BPLB2019-005878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
PLUMBING/
BPLB2019-0058
c&t4t 4 4, Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
79365 DESERT ROCK CT
604242019
HILLS/ TANKLESS WATER HEATER INSTALLATION
$3,193.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/12/2019
Owner:
JESSE & MICHELLE HILLS
79365 DESERT ROCK COURT
LA QUINTA, CA 92253
PDContractor:
PREFERRED AIR CONDITIONING HEATING & PLU
D45-311 GOLF CENTER PKWY STE A
A�R 1220.19 INDIO,CA92201
(760)863-0832
CITY OF LA QUI})TA Llc. No.: 1022645
DESIGN & DEVELOPMENT DEPARiMENi
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.: 1022645 J
Date: Contractor: �cz C, �
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 Address:
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 rk for which this permit is issued.
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: WESCO INSURANCE 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: 2_ Applicant;
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.
Date: 4 f I �' Signature (Applicant or Agent):�^'���
Application Number:
BPLB2019-0058
Property Address:
79365 DESERT ROCK CT
APN:
604242019
Application Description:
HILLS / TANKLESS WATER HEATER INSTALLATION
Property Zoning:
Application Valuation:
$3,193.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 4/12/2019
Owner:
JESSE & MICHELLE HILLS
79365 DESERT ROCK COURT
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
Detail: (1) TANKLESS WATER HEATER INSTALLATION IN GARAGE LOCATION [GAS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
Total Paid for PLUMBING FEES: $21.34
DESCRIPTION
FINANCIAL
DESCRIPTION
INFORMATION
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
• .
q p
PERMIT #
C:O11FORNIA
Project Address: J% R3i,s � t� \, _�_ C_+- I Project Description:
APN #:
Applicant Name: t
Address: 31Z.ZS I,, Lr�y�
City, ST, Zip:[_ k1-� e h
Telephone:,�g._-�3s-'78�co
Email:
Valuation of Project $3, 1 X13. cXD
/8495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal Required
Received
Pian Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
1
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APR 12 2019
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
C_EC-CF1R-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Pagel of 3
Dale P,e���
I his compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered
with a HERS Provider Data Registry.
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 ore not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with a HERS Provider Data Registry.
I 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 -volae 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 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 1 Project Name:
03 I Project Location: I --7q
05 CA City:
07 Zip Code:
09 Climate Zone:
11 Building Type:
Lcz Q)"i
gzas-2�'
13 Project Scope (Select all that apply):
02 Date Prepared.
04 Building Front Orientation (deg or cardinal).-
0-
ardinal):0. 06 Number of Altered Dwelling Units: i
08 Fuel Type: r ��
10 Total Conditioned Floor Area (ftz): V
12 Slab Area (ft)
B. Insulation 0 D. & E. Fenestration/Glazing - ADD El G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE Z✓ 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
CALIFORNIA ENERGY COMMISSION
CEC-CFIR-ALT-fly-E (Revised 04/16y _
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
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 TypeSystem
Volume (gal)
Type
Input Type
I Value
Type
_ Value
Loss (%)
R -Value
Fraction
I Jl akUa s
Nt,J
To-o'14e ss.I
N I
s
1�1 v1-.
! �i IZ
V f F
91
THA
lei A
Add Rove
Delete Row
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
3STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-Or,E(Revised 04116)
CERTIFICATE OF COMPLIANCE - -
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CMOS
C—+
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name?
C- x r- I -
C-
;C -'r -S 1 4112-11
CALIFORNIA ENERGY COMMISSION
CF1R-ALT-05-E
Page 3 of 3
Date Prepared' u f 1� 1
C-& ci zZa,
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of Callfornia:
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 vvith 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.
R--ihla n—i.ner ele..,o
Company -
,45-:311 G o1 fi
CA ct
esponsioie uesigner signature:
ate Si ned:
141'9
tens :
I OZZ (o4-&-
lone:
%60 - Ei(o3- QZ3 Z.—
For„
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
*1C
APR 12 2019