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BPLB2015-0114t l I IIIIII IIIII IIII III) yaw 24 78-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/15/2015 Application Number: BPLB2015-0114 Owner: Property Address: 49560 RANCHO LA MERCED JOHN FALCONER1 z APN: 602280031 49560 RANCHO LA MERCED L � 2i Application Description: FALCONER / CHANGE`OUT (1)75 GALLON GAS LA QUINTA, CA 92253 trs ISEd Property Zoning: o z Application Valuation: $2,833.00 w L Q Applicant: Contractor: o JOHN FALCONER JOHN FALCONER v z 49560 RANCHO LA MERCED 49560 RANCHO LA MERGED C LA QUINTA, CA 92253 LA QUINTA, CA 92253 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.::CONV:140528101254128743 Date: 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, 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 su jects the applicant to a civil penalty of not more than five hundred dollars (Epens (s owner of the property, or my employees with wages as their sole cation, willdo 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 withina year of completion, the owner -builder will have the burden of proving that he' she did not build or improve for the purpose of sale.). Lo I, a;rowner 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 t Contractors' State License Law.). I am exempt under Sec. . B.&P.C. for jpf4)reason Date: i '4 Owner: CONSTR CTIO NDING 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 Address: Llc. No.::CONV:140528101254128743 WORKER'S COMPENSATION DECLARATION 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' :ompensation, as provided for by Section 3700 of the Labor Code, for the performance 3f 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 s issued. My workers' compensation insurance carrier and policy number are: Carnremploy Policy Number: _ rtify that in the performance of the work for which this permit is issued, I shall any person in any manner so as to become subject to the workers' ompensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Sec ' 3700 of t Labor Code, I all forthwith :omply with tkil ose provisions. Date: ( 0 I Applic WARNING: FAILURE TO SECURE WO MPENSATION 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 relatin to building construction, and hereby authorize representativ*nt): frR6 above-mentioned property for inspection purpos Date: (l ��Signature (Applicant or FINANCIAL • • DESCRIPTION ' ` "'' ACCOUNT CITY. 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 CITY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY 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: FALCONER / CHANGE OUT (1)75 GALLON GAS Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 10/15/2015 SKH Approved: Parcel No: 602280031 Site Address: 49560 RANCHO LA MERCED LA QUINTA,CA 92253 Subdivision: TR 28964 Block: Lot: 50 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,833.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CONTACTS Details: WATER HEATER CHANGE OUT - 75GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT JOHN FALCONER 49560 RANCHO LA MERCED LA QUINTA CA 92253 CONTRACTOR JOHN FALCONER 49560 RANCHO LA MERCED LA QUINTA CA 92253 OWNER JOHN FALCONER 49560 RANCHO LA MERCED LA QUINTA CA 92253 Printed: Thursday, October 15, 2015 4:25:32 PM 1 of 2 CRW SYSTEMS PARENT PROJECTS Printed: Thursday, October 15, 2015 4:25:32 PM 2 of 2 OrwSVSTEMS C DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 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 PC Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:00 PARENT PROJECTS Printed: Thursday, October 15, 2015 4:25:32 PM 2 of 2 OrwSVSTEMS Bin # Permit # I I P ject Address: ��(00 GIM G1�0 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 �JG�� ner's Name: A. P. Number: Address: jp 0 C N J Lk M e - ✓Ce X, Legal Description: i or. Contractor: v N M � City, ST, Zip: U -k -ji ,4K C 2-2Z3 . T h n ele o e. �D P � 6 Address:7716-le cco (e Coif ",L-ojec Description: city, ST, Zip: Lr� �/, NCAf Z z �3 N S I �o i✓ Z e: - Telephone: ? Z 0 9 P 6 o- _ W� �ie e State Lic. # :IzU 1-7 City Lic. #; 1075" j Arch., Eagn, Designer: J3 KA / (A +e– UP -6-2-914 6Al Address: City, ST, Zip: Tele h on e: P ic State a Lic. of Contact Person: ane Con tru Occupancy: Cons c tion Type: Y: air Demo tYPa (circle one): New Add'n Alter RepName Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:-3Estimated Value of Proje 7i 3 APPLICANT: DO NOT WRITE BELOW THIS LINE 11 Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. 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 correclionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees J IAI t Ur' VALIr UK NIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 04/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 7 of 8) Project Narge0. f � I fA � f tj� /�� _ .1 � AA� �I, .. _ Date Prepared: to 1/4 /l 1_ H. Water Heating Systems (Section 150.2(b)1G) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Dwelling Unit Njame Water Heating System Identification gr Name Water Heating System Location or Area Served Water Heating System Type Water Heater Type # of Water Heaters in System Water Heater Storage Volume (gal) Fuel Type Rated Input Type Rated Input Value Heating Efficiency Type Heating Efficiency Value Standby Loss N Exterior Insulation R -Value Back -Up Solar Savings Fraction e, 'DR UJN Ae NA &AS 00c) NSA- Nk IVA- CA Building Energy Efficiency Standards - 2013 Residential Compliance April 2015 J I H It Ur' WALWUKNIH Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-GFIR-ALT-05-E (Revised 04/15) CALIFORNIA ENERGY COMMISSION 'wAsw CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification A (Page 8 of 8) Project Name: �� 10. / -S�/ If I &ZaDate P�pa-ed• — /- DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: � Documents 'on gnat urt$A r /l ft// G/((/ 0.1�r� � Company: r .'fly's ►'%�D ln! AiC�. Signatur e: Address: —17 - J✓cec,� CEA/ HERS Certifi ation Identification (if applicable): �U- City/5 to/Zip: LL�2,Z1-5-32- 2 7/Z�37 Phone: rff1/61 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 responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for 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 this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Cnmpany : 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. CA Building Energy Efficiency Standards - 2013 Residential Compliance April 2015 Z i A It Ur WAurvr<rvw Prescriptive Residential Alterations That Do Not Require HERS Field Verification ti .�.1 CEC-CFIR-ALT-05-E (Revised 04/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 8) Project Name: J h tf -75— Cna / 0 / Ce Date Prepared: i O o This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT-01 shall first be registered with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct leakage testing include: less than 40 ft of ducts were added or replaced, • or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry. Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data Registry. If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibilityfor construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information 01 Project Name: J d rTrJ r t_C0Pj CYL �o� S / ✓ w 02 ate Prepared: 10 e`j� _ �-3 03 Project Location: �j O� e� L[e 04 Building Front Orientation (deg or cardinal): we S I' 05 CA City: % 1 rr f— — 06 Number of Altered Dwelling Units: 07 Zip Code: 08 Fuel Type: 09 Climate Zone: 10 Total Conditioned Floor Area (ft): 2,S�1j 11 Building Type: (. � 1 12 Slab Area (ft): �q -1? 13 Project Scope: L'At,/ C.' CA Building Energy Efficiency Standards - 2013 Residential Compliance April 2015 V Residential Atmospheric Vent Gas Water Heater Ultra Low NOX Models ~� Meet or. exceed ASHRAE 90.1b (current standard) C.E.C. Listed NATURAL GAS Recovery efficiency ranging up to.79% Model Capacity Recovery at A B C D E F G H J K L M Approx. Number 90-F Rise- Floor Jacket Vent Floor Floor Floor to Floorto Floor Floor Depth C/L NPT Shipping to Dia. Size toto Space Space to to of Weight Nat. 1st Hour Nat. Nat. Flue T&P Gas Heating Heating Top of Water Water U.S. Imp. BTU/Hr. Ratin Energy U.S. Imp. Conn. Cann. Conn. Return Outlet Heater Conn. Conn. Gal. Gal. Input (Gala Factor GPH GPH in. in. in. in. in. in. in. in. in. in. in. in. lbs. URG2501­16N 48 40 55,000 100. 0.60 59 49 605/is 22 4 497/8 11th133/8 491/8 ' 563/8 5713/16 251/16 11 'A 194 1 URG2751­16N 1 75 62 76,000 N/A N/A 82 68 641/e 26 4 53'/16 151/8 165/8 539h6 601/8 611/8 291h' 11 1 286 URG2100H6N 100 83 85,000 11 N/A. N/A 1 92 77 701{46 281/4:1 4 1 607hs 1 163/4 1 183/4 1 513/4 1 68 69Ve 311/1 16 11/4 1 416 Model Capacity Recovery at A B C D E F G H J K L M Approx. Number 50'C Rise* Floor Jacket Vent Floor Floor Floor to Floor to Floor Floor Depth C/L NPT Shipping to Dia. Size toto Space Space to to of Weight Nat. 1st Hour Nat. Flue T&P Gas Heating Heating Top of Water Water kW Rating Energy Liters/ Conn. Conn. Conn. Return Outlet Heater Conn. Conn. Liters Input (Liters) Factor Hour mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. kg. URG250H6N 182 16.1 379 0.60 223 1532. 559 .102 1267 292 340 .1267 1.432 1468 646 279. 19 88 URG275116N 1 284 1 22.3 1 N/A N/A 1 310 1629 1 660 102 1360 1 384 1 422 1360 1 1527 1 1553 1 748 1 279 25 130 URG2100H6N 1 379 1 24.9 1 N/A N/A 1 348 1 1789 1 718 1102 1,1535,1 425 1 476 1 1314 1 1727 .1 1756 1 800 1 406 1 32 189 Available in Natural Gas only. For 10 year models, change suffix from "6" to "10". 'Based on manufacturer's rated recovery efficiency. Energy Factor and First Hour Rating is based on the latest AHRI directory listings. K -1 Cf E K O `t tL -- I A 13 D&G 0 Models URG25OH6N & URG275H6N I I_C Model URG210OH6N General: All gas water heaters are certified at 300 PSI test pressure (2068 kPa) and 150 PSI working pressure (1034 kPa). All Gas Connections are 1/2° (13mm). All models design -certified by CSA International (formerly AGA/CGA), to meet ANSI standard Z-21.10.3 (Z-21.10.1 for 50 -gallon) and peak performance rated. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. Suitable for Water (Potable) Heating and Space Heating. Toxic chemicals; such as those used for boiler treatment, shall NEVER be introduced into this system. This unit may NEVER be connected to any existing heating system or component(s) previously used with a non -potable water heating appliance. BRADFo/ D WHITE' W A T E R H E A T E R S Ambler, PA For U.S. and Canada field service, contact your professional installer or local Bradford White sales representative. Sales 800-523-2931 • Fax 215-641-1670 / Technical Support 800-334-3393 • Fax 269-795-1089 • Warranty 800-531-2111 • Fax 269-795-1089 International: Telephone 215-641-9400 • Telefax 215.641-9750 / www.bradfordwhite.com BAWFOU WHITE -CANADA° INC. Sales /Technical Support 866-690-0961 /905-2W100 • Fax 905-238-0105 / www.bradfordwhite.com Built to be the BestTM ©2015, Bradford White Corporation. All rights reserved. 1114-A-0715 Printed in U.S.A.