BPLB2016-003478-495-CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTM CIT
BUILDING PERMIT
o i
Application Number:
BPLB2016-0034
Own
Property Address:
79425 STONEGATE
DAVV
APN:
776040013
794:
��yjU
Application Description:
JONES RESIDENCE/ HOT WATER HEATER CHANGE OUT
C/�� 'Q
Property Zoning:
Application Valuation:
$2,380.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
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.: 968141
Date: 2_ 2 Contractor: S;1 �s—
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 structbre 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 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
Lender's Address:
JU
INT
NES
49
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/22/2016
Contractor: `/
HARRISON ENTERPRISES INC DBA D C S AIR C
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-5562
Lic. No.: 968141
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.
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 polity 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: u 1lo 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.
a
Date- l� Signature (Applicant orAgent):�
a 1 • • a 0
x, F� �w
f r.rl .'.', ,W 'X2..�€Xae`'�#,}{•�:41d�. -.r...0 f2C.,. E'fYlt�. i"' P'.;'�M'e T"P"` Y ..` 5 ,,A t {' .: hvW Y,
DESCRIPTION, �A. h � h 'QTY :��-AMOUNT�'E ° PAID' { g "r DATE*
� � ':A000UNT. �.^x ;.�� �V s=.PAID;
-.£k .h,I s Ate- ,: x.a
ry a„ TI`s t U'4J'ia i56% ' ' ga �.h•Pt€E =. i' "�`'�`+'?��w"- epq"r�i�41 'p542 �b�'?tea ..Y'�g"Y4P'Y�"A'� 3+.:.
BSAS SB3473 FEE 101-0000-20306 0 $1.00 $1.00 2/22/16
...->.,:.Y1h /i SS�:, 'x �h�..�h;' 'A:5%mi hd:n:3TiE.-.Y..''�K`.,,Ay L•R. gg��Yf i.'C .. Y.fi }:f' �.af{S.f3�°0 ai
Description: JONES RESIDENCE / HOT WATER HEATER CHANGE OUT
CONDITIONS
Type: PLUMBING
Subtype: Status: ISSUED
Applied: 2/22/2016 MFA
Approved: 2/22/2016 MFA
Parcel No: 776040013 Site Address: 79425 STONEGATE LA QUINTA,CA 92253
Subdivision: TR 26524
Block: Lot: 35
Issued: 2/22/2016 MFA
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $2,380.00
Occupancy Type: Construction Type:
Expired: 8/20/2016 MFA
No. Buildings: 0
No. Stories: 0 No. Unites: 0
PHONE
Details: REPLACE 50 GALLON HOT WATER HEATER PER 2013 CALIFORNIA BUILDING CODE
EMAIL
,_j Applied to Approved
v Approved to Issued
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE.
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(760)771-5602
CONTRACTOR
HARRISON ENTERPRISES INC DBA D C
S AIR C
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(760)771-5602
OWNER
DAVE & JULIE JONES
79425 STONEGATE
LA QUINTA
CA
92253
1 (760)771-5602
Printed: Monday, February 22, 2016 1253:08 PM 1 of 2 .., ..
sysrr•Ms
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CL TD
•
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
2/22/16
R13127
29618
CHECK
IE INC
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
2/22/16
R13127
29618
CHECK
IE INC
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
2/22/16
R13127
29618
CHECK
IE INC
MFA
WATER HEATER/VENT
101-0000-42600
0
$7.25
$7.25
2/22/16
R13127
29618
CHECK
IE INC
MFA
PC
Total Paid for PLUMBING FEES: $19.34 $19.34
TOTALS:
INSPECTIONS
MOND INFORMATION
ATTACHMENTS
Printed: Monday, February 22, 2016 12:53:08 PM 2 of 2
SYSTrMS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 i CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ,: sir
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
\\
Documentation Author Signature:
.�
Company:
Sign ture D te:'.
�" N
\
2 ) as
Address:
CEA/ HERS Certification Iderffification`(if applicable):,'
City/State/Zip: \ CA[;
Phone:R ��
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. I am eligible under Division 3 of the Business and Professions Code to accept responsli)i"tyifor the buildg'desig}itforsystern design identified on this Certificate of Compliance (responsible
designer). b"'
3. That the energy features and performance specifications, materials, compori�6h s d� d manufactured' devil es for the building design or system design identified on this Certificate of
California
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the Code of'Reg tions.
design on Certificate pliance
4. The building features or system design features identified ails of Co are consisten wiR&Ke information provided on other applicable compliance documents,
V � sy ea ,;;
worksheets, calculations, plans and specifications submitted to the ehforcement agert" for�a'pproval with thus buuilaing permit application.
5. 1 will ensure that a registered copy of this Certificate of Cor t�plianck0all be made.auailable with the building permlt(s),issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered co,pytof this CertiffiiCateq� C
°ompliance is requlred'to be included with the documentation the builder provides to the building
owner at occupancy.h,
Responsible Designer Name: "" 43
;Rei d7�;ible Designer Signature:
Company:
R
Date Signed:
Address: t_.. 6t
Llcense:
City/State/Zip: s: M
Phone:
For assistance 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 June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION f
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: Date Prepared: 2J ,—zJ I`
A. GENERAL INFORMATION
01
02
01
1 Project Name:
02
Date Prepared: . + 2 Z2 IC.
03
Project Location: 2-5 a
04
Building Front Onentation'(deg or cardinal):
05
CA City:—welling
06
Number of Altered DUnits: '
07
Zip Code: S3
08
Fuel Type: J, , ` �N x°` ~�` � 5
09
Climate Zone:
10
T,otal,Conditioned Floor:Area (ft2)
11
Building Type
12Slab,Area`(ft2)
� ;. '
13
Project Scope: I
Ir.
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)� 'ter
01
02
03
04
05
06 .r? . �, X07 ostJM,M
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
;XV Y .. -q
O'Proposed 0," .,N
Required
CommentsL
Cavity
R-value, .,
_ Appendix JA4
`Continuous
Reference
Insulation
R-value lictor Table, . Cell
U Factor
I
NOTESr
• Roof area covered by build igg'integrated photovNtalc,panels and solar thermal -panels are exempt from the above Cool Roof requirements.
• Liquid field applied cco1atings must comply with installation criteria from section 110.8(i)4.
I -�M -
*% .�U
.. ..., .,
0
C. ROOF REPLACEMENT (Prescriptive Alteration, Sec,tionta.;�15.2(b)1H) V
,�.
01
02
03
04 Yi .Y `r =
05\
06
*c 472V 1 08 1 09 1 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
CRRCPhodduucctt IDDeck,-
rL. Number
UN
�P� `roduct Type ,
R -value C'.
±(Insulation
Propos d Minimum Required
initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTESr
• Roof area covered by build igg'integrated photovNtalc,panels and solar thermal -panels are exempt from the above Cool Roof requirements.
• Liquid field applied cco1atings 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 June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
G1=G-GF1K-ALI-V1-t Kevisea uun4 CALIFORNIA ENERGY COMMISSION �4
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 4)
Project Name: Date Prepared:
F. SPACE CONDITION ING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) V.
01 02 03 OpVUY ,
S+
Dwelling Unit Name - Dwelling Unit CFA (Ft2) Comments-
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) �
01
02
03
04
05
06
07
08
09
` N10
�
�flt;
;1 12
13
14
15
Water Heating
..Water
Alteration to the Space
# ofWater
Water
(ft2) .
,Name
."*I entification or Name
§
t
'
Back -Up
System
Water
Water
Heater
Rated
Rated
'«�w,
Heating
CHeating �=
ry
Exterior
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
Heaters
;n
Storage
Volume
Fuel
Input
y.R
:Input
Efficiency
q ,e
'rEffi'66ricy
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Type,`t
; Value
Type-- y
:"ValueLoss•(%)
R -Value
Fraction
Distribution Type
Distribution Type
a
I
50
,
a��?.
ocp..�+�a�t
, N' �A
7� A.
ry
sa-Gra0.�d
H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS INYMULTIFAMILY D111lElLING UNITS
Ol
02 d ',
03
„x;`,040
05
06
Centr` I "at' *Lting
yDWelling Unit
Heating System
Dwelling Unit:
Dwellin Vnit Toial'CFA
g
SysId ntfication or
yt
..Water
Alteration to the Space
Dwelling Unit Name
(ft2) .
,Name
."*I entification or Name
Conditioning System(s)?
Comments
Registration Number: . Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
Bin #
Qty of La Quinto
Building 8t Safety Division
.78-495 Calfe Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: q�i Z� e a
Owner's Name: ��v�L v1� C, Tone -'s
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Z_ Q viv�� a C� 9 7-253
Contractor: er
exp c,
Tele hone:co O- 77I - S to C� Z
Address: e S �cti
Project Description:
City, ST, Zip: Dov�CJ M s C� 97-253
cc e_ no o
Telephone: c o
State Lic. # : Gz(o 3i O
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
e:
Telephone:hon
-
aneY:
Construction Type: Occupancy:
P
State Lic. #:
Project type (circle one): New Add'nAlter Repair Demo
Name of Contact Person:e�cr SG�n cr er
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: $18-735 -7a 7lo
Estimated Value of Project: 2, 3 a0 • CX--)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'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 Decd
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. 1Vks. Appr
Date of permit issue
School Fees,
Total Permit Fees