BPLB2015-013478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T-iti
. t 4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPLB2015-0134
49540 MONTANA WAY
602170004
PAGE / CHANGE OUT (1) 75 GALLON GAS WATER HEATER
$2,650.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
N10Vi82015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTIMENT'
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: _ License No.: 686310
Contractor: �-
C_
08
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/18/2015
Owner:
NAT PAGE
216 1ST AVE S STE 230
SEATTLE, WA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
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:
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: II (� I� 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 IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 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 who builds 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 Name:
Lender's Address:
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.
a
Date: It 1$ I) Signature (Applicant or Agent) r� ��
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 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
• • ••
Description: PAGE / CHANGE OUT (1) 75 GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 11/18/2015 SKH
Approved:
Parcel No: 602170004 Site Address: 49540 MONTANA WAY LA QUINTA,CA 92253
Subdivision: TR 28912 Block: Lot: 48
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,650.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT - 75GALLON/GAS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, November 18, 2015 10:38:41 AM 1 of 2
j?C7C7 SYSTEMS
CHRONOLOGY.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX ,
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
CA
91362
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276
GENERAL AIR
PALMS
OWNER
NAT PAGE
j 216 1ST AVE S STE 230
j SEATTLE
j WA
j 92253
Printed: Wednesday, November 18, 2015 10:38:41 AM 1 of 2
j?C7C7 SYSTEMS
Printed: Wednesday, November 18, 2015 10:38:41 AM 2 of 2
RWSYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
J
-
PC
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS:00
Printed: Wednesday, November 18, 2015 10:38:41 AM 2 of 2
RWSYSTEMS
Bin. #
Cit} 0 QUinta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
M5K
Project Address: Montana Way
Owner's Name:. Nat & Fay Page
A. P. Number.
Address: 216 1 st Ave #230
Legal Description:
City, ST, Zip: Seattle, WA 98104-3455
Contractor: General Air Conditionin
W.V 10 ati>�r<
Telephone: 06-605-9434 s
Project Description: Replace 75 Gallon Water Heater
Address: 31170 Reserve Drive
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
State Lie. # : 686310
City Lie. 9,
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: v Y. `� ' ' '°
State Lic. #: u'
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units;
Telephone # of Contact Person: 8.18-73577876 x 1
Estimated Value of Project: $2,650.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical,
Grading plan
2'd Review, ready for corrections issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential. Alterations (Page 1 of 6)
Proiect Name: Date Prepared: I i I 1R Lols
A. General Information
M
01
Project Name:
02
Date Prepared: ll 13 IS
03
Project Location: ry
04
Building Front Oflj n% i$b deg or cardinal):
05
CA City:
06
Number of All- td d ailing Units:
07
Zip Code:
08
Fuel Type: i , �, as
.09
Climate Zone: S
10
TjgQJ,C edit o ed FIoorA " (2;):�?
11
Building Type
12
Slab Atex ( 2) -,:
13
1 ' \
Project Scope: �ep�RCi �S G�`lo�n Wo. pf \A k"
I Ei�c�eptions to Min',�� ?Aged Solar
1!i' erflectance a , d MOilTp�um Thermal orSRI .
yw', )' 150.2(b)1Hi,1^1
ra~>rs��r�•t�n�a
B. Building Insulation Details (Section 150.2(b)1)..,ex
01
1 02
03
04
05
06 �'�" ` 07 ' . t 08� ` 09
10
11
Proposed
Required
03
` Appendix 1A4
Continuou•
Rgfi'erence
Q'
067
0$
Frame
Frame
11
12
13
Frame
Depth
Spacing
Ca Insulal:ion
Tag/ID
Assembly Type
Type
(inches)
(inches)
-1 ` -vai U -facts& T,ab a Cell
U -Factor
Comments
P� duct
ID
od
R -value
D ck�,�,�,If
'fial Solar
Aged Solar Thermal SRI
v
Thermal SRI
C. Roof Replacement Section 150.2(b)1H) ,u
01
02
03
04
Q'
067
0$
09
10
11
12
13
14
Minimum Requited
Tag/
Method of
Roof
3Proposed
4
P� duct
ID
od
R -value
D ck�,�,�,If
'fial Solar
Aged Solar Thermal SRI
Aged Solar Aged Solar
Reflectance Reflectance
Thermal SRI
ID
Compliance
Pitch
�,Excepti
Num erTpe
Insulatt6' h y
eflectance
Reflectance Emittance . (Optional)
Max) (Min)
Emittance (Optional)
NOTES IPA 0
• Roof area covered by b I ing t tegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied cd` In st comply with installation criteria from section 110.8(i)4.
I ,g
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION -Or
CERTIFICATE OF COMPLIANCE MR -ALT -01-E
Prescriptive Residential Alterations (Page 50f 6)
Project Name: Date Prepared: 11 12 l5
G. Space Conditioning (SC) Systems - Heating/Cooling (Section. 150.2(b))
01 02 03
Dwelling Unit Name Dwelling Unit Total CFA (ft) Comme¢L, % ' .
Il[_Me1 W . 1 K.
H. Water Heating Systems (Section 150.2(b)1G) t a
01
02
03
04
05
06
07
08
09
1?i) ¢
?; 11 q
Dwelling Unit:Dwelling
Alteration to the Space
Conditioning System(s)?
13
14
15
Water
#'of
Water
'
Heating
System
Water
Heating
Water
Water
Heaters
HeaterBack-Up
Storage
Rated
Rated
i�leatlg
Heating.
dt Fndy
Exterior
Solar
Central. DHW
System
Dwelling Unit .
DHW System
Identification
System
Heater
in
Volume
Fuel
Input
Input
,
�Efliicle ,cy
Efficien•
W.
Insul.
Savings
Distribution
Distribution
or Name
Type
Type
system
(gal)
Type
Type
Valley,
T e
.� V,altte y
Loss (90)
R -Value
Fraction
Type
Type
7S
Bi vin
UE
hl. A .
.�G�crci
L Space Conditioning Systems and Water Heating
Systems j' gitifamily Dv`�reing ',nit �
01
02
d` ,0304
05
06
Dwelling Unit Name
Unit Total CFA
�ntb°gl Water Heat* g'%
xstem Identifcatld
Name
DwelUnfQ.itV.,
Water �System
IdelagUt eplion or Name
Dwelling Unit:Dwelling
Alteration to the Space
Conditioning System(s)?
Comments
M
1
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
EC-CFIR-ALT-01-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION "WNFF
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations - (Page 6 of 6)
Project Name: Date Prepared: II I Is
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1.' 1 certify that this Certificate of Compliance documentation is accurate and
Documentation Authoi Name:
I hovsa_r\o� lea\tin ; C!� C12 -2-7L,
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 responsib
designer).
3. That the energy features and performance specifications, materials, component4,rr
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the�&ll S
4. The building design features or system design features identified on thi ertite
worksheets, calculations, plans and specifications submitted to the er5 r_. ent agency
5. 1 will ensure that a registered copy of this Certificate of Complia�n 'be made avail
for all applicable inspections. I understand that a registered copyAof4 is Certificate, 5 -
owner at occupancy.�r�
Responsible Designer Name:
Documentation Authorthor Slnat
Signaturg Date:
�l►l
CEA/ HERS Certification.ldentifi`atio�
sm�e.
"WaNtz
forgth`e buil:Ing.,design�or�sj Item design identified on this Certificate of Compliance (responsible
ufactured de'ISfbr the building design or system design identified on this Certificate of
rnra Code of
of Comoliar
Company:
to
1P
61
1. e�a7e'onsiste wi 4i c"'nformation provided on other applicable compliance documents,
o'1ial.with thhis °ermit application.
the buil( �i� As) issued for the building, and made available to the enforcement agency
e is regy)�dd f¢�+be included with the documentation the builder provides to the. building
Phone:
Signature:
0-0 ssistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015