BPLB2019-010578-494 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T-iht 4 aCP4"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2019-0105
52394 AVENIDA JUAREZ
773251009
EVANS / 40GALLON WATER HEATER CHANGE OUT
$1,227.00 [J—V \ /U
0
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
F
JUL 2 2 2019
CITY OF LA QUINTA
DESIGN & DEVELOPMENT 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.: 1022645
ram•— .
Date: �7 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/22/2019
Owner:
RONALD C. & PATRICIA A. EVANS
52394 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
INDIO, CA 92201
(760)863-0832
Llc. No.: 1022645
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.
i have and will maintain workers' compensation insurance, as required by
Sect= 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.
Date: j 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: j r' Signature (Applicant or Agent): L U �—
Date: 7/22/2019
Application Number: BPLB2019-0105
Property Address: 52394 AVENIDA JUAREZ
APN: 773251009
Application Description- EVANS / 40GALLON WATER HEATER CHANGE OUT
Property Zoning:
Application Valuation: $1,227.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
RONALD C. & PATRICIA A. EVANS
52394 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
INDIO, CA 92201
(760)863-0832
Llc. No.: 1022645
--------------------------------------'-i-.,;---L«---------------------- ---- ------- - - - - - - -
Detail: 40 GALLON WATER HEATER CHANGE OUT IN GARAGE LOCATION [GAS] - CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2016 CALIFORNIA BUILDING CODES
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
CITY
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
TOTALS:
�+
— GF.M nJ b, DESER I' —
PERMIT
PLAN LOCATION:
Project Address: 52394 Avenida Juarez
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 40 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 $1,227.00
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: Ronald Evans
New Commercial / Tenant Improvements:
Address: 52394 Avenida Juarez
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
R
t
Home Impro4ement Agreement: Page 1
Home Depot License #'s - For the most current listing visit www.Homec
rson Name:
m/L
Registration No. (if applicable):
Home Depot U.S.A., Inc. ("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.
EVANS RONALD --_�
Customer Last Name Customer First Name
52394 AVENIDA JUAREZ LA QUINTA CA
Customer Address
Home Phone# Work Phone# Cell Phone#
6630 7_71-48704249353
Store # / Branch Name Customer Lead/ PO#
LA QUINTA CA. 92253
City State Zip
Customer Email Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
45311 GOLF CENTER PKWY IINDIO , CA 92201
Address City State Zip
Or Email:
Service Provider Email Address
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 TH OME DE .•QT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN B O TO KNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF Y UR ANCEL.
Acknowledged by:
Cu mer's Si nature Dale
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)
*Maximum deposit ONLY applicable in MD, MA, ME (33%), NJ, WI (99%)
Dep. L—j=L2 % Deposit Amount $ 1 J . Remaining Balance $
The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
268 Wafer Heater (19 Jun. 18) (C) v 47.0.0
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Rev'sed r1711 71
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 8)
ftled Name:52394 Avenida Juarez Date Prepared: July 22, 2019
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT-01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exemptfrom HERS verification requirements may use the CF1R-ALT-05 and CF2R-ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced, or the existing duct system was insulated 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 CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that 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-value other than 5.8 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 an R-value of 3.6 per inch, shall complete and register a CFIR-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:
02
Date Prepared: JUIy 22, 2019
03
Project Location:
52394 Avenida Juarez
04
Building Front Orientation (deg or cardinal):
05
CA City:
La Quinta
06
Number of Altered Dwelling Units:
I 1
07
Zip Code:
92253
08
Fuel Type: Gas
09
Climate Zone:
15
10
Total Conditioned Floor Area (ft):
11
Building Type:
12
Slab Area (ft):
13
Project Scope:
Replace 40 gallon gas water heater
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
j CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
CF1R-ALT-05-E
(Page 2 of 8)
B. Building Insulation Details (Section 150.2(b)1)
Ol
02
03
04
05
06
07
08
09
10
11
Proposed
Required
Continuous
Appendix
Reference
JA4
Frame
Frame
Tag�10
Assembly Type
Frame
Type
Depth
(inches)
Spacing
(inches)
Cavity
R-value
Insulation
R-value
U-factor
U-Factor
Comments
Table
Cell
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations
CEC-CFiR-ALT•05-E Revised 07117'
CERTIFICATE OF COMPLIANCE
That Do Not Require HERS Field Verification
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Pro,ettmme:52394 Avenida Juarez
CALIFORNIA ENERGY COMMISSION 10
July 22, 2019
CF111-ALT-05-E
(Page 7 of 8)
H. 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 Heating
Water Heating Heating
System
Dwelling Unit Identification or System Location System
Name Name or Area Served type
Water
Heater
Type
# of
Water
Heaters
in System
Water
Heater
Storage
Volume
(gal)
Fuel Type
Rated
Input
Type
Rated
Input
Value
HeatingHeating
Efficiency
Type
g
Efficiency
Value
Standby
y
Loss
(%)
Exterior
Insulation
R-Value
Back -Up
Solar
Savings
Fraction
Whole House DHW
Storage
1
40
Gas
Btuh
40,000
UEF
.63
N/A
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E Revised 07117 CALiFpRi11A EN> RGY COi IMI&Sfn3�
CERTIFICATE OF COMPLIANCE CUR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 8 of 8)
Project Name: 52394 Avenida Juarez °ateP July 22, 2019
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Steven Schnierer
Documentation Author Signature:
Company: Signature Date:
Preferred A/C Heating & Plumbing - I
July 22, 2019
Address: I Cc a/ HERS Certification Identification [if applicableJ:
45-311 Golf Center Parkway Suite A
Indio. CA 92201
760-863-0832
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:
Steven Schnierer
Company:
Preferred A/C Heating & Plum
Address:
45-311 Golf Center Parkway Suite A
City/State/Zip:
Indio, CA 92201
Date Signed:
July 22, 2019
License:
1022645
Phone:
760-863-0832
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