BPLB2019-005378-495 CALLE TAMPICO V �P Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
PLUMBING/
Application Number:
BPLB2019-0053
Property Address:
79816 DANDELION DR
APN:
604484003
Application Description:
CHAVEZ / 50GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$1,077.00
Applicant: — 0
IE INC. D
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362 APR 0 5 2018
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20, C36 License No.: 1022&45
Date: 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 a
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
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/5/2019
Owner:
RAYMOND & CARMEN CHAVEZ
79816 DANDELION DRIVE
LA QUINTA, CA 92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
INDIO, CA 92201
(760)863-0832
Llc. No.: 1022645
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 brave 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: WESCO IN URANCE COMPANY _ Policy Number: WWC3342930
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: 0411S] IaI Applicant: •-7� Z_
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.
�! A
Date: � � q Signature (Applicant or AgeM):
Application Number:
BPLB2019-0053
Property Address:
79816 DANDELION DR
APN:
604484003
Application Description:
CHAVEZ / 50GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$1,077.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 4/5/2019
Owner:
RAYMOND & CARMEN CHAVEZ
79816 DANDELION DRIVE
LA QUINTA, CA 92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
INDIO, CA 92201
(760)863-0832
Llc. No.: 1022645
---------------------------------------=i--, --- -------------.--a-------------------------------
Detail: 50 GALLON WATER HEATER CHANGE OUT [GAS] -CARBON 'MONOXIDE ALARMS Tp;BE INSTALED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES
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
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$8.00
Total Paid for PLUMBING FEES: $21.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta Quiwra
PERMIT # (?L"5ZC) -1—
PLAN LOCATION:
Project Address: 79816 Dandelion Drive
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 50 gallon gas water heater
Email:
Fire Sprinklers SF
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
i
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner.com
Valuation of Project S 1,077.00
Contractor Name: Preferred A/C & Heating
New SFD Construction:
Address: 45-311 Golf Center Parkway Suite A
Conditioned Space SF
Garage SF
City, St, Zip Indio, CA 92201
Telephone: 760-863-0832
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 1022645 City Bus Lic-
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
i
Property Owner's Name: Carmen Chavez
New Commercial / Tenant Improvements:
Address: 79816 Dandelion Drive
Total Building __ ___ SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 760-360-2145
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
i
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
II Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 8)
Date Prepared: .s S
Prolec[Name:
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance.
with a HERS Provider Data Registry.
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 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 dud 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.
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 (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 CF1R-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibilityfor 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 responsibilityfor 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: P—li� koN-b j CACM(E-) C �AAva-z-- 02 Date Prepared:
03
Project Location:oUr.d
�1: o�� l rid
�
04
Building Front Orientation (deg or cardinal):
05
CA City:Z
a.-�vl�i��e,
06
_
Number of Altered Dwelling Units:
07
Zip Code:
gZ25�
08
Fuel Type:
Gr— 5
09
Climate Zone:
10
Total Conditioned Floor Area (ft):
11
Building Type:
12
Slab Area (ft):
13
Project Scope:
� �Qr SO GG�tor.� �%0.�C�t'I
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CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE
Aive Residential Alterations That Do Not Require HERS Field Verification
Project Name: . 71?61
n
11
CF1R-ALT-05-E
(Page 7 of 8)
H. Water Heating Systems (Section 150.2(b)1G)
01
02
03
04
05
06
07
08
09
10
it
12
13
14
15
Dwelling Unit
Name
Water Heating
System
Identification or
Name
Water Heating
System Location
or Area Served
Water
Heating
System
Water
Heater
Type
i
!
# of
Water
Heaters
in System
Water
Heater
Storage
Volume
(gal)
Fuel Type
Rated
Input
Type
Rated
Input
Value
Heating
Efficiency
Type
Heating
Efficiency
Value
Standby
Loss
(%)
Exterior
Insulation
R -Value
Back -Up
Solar
Savings
Fraction
TType
so
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2;1-,1—�f0
,1—
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CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
r�111-1
1
CE_C--CF1R-ALF-05-€ LRevsed 07M) CALIFORNIA ENERGY COMMISSION �
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 8 of 8)
Project Name:\ Date Plmpim&
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Nam
flow nAuthorSigrety
Company:
Sign Date:
' �(
3
Address:
CERT HERS Certification Identification (if applicable):
14,S- 3N) GcXQ
[ice to/Zip:�
Phone:
.la•.G�io l�J� QZ�O�
CA
%l00— � .C)Z3
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 !
E
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:
l
Company: R
Y'r
Date Signed:
Address:
License:
4-S-311��1 � ,��;t,r l� +try
16ZZC�y+S
City/State/Zip:
prone'
CA
-76b ` 8b3�6�3Z
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
July 2017