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BPLB2015-012578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tait 4 4V oubts COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0125 Property Address: 49025 CALLE FLORA APN: 658210009 Application Description: DAVENPORT/ REPLACE 100 GALLON GAS Property Zoning: _a Application Valuation: $4,679.00 Applicant: ' HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE 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: 1 �F LS Contractor: 1 111111 1111111111111 01 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 gate: �JJ.'/,LUIS � N 2 0 Owner: Carrier: Policy Number: DAVENPORT JOHN DAVID TRUSas I certify that in the performance of the work for which this permit is issued, I 6414 N SANTA FE STE B shall not employ any person in any manner so as to become subject to the workers' OKLAHOMA CITY, OK 92253 44 any structure, prior to its issuance, also requires the applicant for the permit to file a _a signed statement that he or she is licensed pursuant to the provisions of the Q C) Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division ' Contractor: Date: Ll �h� IS Applicant: HARRISON ENTERPRISES INC DBA GE -NERAL AIR 31170 RESERVE DRIVE permit subjects the applicant to a civil penalty of not more than five hundred dollars THOUSAND PALMS, CA 92276 ($500).: (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. �� 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: OWNER -BUILDER DECLARATION Carrier: Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Ll �h� IS Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. apply to an owner of property whobuilds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (__j 1, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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. 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 Add 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: 11 4 IS Signature (Applicant or Agent): DESCRIPTION FINANCIAL a 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 for BUILDING 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 Description: DAVENPORT/ REPLACE 100 GALLON GAS Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 11/4/2015 SKH Approved: Parcel No: 658210009 Site Address: 49025 CALLE FLORA LA QUINTA,CA 92253 Subdivision: TR 21120 Block: Lot: 9 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $4,679.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: WATER HEATER CHANGE OUT - 1000ALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONALSITES Printed: Wednesday, November 04, 2015 3:21:33 PM 1 of 2 �� SYSTEMS CONDITIONS CONTACTS NAME TYPE NAME . ADDRESSI. CITY STATE ZIP. PHONE FAX EMAIL APPLICANTHARRISON 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 DAVENPORT JOHN DAVID TRUST 164i4 N SANTA FE STE B OKLAHOMA OK 92253 . CITY 1 Printed: Wednesday, November 04, 2015 3:21:33 PM 1 of 2 �� SYSTEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT #. CHECK # METHOD "'. PAID BY FLTD BY BSAS SB1473 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 ATTACHMENTS Printed: Wednesday, November 04, 2015 3:21:33 PM 2 of 2 qIAJF SYSTEMS CERTIFICATE OF COMPLIANCE CF111-ALT-014 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 number 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 is not 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 System: For 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:` o0wner Authorized agent oContractor Signature: Z�wZ Parer Gi'� 10r Company: ,�- ; Contractor license #: Address:Phone: City/State/Zip: I1r �erC—A x'1 22'7(0 Date: I l\ 41 1S w5Grc�> s For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. J 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: c} q OZS CGII� �)or-o� Building Type: ingle Family Dwelling . . 03 ❑ Multi Family Dwellings City, Zip Code: C•a Climate Zone, -1e-- i 5 G. WATER HEATING SYSTEMS Section 150.2 b 1G 01 02 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 Name b w � l— J I 1 -.1101* 1 -59 1 . Z N 1.4 1 NIA �tosrx u EF 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 central systems 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 CF1R-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. Iain # City of La Quin to Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 49025 C -,--\\C- pr -Q Owner's Name: b".1 A. P. Number: Address: 4 9 OZS C 11 e1- t am- c. Legal Description: City, ST, Zip: Z CA A q zZ5 -3, Contractor: r . h Telephone:errGl eo - Address: 3 11-7 C) I:<esk'KN'-br lye- Project Description: City, ST, Zip: t 1' Telephone: eP hone �- `—I' o 00 State Lie. # : GS1o31 0 City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: ne Telephone: ho ................................................... PancY• n tructi n Type: Occupancy: State to Lie.# New Add'n Alter Repair Demoo Project type (circle one):•Ne Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: C4G-7R . aD APPLICANT: DO NOT WRITE BELOW THIS LINE #! Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up' S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd 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 Fees, Total Permit Fees