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BRES2015-035677581 Los Arboles Dr BRES2015-0356 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity 4 44" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0356 Property Address: 77581 LOS ARBOLES APN: 658260040 Application Description: PERRY / REPLACE (3)DOORS AND (13)WINDOWS Property Zoning: Application Valuation: $40,000.00 Applicant: z g CALIFORNIA WINDOW & DOOR INC 75091 SAINT CHARLES PLACE #G PALM DESERT, CA 92211 C=) C= N LICENSED CONTRACTOR'S -DECLARATION 1 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 C s : B C17 License No.: 906636 Da Co o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra ate 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.). ( 11, 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 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 t r for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sect 00 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: Policy Number: _ 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 Sectio a Labor Code, I shall forthwith comply hDatt! L WAR NG: FAI RE TO SECURE WORKERS' COMPENSATION COVERAGE LAWFUL, 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 o erty for inspection purposes. Date:. bfgnature (Applicant or A o Dater 9/14/2015 Owner: JEFFREY PERRY 8 CHURCH RANCHES CLOSE CALGARY AB CANADA T3R, C19 z g Z C=) C= N rz Contractor: LU LU 3 0 CALIFORNIA WINDOW &'DOOR I C o 75091 SAINT CHARLES PLACE #G [L L v z PALM DESERT, CA 92211 (760)773-1053 Llc. No.: 906636 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 t r for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sect 00 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: Policy Number: _ 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 Sectio a Labor Code, I shall forthwith comply hDatt! L WAR NG: FAI RE TO SECURE WORKERS' COMPENSATION COVERAGE LAWFUL, 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 o erty for inspection purposes. Date:. bfgnature (Applicant or A o F4#f.. P >. S,a'J :Q` S - 1..: RDESCRIPTION` , vxyh s s ACCOUNT TY AMOUNTS.._, 5PAID-=E ,, ,PAID'°DATEm; S:T 'd'6s "°-b,.:.✓, 't ,s. <. e »b Sa:,, d'.t S.,4i s •,x.; .n, » , Lm `s, n +B sM...3ms ,y:e-s,,:b3"d, A"'3 k ' F"R; s2 •+.11 a— ..-sz .C. 'rs .'` A- ' ..0 d. Y ' q T BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.60 Y r tl ! t q h i - •Ad+ 'R.' £ %i '"'o PAID BY Z10"" ' 'f __.....n..... s.., >r,... _>u. METHOD,` RECEIPT # , CHECK #rt CLTD BYE; ' . >,:> , Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0:00' f X• t bi -b- 4 r DESCRIPTION Y JS3'S.;d iS :.; lrr."C':s > ACCOUNT f TY Q.s' .>:..:":.'F?.i°3,. AI ,i"f'r,:,:.,; 'T.e ffi 1. AMOUNTY P s '. n .n PAID DATE: 'rk ..9... -Yr 4. ..,...h .. r..<.,... t.k,.1 R SMI -RESIDENTIAL 101-0000-20308 0 $5.20 $0.00 PAID;BY Y° *,V'f METHOD `t* 1•f y.. RECEIPT .$"'•' 1''t' # c CHECK #zs1€ CLTD BY, Total Paid forSTRONG MOTION INSTRUMENTATION SMt', $5.20 $0.00 .:5('t -. '€.i x !Y . _. , E:F : . r., ;& i`Z r :,}. y i a DESCRIPTION a a- rws ». YF Y" . , • "42i `i ACCO;UNT f f -. ti f' u y y 'QTYk . • .. xx T AMOUNTitPA :•:nW. i-w ._.«. -:4, e ...:,-h .. D .,,'`k4. d .. 'Frn m ^ PLAID DATE; Y Ci.. .x ' ;.:yx DOOR/WINDOW, REPLACE FIRST 71 101-0000-42400 0 $60.91 $0.00 ; PAID BY h n METHODS F s # i Ht! " 'Ig LTD fi 4 r,< _..,-E,.FWVT ,. 3 ': _ , fr aRECEIPT , a ,t : a, m zCHECK.,#. Eik:,71— BY . ' f^)•..,i:.i r 4Px,.. ii'#S"l iS;E'i xd•E>i Ey FY,P:i y, i 4 iR.8 .'c tt*ACCOUNT`gTYAMOUNT'PAID _ C°kF.; -`'. -iy Y. yy, •:: *u £. rra g DATE ,DESCRIPTIONS fr „ .. PA D DOOR/WINDOW, REPLACE, EA ADDITION 5 101-0000742400 0 $20:30 $0.00 - % Y -, T ..P PAID BY it• & -:.. METHOD X tE' RECEIPT # i` T '` CHECK # "C ✓i'W` f Sv 4: CLTD BY Y ..., d .F w `,r-:o.tciT... ,.. .4. ' vn,S „. .,., .,' ,3i ' ... T,. z:,.a? h„}.,s ' ,., ` .bffi,:«" E 9u, cs`3?E.,.L.7.,iSn 'aT%zeit5< e .. ID-. v'aFx....3 7 6s' `%. Toy l%v!", ant., .K.,iz,. z va 'S + b. z >i_a .,,,. 7<.» St'<-.."k+xL,n"" F ..w., dIts, s✓.N.or s°A' :✓ Vp.....ie ,. 3't,t, C'fX ..:5...:' . :y",.R MP 4 .{..,T 3" :Es 'n'" . „` DESCRIPTION> f -,x^CG Sy.S., t' 'F:". fy.- s&`;¢, 'S } e ; yfr- >R- .Y .;, n",i^',s "11 !: -v ....-':;?SY nToe,h Ay . .f5.. :fi :: ,,, ., ryfe'lSh'M :Mii . -A;£ ._.A.3 'Y ..f ^i 'aF' r 'S3'ti 6- xa.M F _ :_.. ... .. ., ..'S ..-,•... .. ': 4. .<e,._.::.. ._.... r'- ACCOUNT QTYt .. e..:.._,..,. s T:.':. _ v„'_._..'i3. ,.. :. AMOUNTY,PAIDPAIDaDATE ; ':: .'b,. DOOR/WINDOW, REPLACE, EA ADDITION 5 , 101-0000-42600 0 .$23.20` $0.00 PC YgC f Fl a EC =fl ✓pa_,k 6 PAID R x "p -e.. .. ,F aT. ..;:- 'y;S-} ` ;i t x y ,.. Fs K ti BY...': rMETHOD * >rx RECEIPT # , ` VE CHECK.# t CLTD BYE . DESCRIPTION s`f fr " ACCOUNT 3 d > { i.:t d PAIU€ ” ;..QN„AMOUNTk E ' r APAtDxDATE, DOOR/WINDOW, REPLACE, FIRST 7 PC 101-000042600 0 $110.221 $0.00 .. £> y PAID BY S: d,r".:14Ty, R e Y S ;x,:66110t! x«Fn's MEI.+T HOD .,., fi' zRECEIPT,#xsa z ' '...{:sem •::,. F<,.re:::., r` a E., TcY fr .. xr ACHE GK# . i CLTDBYF, Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $214.63 $0.00 TOTALS: Description: PERRY / REPLACE (3)DOORS AND (13)WINDOWS CONDITIONS Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 9/14/2015 SKH Approved: Parcel No: 658260040 Site Address: 77581 LOS ARBOLES LA QUINTA,CA 92253 Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 106 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $40,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CA 92211 Details: CHANGE OUT (3)DOORS AND (13)WINDOWS. 2013 CALIFORNIA BUILDING CODES. OWNER JEFFREY PERRY CHRONOLOGY CONDITIONS STATE ZIP PHONE FAX EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY APPLICANT CALIFORNIA WINDOW & DOOR INC 75091 SAINT CHARLES PLACE #G PALM DESERT CA 92211 CONTRACTOR CALIFORNIA WINDOW & DOOR INC 75091 SAINT CHARLES PLACE #G PALM DESERT CA 92211 OWNER JEFFREY PERRY 8 CHURCH RANCHES CLOSE CALGARY AB CANADA T311 C1 92253 Printed: Monday, September 14, 2015 4:10:21 PM 1 of 3 C SYS7Eti1S BOND INFORMATION Printed: Monday, September 14, 2015 4:10:21 PM 2 of 3 CN?WIYSTCMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # • CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: SMI - RESIDENTIAL 101-0000-20308 0 $5.20 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI $5.20 $0.00 DOOR/WINDOW, 101-0000-42400 0 $60.91 $0.00 REPLACE FIRST 7 DOOR/WINDOW, REPLACE, EA ADDITION 101-0000-42400 0 $20.30 $0.00 5 DOOR/WINDOW, REPLACE, EA ADDITION 101-0000-42600 0 $23.20 $0.00 5 PC DOOR/WINDOW, 101-0000-426000 $110.22 $0.00 REPLACE, FIRST 7 PC Total Paid for WINDOW/SLIDING GLASS $214.63 $0.00 DOOR/FENESTRATION: • 0i BOND INFORMATION Printed: Monday, September 14, 2015 4:10:21 PM 2 of 3 CN?WIYSTCMS Printed: Monday, September 14, 2015 4:10:21 PM 3 of 3 C srsrcMs Bin ..Qty of La Qulnta Buitding &r Safety Division Permit #f 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number: , Gt Address: ' Lpi, A..r , Legal Description: City, ST, Zip: v1491 q77, Contractor: eTele P hone Address: IX5W Project Description: City, ST, Zip: G l LAW11610 I P ft 60r Telephone G O 7 7 c nen 09c0/? 112 o C, IfIn State Lic. # : City Lie. #.: I (' O `U Arch., Engr., Designer: t/ Address: 14 —ho Ae City, ST, Zip:o ' 41 Telephone, one' . onstructi cc u on Type: YP O an P c Y: Lie. #: Repair r DemoState JecttYPa d'n ew Ad Alter Name of Contact Perso r ►L Sq. Ft.: # Stories: # Units:X0 Telephone # of Contact Person: Estimated Value of Project: GXD 71 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees STATE OF CALIFORNIA FR SIDENTIAL ALTERATIONS C C-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Reside •al Alteratio'P6, JPpge 1 of 4) Project Name: VipA'i V r—JON f I Date Prepared: A. ENERAL INFORMATI 01 10-- 0 Project Name: rr / 02 Date Prepared: 03 Project Location: a V 9& cove04 g/I Building Front driertafion`(deg or cardinal : 05 CA City: Le, .426m 06 Number of Alte,,D elling Units: *W111" 07 Zip Code: Z 08 Fuel Type: 09 Climate Zone: 10 Tqt d,Condltioned Floor A.rea'(ft2).> 11 Building Type 12 Slab,Area (ft2) A-00 13 1 Project Scope:1' it \ '+.i BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 2 03 04 05 06 y ``•,^07 08 1-Q9 10 yd Required Zthod\of r ' ..,Appenclix JA4 Fra Continuous Reference Compliance rS. Depth Spacing ' {Insulation , g/I Assembl Type (inches) (inches) R -value\ V R-va T Table. Cell LI -Factor Comments rr ; NOTES ' • Roof area covered by, bu' -'integrated photovoltaicFpanelsanct solar thermal panels are exempt from the above Cool Roof requiremen s. h R OF REPLACEMENT (Prescriptive Alteration, Seetio`nJ-50.2(b)1H), N 01 02 03 04 05\ 06 JJr r67AP 08 11 12 13 'a R -value ro osed Minimum Re uired Zthod\of Roof C Rroduct ID ,nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception( Num yrodu 1Insul on Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES ' • Roof area covered by, bu' -'integrated photovoltaicFpanelsanct solar thermal panels are exempt from the above Cool Roof requiremen s. h • Liquid field ap oatingsmust comply w in tallation criteria from section 110.8(1)4. V Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance . June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations Project Name: PPDJ.ENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) 04 01 02 03 Alteration Type Orientation Maximum Allowed ft2 Commepts wdf iAT UQn(I ,,14 e`he C tE' Date Prepared: CFIR-ALT701-E (Paee 2 of 41 llrl . j. - SEI NESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) •Z( 1 02 03 04 05 0607 0,8 090 11 12 13 14 15 )C ' f 4rea` Net Exterior Combined SHGC Tag/ J' Fenestration frame Dynamic Orientation N, S, W, E, or Are Remove Added Added MaximOTP Allowetl Shading from ID Type Type Glazirig Roof ft2 ft3 Area ft2 U;,factor U -factor So rce S C Source Device CFIR-ENV-03 i.,0.. ' Y'Z t Y Y ' t ) y X77 `' y a Net A e Wes -frac n" strationn e y ` 'C • 2 b xisting + A d WLe' ',-fadn estrat o iea f 0 c ., gµ M ximum All West-faci ne Nation rep t J I V d. cmg Fen stration Are < Maximi Ilowed Wes ` g Fenestr io n w f rea, e q N'et Adde e stration I o`r:ISentati ns) ` rT 4 h % yp 1 LCJ • i f "` Ex ing +Add en stration A II oar en taYi ns) g Maxi um(AlllloV <:enestration A e ll or entat ns) CAAI . J I • `, h rr -R ` Is E i ded- enestration Area <'IVI um Allowed Fin ration Are (all pc AS J orientat ns) D jeq-}' j215 G,Si 0. Q ,e A I ,5 ball Z.05 G S ,eo ven GRegistration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: , Q, •Z( 3 .2,( HERS Provider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF"COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 3 of 4) Project Name: Date Prepared: IONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) 01 Dwelline Unit Name Dwelline Unit CFA (Ft2) _ 03 G. WATER HEATING SYSTEMS (Section 150.2(b)1G)` 02 03 04 05 06 07 08 09,E 10 X11 i _12 13 14 15 Water Wa>t.r,t.eating Water f .m CHea Pg\ Back -Up Water Water Heaters Storage Rated _ - g y\ - - ✓/, Exterior Solar Dwelling Unit DHW Identification or Heating Heater in Volume Fuel \Inpuut" is + ' nc Standby Insul. Savings Central DHW System System Name System Type Type system Type Type ` Value Type j c FValue Loss. Fraction Distribution Type Distribution Type \X, CE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS IN„MULTIFAMILY-DWELLING UNITS 01 02 03` , `'' .—.S 04= 06 ntral: Wa{te r-Heating a - nit Heating System Dwelling Unit: Dwelling Unit Total EFA Sys m, Z,—Water Alteration to the Space Dwelling Unit Name (ft2) ” , s rName , ication or Name Conditioning System(s)? Comments c Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS gCE 1R-ALT-01-E Revised 06114 IFICATE OF COMPLIANCE scriptive Residential Alterations Project Name: CALIFORNIA ENERGY COMMISSION C F 1 R -ALT -01- E (Page 4 of 4) Date Prepared: // / , / DO. UMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. ' - - Documentation Au ign e: — Company: ( r Uclo Signature Date: - — r :(A) Address: r G =C CEA/ HERS Certificatio identificaiori ifapplicable): City/State ip:. eSe Phone: M, c v 925 _ a rn :7 RESPONSIBLE PERSON'S DECLARATION STATE ENT _ I certify the following under penalty of perjury, under the laws of the State of California:NW 1. The information this Certificate Compliance is true provided on of and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept' espons'b for the building de i':gnn r system design identified on this Certificate of Compliance (responsible designer). 3. That the energy. features and performance'specifications, materials, components, and manufactured evicfor 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. Compliance with documents, 4. The building design features or system design features identified on this Certificate of are consistent tt a information provided on other applicable compliance worksheets, calculations, plans and specifications submitted to the` eiifo cement ager--,"f'approval with this building permit application. building, 5. 1 will ensure that a registered copy of this Certificate of Compliance.All be made av aqN'ble with the building permits) issued for the -and made available to the enforcement agency for all applicable inspections. I understand that a registered C'00 bf this Certificitee off Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: e,ponsible D goer S' ature: `I sc% : Vt ti ` Compan Da Signed: Address:? License: O ; t City/State/Zip: , j 1s e r Phone:Q0 9 vy \ ✓ \ ` Do mentation Author Name: for assistance.or-questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 SGD CkKk R 31DY- 7 7,5S1 LdS 61,s Lo- Ou 7k SnM10.54 lUUf CSC Main i ause SG,[ Ivy n IDIDwA\A/ Sme4 o - li5. 0 , ta -I - F ITY QF LA QUINTA UILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE / SBY d