BPLB2019-009578-495 CALLE TAMPICO Twy/ D VOICE (760) 77.7-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/20/2019
Permit Type/Subtype: PLUMBING/ Owner:
Application Number: BPLB2019-0095 RON DAVIS
Property Address: 48300 VIA SOLANA 48300 VIA SOLANA
APN: 646380051 LA QUINTA, CA 92253
Application Description: DAVIS / 50GAL WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation:
Applicant: U JUN 19 2019 Contractor:
IE INC �Y PREFERRED AIR CONDITIONING HEATING & PLU
31225 LA BAYA 45-311 GOLF CENTER PKWY STE A
WESTLAKE VILLAGE, CA 91362 CITY OF LA QUINTA INDIO, CA 92201
DESIGN & DEVELOPMENT DEPARTMENT
(760)863-0832
LIc. No.: 1022645
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.: 1022645
Date: Go 1 42^ 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 the work for which this permit is issued.
t: �� 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: ACE AMERICAN INSURANCE COMPANY Policy Number: WLRC66055954
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.
C-7_ L
Date: a1 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: Signature (Applicant or Agent):--
Date: 6/20/2019
Application Number: BPLB2019-0095
Property Address: 48300 VIA SOLANA
APN: 646380051
Application Description: DAVIS / 50GAL WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation:
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
RON DAVIS
48300 VIA SOLANA
LA QUINTA, CA 92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
I N DIO, CA 92201
(760)863-0832
Llc. No.: 1022645
Detail: 50GALLON WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE-ALARM(S) TO'BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
DESCRIPTION
ACCOUNT
CITY
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
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta0"fra
PERMIT # l� okb1q — 00s
PLAN LOCATION:
Project Address: 48300 Via Solana
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 50 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 $ 1,299.60
Contractor Name: Preferred A/C Heating & Plumbing
New SFD Construction:
Address: 45-311 Golf Center Parkway Suite A
Conditioned Space SF
City, St, Zip Indio, CA 92201
Garage SF
Telephone: 760-863-0832
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: 1022645 City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: Ron Davis
New Commercial / Tenant Improvements:
Address: 48300 Via Solana
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 760-564-2115
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Req'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
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: RON DAVIS Date Prepared: 2019-06-20
A. General Information
01
Project Name
RON DAVIS
02
Date Prepared
2019-06-20
03
Project Location
48300 VIA SOLANA
04
B g,mg Front Orientation
90
05
CA City
92253
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)2:
2040
11
Building Type
Single family
12
Slab Area (ft2):
2040
13
Project 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-A010063296A-000-000-0000000-0000
Registration Date/Time: 2019-06-20 09:30:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-20 09:31:00
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)113)
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-A010063296A-000-000-0000000-0000
Registration Date/Time: 2019-06-20 09:30:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-20 09:31:00
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
System ID
System
Heater
Heaters in
Storage
Fuel Type
Input Type
Input
Efficiency
Efficiency
Loss (%)
Insul.
Savings
System
System
Type
Volume
Value
Type
Value
R-Value
Distributio
Distributio
or Name
Type
System
(gal)
Fraction
n Type
n 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
Storage
1
50
Gas
Btu/Hr
100
Factor
0.62
is not
is not
is not
ng
Distributi
(DHW)
(EF)
applicable
applicable
applicable
demand
on System
y
control
K. Space Conditioning Systems And Water Heating Systems In Multifamily Dwelling Units
This section does not apply to this project.
Registration Number: 419-A010063296A-000-000-0000000-0000
Registration Date/Time: 2019-06-20 09:30:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-20 09:31:00
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CFiR-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
Jemic"Mart nek
Company:
Signature Date:
I Permit E Raters
2019-06-20
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:
Octovio Garza
0CWVf4[31"GC'3a1
Company:
Date Signed:
Preferred Air Conditioning Heating & Plumbing
2019-06-20
Address:
License:
40719 Fortunato Court
1022645
City/State/Zip:
Phone:
Indio CA 92203
760-863-0832
Digitally signed by CHEERST". 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-A010063296A-000-000-0000000-0000
Registration Date/Time: 2019-06-20 09:30:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-20 09:31:00
Schema Version: rev 20180426
Home Improvement Agreement: Page 1
Home Depot License #'s - For the most current
602331;
,tev— yQCel--
Salesperson Name
visit
umoers
Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC)
Home Depot U.S.A.,lnc.("Home Depot") or Service Provider named below will furnish, install and/
or service the equipment listed below at the price, terms and conditions as outlined on this form.
DAVIS RON
Customer Last Name Customer First Name
148300 Va Solana I
Customer Address
760-564-2115
Home Phone# Work Phone# Cell Phone#
6630 1-48463825857
Store # / Branch Name Customer Lead/ PO#
!LA QUINTA -GA 92253
City State Zip
IRON DAVIS55555@GMAIL.COM
Customer Email Address
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING
THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT:
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
0 0
Address City State Zip
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR -RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acknowledged by: h2iz �
Customer's Signature Date
Contract Price and Payment Schedule. Payment of the Contract Price is due upon signing unless a
different payment schedule is required by law, specified below or in a payment addendum.
Contract Price: $ Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ (If applicable, total amount of taxes included in Contract Price)
*Maximum deposit ONLY applicable in MD, MA, ME (33%), NJ, Wl (99%)
Deposit % Deposit Amount $ Remaining Balance $
268 Water Heater Agreement (17 Jun. 19) (C) Generated Date 06/18/2019 Lead/PDX 1-08463B25857 v 49.0.0