BPLB2017-0108aw
78-495 CALLE TAMPICO - VOICE (760) 777-7125
FAX 4760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/10/2017
Application Number: BPLB2017-0108 Owner:
Property Address: 44950 VISTA DUNES LN �] j�.� VISTA DUNES COURTYARD HOMES
APN: 604032022 44950 VISTA DUNES LN
Application Description: VISTA DUNES COURTYARD HOMES / HOT WATER HEATER C/O LA QUINTA, CA 92253 '
Property Zoning:
Application Valuation: $1,500.00
Applicant: Contractor:
VISTA DUNES COURTYARD HOMES D U OWNER / BUILDER
9420 HAVEN AVENUE
RANCHO CUCAMONGA, CA 91730 AUG 10 2017
CITY OF LA QUINTA Llc. No.:
DESIGN AND DEVELOPMENT 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: Contractor:
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:
OWNER -BUILDER DECLARATION
Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
'I certify that in the performance of the work forwhich this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, after, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the'
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of.the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
Date: D �nt." _
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
f
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application ; the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
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.
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
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.
Date: Signature-('Applicant-o.Agent)
' f
Date: • 8/10/2017
Application Number . BPLB2017-0108
Owner:
Property Address: 44950 VISTA DUNES LN
VISTA DUNES COURTYARD HOMES
APN: 604032022
44950 VISTA DUNES LN
Application Description: VISTA DUNES.000RTYARD HOMES / HOT WATER. HEATER., C/O
LA QUINTA, CA 92253
Property Zoning: ..
Application Valuation: $1,500.00
Applicant:
Contractor:.
VISTA DUNES COURTYARD HOMES
OWNER / BUILDER
9420 HAVEN AVENUE
RANCHO CUCAMONGA, CA 91730
\.
•Lic. No.:
_ Detail: TANKLESS WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL
INFORMATION
a ;;DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 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
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT .
WATER HEATER/VENT PC
.101-0000-42600
.0
$7.60
Total Paid for PLUMBING FEES:
$20.27
.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOG.YENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00 .
TOTALS:
F
I
STATE OF CALIFORNIA
�rescri•�tiv�_ Residential. Alterations That 'Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 04176 CALIFORNIA ENERGY COMMISSION
CERTIFICATE QF CONIPLIAN,CE CFI11-ALM57E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
PmJect Name: p IJ Date Prepared: -
Inn1i— �% 1 '��n'K l�fS R.•l`�r �� n f R/ l�C ICI
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification Is required,, a CFIR-ALT- 01 shall first be registered
with o HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS veriflcation'requirements may use the CFIR-ALT-05 and. CF2R- ALT -05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced, or the existing duct system was -Insulated with asbestos; or the existing duct system was previously tested and passed by o
HERS Rater. if space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a.density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-OS with a HERS'Provider Data
Registry.
if more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they ore
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not,be removed before verification by the building Inspector.
A. General Information
Ol
ct Name:
Project
�.
LA -n i?' ! 1 t'-ati*c t %5 klA''ei
02
Date Prepared:
03
ProjectLocation:
9 S'� T t -a D At& -3 4-1- u` 4, 7 `i
04
Building Front Orientailon (deg or cardinal):
OS
CA City:
L Q (,Z u. I h q G %r
06
Number -of Altered Dwelling Units:
'
07¢
r.
Zip Code:
PS '
y 2 j-3 f
�. .,i. ,•z. C- t'�" t C Y
d ,a
o8
[Fuel Type,,,,,,L
; R•.t:•T.a
/ <
i/t irG1 ' (y 6J
09"
`tlimate'Zo}ne'e '-`
_
heti" ' `t y r
°f •+'
30�
Total Can'dltioned Floor Area
11
Building Type:
12
Slab Area (ft2)
13 Project. Scope (Select all that apply):"
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing -REPLACE ❑✓ H.`Water Heating'System ❑ Include Mandatory Measures? ,
CA Building Energy Efficiency Standards - 2016'Residential'Compliance April'2016
STATE OF CALIFORNIA `.
Prescriptive Residential Alterations That Do. Not Require HERS. Field Verification,:.,
CEC-,F1 R -ALT -05-E Revised 04/16 _ CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations'That bo Not :Require HERS Field Verification Page 2 of 3
Project Name: -' Date Pre Oared: - -
09
- 10
H. WAter Heating Systems (section 150.2(b)1G)
Ol
02
03
;05 ...
06
07.
'08
:Water
Water
.Water
Water .
09
- 10
_l,l.12
13
- 14
15
:Water
Water
.Water
Water .
Back -Up
Heating
Heating'Systern
Heaters
Heater
Rated,
Heating
Heating
Exterior
Solar '.
Dwelling
,System
Location or
Water Heating
Water
in
Storage
Fuel
Rated
Input
Efficiency
Efficiency
Standby
Insulation
Savings
Unit Name"
ID or Name
Area Served'
System Type,
Heater Type ,
System
Volume (gal)
Type
Input Type
Value
I Type
Value
Loss (%)•
R -Value
Fraction
✓f>fl'
d�L�S
IAS
w/I{
NirrRA><.
�.
;0100
r
"
17,
as y
:IM
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification.
A-1
CEC-CF1 R -ALT -05-E (Revised 04/16) UALII-UKNIA LNEHUY L;UMMlbbl1Jl\-
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of.3
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature..
P A
Company:
Signature' Date:
1-&7
Address:
CEA ERS (Tertification Identification (if appllcablel:
Chy/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California'
1. 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.
5. 1 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.] 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:
Responsible Designer Signature:
Company:
Date signed:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions rega.rding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards —2016 Residential Compliance April 2016
T T
Wyl 4 �41�&rw
P.O. BOX 1.504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE/
Disclosures & Forms for Owner- Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at WI -1 f'o 5kA ��,,��� �,.� L, a CR a -t,,-4 q* l22
Weare providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities. and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue'a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at -our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signs you understand or verify this information.
I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner�is providing his or her own labor and material personally. I, as
an Owner -Builder, may be -held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
2. I understand building permits are not required to be signed by property owners unless they are respo'nsibl'e for the
C01
mction and are not hiring a licensed Contractor to. assume this responsibility.
11 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed•in his or her name
own. instead of my
-4*. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5., I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor -and materials, I may be -considered an "employer"
under state and federal law.
I understand if'I am considered an "employer" under state and federal law, I must register with the state and federal
goVetnment, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me. to.serious fnancial
risk.
. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer the for sale, unless all work is performed by licensed
subcontractors and the number of strictures does not exceed four within any calendar year, or all of the work is performed .
under contract with a licensed general building Contractor.
V-8*. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries 'sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
6-=O. I understand I may obtain more information regarding my -obligations as an ."employer" from the Internal Revenue
Service, the United States Small -Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
0. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
p legally.: and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
12:.I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the infomiation I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may, sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or 'fum is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date: 0 � /'
Note: The following Authorization Form is required to be completed by theproperty owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign; and file. the documents necessary to obtain an -Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for.the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the. owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued. to verify the property owner s signature.
Property Owner's Signature:
Date:
e� i
Vista -Dunes Courtyard Homes
x
August 8, 2017
Dear City of La Quinta,
To whom it may concern, National Core — Vista Dunes Apartments
gives,David Smith authorization to request permits for any work being
done' t Vista Dunes Apartments.
If youlhave any questions please feel free to contact me @
760-534-7054
Thank you,
Rosa {Ravin
,Sr. Community Manager
i
i
'i
i
1
j
i
4
,.I
j
Vista Dunes Courtyard Homes
144-950 Vista Dunes Lane La Quinta, Ca. 92253 ♦ (760)..772-3444 ♦ Fax (760) 772-3440
Email: vistadunes@nationalcore.org
i
F
B.R #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La .Quinta, CA 92253 - (760) M-7012
Building Permit Application and Tracking Sheet
Permit #
.Pro�ect�Adlr tic p yct.�n,e,� L
Ownersiame� (/, f e t4 of C e o a
A. P. Number:
;4,o -ye k, i/
Legal Description:
Ctry S t .: Ra a e - A o
Contractor: f7 W •ar, ' �
Tele ho"ne.:O 'fp- �o r < '�.;;a�'� •;:,,t��:;. �;�:?%
Address:
Prcjecrpescr ption, i'kP(a. c Q j--d,t K (-e-5- 1
City, ST, Zip:
Telephone:
sem•>N` r' u
City Lic. #;
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:"�
State Lic. #:
y�y' <hQ•V
�:. > ��°�` ••- ''
r • y a}C ���`.CF
. { '
Construction Type: Occupancy:. .
Project type (circle one): New Add'n Alter Repair Demo
Name_oE'Coittact Pers 6—h -M Vol �lt jS pl t
Sq. Ft.:
# Stories:
# Units:
Telephone:# of of nt t'Pe oti I o'7 .Z p Ir 1� 57jrZ
$�t tnateil Value_bi Projecta / s
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calci.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21" Review, ready for correctionstissue
Electrical,
Subcontactor 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 correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P,P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees