BPLB2017-0106iht 4
78-495 CALLE TAMPICO` / QUI cu VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92FAX (760) 777-7011253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/10/2017
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BPLB2017-0106
Owner:
79300 BRIARWOOD
776020009���
CUMMINS RESIDENCE/ HOT WATEH, EATERP,
4p1_ \�
KENNETH CUMMINS
79300 BRIARWODD
�QUINTA, CA 92253
$2,300.00.
i
AUG 10 2 017
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
U :J
Contractor.
CITY OF LA QUINTA HARRISON ENTElPRISES INC DBA GENERAL AIR
DESIGN AND DEVEl OPMEN IT DERARTtiIEIV1170 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
—confracctro _<::a z
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 t
permit subjects the applicant to a civil penalty of not more than five hundred dollars
(_) 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 orimprovement 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 conteactor(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
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSAIJON DECLARATION
I hereby affirm under penalty of perjury one oP the following declarations:
I have and will maintain a certifican 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:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
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.
AApplican�µQ—
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 ($100,00D). 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 thi; application.
1.. Each person upon whose behalf this appli_ation 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 appliotion becomes null and void if work is
not commenced within 180 days from date of ssuance 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 representa:ives of this city to enter upon the
above-mentioned property for inspection purposes. .
e
(Applicant or Agent): ��—
i.
Date: 8/10/2017
Application Number:
BPLB2017-0106
Owner:
Property Address:
79300 BRIARWOOD
KENNETH CUMMINS
APN:
776020009
79300 BRIARWOOD
Application Description:
CUMMINS RESIDENCE / HOT WATER HEATER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
.$2,300.00
Applicant:
Contractor:
IE INC
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)343-7488
---------------------------------------------------------------------------------------------
Llc. No.: 686310
Detail: 40 GALLON WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA .
BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473'FEE
101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
Total Paid for PLUMBING FEES: $20.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $5.00
TOTALS: $122.54
Bin.#
City. of 12 Quinta
Building &- Safety Division
P.O. Boz 1504, *78-495 Calle Tampico
-4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 79300 Briarwood
Owner'sName:.Ken & Deborah Cummins
A. P. Number.
Address: 79300 Briarwood .
Legal Description:
City, ST, Zip: La Quinta, CA.' 92253
Contactor. General Air Conditioning
Telephone: 2636iax
Address: 31170 Reserve Drive
Project Description: Replace 40 gallon water heater
City, ST, Zip: Thousand Palms, CA 92276
-M ,
P 1 «<: y
Telephone: 760-343-7488 ., w z
State Lic. # : 686310 City LiF 9.
Arch., Engr., Designer.
Address:
City., ST, Zap:
Telephone: `�
P .�
State Lia #:f i''
�,�,.,�%y�,
Construction Type: . O=rrpancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-73577876
Estimated value of project: $2,300.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACMG
PERMTF FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check 3alance
Title 24 Calm
Plans picked up
Constructio
Flood plain plan
Plans resubmitted '
Mechanical
Grading plan
V Review, ready for correctiouslissue
Electrical
Subcontector List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3j° Review', ready for corrections/issue
Developer Eupact 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
RE:SIDENTI'AL ALTERATIONS — WATER HEATER
CEC-CFIR-ALT-01-E (Revised OG/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations. for Water Heater
CALIFORNIA ENERGY COMMISSION
CF111-ALT-014 WATER HEATER ;
(Page 1 of 2)
A. GEN ERA'L•.INFORMATION
Site address:
Building Type: `single Family Dwelling
%Q 3t7Os—s o�C WOO
03'
a Multi Family Dwellings
City. Zip Code:
(, w�. Q Cill Climate Zone:. 5 '
G. WATER HEATING -SYSTEMS Section 150.2 b 1G
01'
02
03'
04
05
06
07
08
09
10
11
12
13
14
15
Water
Water
Water'
• Nof
water
Fuel
Rated
'Rated
Heating.
Heating
Standby
Exterior
Back -Up
Central
Dwelling
Heating
Heating
Heater
Water
Heater
Type
Input
Input
Efficiency
Efficiency
Loss'(%)
Insul.
Solar.
DHW System.
Unit DHW .
System
System
Type
Heaters
Storage
Type
Value
Type
Value
R•Value
Savings
Distribution
System
Identification .
Tyife
In
Volume
Fraction
Type
Distribution
fir.
system
(gal)
Type
Name
N A
I NJA
WATER HEATING SYSTEMS
Water heating compliance for an alferatlon Is described in Section.150.2(b)1G. For single dwelling'a.ps or propane water heater, with a stdragetank.of 60 gallons maximum
br instantaneous (tankless) can be used. pwelling Unit distribution systems areJimited to Standard trunk and: branch or demand recirculation for gas or propane water
heater..Demand recirculation is not allowed for electric water heater. If there is no natural gas connected to the building, an electric water heater. may be.seplace l with
another elect'ric waier heater, However, changing from got to electric is not allowed. Multi -family central systems Must use certified_ guip_nen,Gps d.efined under Section
116:I and 110.3.
NOTE:.If,the'pro,posed installation -does notineet the requir rements allowed specifically for alterations, use form CFIR-NCB=glib docurtlent the waterheater a'Itera{ion,
Instructions`for "sections with columh numbers are'eiven below:
1. Water Heating System Identification or Name: enter a unique name for the Water Heating System..
2. Water heating system type: Domestic Hot Water (DHW); Hydronlc, Combined Hydronfc; or'CentiaL,DHW is for domest(chot water, hydronic is a water heating
system used for spate heating only; enmhined hydronic are when the water heater will provide both space conditluning and .domestic hot water.
3. Water heater type: For npn-central systems only Small. Storage or Small Instantaneous are allowed. For central systems pick from.Large Storage, Small Storage,
Heat Pump, Boller, Large Instanta.n.eous, Small Instantaneous or Indirect. "
r
-CERTIFICATE OF COMPLIANCE CFMALT-01-E WATER HEATER
Prescriptive Residential Alterations for Water Heater " (Page 2 of 2)
4. Number of water heaters in, system: In single-family and multi -family with water heaters In each dwelling units the value Is 1, For multifamily centrafsystgrns
serving multiple dwelling units enter the total number of water heaters.
5. Water heater volume (gal): tank capacity In gallons. For individual water heaters for a dwelling unit this will'be 60 gallons or less. If instantaneous, enter n/.a. For
multi -family central systems enter the total storage volume;
6. Fuel Type: Gas, Propane, Electric (Only if natural gas is not available)
7. Rated Input Type: Enter the equiprhent input rating type, for gas or propane fired units are etuh, for electric ,fired systerrf the:uriits are:,M
'8. Rated Input Value: Enter the numeric value of rated input.
'9. •Heating Efficiency Type: Energy Factor, AFUE, or -Thermal Efficiency: From product literature iie.a California Energy Commission directory.
10. Heating Efficiency Value:.Enter the value from product literature ora California Energy Commission directory
11, Standby Loss (percent)- Applies only to large storage water heaters, Enter n/a for small storage or instantaneous water heaters.
12. Exterior Insulation R -Value; Enter the R -value if exterior. insulation on the storage tank is installed '
13. Back-up solar savidgs fraction: If compliance requires a back-up solar system, indicate the solar contribution. (e.g., 0.30). External calculations a're.required.
14, Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system'with at least two distribution
loops must be installed. This requirement applies to any building with eight or more units. If.the system is noncentral or 'Iproject is Individual units enter n/a.
15. Dwelling Unit•DHW Distiibution Type: For a Central OHW this field shall be.Standard: lf.non-central then pick from Standard, Demand Recirculation —Manual
Control, Demand Recirculation — Sensor Control. If noncentral electric water heater this mustbe Standard, no recirculation system shall be installed. ,
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
-I certify that this Certificate of Compliance documentation is accurate and complete.
Name: 11 ot)wner uthorized agent oContractor,
Company: �1. C T�'o
Signatures
Gontractorilcenseit: •I6Fi(o31'D
Address:3 l l7 i�
Phone:
City/State/Zip:" T
1 hov say. �ol Yr ( q ZZ'7(�
Date:
g la I-7
for assistance or questions.regarding the Energy Standards, Contact the Energy.Hotline at:.1.800.772-3300,..'.• . . '