BPLB2017-0119Applicant:
24 - HOUR EXPRESS SERVICES INC
26047 JEFFERSON AVE STE D
MURRIETA, CA 92562
AUG 2 1 2017
CITY OF LA pUINTA_"`'
COMMUNITY OFMOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions /de, and
my License is in full.force and effect.
License Class: C36 License No.: 761778
Contr tca or
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).:
(1 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 thathe
or she did not build or improve for the purpose of sale.).
(1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/21/2017
Owner:
VISTA DUNES APT
44950 VISTA DUNES LN
LA QUINTA, CA 92253
Contractor:
24 - HOUR EXPRESS SERVICES INC
26047 JEFFERSON AVE STE D
MURRIETA, CA 92562
(951)302-5320
Llc. No.: 761778
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 Wo k -for which this permit is issued.
ve 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: COMPWEST INSURANCE COPolicy Number: WCVSS01043
_ I certify that in the performance of the work for which this permit is issued, .1
shall not employ any person in any manner so as to become subject to the worke
compensation laws of California, and agree that, if I should become subject to thr '
workers' compensation provisions of Section 3700 of the Labgr Code, I hall ��with
comply with those provisions. "-%1
App is nal t:
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 enterupo/n the above-
mentioned property for inspection purposes. , e // /9
_�
78 495 CALLE TAMPICO
D
LA QUINTA, CALIFORNIA 92253
DESIGN &•DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2017-0119
Property Address: 44950 VISTA DUNES LN APT 76
APN: 604032022
Application Description: VISTA DUNES APT / TANKLESS WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation: $1,900.00
Applicant:
24 - HOUR EXPRESS SERVICES INC
26047 JEFFERSON AVE STE D
MURRIETA, CA 92562
AUG 2 1 2017
CITY OF LA pUINTA_"`'
COMMUNITY OFMOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions /de, and
my License is in full.force and effect.
License Class: C36 License No.: 761778
Contr tca or
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).:
(1 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 thathe
or she did not build or improve for the purpose of sale.).
(1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/21/2017
Owner:
VISTA DUNES APT
44950 VISTA DUNES LN
LA QUINTA, CA 92253
Contractor:
24 - HOUR EXPRESS SERVICES INC
26047 JEFFERSON AVE STE D
MURRIETA, CA 92562
(951)302-5320
Llc. No.: 761778
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 Wo k -for which this permit is issued.
ve 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: COMPWEST INSURANCE COPolicy Number: WCVSS01043
_ I certify that in the performance of the work for which this permit is issued, .1
shall not employ any person in any manner so as to become subject to the worke
compensation laws of California, and agree that, if I should become subject to thr '
workers' compensation provisions of Section 3700 of the Labgr Code, I hall ��with
comply with those provisions. "-%1
App is nal t:
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 enterupo/n the above-
mentioned property for inspection purposes. , e // /9
Date: 8/21/2017
Application Number: BPLB2017-0119 Owner:'
Property Address: 44950 VISTA DUNES LN APT 76 VISTA DUNES APT
APN: 604032022 44950 VISTA DUNES'LN
Application Description: VISTA DUNES APT / TANKLESS WATER HEATER CHANGEOUT .LA QUINTA, CA 92253
Property Zoning: t. ,
Application Valuation: $1,900.00
r
f
Applicant: Contractor:
24 - HOUR- EXPRESS SERVICES INC 24 - HOUR EXPRESS SERVICES INC
26047 JEFFERSON AVE STE D 26047 JEFFERSON AVE.STE D
MURRIETA, CA 92562 MURRIETA, CA 92562
(951)302-5320
Llc. No.: 761778
Detail: TANKLESS WATER HEATER CHANGE OUT [GAS) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES:
•
j
FINANCIAL INFORMATION -
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
Credit Card Fee
101-0000-43505
0
$2.21
Total,Paid for Credit Card Fee: $2.21
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
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Bin #
Q� ®f La QuintQ
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit t'f
.
T -P -ect,Aakls
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Owner's Name,• 0 ►1 � S , �
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A. P. Number:,
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Legal Description:City_S,T,
Zip,: ( v, C.,4- iaa 0
Contrietor
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Telephone;
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Address: �
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City Lie. #:
State Lic. # : (o ('. 7 -7 �f
Arch., Engr., Designer:
Address:
City, ST, Zip:
•Q`:,�•:Jj: dd
Telephone: s,;v;��5:q.
State Lie. #: `�f?%wv ruy<a:
Construction Type: Occupancy:
Project a circle one): New Add'n Alter Repair Demo
J tyP )' P
Namei6 Contact,•P.-.erson" , 2� � % Sq. Ft.:
# Stones:
# Units:
Telephone:# of Contact"Pe son e: (4.51 S - q
9fi S (� L 1- mated• V?Auedo Project Gr%'
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
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
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
. Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION a
CERTIFICATE OF COMPLIANCE CF111-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project Name: Date Prepared:
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 a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification 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 ond'passed'by a
HERS Roter. !If space conditioning systems are altered and ore 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 Cell5proy Polyurethane Foam (ccSPF) with a density of 1.5 to less than 1.5 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 on R -value a13.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data '
Registry.
If more than one person has responsibility for 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 sholl'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
01
Project Name:n
V;$-Tk IIi,6 2 I
11v�
02
Date Prepared:
cam-_ I _' 1-
o
03
Project Location:0tr
n •2.
:•�
04
Building Front Orientation (deg or cardinal):
05
CA City:
i, h�a
06
Number of Altered Dwelling Units:
}
1
07
Zip Code:08
Fuel Type:
lVat,
09
Climate Zone:
10
Total Conditioned Floor Area (ft):
11
euildin Type:
t
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°
H. Water Heating Systems (Section 150.2(b)1G) - _
-01
02
03
04
05
06
07
08
09
10
11
12
13.
14
•15
#,of
Water
Water
Water
Water
Back -Up -,
Heating
Heating System
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
lVolume (gal)
Type.
Input Type.
Value
Type
Value
Loss (%)
R -Value
Fraction
�,
vR:
la; ion
7P
Addy R -w y
kDelete Rove
,�,O �;
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+r STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification �4a
C EC -C F I R -ALT -05-E Revised 04/16 CALIFORNIA ENERGY COMMISSIONOWN511111
CERTIFICATE OF COMPLIANCE CF111-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:)
!Ra b e_�-'TT 1� 'Y/
Docume talion Autho Slgnatur .
Company:
Ike
Signature' Date:
Q.— 1=
Address:
CEA HERS Certification Identification (If applicable):
City/State/Zip:
w:�at2�ejc, C, Cod-
Phone:
(q S(7 3C�2-S3aC)
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.. lameligible 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 bdvlces 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 Designer Name:
Responsible Designer Signature:
Company:. V-
DateSlgnedC:alf -
�2—
Address:
2 Ci,p -7
License:
F -i 7
City/State/Zip: n
c
Phone: q y�
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.-772-3300.
CA Building Energy Efficiency Standards --2016 Residential Compliance April 2016