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BRES2014-111578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2014-1115 .T4tT44a w COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 77250 AVENIDA FERNANDO APN: 658230064 Application Description: REPLACE EXTERIOR DOORS, PLUGS AND SWITCHES Property Zoning: Application Valuation: $82,000.00 Applicant: n THE REMODEL STORE Do L//,�\ I I 42-700 AEGEEN STREET, SUITE B r INDIO, CA 92203 ;)F LA OUIN'):P. UUMMUNITY DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/6/2014 Owner: ' MICHAEL MCGUIRE 77-250 AVENIDA FERNANDO LA QUINTA, CA 92253 Contractor: THE REMODEL STORE 42-700 AEGEEN STIP INDIO, CA 92203 IIS (760)989-2655 ly I OCT U 6 2014 Llc. No.: u CITY OF LA QUINTA -----------------------------------IraUAU1WXY-DEVEWPM_EN 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: _ License No.: Date: 0 -/7' Pe Contractor: OWNER -BUILDER DECLARATION 1 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 alleg� 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 nor 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 Na Lender's Address: 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: _ 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 Section 3700 of the Labor Code, I shall forthwith comply witthh thoosse provisions. ///yA',//% % -Date: �!/ �C/ x� L/ ADolica6t:./ /- 3 / WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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. L Date/ Signature (Applicant or Agent): _ r 4. Awl- DESCRIPTION FINANCIAL ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $4.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE rt%: ES, ADDITIONAL 101-0000-42403 0 $70.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, ADDITIONAL PC 101-0000-42600 0 $17.40 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY "ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $135.92 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $96.72 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIX PURE/TRAP PC 101-0000-42600 0 $96.72 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $193.44 $0.00 f ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL; EA ADDITIONAL 500 SF 101-0000-42400 0 $108.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY IESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, [A ADDITIONAL 500 SF PC 101-0000-42600 0 $87.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY I ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for REMODEL: $379.94 $0.00 C-ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $10.66 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $10.66 $0.00 DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE DOOR/WINDOW, REPLACE FIRST 7 101-0000-42400 0_ $60.91 $0.00 PAID BY METHOD, RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT• PAID PAID DATE DOOR/WINDOW, REPLACE, FIRST 7 PC 101-0000-42600 0 $110.22 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forWINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00 Description: REPLACE EXTERIOR DOORS, PLUGS AND SWITCHES CHRONOLOGY•TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK PICKED UP Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 9/18/2014 SKH Approved: 9/30/2014 AAL Parcel No: 658230064 Site Address: 77250 AVENIDA FERNANDO LA QUINTA,CA 92253 Subdivision: TR 14496-3 & INT IN COMMON Block: Lot: 64 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $82,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0. No. Unites: 0 ARMEN ALTOUNIAN 9/23/2014 Details: NEW CABINETS, NEW VANITIES, NEW EXTERIOR DOOR GLASS, NEW TILE FLOORS, AND REPLACE ALL OUTLETS AND SWITCHES. -12 r Applied to Approved 4 -: CHRONOLOGY•TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK PICKED UP KAY HENSEL 9/24/2014 PLAN CHECK PICKED UP STEPHANIE KHATAMI 9/29/2014 9/29/2014 RESUBMITTAL KAY HENSEL 9/26/2014 TELEPHONE CALL ARMEN ALTOUNIAN 9/23/2014 9/23/2014 LEFT MESSAGE ON GREG HUNTER'S CELL PHONE READY FOR PICK-UP. TELEPHONE CALL ARMEN ALTOUNIAN 9/29/2014 9/29/2014 READY FOR PICK UP. TELEPHONE CALL ARMEN ALTOUNIAN 9/30/2014 9/30/2014 READY FOR PICK UP CONDITIONS Printed: Monday, October 06, 201412:36:43 PM 1 of 4 CVCiFMC _.. .. _ kqp,P MR ."OrM I ., . I- - _.. . ... -.. — - - ...., �. _ _ - - _ .1 .- _ y _ . - .--I. . . _ — .. " M:t;,. '-. s�.esn.n ea -Y .ate.. rr�. "...- r INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID FAX EMAIL BY CONTACTS NAME ADDRESSI CITY STATE ZIP PHONE NAME TYPE APPLICANT THE REMODEL STORE 42-700 AEGEEN STREET, SUITE B INDIO CA 92203 ( PC INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $4.00 $0.00 BSA: DEVICES, ADDITIONAL 101-0000-42403 0 $70.18 $0.00 DEVICES, ADDITIONAL 101-0000-42600 0 $17.40 $0.00 PC DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $135.92 $0.00 FIXTURE/TRAP 101-0000-42401 0 $96.72 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $96.72 $0.00 Total Paid for PLUMBING FEES: $193.44 $0.00 REMODEL, EA 101-0000-42400 0 $108.75 $0.00 ADDITIONAL 500 SF REMODEL, EA 101-0000-42600 0 $87.00 $0.00 ADDITIONAL 500 SF PC REMODEL, FIRST 100 SF 1 101-0000-42400 0 $49.31 $0.00 Printed: Monday, October 06, 2014 12:36:43 PM 2 of 4 CRW.TFM� SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES" DATE DATE FINAL" PARENT PROJECTSNORM RETURNED STATUS REMARKS CLTD UtSLriii�TION ACCUUNT QIY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY _ REMODEL, FIRST 500 SF 101-0000-42600 0 $134.88 $0.00 ARMEN 9/18/2014 - PC REVISIONS REQUIRED RFC NON-STRUCTURAL Total Paid for REMODEL: $379.94 $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 $10.66 $0.00 ARMEN 9/26/2014 Total Paid forSTRONG MOTION INSTRUMENTATION SME $10.66 $0.00 DOOR/WINDOW, REVISIONS REQUIRED RFC NON-STRUCTURAL REPLACE FIRST 7 101-0000-42400 0 $60.91 $0.00 ARMEN DOOR/WINDOW, 9/30/2014 APPROVED APPROVED NON-STRUCTURAL .10/7/2014 101-0000-42600 0 $110.22 $0.00 REPLACE, FIRST 7 PC Total Paid for WINDOW/SLIDING GLASS $171.13 $0.00 DOOR/FENESTRATION: SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES" DATE DATE FINAL" PARENT PROJECTSNORM , t •w +• 1 -- �s-,.t:g:: 'rq'A 1.�`w- ti� +'�.� vi-� $'-.i Via. •f' t fF at NO ..� / Printed: Monday, October 06, 2014 12:36:43 PM 3 of 4 �fJ LJ �GVC TFMC RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE ARMEN 9/18/2014 9/25/2014 9/23/2014 REVISIONS REQUIRED RFC NON-STRUCTURAL 1ST REVIEW RFC ALTOUNIAN ARMEN 9/26/2014 10/3/2014 9/29/2014 REVISIONS REQUIRED RFC NON-STRUCTURAL 2ND REVIEW RFC. ALTOUNIAN ARMEN 9/30/2014 9/30/2014 APPROVED APPROVED NON-STRUCTURAL .10/7/2014 3RD PLAN CHECK APPROVED ALTOUNIAN , t •w +• 1 -- �s-,.t:g:: 'rq'A 1.�`w- ti� +'�.� vi-� $'-.i Via. •f' t fF at NO ..� / Printed: Monday, October 06, 2014 12:36:43 PM 3 of 4 �fJ LJ �GVC TFMC f Printed: Monday, October 06, 201412:36:43 PM 4 of 4 CRWY,�iFMC Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED N/S 1ST REVIEW 77-250 AVENIDA DOC 9/23/2014 ARMEN ALTOUNIAN 0 COMMENTS.docx FERNANDO.docx N/S 2ND REVIEW 77-250 AVENIDA DOC 9/29/2014 ARMEN ALTOUNIAN 0 COMMENTS.docx FERNANDO 2.docx Printed: Monday, October 06, 201412:36:43 PM 4 of 4 CRWY,�iFMC Bin # Permit # �� l 11 f3 CGS Project Address: 50 City of b QUrnta -Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta,. CA 92253 - (760) 777-7012 Building Permit. Application and Tracking Sheet w " ti ais,tid 6 Owner's Name: at 111f, +{ 2 A. P. Number: Address: a 5 0 „ , � d Legal Description: City, ST, Zip: L 4 53 Contractor: 2 mr✓laGle � �r S'r L Telc hone: — Address: Z:70 () -3ec{v .5 SL► , Project Description: C�✓ C/gCJ//V9l� Ille f}N� lS City, ST, Zip: /e/Gt / D �l �% 2� t� i I�O� do t°S Ll✓ Te eP honc7 6 0 � 6S 8 jQ e � n 1Io � v q State Lic. #: 9.10 l 3 City Lie. #:;<::::,/t;;: tet� Arch., Engr., Designer: Address: j [ +C' 0— City, ST, Zip: // PiI� Lk� t r G�DD a,-4?. hone. an oon Occupancy: nstuchTele cY: Repair PoJ 'cthP (circlea one New Add'n Alter Demo Lic # <f _Stoto - - - - ./j/... Name of Contact Person: �jes / /jL Sq. Ft-: 2 �j # Stories: #Units: Telephone #,of Contact Person: Estimated Value of Project:j% APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKING PERMIT FEES i Plan Sets Plan Check submitted p 1' f q Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Catcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted /q l�a�p Mechanical Grading plan 2"' Review, ready for corrcctionsiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN I10USE:- '`j Review, ready for correction issue 30 Developer Impact Fee Planning Approval Called Contact Person 3o A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �r STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 08114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations ,?' a c c.r Vk r q , N A y $ -a a Vz- (Page 1 of 4) Project Name: Date Prepared: A. GENERAL INFORMATION . 01 02 01 Project Name: I -e e. I Y 02 Date Prepared: 03 Project Location: O 6 r, ! 4 O 04 Building Front Orientation (deg or cardinal): J aJi 05 CA City: d 06 Number of Altered Dwelling Units: / 07 Zip Code: 08 fuel Type: e- Climate Zone: 10 Total Conditioned Floor Area (W): ZBuilding Type rI 12 Slab Area (ft2) Project Scope: G" C- 'X I S-tl N e A/C a s Table Cell B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 07 OS 09 30 it Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing 1 (inches) Proposed Required Comments Cavity I R -value Continuous Insulation R -value U -factor Appendix Reference e U -Factor Table Cell NOTES • Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatings must comply with installation criteria from section 110.8(1)4. I [ CITY OF LA QUINTA C. ROOF REPLACEMENT (Prescriptive Alteration, Section 150.2(b)iH) 01 02 03 D4 05 06 07 08 09 10 it 12 13 Method of Compliance Roof Pitch Exception CRRC Product ID Number Product Type R -value Deck Insulation Proposed Minimum Required Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES • Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatings must comply with installation criteria from section 110.8(1)4. I [ CITY OF LA QUINTA BUILDING & SAFL I Y ULN 1. APPROVED FOR CONSTRUCTION DATE / b BY Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 2: STATE OF CALIFORNIA ; RESIDENTIAL ALTERATIONS? CEC-CFI R -ALT -01-E Revised 08/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR=ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: L, i¢. IDate Prepared: 9- ZS -15"o D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) AIN, 01 02 03 04 Alteration Type Orientation Maximum Allowed ft2 t... . Comments Qe a'ys^' E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)i) ,, *qt. ' 01 02 03 04 05 06 07 08 .a . "4-:.a 09 10' ` a 0 `11 12 13 14 15 Combined Orientation Area Area Nets Maximum k Exterior SHGC Tag/ Fenestration Frame Dynamic N, S, W, E, or Removed Added '` "`Added 1_4rea AII6` ed Shading from ID Tye Type Glazing Roof ft2 ft2 �. ft2 _ U;factor U -factor Source SHGC Source Device MR -ENV -03 1A-55 Owr r ii'!. O >� � "'"0 3 2-0 LSI p. L A- _ a Net Added West -facing Fenestration Area,' ' b Existing + Added West -facing Fenestrat _ rea CITY OF LA QUINTA BUILDING & SAFETY DEPT. c Maximum Allowed West-facing.F " ration Area ..� 3- e ��_ ,. d Is West -facing Fenestration Area < Maximum`Allowed t-faclAg Fenestrations —,w ��-;�.� w• .;, � °Area. ;,if>"- i APPROVED FOR CONSTRUCTION e six,.^k t. Net Adde enesttation Area (all orientatitin5) f �; µg Ezistin d_ded Fe_n`estration Area (all orientations) vximum DATE 96bea BY g -, :�44 Ak ':_ d Fenestration Area (all orientations) h Is Existing + A � enestration Area < Maximum Allowed Fenestration Area (all L orientations) Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 f t STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFI R -ALT -01-E Revised 08/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-01-E Prescriptive Residential AI rations (Page 3 of 4) Project Name: f� e. ll,/ I ►-s'- Date Prepared: 19—Z_5--1L1- F. %" r L F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) 01 02 03 Dwelling Unit Name Dwelling Unit CFA (Ft2) Comments G. WATER HEATING SYSTEMS (Section 150.2(b)lG) F 01 02 03 04 05 06 07 08 09`' 10 11 12 13 14 15 Water Heating # of Water Back -Up Water Heater System Water Water Heaters Storage Rated Rated Heating 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 Type Value Loss (%) R -Value Fraction Distribution Type Distribution Type H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS IN MULTIFAMILY, DWELLING UNITS Ol 02 031,• 04' 05 06 Dwelling Unit Name Dwelling Unit Total CFA (0` , Central Water Heating System Identification or . Name Dwelling Unit Water. Heating System Identification or Name Dwelling Unit: Alteration to the Space Conditioning System(s)? Comments CITY OF LA QUINTA i BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE_J� BY Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 f STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS I* � Cz SL=T CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: is ,til "l- I Date Prepared: Z,,!5— /'-/ DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: J " Documentation Author Slgnat 1. / I �� Company: r Signature Date: J % Address: GNU CEA/ HERS Certification Identification (if applicable): City/State/Zi e ^_ � Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: I. 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. S. I 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 Oesign r Name: Responsible Designer Signa Y 1�N Company A Date Signed: % f Address: � � � , � license: •7 v City/State 3 o aj. Z'o-3 Phone: 9t?'7 FA ti01� �0 S�Q F4 o�'aQ��r questions regarding the Energy Standards, contact the GZ . SNI Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance CITY OF LA QUINTA BUILDING & SAFETY DEPT. 'rgy H/`i r 15 P FOR CONSTRUCTION BY. RECEIVED SEP 2 6 2014 CITY OF 8TV"TIENT June 2014