BPLB2018-013078-495 CALLE TAMPICO T-d4t G a(P Qu&*)
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number: BPLB2018-0130
Property Address: 45510 DESERT EAGLE CT CT
APN: 604241029
Application Description: OLEARNICK - 50 GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation: $2,500.00
Applicant: ••
IE INC. ;I
32115 LA BAYA 0 C 1r S- o 2018
WESTLAKE VILLAGE, CA 91362 ID
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/30/2018
Owner:
JEROME OLEARNICK
45510 DESERT EAGLE CT.
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
`i I Y QF LA Q UINTA (760)343-7488
DESIGN AND FVF[0PfsfiPN���p��TIUI•!;lT Llc. No.:686310
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 7DO01 of Division 3 of the Business and Professions Cade,
and my License IS In full force and effect.
License Class: C20, C36 License No.: 686310
Date: j }� Contracto s
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 tV_Kierk for which this permit Is issued.
v-�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 ar •
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
e.
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5431S5802
License taw for the following reason (Sec. 7031.5, Business and Professions Code: Any
_
I certify that in the performance of the work for which this permit Is issued, I
city or County that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed
compensation laws of California, and agree that, if I should become subject to the
pursuant to the provisions of the
Contractor's State License Law (Chapter!) (commencing with Section 7000) of Division
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
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
_
i� �� j
a
Date: Applicant: --�
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended oroffered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES
apply to an owner of property who builds or improves thereon, and who does the work
AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
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
wit hln one year of completion, the own e r-bul Id er will have the burden
APPLICANT ACKNOWLEDGEMENT
of proving that
he or she did not build or improve for the purpose of sale.).
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
U I, as owner of the property, am exclusively contracting with licensed contractors
the conditions and restrictions set forth on this application.
1.
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work Is performed
State License Law does not apply to an owner of property who builds or improves
under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
shall defend, indemnify and hold harmless the City of La Quinta. Its officers, agents, and
(_) I am exempt under Sec. B.&P.C. for this reason
employees for any act or omission related to the work being performed under or
following issuance of thlS permit.
2. Any permit issued as a result of this application becomes null and void if work is
Date: Owner:
not commenced within 180 days from date of issuance of such permit, or cessation of
_
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of periury 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 Address:
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.
i
Date: I0 3? Signature (Applicant or Agent):
Date: 10/30/2018
Application Number:
BPLB2018-0130
Property Address:
45510 DESERT EAGLE CT CT
APN:
604241029
Application Description:
OLEARNICK - 50 GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$2,500.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
JEROME OLEARNICK
45510 DESERT EAGLE CT
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
Detail: 50 GALLON WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
DESCRIPTION
ACCOUNT CITY
AMOUNT
BSAS 561473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT CITY
EE
AMOUNT
PERMIT ISSUANCE
01-0000-42404 0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
DESCRIPTION
ACCOUNT CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401 0
$13.34
DESCRIPTION
ACCOUNT CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600 0
$8.00
Total Paid for PLUMBING FEES:
$21.34
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
STATE OF CALIFORNIA
Pr-ascriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised Uf76
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
-Qj¢j flame: T--'s C7 be-se-r k- 1--- :-- " l e- C-i.
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance.
with a HERS Provider Data Registry.
CALIFORNIA ENERGY COMMfSSION
IM
CFIR-ALT-05=E
Pagel of 3
a CF1R-ALT- 01 shall first be registered
Alterations to Space Conditioning Systems that are exemptfram HERS verification requirements may use the CFIR-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 Previausly 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.
Alterations 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 focSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R-value of 3.6 per inch,
Registry. shall complete and register a CF1R-ALT 01 with a HERS Provider Data
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 ore
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:
03
Project Location:
05
CA City:
07
Zip Code:
09
Climate Zone:
11
Building Type:
45510��-
02 Date Prepared: t _ 13�I I
04 Building Front Orientation (deg or cardinal): i
06 Number of Altered Dwelling Units:
08 Fuel Type:
5
10 Total Conditioned Floor Area (ft):
12 Slab Area (ft)
13 Project Scope (Select all that apply): PP Y):
❑ 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-CF1 R-ALT-05-E (Rev;sed 04116y
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alteration's That Do /Not Require HERS Field Verification
Rrv�rc. usme: e:Ser4 G low V C:�.0 i G
H. Water Heating
01
Systems (Section 150.2(b)1G)
02 03 04
Water Water
05
Heating Heating System
Dwelling
System Location or Water Heating
Water
Unit Name
ID or Name Area System Type
Heater Typ
lWY�C1
`Served
11
Lo
S'1"flCCSC
Add Row I Delete Row
MMISSION
CF1 R-ALT-05-E
Page 2of3 -
Z6Opz
06 07 08
I 09
10
11 j
12
13
14
15
# of
Water Water
Back -Up
Heaters Heater
Rated
Heating
Heating
Exterior
Solar
in i Storage Fuel
Rated
Input
Efficiency
Efficiency
Standby
Insulation
Savings
System (Volume (gal) Type
Input Type
Value
Type
Value
Loss (%)
R-Value
Fraction
I SO Gas
'_L_
4OP---
I VEF
..63
IBC
t-JA
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016.
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC -C F1 R-ALT-05-E (Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate a
ev cry
eY)erc.1 JA i �
;nature oatg:
iat3c 1I $
CALIFORNIA ENERGY COMMISSION
CM-ALT-05-E
Page 3 of 3
Date Prepared:
!0 3C1Ig
Phone, -
GA 9z2-7t_
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 Cornpllance 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. 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 Compliance is required to be included with the documentation the builder provides to the building
owner at Occupancy.
Responsible Des#gner wame:
e_. Responsible DesiR n er Sienature:
pa n v
1 Date Signed:
eahC], iD1r1i1� 1C/30I1g
Ucenm
I-- jP$-i„31c7
CA 92z-7�_ 1 —)c,o-343•-74.2e
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
ta Qaixev
GEM q-, ,DESERT -
Adress: 45510 Desert Eagle Court
licant Name: Steven Schnierer
I .dress: 31225 La Baya Drive Suite 213
,;ity, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierera..road run ner.com —
Contractor Name: General Air Conditionir
Address: 31170 Reserve Drive
City, St, Zip Thousand Palms, CA 92276
Telephone: 760-343-7488
Email:
State Lie:686310 City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name: Olearnick, Jerome
Address: 45510 Desert Eagle Court
City, ST, Zip La Quinta, CA 92253
Telephone: 760-702-6732
Email:
"t2�
PERMIT # P
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Replace 50 gallon gas water heater
Valuation of Project $ 2,500.00
New SFD Construction:
Conditioned Space SF
Garage _ _ SF
Patio/Porch SF
Fire Sprinklers SF
Construction Type: Occupancy:
Grading:
Bedrooms: Stories: # Units:
New Commercial / Tenant Improvements:
Total Building f SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY