BRES2016-016078-495 CALLE TAMPICO U VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/10/2016
Application Number: BRES2016-0160
Property Address:
53470 AVENIDA CARRANZA
APN:
774081011
Application Description:
DAUGHERTY RESIDENCE,
Property Zoning:
Application Valuation:
$5,800.00
00�
Applicant:
ALLIANCE CONSTRUCTION
ENTERPRISES INC
46267 MONTE VISTA DRIVE
INDIO, CA 92201
JUNIO
?416
44QU�N A
Owner:
MARGARET DAUGHERTY
53470 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
ALLIANCE CONSTRUCTION ENTERPRISES INC
46267 MONTE VISTA DRIVE
INDIO; CA 92201:~. ; ,.. •:
(760)222-8895
Llc. No.: 928697
----------7----------------------------------------------------------------------------------
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: s in full force and effect.
License ss: B License No.: 928697.x'
11?*
�NO-10-110 Contractor: U
C..I
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 a1001
,
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. Q.
Lender's
Lender's
WORKER'S COMPENSATION DECLARATION
I h m under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers'
compe ion, 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 3 of the ab r Code, I shall forthwith
comply with those provisions.
-1)5_5e�* 't . pli� `
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.
n�te::Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY AMOUNT"
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$1.00
6/10/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ALLIANCE CONSTRUCTION ENTERPRI
CHECK
R16228
1242
AZA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT..
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.75
$0.75
6/10/16
- PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY .
ALLIANCE CONSTRUCTION ENTERPRI
CHECK
R16228
1242
AZA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.75 $0.75
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE FIRST 7
101-0000-42400
0
$60.91
$60.91
6/10/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ALLIANCE CONSTRUCTION ENTERPRI
CHECK
R16228
1242
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE, FIRST 7 PC
101-0000-42600
0
$110.22
$110.22
6/10/16
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
ALLIANCE CONSTRUCTION ENTERPRI
CHECK
R16228
1242
AZA
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $171.13
TOTALS: $172.88 $172.88
Description: DAUGHERTY RESIDENCE
NAME TYPE
Type: BUILDING, RESIDENTIAL Subtype: REMODEL
Status: ISSUED
Applied: 6/10/2016 AZA
Approved: 6/10/2016 AZA
Parcel No: 774081011 Site Address: 53470 AVENIDA CARRANZA.LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 223
Lot: 14
Issued:
UNIT 21
CONTACTS
CITY
STATE
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $5,800.00 Occupancy Type:
Construction Type:
Expired: 12/7/2016 AZA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CA
Details: REMODEL - CHANGE OUT TWO (2) FRENCH DOORS AND ONE (1) ENTRY DOOR (LIKE FOR LIKE) PER ATTACHED APPROVED PLAN.
2013 ENERGY & BUILDING CODES.
ADDITIONAL
CHRONOLOGY
NAME TYPE
:NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ALLIANCE CONSTRUCTION
ENTERPRISES INC
46267 MONTE VISTA
DRIVE
INDIO
CA
92201
(918)260-7700.
CONTRACTOR
ALLIANCE CONSTRUCTION
ENTERPRISES INC
46267 MONTE VISTA
DRIVE
INDIO
CA
92201
(918)26D-7700
OWNER
MARGARET DAUGHERTY
53470 AVENIDA
CARRANZA
LA QUINTA
CA
92253
(918)260-7700
FINANCIAL INFORMATION
Printed: Friday, June 10, 2016 2:43:40 PM 1 of 2 _
SYSTEMS
Printed: Friday, June 10, 2016 2:43:40 PM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
ALLIANCE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/10/16
R16228
1242
CHECK
CONSTRUCTION
AZA
ENTERPRI
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
ALLIANCE
SMI - RESIDENTIAL
101-0000-20308
0
$0.75
$0.75
6/10/16
R16228
1242
CHECK
CONSTRUCTION
AZA -
ENTERPR
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.75 $0.75
DOOR/WINDOW,
ALLIANCE
101-0000-42400
0
$60.91
$60.91
6/10/16
R16228
1242
CHECK
CONSTRUCTION
AZA
REPLACE FIRST 7
ENTERPRI
DOOR/WINDOW,
ALLIANCE
101-0000-42600
0
$110.22
$110.22
6/10/16
R16228
1242
CHECK
CONSTRUCTION
AZA
REPLACE, FIRST 7 PC
ENTERPRI
Total Paid for WINDOW/SLIDING GLASS
$171.13 $171.13
DOOR/FENESTRATION:
TOTALS:
Printed: Friday, June 10, 2016 2:43:40 PM 2 of 2
SYSTEMS
Bin #
Qty of La Q uln to
Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
i�
Project Address:
yran
Owner's Name:
Address:5 O
A. P. Number:
Legal Description: '�.
City, ST, Zip:
WiN
Contractor: I I n 'hLA
Address: -1I
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Telephone:
KIM,:
Project Description: C
FAMJ
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City, ST, Zip: Indio, 1201
Telephone:
;>z:>;%:<`•'
State Lic. # : Z. 8 (0
City Lic.ic.#:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone-
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struction ConType: � Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
'z?x<:«>;.,«:.>::;::s>:>>:.»«:.>:.>!•> r• : •
Name of Contact Person: ��
Sq. Ft : # S ories: # Units:
Estimated Value of Project. 2-1506 Wo
Telephone # of Contact Person:
APPLICANT:
1
DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionslissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
UOPies 01-F Po
MAP,GAOeF f)AVGOVM
53470
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STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC CF1R-ALT-01-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterati ns
Project Name: Date
CALIFORNIA ENERGY COMMISSION T&'"
F. SPACE CONDITIONING(SC) SYSTEMS— HEATING/COOLING (Prescriptive section 150.2(b))
al 02 03
�iTr ,er /j�piv
Dwelling Unit Name Dwelling Unit CFA (Ft2) Commen.Rv
CF1R7ALT-01-E
(Page 3 of 4)
a.N 1
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) ee .,
Fn
01
02
03
04
05
06
07
08
03 :,;
10
g11,,,,
12
13
14
15
�^Water�,Heating System
Alteration to the Space
N of
Water
�G� Name—,
,,:06tification or.Name,.
—ronditioni,ng_System(s)? -- ,
_Comments_.-_
y
Back -Up
Water Heating
Heater
`y,
1• •
x�fFA
"u `
System
Water
Water
Water
Heaters
Storage
Rated
Rated
yg,,^:
Heating
•Heating
Exterior
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
in
Volume
Fuel
Input
1 Input
•:.;
Efficiency
f`;
a*Eff156,niy
Standby
Insul..
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Type,
t, Value
Typep
k*!"Value
Loss (%)
R -Value
Fraction
Distribution Type
Distribution Type
!
C
ill
•RW"^Y'kt
�wJ^'
8�. '8i u>F:. :r:'^Sh •aF)T
H. SPACE CONDITIONING SYSTEMS AND WATER HEATINMG SYSTEMS IN'MULTIFAMILY D51NE:�UNG UNITS
Ol
02
03
05
06
�
Central Wai:er Heating
Dwelling Unit
Dwelling Unit:
Dwelling Uni Total CFA
�
Systern;tti n�Iflcatlon opq g
�^Water�,Heating System
Alteration to the Space
-----Dwelling=Unit-Namey.-•.
�(f#2')' .-
�G� Name—,
,,:06tification or.Name,.
—ronditioni,ng_System(s)? -- ,
_Comments_.-_
y
ars
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance . June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE
Residential Alterations
Proiect Name:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and
Documentation Au
ft Narne:
Company:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
Date Prepared:
v. !t; A lY
Documentation Author Signature:
Signature Date: f' r -'s '—
�"' GCT10-t
CEA/ HERS Certification Identification (if applicable):
Phone:
1S
1^
CF1R-ALT-01-E
(Pave 4 of 41
I certify the following under penalty of perjury, under the laws of the State of California: fi;•s "
1. The information provided on this Certificate of Compliance is true and correct. �1
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibilitykfor the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, componend d
t6nd manufactureevl�c s 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. v
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. I will ensure that a registered copy of this Certificate of Compliance &11 be made available with the building permlt(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: `l IlRespon_sible Designer Signature:
Date Signed:
Company= �� � � 7►��=�,�' � �i ,ter}
�1 �c� "
Address: i License: � _��,� '" •,.�
Cit /state/ZI i, ;?, Phone:
�o�l� e
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
June 2014
CA Building Energy Efficiency Standards - 2013 Residential Compliance