BPLB2019-009278-495 CALLE TAMPICO Ta�U / VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT -
Date: 6/13/2019
Permit Type/Subtype: PLUMBING/ Owner:
Application Number: BPLB2019-0092 MARTIN & NANCE LEE MCKENDRICK
Property Address: 50120INDIAN CAMP RD RD 50120INDIAN CAMP RD
APN: 776011028 LA QUINTA, CA 92253
Application Description: MCKENDRICK / 50GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation: $1,991.05
Applicant: Contractor:
IE INC: P
A#1 SERVICES HEATING & AIR CONDITIONING
32115 LA BAYA 78206 VARNER RD #D-189
WESTLAKE VILLAGE, CA 91362 SUN 13 2019 PALM DESERT, CA 92211
UT{ OF Lfi1U!IVTA (760)565-2691
DESIGN& DEVELCN' AiENT DEP�'�,F?TPGEPI f Llc. No.: 977333
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.: 977333
C7_
Date: (o f 3 1 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 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 ark for which this permit is issued.
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: INSURANCE COMPANY OF THE WEST Policy Number: WPLS041680
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: [c� 13 )� Applicants�l.;�+rY --_
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: 13 ) �'1 Signature (Applicant or Agent):
Date: 6/13/2019
Application Number:
BPLB2019-0092
Property Address:
50120 INDIAN CAMP RD RD
APN:
776011028
Application Description.
MCKENDRICK / 50GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$1,991.05
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
MARTIN & NANCE LEE MCKENDRICK
50120 INDIAN CAMP RD
LA QUINTA, CA 92253
Contractor:
A#1 SERVICES HEATING & AIR CONDITIONING
78206 VARNER RD #D-189
PALM DESERT, CA 92211
(760)565-2691
Llc. No.: 977333
Detail: 50 GALLON WATER HEATER CHANGE OUT [GAS] - CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES
Pa
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY 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
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
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
ta (2a ;Ata
PERMIT # � (� 00 9 Z
PLAN LOCATION:
Project Address: 50120 Indian Camp Road
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 50 gallon gas water heater in garage
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 $ 1,991 05
Contractor Name: A#1 Services Heating & A/C
New SFD Construction:
Address: 78206 Varner Road #D-189
Conditioned Space SF
City, St, Zip Palm Desert, CA 92211
Garage SF
Telephone: 760-565-2691
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 977333 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: Nance McKendrick
New Commercial / Tenant Improvements:
Address: 50120 Indian Camp Road
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Req'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Cales
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
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
NANCE MCKENDRICK I Date Prepared:
CF1R-ALT-01-E
(Page 1 of 4)
2019-06-13
A. General Information
01
Project Name
NANCE MCKENDRICK
02
Date Prepared
2019-06-13
03
Project Location
50120 INDIAN CAMP ROAD
04
Building Front Orientation
270
05
CA City
La Quinta
06
Number of Dwelling Units
1
with Additions
07
Zip Code
92253
08
Fuel Type
Natural gas
Total Conditioned Floor Area
09
Climate Zone
15
10
(ft)z:
3439
11
Building Type
Single family
12
Slab Area (ft2):
3439
t13Project
Scope
Water heating
14
This field or section is not applicable
B. Building Insulation Details - Framed (Section 150.2(b)1)
This section does not apply to this project.
C. Building Insulation Details - Non -Framed
This section does not apply to this project.
D. Building Insulation Details - Mass Walls
This section does not apply to this project.
Registration Number: 419-A010059885A-000-000-0000000-0000
Registration Date/Time: 2019-06-13 08:07:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-13 08:08:08
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
E. Roof Replacement (Section 150.2(b)1H)
This section does not apply to this project.
F. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
This section does not apply to this project.
G. Fenestration Proposed Areas and Efficiencies - Add (Section 150.2(b)1A)
This section does not apply to this project.
H. Fenestration Proposed Areas and Efficiencies - Replace (Section 150.2(b)1B)
This section does not apply to this project.
I. Space Conditioning (SC) Systems - Heating/Cooling (Section 150.2(b).
This section does not apply to this project.
Registration Number: 419-A010059885A-000-000-0000000-0000 Registration Date/Time: 2019-06-13 08:07:57 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-13 08:08:08
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 4)
J. Water Heating Systems (Section 150.2(b)1G)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Water
Water
Number of
Water
Back-up
Central
Dwelling
Heating
Heating
Water-
Water
Heater
Rated
Rated
Heating
Heating
Standby
Exterior
Solar
DHW
Unit DHW
Heater
Storage
Fuel Type
Input
Efficiency
Efficiency
Insul.
System
System
System
System
Heaters in
Inut T
pype
o
Loss (/o)
Savings
Type
Volume
Value
Type
Value
R-Value
Distributio
Distributio
or Namea
Type
System
(gal)
Fraction
n Typen
Type
Multi -
This field
This field
This field
family:
Domestic
Small
Natural
Energy
or section
or section
or section
Recirculati
Standard
BW URG
Hot Water
1
50
Btu/Hr
100
Factor
0.62
Distributi
(DHW)
Storage
Gas
(EF)
is not
is not
is not
ng
on System
applicable
applicable
applicable
demand
control
K. Space Conditioning Systems And Water Heating Systems In Multifamily Dwelling Units
This section does not apply to this project.
Registration Number: 419-A010059885A-000-000-0000000-0000 Registration Date/Time: 2019-06-13 08:07:57 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-13 08:08:08
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name
Documentation Author Signature:
Jessica Martinez
Je2sica.MartG�
Company:
Signature Date:
I Permit E Raters
2019-06-13
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
Phone:
Westlake Village CA 91362
818-735-7876
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 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:
Cara Goldberg
Ccwa.G �+g
Company:
Date Signed:
A#1 Services Heating & Air Conditioning
2019-06-13
Address:
License:
78026 Varner Road #D-189
977333
City/State/Zip:
Phone:
Palm Dessert CA 92211
(760) 342-3610
Digitally signed by CHEERS TM. This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 419-A010059885A-000-000-0000000-0000
Registration Date/Time: 2019-06-13 08:07:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-13 08:08:08
Schema Version: rev 20180426
} y d A #1 Services Heating & Air Conditioning Invoice 6368116
o ❑ � 77dba Service Heroes Invoice Date 5/30/2019
588 El Duna Ct. Suite F Completed Date 5/30/2019
I _ Palm Desert, CA 92211 Customer PO
(760)565-2691
Billing Address Job Address
NANCE MCKENDRICK NANCE MCKENDRICK
50120 Indian Camp Road 50120 Indian Camp Road
La Quinta, CA 92253 USA La Quinta, CA 92253 USA
Description of Work
Summary:
Will replace original 50 gallon water heater, With a new 50 gallon Bradford white (Model# URG250T6N) which includes all
parts, and labor, materials etc. will install unit with new water flex lines stainless steel, new 1/4 turn ball valve, new
earthquake straps, new gas valve. shut off with new gas flex line. Price includes all parts and labor for installation. Will also
reconnect customer's water circulation pump with new 1/2" ball valve. Old water hater will be properly discarded by A#1
Service Heroes.
-PER GENERAL MANAGER WILL HONOR 5% SYSTEM REPLACEMENT DISCOUNT IF WORK IS COMPLETED TODAY SINCE
DISCOUNT APPLIES TO SYSTEM REPLACEMENT, NOT WATER HEATER'S)
5/30/19 JONH S. RETURNED AND INSTALLED A NEW 50 GALLON BRADFORD WHITE WATER HEATER.
Task # Description Quantity Your Price Your Total
1 50 Gallon Bradford Natural Gas (Includes Install Kit & Smitty Pan) 1.00 $1,999.00 $1,999.00
2 LA QUINTA CITY PERMIT- WATER HEATER REPLACEMENT 1.00 $92.00 $92.00
3 A#1 Services Customer Discount- PER GENERAL MANAGER 1.00 $-99.95 $-99.95
Paid On Type Memo Amount
6/11/2019 SVC Finance Customer Financed -Thank You! $1,991.05
Member Savings $0.00
Sub -Total $1,991.05
Tax $0.00
Total Due $1,991.05
Payment $1,991.05
Balance Due $0.00
Thank you for choosing Service Heroes for all your air conditioning & plumbing services!
I authorize the above work to be performed and agree to the payment terms for the amount totaling: $1,991.05
1 have inspected the work performed and acknowledge that it has been completed to my satisfaction.
5/30/2019( �� \
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