BPLB2017-0159Ij
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t�p Qum&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
PLUMBING/
Application Number:
BPLB2017-0159
Property Address:
78573 SAN MARINO CT
APN:
609551029
Application Description:
GROTENRATH RESIDENCE/ HOT
Property Zoning:
Application Valuation:
$15,500.00
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.: 9977733333
WIT1'"MI -8O `r7 Ciao t actor: �an,a. ,
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 all
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 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 Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/30/2017
Owner:
WILLIAM GROTENRATH
78573 SAN. MARINO CT i
LA QUINTA, CA 92253
Contractor:
A#1 SERVICES HEATING & AIR CONDITIONING
78206 VARNER RD #D-189
PALM DESERT, Ca 92211
(760)565-2691
Llc. No.: 977333
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ce the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3706 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' cNmpensation 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 insuranca carrier and policy number are:
Carrier: FALLS LAKE FIRE AND CASUALTY COMF.ANY Policy Number:: LA006188
I certify that in the performance of -he 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 3'200 of the Labor Code; I shall forthwith
comply with those provisions.
AIIzq t-1 Applicant: �-
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN>L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FORIN 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 applica:ion becomes null and void if work is
not commenced within 180 days from date of iseuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stat-- 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 representati-es of this city to enter upon the
above-mentioned property for inspection purpo--es.
c-
oi.Agent): Swwz—
Date: 11/30/2017
Application Number: BPLB2017-0159 Owner:
Property Address: 78573 SAN MARINO CT WILLIAM GROTENRATH
APN: 60955102978573 SAN MARINO CT
Application Description: GROTENRATH RESIDENCE /'HOT WATER HEATER LA QUINTA, CA E-2253
.Property Zoning:
Application Valuation: $15,500.00
Applicant: Contractor:
IE INC A#1 SERVICES HEATING & AIR CONDITIONING
31225 LA BAYA 78206 VARNER RD #D-189
WESTLAKE VILLAGE, CA 91362 PALM DESERT, 01% 92211
(760)565-2691
Llc. No.: 977333
---------------=-----------------------------------------------------------=-----------------
Detail: 40 GALLON WATER HEATER CHANGE OUT [GAS) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINkL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
I
FINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83'
�_- Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT .
WATER HEATERNENT
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.80
Total Paid for PLUMBING FEES: $20.80
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
S
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y
e
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
01—
:EC-CFIR-ALT-05-E (Revised 04116) CALIFORNIA ENERGY COMMISSION►
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project Name: M - Date Prepared:
This compliance document is only applicable to simple alterations that do not
with a HERS Provider Data Registry.
for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered
Alterations to Space Conditioning Systems that are 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 altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry.
A'Iterations 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 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:
03
Project Location:
'7RS-1a -
04
Building Front Orientation (deg or cardinal):
05
CA City:
a.
06
Number of Altered Dwelling Units:
07
Zip Code:
Ct ZZ53
08
Fuel Type:
r
09
Climate Zone:
�s
10
Total Conditioned Floor Area (ft): .
11
Building Type:-
12
Slab Area (ft')
13
Project Scope (Select all that apply):
❑ B, Insulation ❑ D. & E. Fenestration/Glazing- ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ lighting .
❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑✓ H. Water Heating System ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
•CEC-CF1R-ALT-05-E Revised 04/16 r - CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE - CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page -2 of 3
Project Name: 85,,,' Date Prepared: .
H. Water Heating Systems (Section 150.2(b)1G)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
# of
Water.
Water
Water
Water
Back -Up
Heating
Heating System
Heaters
Heater
Rated
Heating
Heating
Exterior
Solar
Dwelling
System .
Location or
Water Heating
Water
In
Storage
Fuel
Rated
Input
Efficiency
Efficiency
Standby
Insulation
Savings
Unit'Name
ID or Name
Area Served
System Type
Heater Type
System
Volume (gal)
Type
Input Type
Value
-Type
Value
Loss (%)
R -Value
Fraction
13c•od erd
1�dIlrJ
S�"ora �
�
N
A
r
Rt�
Me et �g�w
,x�
CA Building. Energy Efficiency Standards - 2016 Residential Compliance
April 2016.
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification.
a
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require -HERS Field Verification.. Page 3 of 3
Proiecl Name: - _ Date Prepared:
�a�c \v�o it ysc i
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
a e:
� l l�
companyi -
A Sf� ICES � �- �
Address:
CEA HERS Certification Identification (If applicable):
') 8Z0(,o V ckrr r std- I TS at
City/State/Zip: �\
Vw�
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The in 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.
S. I 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 fompliance 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:
I A
Ci
Address:
License:
City/State/Zip:
Phone:
9 ZZ- l l
..�f�O- 3j► i, ZG 10
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
. .• - • PERMIT # —_
PLAN LOCATION
Project. Address: '725-7hO Project Description: Pool, Rcmodel, Add't, Elect, Plumb, Mech.
APN #:
ko0.c-- 40 (5aA6,,- �o�o
Conditioned Space SF
City, St, Zip �a� �e eta CA
Applicant Name:
Telephone:-I1L.p_�cEZ_3�tn
Address: 3Q -2Z Lc. 3 al, bctt Zvi
Email:
City, ST, Zip: (Jea w.-1 w. N qe, CA
State Lic: City Bus Lic:
Telephone: g18 Z-7g7(�
State Lic: City Bus Lic:
Email:
Valuation of Projects is 6co. co
Contractor Name:New
,{
SFD Construction:
Address: 7zzoe, V0.fY\e,r �d #�_�$e,
Conditioned Space SF
City, St, Zip �a� �e eta CA
Garage _ SF
Telephone:-I1L.p_�cEZ_3�tn
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:(,�;,`� am �rd�ehr a}�
New Commercial /Tenant Improvements:
Address: 7$513 �av� �Af i
Total Building SP'
City, ST, Zip (_a Q`,`Y*cx CA. g Zz53
Construction Type: Occupancy:
Telephone: -7to0 7YL�
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000