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BPLB2019-006678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 cel 4 Sep Qty DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: PLUMBING/ Application Number: BPLB2019-0066 Property Address: 79651 CASSIA ST APN: 600320003 Application Description: HAYS/ 50GALLON WATER HEATER CHANGE OUT Property Zoning: Application Valuation: $2,584.00 _ Applicant:D zkv IE INC. 0 32115 LA BAYA APR Flf\ 3 �! WESTLAKE VILLAGE, CA 91362 2019 CITY OF LA UINTA DESIGN & DEVELOPMENT DE R"ORT,"01ENT 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: go, C36 License No.: 686310 Date Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 requ#res. a permit to construct, alter, Improve, deMolls h, or repalr 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 Prov€slons 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 orthe 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: 4/30/2019 Owner: CLAY & LINDA HAYS 79651 CASSIA STREET LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 LIC. No.: 686310 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 104�P�ork for which this permit is issued. have and will maintain workers' compensation insurance, as required by action 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: jN&RANCE COMPANY OF THE WEST Policy Number: LAD5 4 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 Callforn[a, 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: 4 Sa 1 4% dpplicant: ti+►.Gi� -� 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 ($10D,000). IN ADDfTION 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 herebyauthoriie representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: W I' Signature (Applicant or Agent): Application Number: BPLB2019-0066 Property Address: 79651 CASSIA ST APN: 600320003 HAYS / 50GALLON WATER HEATER CHANGE OUT Application Description: Property Zoning: Application Valuation: $2,584.00 Applicant: IE INC. 32115 LA BAYA WESTLAKE VILLAGE, CA 91362 Date: 4/30/2019 Owner: CLAY & LINDA HAYS 79651 CASSIA STREET 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. PER 2016 CALIFORNIA BUILDING CODES ACCOUNT QTY AMOUNT DESCRIPTION 0 77E $1.00 101-0000-20306 BSAS SB1473 FEE STANDARDS ADMINISTRATION BSA: $1.00 Total Paid for BUILDING ACCOUNT QTY AMOUNT DESCRIPTION 0 $101.40 101-0000-42404 PERMIT ISSUANCE Total Paid for PERMIT IESSUANCE: $ 101.40 ACCOUNT AMOUNT DESCRIPTION $13.34 101-0000-42401WATER HEATER/VENTEE4 j;j AMOUNT ACCOUNTDESCRIPTION $8.00 101-0000-42600 WATER HEATER/VENT PC Total Paid for PLUMBING FEES: $21.34 ACCOUNT QTY AMOUNT DESCRIPTION 0 $10.00 101-0000-42416 RECORDS MANAGEMENT FEE Paid for RECORDS MANAGEMENT FEE: $ 10.00 Total ACCOUNT QTY AMOUNT DESCRIPTION 0 $5.00 502-0000-43611 TECHNOLOGY ENHANCEMENT FEE ENHANCEMENT FEE: $5.00 Total Paid for TECHNOLOGY ta 0aiara GEM nf,b, D17, - Project Address: 79651 Cassia Street APN #: 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 Contractor Name: General Air Conditioning Address: 31170 Reserve Drive City, St, Zip Thousand Palms, CA 92276 Telephone: 760-343-7488 Email: State Lic: 686310 City Bus Lic: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lic: City Bus Lic: Property Owner's Name: Clay and Linda Hays Address: 79651 Cassia Street City, ST, Zip La Quinta, CA 92253 Telephone: Email: PERMIT # WL13 Zit l _0O(40 PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech Replace 50 gallon gas water heater. 2,58400 Valuation of Project $— 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 _ _ SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY STATE OF CALIFORNIA s That Do Not Require HERS Field Verification Prescriptive Residential Alteration CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification Project Name: `7_I(�/_ S 121, S+ Date Prepared: 14 1 —z MMISSI[7N CF1R-ALT-05-E (Page 1 of 8) This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HE verification is required, a CF1R-AL I -us snanTirsL -_=y �- with aHERS Provider Data Registry. from duct sled b a Alterations to Space Conditioning Systems that are exempt from HERS vearifi he ° sting+duct systemrements M a was insulated with a bestos,'orr th0 existing duct syst2 R- A LT -05 Compliance em wasp eviausty test d and p¢ Y leakage testing include, less than 40 ft of ducts were added or replaced, HERS Rater. If space conditioning systems are altered and are not exempt from HERS veri ficafian, then a CF].R-ALS 02 must be completed and registered with a HERS Provider Data Registry. ther than 5.8 per inch, or Open ll Way icfoot Alterations that utilize close Cell Spray Polyurethane Foam [ccSPFJ with a de rub of ©t av ng than of 3.6 per inpounds per ch, shall complete to and register a CFTR-ALT-raj with a HERS Providers Data Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per f Registry. If more than one person has responsibility for installation of the items on this certificate, apprepare and sign this shallach person certificate for the entire construction. fAll applicable Mandatory Measuresicable to the portion of construction ashallrbe met.are responsible_ Alternatively, the person with chief responsibility for constructions p p — i enzoorar7 labels shall not be removed before verification by the building inspector. A. General Information me: ation:ne: MProjectLocation: 11 1 Building Type: 13 [ Project Scope: qZZ.5_2> IS so GcAio— CA Building Energy Efficiency Standards - 2016 Residential Compliance ��� FE �G�Gr 02Date Prepared: 04 1 Building Front Orientation (deg or cardinal): 06 I Number of Altered Dwelling Units: 08 1 Fuel Type' 10 I Total Conditioned Floor Area (ft 2): 12 1 Slab Area (ft): 4) 3u t I Ga s July 2017 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFSR-ALT-0S Revised D7117 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification 1-11 Name: C: CF1R-ALT-05-E (Page 2 of 8) CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CALIFORNIA ENERGY COMMISSION (;EC -CFI R -ALT -05-E Revised 07117 — — MR -ALT -05-E CERTIFICATE OF COMPLIANCE (Page 7 of 8) Prescriptive Residential Alterations That Do Not Require HERS Field Verification Date Prepared: rL Project Name: / qGs, v H. Water Heating Systems (Section 150.2(b)1G) 15 02 03 04 05 06 07 08 09 l0 11 12 13 14 01 Water Back -Up Water # of Heater Rated Rated Heating Heating Standby Exterior Solar Water Heating Water Heating Heating System Water Water Storage Input Efficiency Efficiency Loss Insulation Savings Dwelling Unit Identification or System Location System Heater Heaters Volume [ga!} Fuel Type -Input Value Type Value R -Value Fraction Name Name or Area Served Type Type In System _LP_e (,4 Az Wj c OS,_ S*0M ( C 5 testi- 40,0M UFC a July 2017 CA Building Energy Efficiency Standards - 2016 Residential Compliance STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-Cr 'I R -ALT -D 5-E {Revised 07117 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not aro)ect rlamc: 7q (aS 1 C, C - uire HERS Field Verification DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accu L-kewd"' .S cv v.' ex es' Company: { Address: and nation Author re: <-- I Sol i; ERS Certification Iden01--tian (If applicable): Date MMiSSION 0 CF1R-ALT-05-E (Page 8 of 8) 1 �vV5a1�G7 alvr\S CA QZ2'7(o Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT %�O -�_� E Certify the following under penalty of perjury, under the laws of the State of California: I_ 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 informa=inn provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building perm itappiicaVic n. 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy, Responsible Designer Name: __' .-�r-ra+L.t Company: � 1 Date ved:.JJ Address: Li�cen((se�: Citylstatel�p .FLJSr t0 A1C j 18 }h - Phone: �s �y p C. A �( 2Z-� -7i,� - 3543 - 7f �a2- 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