BPLB2017-001978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,iht 4 4 Q"
DESIGN & DEVELOPMENT DEPARTMENT
Application Number:
BPLB2017-0019
Property Address:
80890 VIA PUERTA AZUL
APN:
762450014
Application Description:
MCINTYRE RESIDENCE / PLUMBING
Property Zoning:
Application Valuation:
$900.00
Applicant:
STATEWIDE SERVICES INC
DBA STATE WIDE PL
73-700 DINAH SHORE DR
STE 405
PALM DESERT, CA 92211
BUILDING PERMIT
P
FEB 0 3 2017
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
DDate: 2/3/2017
0 r:
N L CINTYRE
26 72ND AVE
LEY BC CANADA V4W, V5 92253
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENTctor:
STATEWIDE SERVICES INC DBA STATE WIDE PL
73-700 DINAH SHORE DR STE 405
PALM DESERT, CA 92211
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 forceand effect.
License Class: C36, A. C33, C10 License 936147
Dater --{ontr
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 ) 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 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 Name:
Lender's Address:
(760)699-5434
Llc. No.: 936147
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: 1948371
_ 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 bf California, and agree that, if I should become subject to the
workers' compensation provisions of Section 37 of the Labor Code, I shall forthwith
comply with those 77—Arinfirant-
WARNING:
ovisions.
ho
Date: '
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 thi ty to enter upon the
above-mentioned property for inspection purposes.
Dates - -- ---Signature (Applicant or Ag' C�2_
Application Number:
BPLB2017-0019
Property Address:
80890 VIA PUERTA AZUL
APN:
762450014
Application Description:
MCINTYRE RESIDENCE/ PLUMBING
Property Zoning:
Application Valuation:
$900:00
Applicant:
STATEWIDE SERVICES INC
DBA STATE WIDE PL
73-700 DINAH SHORE DR
STE 405
PALM DESERT, CA 92211
Date: 2/3/2017
Owner:
NEIL MCINTYRE
26210 72ND AVE
LANGLEY BC CANADA V4W, V5 92253
Contractor:
STATEWIDE SERVICES INC DBA STATE WIDE PL
73-700 DINAH SHORE DR STE 405
PALM DESERT, CA 92211
(760)699-5434
LIC. No.: 936147
Detail: WATER HEATER CHANGE OUT- 50 GALLON / GAS [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
10170000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
Total Paid for PLUMBING FEES: $20.27
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
uc%,-ter i r% -,'%L i -v i -c r%evseo uor 14 CALIFORNIA ENERGY COMMISSION ; 4
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: V-4, Date Prepared:
A. GENERAL INFORMATION
01
sy
01
Project Name:
02
Date Prepared:
03
Project Location: L L-0—
04
Building Front. Orlentatibn'(deg or cardinal):
05
CA City:.
06
Number of AAV49elling Units: ',
07
Zip Code:
08
Fuel Type: OL , w
09
Climate Zone:
10
T,otal,Conditloned FloorrArea'(ft2)i$
11
Building Type
12
51 ab,Area'(ft2)b tuff
13
Project Scope:
dr`,rroduct TypeInsulatl9n
'* _�t
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 07 08y „09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
0" P.'roposed 41", `
Required
Comments
c
Y..
Cavity
R -value, a
Continuous
r%.
Insulation
R -value �41�
it rAppendix JA4
.6 Reference
Qzj , for Table Cell
U -Factor
CRR .rrro
Peck
Compliance
Pitch
Exception
t Number ,
dr`,rroduct TypeInsulatl9n
Reflectance
Reflectance Emlttance (Optional) Reflectance
Emittance
(Optional)
,
C. ROOF REPLACEMENT (Prescriptive Alteration, See6ltib-(Y50.2(b)1H)# 'i,
01
02
03
04 eP '! %
05i
06
'07 08 09 10 11 12 13
�
R -value 'Q
. Propos d Minimum Re uired
nitial Solar
Aged Solar Thermal• SRI Aged Solar
Thermal
SRI
Method of
Roof
CRR .rrro
Peck
Compliance
Pitch
Exception
t Number ,
dr`,rroduct TypeInsulatl9n
Reflectance
Reflectance Emlttance (Optional) Reflectance
Emittance
(Optional)
,
r
NOTES
'
.
Roof area covered bybuuild;i g integrated pliotaic,panels and solar thermal panels are exempt from the above Cool Roof requirements.
Lo
• Liquid field applied. oatings,must comply with installation criteria from section 110.8(i)4.
4h
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: i r
CALIFORNIA
CF1R-ALT-01-E
(Page 3 of 4)
Date Prepared: l_ / "3 - / '"-;o
F. SPACE CONDITIONING(SC) SYSTEMS - HEATING/COOLING (Prescriptive section 150.2(b)) Y.
01 02 03 eli '.tv
Dwelling Unit Name Dwelling Unit CFA (Ft2) Comments'b
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) `
01
02
03
04
05
06
07
08
0,9 f .,
r10
�+11
i w 12
13
14
15
Water Heating
WaterVHeating System
Alteration to the Space
q of
Water
(fk2)
th. IA"tName
., zldentlfication or Name
Conditioning System(s)7
"
System
Water
Water
Water
Heater
Rated
Rated
,�
""Heating
x'
4Heatigg k'
...
Back -Up
p
Heaters
Storage
.?x../49
gx
Exterior
Solar
Dwelling Unit DHW
g
Identification or
Heating
Heater
in
V°lume
Fuel
Input
01 '0uut
01'0
Y.)a
Efficiency,•
�Effi�ettcy
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Ty
system
(gal)
Ty
Type,. 7,
;r, Value
Typg .
,Value
Loss. M)
R -Value
I Fraction
I Distribution Type
Distribution Type
�.
H. SPACE CONDITIONING SYSTEMS AND WATER HEATN�G SYSTEMS II/IULTIFAMILYDWELLING UNITS
01
02
03
w 04
OS
06
'S^M
N
Central Wd 0,0, ating
°elfin Unit
� V g
Dwelling Unit:
D\velling Uni> T&61"[CFA
SysIdentification o
WaterVHeating System
Alteration to the Space
Dwelling Unit Name
(fk2)
th. IA"tName
., zldentlfication or Name
Conditioning System(s)7
Comments
.
AM.
.ivl� �
V
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF, CALIFORNIA
RESIDENTIAL ALTERATIONS
CLC-CF1 R -ALT -01 -E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptiv6 Residential Alter.11ations (Page 4 of 4)
Project Name: _r Y Lc--anA�m V74E-1� Date prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate ofCompliance -documentation is accurate and complete. & la
DocurrilaaV& Author Name- Docu mentirtiob Author Signature:
..Xngv� 110
Co Y:
Sig t
Addiess:
CEA/ HERS Certification Id Wick qq#(if app ica
Ii ble)
City/ at Zip:
Ph
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under p§nalty of perjury, under the laws of the State of California:, k'
1. The information provided on this Certificate of Compliance is true and correct. "ox,
2. 1 am eligible under Division 3 bf the Business Professions Code
and to accept responsil5illty for the buildin sl' lor system design identified on this Certificate of Compliance (responsible
3. That the energy features and lerformance specifications, materials, compone"fits(S" -e
and manufactur v ce0or 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 Co oflep lations.
4. The b ilding design 'or
Ll features system design features identified on 040;$rtificate of Clpliance�-are consiste it th information provided on other applicable compliance documents,
worksheets, calculations, plar�s and specifications submitted tp th'0496" Q,
5. 1 will ensure that a registered 'Ppy of this Certificate of Co plia ckghall be made Q"ila'b.1,e'with the bul.4il pgrftt(s) Issued forthe building, and made available tothe enforcement agency
for all applicable inspections. I understand that f this Certific'%te-, I I
8-ompliance
�f isZ, e—q UM64 to be included with the documentation the builder provides to thebuilding
owner at occupancy.
Responsible Designer Name:
ible De
�ke�pofis signer Signature:
Company:
DAte Si
Address: "I
Lice nse:
City/State/Zip:
Phone:
CS
"
For assistance 6�6uesdnnsregarding the Energy Standards, contact the Energy Hotline at: 1'8O0-772-]3VO
Registration Number: nemistratmno
—
[A Building ' Provider:
—
�
June 2014.
Bin #
Permit #
Project Address:p
pity of La Q uin to
Buifding 8z Safety Division
78-495 Caffe Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
a.
Owner's Name: e4 IL
A. P. Number:
Address:
Legal Description:
City, ST, Zip: LIOL lh
Contractor. ' t
r
S
Tele h one�7:
P c
Address:
Project Description:
City_ ST, Zip:
/
l�
Tee
1h n
0
Pc
State Lic. # a LP14-7City
Lic.
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Con tructi n type: Occupancy:
an cY:
t a
Sto Lic. #-
Project tYPa cir leone): New Add'n Alter Repair-ai
r Demo
0
Name of Contact Person:Sq.
Ft.:
# Stories:
#Units:
Telephone # of Coniact Person- qC
'00 a.
Estimated Value of Project: �^
APPLICANT: DO NOT WRITE BELOW THIS LINE
# 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 Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for correctionsrssue
Electrical .
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
3" Review, ready for correct ionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. \Vks. Appr
Date of permit issue
School Fees,
Total Permit Fees