roof Pitch �� cepOon Frame Depth Spacing Reference CaS InsulaU�r Minimum Required Solar Re' Reflectance Aged Solar Thermal SRI Reflectance Emittance (Optional) Aged Solar Reflectance (Max) Aged Solar Reflectance Thermal SRI (Min) Emittance (Optional) . Tag/ID Assembly Type Type (inches) (inches) i?tvaliie -,&U-facto a Cell U -Factor Comments Y.• Y R 4..x, .. NOTES • Roof area covered by b i ;tegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applies Ihgs'must comply with installation criteria from section 110.8(i)4. — NN, & eta+ % _ 1__V1W1 " C. Roof Replacement (Section 150.2(b)1H) _ 01 02 03 04 05K Nk 06 .0,7 0809 10 11 12 13 14 Tag/ ID Method of Compliance Roof Pitch �� cepOon CRC P~�odud ID Nurbe :- rodu " pe R-valu Deck Insulate Proposed Minimum Required Solar Re' Reflectance Aged Solar Thermal SRI Reflectance Emittance (Optional) Aged Solar Reflectance (Max) Aged Solar Reflectance Thermal SRI (Min) Emittance (Optional) NOTES • Roof area covered by b i ;tegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applies Ihgs'must comply with installation criteria from section 110.8(i)4. M Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 r STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFI R -ALT -01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION -'W- CERTIFICATE OF COMPLIANCE MR -ALT -01-E Prescriptive'Residential Alterations (Page 1 of 6) Project Name: Date Prepared: .I Z."] %to A. General Information 01 02 01 Project Name: 02 Date Prepared: .ti° _31*1 1(0 03 Project Location: p I ; 04 Building Front Orient: tion (deg or cardinal): 05 CA City: 06 Number of Al dfing Units: 07 Zip Code: 08 ..Fuel Type: 09 Climate Zone: I s 10 T tq1 Cp-A0 f oned Floor,Areap(f;2). 11 Building Type 12 Sqb:4ea}(ft2) a °'-' 13 Project Scope: 1 1 %S �o.`i©Y. L.� cJ.�Gf Y1 �AP1 f EzGeptions to Minim ged Solar 1lectance drid MiNjI um. Thermal or SRI 4'` 1 R� D 150.2(b)1Hi �- fD rlw,%IIIFJ;5�%IIANC41 B. Building Insulation Details (Section 150.2(b)1) 01 02 03 04 05 06_ F. ' 07 ' O8¢+ 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) Proposed !V,, Required Comments '3 Continuous---- Ca VNI Insulat�i6crl( _Rwalire -value Appendix JA4 1 Re, rence e� U -facto a lei Cell U -Factor roducE e R-valu Deck1.'lial Insulatro Proposed (Minimum Required Solar Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Aged Solar Aged Solar Reflectance Reflectance Thermal (Max) (Min) Emittance SRI (Optional) 01 C. Roof Replacement (Section 150.2(b)1H) 01 02 03 04 0,5� VO 6 06 :a , gQrT� . W 04- 09 10 11 12 13 14 Tag/ ID Method of Compliance Roof Pitch 9J �, ,&cel5bon ' CR ,Product ID Nurq) roducE e R-valu Deck1.'lial Insulatro Proposed (Minimum Required Solar Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Aged Solar Aged Solar Reflectance Reflectance Thermal (Max) (Min) Emittance SRI (Optional) 01 1 NOTES • Roof area covered by b;lain - iaegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied dccsa itg must comply with installation criteria from section 110.8(i)4. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 r