BPLB2019-0102C&,�t a 4 Q
78-495 CALLE TAMPICO DiLl�+f{iV
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number:
BPLB2019-0102
Property Address:
49110 VISTA ESTRELLA
APN:
602240009
Application Description:
SIMMONS / 75GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation:
$2,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
RONALD SIMMONS
49110 VISTA ESTRELLA
LA QUINTA, CA 92253
Date: 7/15/2019
Applicant: Contractor:
SCOTTY A FOY D
SCOTTY A FOY
45156 MONROE 45156 MONROE
INDIO, CA 92201 JUL 15 2019D INDIO, CA 92201
D(760)775-0911
Llc. No.: 828264
CITY OF LA QUINTA
--------------------------- AESIQN&DEVELOPMENTDEPARTMENT
-----------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
lcommencing with Section 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C36 itense No.: 828264
e
Date. Contractor:
OWNER-BUILDERO A
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.).
(_) 1, 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 Na
Lender's
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 waikior which this permit is issued,
ave and will maintain workers' compensation insurance, as required by
ct on 0 of the Labor Code, for the performance of the work for which this permit is
hstre—& My workers' compensation insurance carrier and policy number are:
Carrier: NORGUARD INSURANCE COMPANY Policy Number: SCWC037624
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• Applican
WARNING: FAILURE TO SECURE WORKERS' COM ATIDN 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 behalfthis 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. —Aey
Date Signature (Applicant orAgen
Bate: 47/15/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SCOTTY A FOY
45156 MONROE
INDIO, CA 92201
BPLB2019-0102
49110 VISTA ESTRELLA
602240009
SIMMONS / 75GALLON WATER HEATER CHANGE OUT
$2,000.00
Owner:
RONALD SIMMONS
49110 VISTA ESTRELLA
LA QUINTA, CA 92253
Contractor:
SCOTTY A FOY
45156 MONROE
INDIO, CA 92201
(760)775-0911
I.I c. No.: 828264
---------------------------------------------------------- ----------------------------------
Detail: 75 GALLON WATER HEATER CHANGE OUT [GAS] - CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION ACCOUNT
CITY
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
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta �dwra
PERMIT #
PLAN LOCATION:
Project Address: �"1 I ol fJ ,4J6Proect-Descr..iptiorr:
APN #:
I
-
�&kr lut�r
Applicant NamesRXI)5/2)",17S
Address: q q//o VIL5A ll��
City, ST, Zip: 4a (�^ �,� "55
Telephone: 2 d).- 7 -' �,� �-
Email: ol,
Valuation of Proj CI
Contra,gtor, N ftdobwNew
SFD Construction:
Address:
Conditioned Space SF
City, St, Zip -W
Garage SF
Telephone:• ]
-775 —e"Xl- `/
Patio/Porch SF
Emaii �-L121a
4,(' i/e
Fire Sprinklers SF
State Lic: -
City idus Lic:
Architect/Engineer Name:
Construction Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property DwnoWs Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone: _
Email:z— , ,of � G
/8495 C:ALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal
Required
Received
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
7/12/2019
M Gmall
Water Heater
2 messages
slmmona933@aol.eom <simmons933@aolzom>
To: scottybyplumbing760@gmail.com
7/12/2019
Subject:
Date:
From:
To:
Gmail - Water Heater
Water Heater Permit
Water Heater Permit
7/11/2019 3:09:57 PM Pacific Standard Time
simmons933@aol.com
scottyfoyplumbing760@gmail.com
Scotty Foy Plumbing,
Scotty Foy <scoWoyplumbing760@gmail.com>
Fri, Jul 12, 2019 at 9:14 AM
Ron and Adele Simmons at 49110 Vista Estrella, La Quinta, California, 92253 authorize Scotty Foy Plumbing to obtain any
required permits for the installation of a new Water Heater at our home.
Regards,
Ron Simmons
https://mail.google.com/mail/u/O?ik=al e603c019&view=pt&search=all&permthid=thread-f%o3A1638869862828048995&simpl=msg-f%3A1638869862828048995&simpl=msg-a%3Ar4154037319912728196 1 /4
TE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
3EC-CF1 R-ALT-05-E (Revised 04116)
CERTIFICATE OF COMPLIANCE — — - — — - - —
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
o...... u�__.
This compliance document is only q
with a HERS Provider Data Registry.
- _._-.--- — „— 1UyU11e ncro venfcation
NIA ENERGY COMMISSION
CF1R-ALT-05-E
Page 1 of 3
HERS verification is required, a CF1R-ALT- 01 shall first be registered
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the C
leakage testing include: less than 4D ft of dFIR-ALTOS and CF2R- AtT-05 Compliance Documents. Possible exemptions from duct
ucts were added or replaced, or the existing duct system was insuloted with asbestos; Or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with o HERS Provider Data Registry.
Alterations thot 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-volue other than 5.S 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 on R-volue 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 Project Name:
90',`rj ti r"A 'VIp 02 Date Prepared:
03 Project Location: ,►, ,_ J
05 ] CA City:
07 1 Zip Code:
09 1 Climate Zone:
04 Building Front Orientation (deg or cardinal):
06 J Number of Altered Dwelling Units:
08 1 Fuel Type:
10 + Total Conditioned Floor Area (ft):
11 Building Type:
ti t/ Stnce_ [-112Slab Area (ftZ)
13 Project Scope (Select all that apply):
❑ B. Insulation 0 D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑✓ 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
GEC-CFIR-ALT-05-E (RevtseC 04116) _
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
CF 1 R-ALT-05-E
Page 2 of 3
H. Water Heating
Systems
(Section 150.2(b)1G)
03
04
05
06
07
08
09
10
11 12
13
14 15
01
02
# of
Back Up
--
Water
Water
Water
Heaters
Water
Heater
Rated
Heating Heating
Exterior i Solar
Heating
Heating System
in
Storage
Fuel
Rated
Input
Efficiency Efficiency
Standby
Insulation Savings
Dwelling
System
Location or
Water Heating
Water
Heater Type
System
Volume (gal)
Type
Input Type
Value
Type Value
Loss (%)
R-Value Fraction
Unit Name
ID or Name
I Area Served
System Type
�B 1
w t
Add i4aV+ Delete Raw
April 2016
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-05-E Reviser► 04116
CERTIFICATE OF COMPLIANCE — — — - -- — -
Prescriptive Residential Alterations That Do Not Require HERS Field Verification —
project Name:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Company:
_I—f :—jt z I CEAIHERSCertifitatin
MMisslom
CF1R-ALT-05-E
Page 3 of 3
RESPONSIBLE PERSON'S DECLARATION STATEMENT r `�
T'�i"the following uner per:alty of perjury, under thePawsofthe State ofCaliforniahe information proided on this Certificate of Compliance is true and correct.am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design cr 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 I 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: _
R2sLlOnslhle Des;vnar Gonarm• -
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