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BPLB2016-0017Applicant: 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, C36 License No.: 686310 Date: Z-7 .—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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 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 Lender's 09 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/27/2016 EYMPPMENTDBWI EL RUSHBY L'� yivn� r^ 2950 PANORAMA DR UNIT 904 DEVELOPMEKQUITLAM BC CANADA V3E, C9 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. 'S*:- 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: t �-, I t —Applicant: Swc a sL � 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: I Z� I Signature"(Applicant or Agent): Taff 78-495 CALLS TAMPICO 4 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEV BUI Application Number: BPLB2016-0017 Property Address: 79786 VIENTO DR APN: 609610004 Application Description: RUSHBY RESIDENCE / WATER HEATER CHANab Property Zoning: tip+ Application Valuation: $2,200.00 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, C36 License No.: 686310 Date: Z-7 .—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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 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 Lender's 09 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/27/2016 EYMPPMENTDBWI EL RUSHBY L'� yivn� r^ 2950 PANORAMA DR UNIT 904 DEVELOPMEKQUITLAM BC CANADA V3E, C9 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. 'S*:- 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: t �-, I t —Applicant: Swc a sL � 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: I Z� I Signature"(Applicant or Agent): . FINANCIAL INFORMATITt DESCRIONx fi r' ti PTI� ACCOUNT Yrt QTcYAMOUNT k DATE $ . sPAID �iPAIU :•a. ;;=1 „!,<.: s„ . BSAS SB1473 FEE 101-0000-20306 0.. $1.00 '$0:00 "$` Ep+^, 'Y�` bP d S{> yscix4 .SEm'hSt YTjF j f -,y.%: E_ 3k- i .a?:�.r Yk }n; -i a�!-.:,.;P:S' eQ, 3 PAID BY '� ., , z4 *RECEIPT # s, ` CHECK # ''CL•TD56Y a.;MET,HOD e C-`w'�L``E,;'l.F�v':"'�,w.v,.)'x-K''r,'..s.,fa1 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION x ,ax:s A000UNT= QTY za&s.EiY�zKw'w:y RAIDS „* x Y,Q a ga M&AM0UNT ¢ 4 E 5 PA!DDATE PERMIT ISSUANCE .0 $91.85 $0.00 g101-0000-42404 i 'x •' f f- �• r•d rt` E� �4¢ Y`.y' PAID BYE F✓ ,, _, Z:Y4x� d•.y,• 7 •� u1�•' dm•'.. '. x ,iEr>s,..''?.?'4a���yG,kr�;e� :#�.a'a .:>" METHOD£. itm..:x;�.,"�.LE:�i��rv�aS^ik€s,.a;„�y.€:_�> RECEIPT # wsr,�.�.�:,.a.xc� CHECK # s��.,.�.3�'>a CLTD BYE Total Paid for PERMIT ISSUANCE: $91.85 • $0.00 :' : "x` z$?..: .,� DESCRIPTION six%'..."' :..Vt€,'€.X g PAID PAID:DATE r. ..., .. -;. . .-... ':° ..�., >. ��ACCOUNT -QTY YAMOUNT F ry "¢'3.d'.RSE,n?;kxT'C. WATER HEATER/VENT 101=000042401 0 $12.09. $0.00 '-'•Y-`C'vA, �I 'fir E• mi �.,�6�N PAID`BY t M4 . -.{ x..d .'r"' r ; it e`e P 1; }}SCC METHOD {r L S•4:s!,�u,F'i' iX�'h"I.).4'xx- �' Y� -X 6 $ Uz _ RECEIPT# �� .°Yh' ,r..:'''� .: as CHECK# w5. 4:..,YS• 'M1 C C E >E r s. . gi F_:: ,., .:.::<r zn; Y +., s�, s'Y DESCRIPTIONk . .:, -gu �y,R;,gs'; _ ,, e sa a as a,,.,a" ��� ACCOfJNT QTY .k h':'e�-ssY^..: v T PAID= x-77,77 :='r35ki xs ' N , .< X , _R« .... u.:� � AMOUNT . �. n PAID.DATE" WATER HEATER/VENT PC 101-0000-42600 0- $7.25 $0.00 ' r � x �, � - � .�•, g`�s�a�r - ��'� �, s t$e�',>7'*' 'r � .� tL.V� � .. �'�v,�,'+va _ METHOD a. [�"-. :s .n<�ST;��' '�-n::`t� } � � RECEIPT; .� ..:z;-,:�;d,+ � f s,�qy CHECK # � �rt44zu�.. _rox CLgTD BYr xr �l..4�..v'' <.._:1� z` 1 -. .''....•x.,�d..,,ww"£L'- n y"u8 `sib."-�'+Sd Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:•• r Description: RUSHBY RESIDENCE / WATER HEATER CHANGE OUT Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 1/27/2016 MFA Approved: 1/27/2016 MFA Parcel No: 609610004 Site Address: 79786 VIENTO DR LA QUINTA,CA 92253 Subdivision: TR 2932372 Block: Lot: 27 Issued: Lot Sq Ft:.O Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,200.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: WATER HEATER CHANGE OUT - 50 GALLON/GAS [2013 ENERGY) CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS FINANCIAL INFORMATION Printed: Wednesday, January 27, 201612:53:21 PM 1 of 2 Cff?. SYS TF. ti1S DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD 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 BOND INFORMATION Printed: Wednesday, January 27, 2016 12:53:21 PM 2 of 2 mAjr SYSTEMS STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS :Er-CFIR-ALT-01-E(Revised09/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 6) Project Name: Date Prepared: 1 Z.'7 lto A. General Information 01 01 Project Name: 02 Date Prepared: V 1 `7 lL 03 Project Location: i 'yam, 04 Building Front0r*pA61 tdeg.orcardinal)- 05 CA City: L a- cx 06 Number of ALMOMI ing Units: C',A 07 Zip Code: 08 Fuel Type.: K Nip e�_X `bv %Q 09 Climate Zone: 10 Tota C&gditioned Floor &01;#t' -4 11 Building Type 12 SIli� A'r.,ea` rt2) __T 13 Project Scope: rJO t ! `, ` E' eptions to Minimu °'Qg d Solar `� R'e6flectance ffmd Minix j�um Thermal or SRI 150.2(b)1Hi; B. Building Insulation Details (Section.150.2(b)1), 01 02 03 04 05 06 C 07 08 09 10 11 01 Proposed Required 04 06 0 08 9 Frame 11 12 ' 7 AppendixJA4 Frame Continuou ;P. R_*rence Tag/ID Assembly Type Frame Type Depth (inches) Spacing (inches) CaInsulation i tt val"Wall u U-factofk I Cell U -Factor Comments Method of Roof P ID roduc R-valu Durk N Aged Solar Aged Solar Reflectance Reflectance Thermal SRI Q C. Roof Replacement (Section 150.2(b)1H) a ` 01 02 03 04 06 0 08 9 IO 11 12 13 14 Proposed Minimum Required dud.'' Tag/ Method of Roof P ID roduc R-valu Durk Iniflal Solar Aged Solar Thermal SRI Aged Solar Aged Solar Reflectance Reflectance Thermal SRI ID Compliance Pitch r4Fxception Nury S1 pe insulatr.9 Reflectance Reflectance Emittance (Optional) (Max) (Min) Emittance (Optional) V NOTES � • Roof area covered by bu j 7n egrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied dccdtin At comply with installation criteria from section 110.8(1)4. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS SEC-CFIR-ALT-01-E,(Revised 09/45) CALIFORNIA ENERGY COMMISSION '"W' CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 6) Project Name: Date Prepared: t .Z7 1(0 A. Genera) Information 01 02 01 Project Name: 02 Date Prepared: ` 1 a7 It, 03 Project Location: `yam 04 Building Front OAe.ntatiV'(deg or cardinal): 05 CA City: L G 06 Number of Akf�edt @ ing Units: 07 Zip Code: 08 Fuel Type.: 'S .,,,. �Q `09 Climate Zone: 10 TotakCbnditioned Floor re (fr2):4 11 Building Type 12 Sl a Area (ft2) s 13 Project Scope: rJ0 tt � 11 3¢''' Ee tions to Minim`u' �'Qgld Solar Reflectance &Ad Min7nm`u`m Thermal or SRI 150.2(b)1Hc B. Building Insulation Details (Section.150.2(b)1) ,. 01 02 03 04 05 06, 07 O8 09 10 11 11 12 13 14 Tag/ ID Proposed-4-�� Required „![xcepUon e C Product ID NuT. .. R-valu rodu�tc Oeck ype Insulatt-n Proposed Frame fo IRitlal Solar Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Aged Solar Aged Solar Reflectance Reflectance (Max) (Min) ' Vo Appendix JA4 Frame Continuous R*rence Frame Depth Spacing Ca t' Insulation Tag/ID Assembly Type Type (inches) (inches) S vale-val�'ii U-factoF �aB,le= Cell U -Factor Comments • .x `' 14 - 4 1S, QL "% ..�ara� VHA C. Roof Replacement (Section 150.2(b)1H) i! * a 01 02 03, 04 06 � 0 080p, 09 10 11 12 13 14 Tag/ ID Method of Compliance Roof Pitch „![xcepUon e C Product ID NuT. .. R-valu rodu�tc Oeck ype Insulatt-n Proposed Minimum Required fo IRitlal Solar Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Aged Solar Aged Solar Reflectance Reflectance (Max) (Min) Thermal SRI Emittance (Optional) NOTES � • Roof area covered by buiil �%�njtegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applieddcc tin List comply with installation criteria from section 110.8(i)4. S, Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 stn.# City Of QuInta Building 81• Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 7.9786 Viento Drive Owner's Name:. Michael & Brenda Rushby A. P. Number: Address: 2950 Panorama Drive, Unit 904 Legal Description: City, ST, Zip: Coquitlam, British Columbia, Canada Contractor: General Air Conditioning Telephone: 604-312-14913,6 Address: 31170 Reserve Drive Project Description: Replace 50 Gallon Water Heater City, ST, Zip: Thousand Palms, CA 92276. Telephone: 760-343-7488 State Lie. # : 686310 City Lie. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ' ' `° State Lic. #: ;„:���� � Name of Contact Person: Steven Schnierer Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Unit$: Telephone # of Contact Person: 8.18-735-7876 Estimated Value of Project: $2,200.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMfI' FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance • Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan V Review, ready for correctionslissue 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 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