BPLB2016-011878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0118
Property Address:
APN:
51835 AVENIDA NAVARRO
773183015
Lr --u
D
Application Description:
QUARLES RESIDENCE /WATER HEATER
Property Zoning:
S C P 2 2O1C
L j, IU
Application Valuation:
$1,000.00
VOICE (760) 777-7125
FAX (760) 777.-7011
INSPECTIONS (760) 777-7153
RRICK QUARLES
335 AVENIDA NAVARRO
QUINTA, CA 92253
G(YOFLA0OINTA'
Applicant: COMMUNITY DEVELOPMEWDEPARTMEPfGbntractor:
ANTHEM MECHANICAL ANTHEM MECHANICAL
53800 POLK STREET 53800 POLK STREET
_'922236 ;'!s..: OACFI LA CA 91236
C EL .. -
(760)895-2621
Llc: No.: 1001659
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: A. B. C20, C46 License No.: 100 659
CDate: 2 ��G —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:
Date: 9/28/2016
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
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9154382
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: �Jr l& C`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 TOTHE 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 actor 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. .
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representativesof this city to enter upon the /
above-mentio ed pr perty for inspection purposes.
Lender's Name:
Date:y / Z� (`/�Si nature (AppIlicant orAgent):
Lender's Address:
Date: 9/28/2016
Application Number:
BPLB2016-0118
Owner:
' Property Address:
51835 AVENIDA NAVARRO
DERRICK QUARLES
APN:
773183015
51835 AVENIDA NAVARRO
Application Description:
QUARLES RESIDENCE/ WATER HEATER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$1,000.00
Applicant:
Contractor:
ANTHEM MECHANICAL
ANTHEM MECHANICAL
53800 POLK STREET
53800 POLK STREET
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)895-2621
LIc. No.: 1001659
• • ;:'J is i REPLACE 40 GALLON HOT WAT ER HEATER PER 20!3 CALIFORNIA BUILDUNG CODE
.
FINAN CIAL O•
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.
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401•.
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER NEATER/VENT PC
101-0000-42600
0
$7.25
Bin ##
City of b Quina
Building u Safety Division
Permit #{ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: Owner's Name:Y 2S
A. P. Number:
Address:
Legal Description:
City, ST, Zip. LLI Us• �•� 43
Contractor:
Telephone: —
.
f
Address: UCS x
Project Description: W H eC,�
City, ST, Zip:
:_.. - _
C-04 Lfe --'t o
telephone:
Q
State Lie.
City Lie.
Arch:; Engr., Designer:
Address:
City, ST, Zip:
h
Telephone:
one:
Construction n TY Pe:- Occupancy:
cY:
,-
State Lie. #
ProJeet nPa (circle one)! New Add'n Alter Repair. o-
Demo'
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units.:
Telephone # of Contact Person:
Estimated Value of Project: &67&
'APPLICANT: DO NOT WRITE BELOW THIS LINE
tJ
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount.
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Titte 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Revicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up J
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`'. Reyieiv, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person'
A.T.P.P.
Pub. NVks. Appr
Date or permit issue
School Fees,
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: arAoX
Date Prepared:
CF1R-ALT-01-E
(Pace 1 of 41
A. GENERAL INFORMATION
01
02
01
Project Name:
02
Date Prepared: NN
03
Project Location:
04
Building Front O'ieritation (deg or cardinal):
05
CA City:
06
Number of Alte`redD elling Units: *.A\
07
Zip Code:
08
Fuel Type: kM "%,^
09
Climate Zone:
10
T,ofal,Coriditibned Floor-AfealftU:;
11
Building Type
12
SIab,Area (ft2) rt .
13
Project Scope:
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 _ ,�, � �07 08;� i' Q9
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches) '
"Prop ed
Required
Comrtlents
*Continuous
Cavity �41nsulation
R -value, R -value ¢j U;factor
Appendix JA4
Reference
U -Factor
Tall
NOTESC.tovo\.1 `+ y
• Roof area covered by, building'integrated pholtaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with1nstall.ation criteria from section 110.8(i)4.
v N
v
C. ROOF REPLACEMENT (Prescriptive Alteration, Sec onJS0.2(b)1H s"`�"'
.mss: �.a" t
`
Ol
02
03
04 =
05,
06
164 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
i
CRI16ir d D�
r. t fJumber
product Type ,
R -value
Deck
;Insulation
Propos d Minimum Required
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTESC.tovo\.1 `+ y
• Roof area covered by, building'integrated pholtaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with1nstall.ation criteria from section 110.8(i)4.
c Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
1 4"
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations _ (Page 4 of 4)
Project Name: - Date Prepared:
4
,DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1 4
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Na`mn�
Documentation Author Signature:
Company:
Signature Date: ?,r. _ SE s
X�
Address:
goo G
CEA/ HERS Certification Identificafipn (if applicable) ILA N4
City/State/Zip:
3a
Phone:
- 6 4
„RESPONSIBLE. PERSON'S DECLARATION STATEMENT
-:—I-certify the following under penalty of perjury, under the laws of the State of California:
J1.
The information provided on this Certificate of Compliance is true.and correct. R
2. 1 am eligible under Division 3 of the Business and Professions Code to accept respo I yl or the building deslghlor system design identified on this Certificate of Compliance (responsible
designer).
3. • That the energy features and performance specifications, materials, components, aid manufactured eviee`s'for the building design or system design identified on this Certificate of
3. e ' n�
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Cotltle of'Regulations. �
pliance documents,
4. The building design; features or system desig- features identified on thisCertificate of Co are consiste�n ;th�tthe information provided on other applicable compliance
building
worksheets, calculations, plans and specifications submitted to t nnfo`rcement agent four pproval with this permit application.
14 5. 1 will ensure that a registered copy of this Certificate of Compllance�shall be made .aviOble with the building permit(s) issued for the building-, and made available to the enforcement agency
for all applicable inspections. I understand that a registred cpy" of this Cert of Compliance is regred'to be included with the documentation the builder provides to the building
owner at occupancy. e
Responsible Designer Name: ^'/A\
yResponsible Designer Signature:
C=7d
Company: !r
L R-14
Date Signed:
x
Address: a�$
License:
rimw.. /
City/State/zip: /u
�613
Phone: ^'
For assistance ortquestions regarding the Energy Standards, contact the Energy Hotline at:' 1-800-772-3300.
_ I
Registration Number: Registration Date/Tinri '
CA Building Energy Efficiency Standards - 2013 Rezidential Compliance .
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 4)
Project Name: Date Prepared:
F. SPACE CONDITIONING(SC) SYSTEMS _HEATING/COOLING (Prescriptive section 150.2(b))
01 02 03 0,*\`�'•.'
Dwelling Unit Name Dwelling Unit CFA (Ft2) Comments
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) -.-
01
02
03
04
05
06
07
08
09.,
.10
411 V,
4-12
13
14
15
SysttemIde tification or a
1=Water,Heating System
Alteration to the Space
k of
Water
Name ,
Conditioning System(s)?
t
fi '
Back
Water Heating
Water
Heater
4Heetijig
s
-Up
System
Water
Water
Heaters
Storage
Rated
Ratted
q�
Heating
�.
Exterior
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
in
Volume
Fuel
Input
Input,Efficiency
Efficiency
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Type,
Value
TypeT$YValue
Loss,(%)
R -Value
Fraction
Distribution Type
Distribution Type
6-01
1
H. SPACE CONDITIONING SYSTEMS AND`WATER HH.E�AIT-11 G SYSTEMS INTI 0LTIFAMILY DWEU NG UNITS
01
02
03& �
,° s, 6419'05
06
` et, v'Dwellin
Central Water Heating►
Unit
c g
Dwelling Unit:
Dwelling Unit T&al uA
SysttemIde tification or a
1=Water,Heating System
Alteration to the Space
Dwelling Unit Name
Name ,
�cldentification or Name
Conditioning System(s)?
Comments
Y Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014