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BPLB2019-0142
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant IE INC ceit�v 4 �P Quum DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT PLUMBING/ BPLB2019-0142 77733 AVENIDA MADRUGADA 773340002 RILEY / 50GALLON WATER HEATER CHANGE OUT $2,585.00 / = 0 D PDOCT 3 120 nD 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 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 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.: 696310 Date: Ian 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/31/2019 Owner: MICHAEL & MARLA RILEY 77733 AVENIDA MADRUGA LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 LIc. No.: 686310 WORKER'S COMPENSATION DECLARATION 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' ompensation, as provided for by Section 3700 of the Labor Code, for the performance ifLh work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by ection 3700 of the Labor Code, for the performance of the work for which this permit is ;sued. My workers' compensation insurance carrier and policy number are: :arrier: CYPRESSANSURANCE COMPANY Policy Number: HAWC012965 I certify that in the performance of the work for which this permit is issued, I hall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agree that, if I should become subject to the corkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions. late: 10 "11 > S .Applicant: r Z VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO )NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, gTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT VIPORTANT: Application is hereby made to the Building Official for a permit subject to ie conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose °quest and for whose benefit work is performed under or pursuant to any permit issued s a result of this application , the owner, and the applicant, each agrees to, and shall efend, indemnify and hold harmless the City of La Quinta, its officers, agents, and mployees for any act or omission related to the work being performed under or )Ilowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not 3mmenced within 180 days from date of issuance of such permit, or cessation of work )r 180 days will subject permit to cancellation. :ertify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building )nstruction, and hereby authorize representatives of this city to enter upon the above- ientioned property for inspection purposes. ate: ) 31 1 9 Signature (Applicant or Agent): -- o Date:,, 10/31/2019 Application Number: BPLB2019-0142 Property Address: 77733 AVENIDA MADRUGADA APN: 773340002 Application Description RILEY / 50GALLON WATER HEATER CHANGE OUT Property Zoning: Application Valuation: $2,585.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 Owner: MICHAEL & MARLA RILEY 77733 AVE NIDA MADRUGA LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE -THOUSAND PALMS, CA 92276 (j60)343-7488 Llc. No.: 686310 Detail: 50 GALLON WATER HEATER CHANGE OUT [GAS] - CARBON MONOXIDEALARM,(5) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY 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 CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ter Qaiwra - GEM nf,b, 116SER-C - PERMIT# �J��-rJZGIq ©��Z• PLAN LOCATION: Project Address: 77733 Avenida Madrugada 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@outlook.com Valuation of Projects 2,585.00 Contractor Name: General Air Conditioning New SFD Construction: Address: 31170 Reserve Drive Conditioned Space SF City, St, Zip Thousand Palms, CA 92276 Garage SF Telephone: 760-343-7488 Patio/Porch SF Email: Fire Sprinklers SF State Lic: 686310 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: Marla and Michael Riley New Commercial / Tenant Improvements: Address: 77733 Avenida Madrugada 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 OFFICE USE ONLY # Submittal Req'd Rec'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 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do -Not Require HERS Field Verification CFC-CFIR-AI TJ]Z�F M—m d n7liIn r AI IPORAFIa FNFRMY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 8) j I 733 Pmi-, Name:77Avenida Madruoad8 Date Prepared: ! J.7 October 31, 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 CFIR 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 dud 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 cubicfoot 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 CF1R ALT-01 with a HERS Provider Data Registry. If more than one person has responsibilityfor 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 responsibilityfor 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: October 31, 2019 03 Project Location: 77733 Avenida Madrugada 04 Building Front Orientation (deg or cardinal): 05 CA city: La Quinta 06 Number of Altered Dwelling Units: 1 07 Zip Code: 92253 08 Fuel Type: Gas 09 Climate Zone: 15 10 Total Conditioned Floor Area (fe): 11 Building Type: 12 Slab Area (ft): 13 Project scope: Replace 50 gallon gas water heater CA Building Energy Efficiency Standards - 2016 Radential. Compliance July 2017 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification C£C-CF1R-ALT-05-E Revised 07fl CERTIFICATE OF COMPLIANCE Prescripti►ie Residential Alterations That Do Not Require HERS Field Verification P""""'-77733 Avenida Madrugada CAUFORNI4 ENERGY COMMISSION As CFIR-ALT-05-E (Page 7 of 8) October 31, 2019 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 Heating System Water Heating Dwelling Unit Identification or System Location Name Name or Area Served Water Heating System Type Water Heater Type #of Water Heaters in System Water Heater Storage Volume (gal) Fuel Type Rated Input Type Rated Input Value Heating Efficiency Type Heating Efficiency Value Standby Loss (YJ Exterior Insulation R-Value Back -Up Solar Savings Fraction Whole House: DHW Storage 1 50 Gas Btuh 40,000 UEF .63 16 N/A CA 6u ]iily-2U17 STATE OF CAUFORNIA Prescriptive Residential Alterations That:Do Not Require HERS Field Verification ECERTIFICATE-Or-COMPLIANCE IR-ALT;05-E Revised071.1 CAIiFORNIfiENERGY C.oiAMISSIgN CF1R-ALT-QS-E criptive Residential Alterations That Do Not Require'HERS Field Verification (Page 8 of 8) �mr`77733A>ren(ra Madrugada Date Pfe°area:October 31, 2019 DOCUMENTATION AUMOR`S DEa ARA77ON STATEMENT I. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Steven Schnierer Documentation Author Signature: Company: General Air Conditioning Signature Date: October 31, 2019 Address: 31170 Reserve Drive CW HFRS Certft&Wn Identification (it applicable): City/State/Lp: Phone: Thousand Palms, CA 92276 760-343-7488 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. Thatthe 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 Tale 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; Steven Schnierer Responsible Designer Signature: _ DateSigned: Company : General Air Conditioning October 31, 2019 Address; { License: 31170 Reserve= Drive II 686310 �/Sb"MP' Phone: Thousand Palms, CA 92276 818-735-7876 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 2-800-772-33Q0. DocuSign Enveiope ID: C544F585-070A-45C2-8CB9-1 FBAFD93904C .. GENERAL Date 10/24/2019 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: l hereby authorize for General Air Conditioning and Plumbing to file for and obtain a HVAC mechanical permit and/or a PLUMBING permit for my property located at: 77�.,� �vE.�rG`q N1 c�C': nc/�. Gai Gc�,'-��-tn. C'l+ Name of property Owner - Property Owner Signature: Date: 10/24/2019 RILEY, MARLA AND MICHAEL tea. wxr.ro•.r General Air Cundltloning and Plumbing 31270 Reserve Dive, Thousand! Palms G4 92276