BPLB2019-013178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
c&t!t 4 lwQu;Krw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2019-0131
79820 HORSESHOE RD RD
600050015
SHERWOOD / 50GAL WATER HEATER CHANGEOUT
$2,400.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
P
zA�, � _'
SEP 2 4 2019
I- ))
CITY OF LAQUINTA
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 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.: 686310
Date: 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/2019
Owner:
WILLIAM SHERWOOD
79820 HORSESHOE RD
LA QUINTA, A 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. 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
of the work for which this permit is issued.
-�II 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: CYPRESS INSURANCg COMPANY Policy Number: HAWC012965
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: �'1 19 Aoollrant<_,>�,�_ea'
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.
Da �" _ Signature (Applicant or Agent):r
Date: 9/24/2019
Application Number:
BPLB2019-0131
Property Address:
79820 HORSESHOE RD RD
APN:
600050015
Application Descriptions
SHERWOOD / 50GAL WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation:
$2,400.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
WILLIAM SHERWOOD
79820 HORSESHOE RD
LA QUINTA, A 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
Detail: 50GALLON WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
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
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$8.05
Total Paid for PLUMBING 2019: $21.47
DESCRIPTION
ACCOUNT
QTY
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
ecru 0"tra
PERMIT #
PLAN LOCATION:
Project Address: r9 > `
1 U � C.� N oC �� � > i•� oc__ i? isJ
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
Applicant Name: r',
Address;
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ ? _" 4&X) .
Contractor Name:
pA
New SFD Construction:
Address: ,�-11-.� 3
Conditioned Space SF
City, St, Zip
{'' -�{ 7
Garage SF
Telephone: �� " •_3
7� 4, �
Patio/Porch SF
Email;
Fire Sprinklers SF
State Lic: (o �; r� _ g
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: _R _ I
New Commercial / Tenant Improvements:
Address: _?9 i_, 2 V VE __ -D
Total Building SF
City, ST, Zip 3
Construction Type: Occupancy;
Telephone: y —?
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
Prescriptive Residential Alterations
Project Name:
BILL SHERWOOD I Date Prepared:
CFiR-ALT-01-E
(Page 1 of 4)
2019-09-24
A. General Information
01
Project Name
BILL SHERWOOD
02
Date Prepared
2019-09-24
03
Project Location
79820 HORSESHOE ROAD
04
Build)ing Front Orientation
360
05
CA City
LA QUINTA
06
Number of Dwelling Units
with Additions
1
07
Zip Code
92247
08
Fuel Type
Natural gas
09
Climate Zone
15
10
Total Conditioned Floor Area
2
(ft ):
2116
11
Building Type
Single family
12
Slab Area (ft):
2116
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-A010104548A-000-000-0000000-0000
Registration Date/Time: 2019-09-24 12:06:07
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-24 12:06:45
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-A010104548A-000-000-0000000-0000
Registration Date/Time: 2019-09-24 12:06:07
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-24 12:06:45
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CFiR-ALT O3-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
it
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 o
(/)
Insul.
Savings
System
System
or Name
Type
Type
System
Volume
Value
Type
Value
R-Value
Fraction
Distributio
Distributio
(gal)
n Type
n Type
Multi -
Domestic
Energy
gy
This field
This field
This field
family:
Standard
BW URG
Hot Water
Small
1
50
Natural
Btu/Hr
100
Factor
0.62
or section
or section
or section
Recirculati
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-A010104548A-000-000-0000000-0000
Registration Date/Time: 2019-09-24 12:06:07
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-24 12:06:45
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
ay't'
Company:
Signature Date:
I Permit E Raters
2019-09-24
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:
Patrick Somers
PA&64ak ,ir
Company :
Date Signed:
General Air Conditioning
2019-09-24
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
[Digitally signed by CHEERSTM. 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-A010104548A-000-000-0000000-0000
Registration Date/Time: 2019-09-24 12:06:07
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-24 12:06AS
Schema Version: rev 20180426
DocuSign Envelope ID: 47038963-5AF1-41D6-A16D-36631BF85E21
E N E R A L
^16 cnaa+r►or~r�ac ■.tuwIn».�
Date 9/23/2019
City of La Quinta
Department of Building and Safety
78495 Calle Tampico
La Quinta, CA 92253
Re: General Air Conditioning and Plumbing
Dear Permits Office:
i hereby authorize for General Air Conditioning and Plumbing to Me for
and obtain a HVAC mechanical permit and/or a PLUMBING permit for my
property located at:
Name of Property Owner:
Property Owner Signature:
Date: 9/23/2019
SHERWOOD, BILL
o.�.sew sr.
General Air Conditioning and Plumbing
32270 Reserve Drive, thousand Palms CA 92276