BPLB2019-006078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype: PLUMBING/
c&t�t 4 i4P Qalara/
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2019-0060
Property Address:
79820 SANDIA
APN:
776211003
Application Description:
ALEXANDER / 75GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$3,495.00
Applicant:
Z�
IE INC.
32115 LA BAYA nn
f ��
WESTLAKE VILLAGE, CA 91362 1 A P,?, 2 2 2019
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/22/2019
Owner:
ALEXANDER FAMILY 2016 TRUST
79820 SANDIA
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
t(760)343-7488
i it OF L!',CrlIIJTA LIC. No.: 686310
DEVELf 'i61E NT 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.: 686310
Date: t'+ I ZZ I at Contractor: o
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 Name:
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�ork for which this permit is issued.
`tea 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: INSURAN.CfF COMPANY OF THE WEST Policy Number: WSD5043889
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: `'► Applicant:
WARNING.* FAILURE 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: (Applicant Signature A
g ( pp or Agent):.
Application Number:
BPLB2019-0060
Property Address:
79820 SANDIA
APN:
776211003
Application Description:
ALEXANDER / 75GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$3,495.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 4/22/2019
Owner:
ALEXANDER FAMILY 2016 TRUST
79820 SANDIA
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: 75 GALLON WATER HEATER CHANGE OUT [GAS] - CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 1 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
tev QU&ra
PERMIT # -� 20 l q — 60 ( O
- GEM f1h, DESERcr
PLAN LOCATION:
Project Address: 79820 Sandia Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: Replace 75 gallon gas water heater
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner.com Valuation of Project $ 3,49500
Contractor Name: General Air Conditioning
New SFD Construction:
Address: 31170 Reserve Drive
Conditioned Space
Garage
Patio/Porch
SF
SF
SF
City, St, Zip Thousand Palms, CA 92276
Telephone: 760-343-7488
Email:
Fire Sprinklers
SF
State Lic: 686310 City Bus Lic:
Arch/Eng Name:
Construction Type:
Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Donna Alexander
New Commercial / Tenant Improvements:
Address: 79820 Sandia
Total Building
SF
City, ST, Zip La Quinta, CA 92253
Construction Type:
Occupancy:
Telephone: 405-833-7731
Email:
78495 CALLE TAMPICO
LA QUI NTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal Req'd Rec'd
Plan 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
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification CALIFORNLAENERGY COMISSION
CEC-CFIR-ALT-05-E Revised 07+17 CF1R-ALT-05-E
CERTIFICATE OF COMPLIANCE -- (Page 1 of 8)
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: -7 q
�l ✓ ;.ea „ 04R -AIT -01 shall first be registered
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. en
with a HERS Provider Data Registry.
rom HERS verification requirements may use the CFIR-ALT-05 and CF2R-ALT 05 Compliance Documents. Passible exemptions from duct
Alterations to Space Conditioning Systems that are exempt f with
leakage testing include: less than 40 ft of ducts were added or replaced; o ram HERSthe g erceatioduct system
then a+ C fated
02 must be completed ram+d registered with asHERS+Prav�der Data Registested and try sed y a
,HERS Rater. If space conditioning systems are altered and ore not P f
icfoot
ing an R-volue
r than 5.9 per inch, or Open
ray
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPFJ un�s ee cub l of having an R -value of 3.6 per in1.5 to less than 2.5 pounds per ch, shall covmplte and regisstera CFIR-ALT-01 w th a HERS Preov ll derr Data
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 ps r
i Registry.
If more than one person has responsibility for installation of the items ouch is haf+cate, each person and sign this all certificate are and
the sign a certntire construccate tion. All applicable Mandatory Measures cable to the portion of oshall+be met. are
I responsible_ Alternatively, the person with chief responsibility for const P
Temoorary labels shall not be removed before verification by the building inspector.
A. General
Information
OZ
c{i l� l!
Date Prepared:
- J
04
Building Front Orientation (deg or cardinal):
C1�'Q �u��r C'06
W-7
Number of Altered Dwelling Units:
FXV ��r�` r.
08
FuelType:Gm
10
Total Conditioned Floor Area (ftZ):
(�12
Slab Area (ft2):
July 2017
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
her nn• n a i r .... � ... _-._-_
CERTIFICATE OF COMPLIANCE
C7
CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 7 of 8)
Project Name; -
gzn 5��:�urro�rcd: , z i
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
EC -C F 1 R -ALT -0 5-E (Revised 071i71 -
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
P*Olec� N--!-?9-9�7.® �.
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and
Dani talion Author Mame• 1
Company: �+
G e,hcx-a.\
Address:
v, A
S' CA R Zz-lu
RESPONSIBLE PERSON'S DECLARATION STATEMENT
Mn Author5ig:ia e
C
Signat re Dat
to D t 1
CEA/ HERS Certification Identification (if applicable):
Phone:
7tat7, - -� 9-
Date Prepared:
sMMISSiOhf
CF1R-ALT-057E
(Page 8 of 8)
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 Cade 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 enforcemenl 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 buiiding
owner at occupancy.
Responsible Designer Name: Resporkci6l�esigner5ignature:
n
Company
6''�heral-'r cc 1
Address:
3x
City/State/Zp:
`i'ZZ'7t-
141Z;Z41 9
License:
16 .2(0-5 10
Phone:
-7(.c)- 3+3-���
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
July 2017
CA Building Energy Efficiency Standards - 2016 Residential Compliance