BPLB2015-011178-495 CALLEJAMPICO
4
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
D Q
Application Number: BPLB2015-0111 -Owner:
Property Address: 52319WHIRLAWAYTR CCT ®p DENNIS THOMPSON
76
APN: 7640004 f8 2015
Application Description: THOMPSON / REPLACE 75 GALLON WATER HEATER __� 92253
Pro ert Zoning:CptiJfAU�
NI_" UF�OUINTA
p Y ELOF�gEhiTOEP4RT,C
Application Valuation: $2,750.00 - 1ENT
Applicant:
HARRISON ENTERPRISES INC DBA GENERAL AIR
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
a e0 $ Conti or:
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 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 Na
Lender's
11111111111111111111
2,
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/8/2015
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.
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:
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.
te: �0 8 ISAppji~ca�nt:rr�
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.
Sigq:.!ture'('Applicant or Agent)
I
DESCRIPTII OW�13" AMOUNT3-1, >x PAID DATE
M 7 5
BSAS 561473 FEE 101-0000-20306
0 $1.00 $0.00
XiI ,st I
�nPAIWgW o"m M E T al,
11 kiffi
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C �AM
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n, N R , 7'
6
IMNk '4� lie THOWi;1 y '..
Mx P� MR, I ........ ..
. , Fz UHLUK�Wsvlv`jz.4�_': -.,;C.L, .
KE I TDIc
m
Total Paid for BU,1LbING.STAN.DARDS ADMINISTRATION BSA:', $1.00 $0.00
DESCRIPTION
SM P "w" v
S
RACCOUNT4R U,
i� _M(
4v
:24,zZ
R ".?A
I, m
"*m1:1113.,,7-_��..-
Uw
PAID
D: DATE_
PERMIT ISSUANCE
101-0000-42404
0 $91.85
$0.00
PAIMBY5�j�,-�M
'x ,'l
in 1 v
:LTD
EIPMW;11�24
z
�BYE
Total Paid for PERMIT. ISSUANCE: $91.85 $000
gl,
OEtCR I PT 10 N �Hi KU
0—
ACCOUN Tm
K7LiA M 0 U N T'
vli-,ffi,
lPAIMDATE:,
M
ul; Mw,
" M
M,
WATER HEATER/VENT
0* $12.09
0.00
A 0 BY
1" R ffff
CHECK 4Q��
tT0fflRECEIp4T,,j#.14-
Z. -A-1:1! W.� Jj
i�
DESCRIPTION'
ME -At -do' NT?�.
PAID
�,A)ATE-j
WATER HEATER/VENT PC.
101-0000-42600
0
$7'.25
$0.00
PAID BY
N
v
gRECEIPT#,4�,�
-,N
MCHEC,
K#�
AtLT DW
Total Paid for PLUMBING FEES: $19.34 $0.06
•0 00
Description: THOMPSON / REPLACE 75 GALLON WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 10/8/2015 SGU
Approved:
Parcel No: 767640004 Site Address: 52319 WHIRLAWAY TR LA QUINTA,CA 92253
Subdivision: TR 31202-1 Block: Lot: 45
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,750.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTACTS
CITY
Details: WATER HEATER CHANGE OUT — 75 GALLON/ GAS [2013 ENERGY) CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
OWNER
DENNIS THOMPSON
92253
Printed: Thursday, October 08, 2015 10:22:30 AM 1 of 2 i
SYSTEMS
PARENT PROJECTS
BOND INFORMATION
Printed:. Thursday, October 08, 2015 10:22:30 AM 2 of 2 7
SYSTEh1S
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
PC
Total Paid for PLUMBING FEES: $19.34 $0.00
TO00
PARENT PROJECTS
BOND INFORMATION
Printed:. Thursday, October 08, 2015 10:22:30 AM 2 of 2 7
SYSTEh1S
Bin.#
City Of LQ Quo:
Inta
Building 8r Safety Division
O 1 ` P.O. Box 1504,78-495 Calle Tampico
ta.Quinta, CA 92253• -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
j Q ���
Project Address: 52319 Whirlaway Trail.
Owner's Name:. Susan Thompson
A. P. Number
Address: 52319 Whirlaway
Legal Description:
Contractor: General Air Conditioning
City, ST, Zip: La Quinta, CA 92253
3s. `t�9J. �'
'telephone: 760-398-5932 "six s
Address: 31170 Reserve Drive
Project Description: Replace 75 Gallon Water Heater
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
FIRM '
••�: �
State Lic. # : 686310
City Lie. &
Arch, Engr., Designer.
Address:,
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: Steven SchniererSq.
Construction Type: . Occupancy:
.Project type (circle one): New Add'n Alter Repair Demo
Ft :
#Stories:
# Units:
Telephone # of Contact Person: 818-735=7876 x 1
Estimated Value of Project $2,750.00
APPLICANT: DO NOT WRITE BELOW THIS LIME
#
Submittal
Req'd
Recd
TRACK NG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Chcck Deposit. .
Truss Calcs.
. Called Contact Person
Plan Check Balance.
Title 24 Cities.
Plans picked up
Construction .
Flood plain plan
Pians resubmitted
Mecharilcal
Grading plan
2`d Review, ready for correctionstissue
Electrical
Subcostactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:.
''d 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
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
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)
IProleC[Name: CS ,�1� U\.%;
Y IIGc.V]�'� �Y"G.�� (Date Preparetl: t�18'1-5 _ _J
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT-01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that ore exempt from HERS verification requirements may use the CF1R-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.a/tered and are not exempt from HERS verification, then a CFSR-ALT-01 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSP.F) 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 cf 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for 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 responsibility for 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:
02-
Date Prepared:
I OI g) IS
03
Project Location:
SZ�1 ` 0.W 4 1 �.
1
04.
Building Front Orientation (deg or cardinal):
05
CA City:
L c` �V i CA
06
Number of Altered Dwelling Units:
07
Zip Code:
Gl ZZ S 3
08
Fuel Type:
N e-},jra,1 Gas
09
Climate Zone:
10:
Total Conditioned Floor Area (ft):
11
Building Type:
12
Slab Area (ft):
13
Project Scope:
rwc� `%ts Gc;.Ilor t,)o.EC-,r �Ae-o.4e r
CA Building Energy Efficiency Standards - 2013 Residential Compliance
April 2015
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
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 7 of 8)
Project Name: �^�
,SZ3i�'-. ��r.�r��wQy 1�c-a.:l OatePreDnred: 10l8)15 .
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 Name
Water
Heating
System
Identification
or 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
I Value
Heating
Efficiency
Tye
Heating
Efficiency
Value
Standby
Loss
M
Exterior
Insulation
R -Value
Back -Up
Solar
Savings
Fraction
iJ�olal�wryt
DI -1W
$"ke:l1
'J Jr-
Cz�S
'1i�cre�wl
5
NIA'
Q
NIA
CA Building Energy Efficiency Standards - 2013 Residential Compliance April 2015
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
-EC-CFIR-ALT-05-E (Revised 04/15) CALIFORNIA ENERGY COMMISSION 'MP'
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 8 of 8)
Project Name: Date Prepared:
52319 4.:�1r.,:rltx�a..t �ra.�1 10�8�15
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1certify that this Certificate of Compliance documentation is accurate and complete.
' Documentation Author Name:
Documentation Author Signature:
Company:
- Signature Date:
Gerero.\ A%c-
10 alit
Address:
CEA/ RERS Certification Identification (if applicable):
31I'7110egerve.���
City/Sfate/Zip:
Phone:
1�1r.ovcerci leo.\rn A C(22-
7fo0-3c13-�7°i8fi
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:
Company:
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