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BPLB2015-012178-495 CALLE TAMPICO 31 *�4aw VOICE (760) 777-7125 LA QUINI`A, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20. C36 License No.: 686310 Date: IOIZlo1L5 Contractor: 1.:..« -t� 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.). (_) 1, 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. C.). Lender's Name Lender's 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 with those provisions. Date: 1c Zb Applicant: 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. ��'�� Date: 4L -,Signature (Applicant or Agent)-_<;_ /L �� r Date: 10/26/2015 Application Number: BPLB2015-0121 16J N�4!_?' __ j, ti Owner: Property Address: 55114 FIRESTONE �) -- ' — " PLUMMER OKHUI APN: 775153039 J C CT a i 55114 FIRESTONE Application Description: PLUMMER RESIDENCE / WATER HEATER CHAN_ GE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,000.00��� Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 SCANNED SCANNED (760)601-3500 Llc. No.: 686310 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20. C36 License No.: 686310 Date: IOIZlo1L5 Contractor: 1.:..« -t� 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.). (_) 1, 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. C.). Lender's Name Lender's 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 with those provisions. Date: 1c Zb Applicant: 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. ��'�� Date: 4L -,Signature (Applicant or Agent)-_<;_ /L �� r FINANCIAL •• • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID.BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID 'PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS: $112.19 00 Description: PLUMMER RESIDENCE / WATER HEATER CHANGE OUT Type: PLUMBING Subtype: Status: APPROVED Applied: 10/26/2015 MFA. Approved: 10/26/2015 MFA Parcel No: 775153039 Site Address: 55114 FIRESTONE LA QUINTA,CA 92253 Subdivision: TR 21846-2 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 IE INC Details: WATER HEATER CHANGE OUT— 40 GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY - STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 (951)255-4020 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 (951)255-4020 OWNER PLUMMER OKHUI 55114 FIRESTONE LA QUINTA CA 92253 (951)255-4020 Printed: Monday, October 26, 2015 8:26:24 AM 1 of 2 SYSTEMS ATTACHMENTS. Printed: Monday, October 26, 2015 8:26:24 AM 2 of 2 C SYSTFMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # . CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:•0 ATTACHMENTS. Printed: Monday, October 26, 2015 8:26:24 AM 2 of 2 C SYSTFMS STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS of EC-CF1 R -ALT -01-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION 40W CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 6) Project Name: 114 r-es�dn� Date Prepared: ro z..J IS A. General Information - 01 02 01 Project Name: 02 Date Prepared: 03 Project Location:04 10 Building Front O'rgn. tion 'deg or cardinal): 05 CA City: 06 Number of Alter d . le, hing Units: 4f. 07 Zip Code: Ci 08 Fuel Type: 09 Climate Zone: 10 TQtal C n.,d i ned Floor r :( 2) 11 BuildingType 12 Slablgreatj` 2) e% 13 Project Scope: Frame E.ceptionsto MinlIdgged Solar lectance-Sd Min'iQ).um Thermal or SRI 150.2(b)1Hi!' B. Building Insulation Details (Section 150.2(b)1)� 01 02 03 04 05 06_• 07 QS 09 10 11 11 12 13 14 Proposed Required Continuous; AppendixJA4 Proposed Minimum Required Tag/ Method of Frame Frame roro yProduct R-valu ID Rroduct Deck� 10flal'Solar Aged Solar Thermal SRI Aged Solar Reflectance Aged Solar Reflectance Thermal SRI ID Com liance R Terence . fi+xce 'tion Numbe,"LT' e Insula itgh3Reflectance Reflectance Emittance (0 tional) (Max) Frame Depth Spacing Cavi Insula'n _ OY Ta ID Assembly Type Type (inches) (inches) dr7,(t:-vai t;val U-factofAl Cell U -Factor Comments NOTES�A • Roof area covered by bil'�'Ipglptegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. _ • Liquid field Bust installation from 110.8(i)4. applied cd"' .tings` comply with criteria section C. Roof Replacement (Section 150.2(b)1H) x 01 02 03 04 r 06 08P 09 10 11 12 13 14 . a Proposed Minimum Required Tag/ Method of Roof roro yProduct R-valu ID Rroduct Deck� 10flal'Solar Aged Solar Thermal SRI Aged Solar Reflectance Aged Solar Reflectance Thermal SRI ID Com liance Pitch fi+xce 'tion Numbe,"LT' e Insula itgh3Reflectance Reflectance Emittance (0 tional) (Max) (Min) Emittance (Optional) fa r OY x� w NOTES�A • Roof area covered by bil'�'Ipglptegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. _ • Liquid field Bust installation from 110.8(i)4. applied cd"' .tings` comply with criteria section Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: September 2015 F�t STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS ►OWN; CEC-CHR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION '1-1 CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 2 of 6) Project Name: Date Prepared: D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 01 02 03 04 05 r 06a 07 Maximum Maximum q . Allowed Allowed West- Existing Existing West - Fenestration Facing Fenestration Facing Maximum Maximum MaximuplM ximum Area For All Fenestration Area for All Fenestration Allowed Allowed q (rwe,, Allowed5 Alteration Orientations Area Only Orientations Area 1.1 -factor U -factor t'S SHGC. Type (ftZ1 (ft2) (ft') (ft') (Skylights) ipd�ws) (Sl�yligN Comments 1- I rra(V' Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance 9 HERS Provider: September 2015 _7 i STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF•1R-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION � CERTIFICATE OF COMPLIANCE CHR -ALT -01-E Prescriptive Residential Alterations (Page 3 of 6) Project Name: Date Prepared: E. Fenestration/Glazing Proposed Areas and Efficiencies — Add (Sectiori 150.2(b)1A) 01 02 03 04 05 06 07 08 09 1001 ? 12 13 14 Tag/ID Fenestration Type Frame Type Dynamic Glazing Orientation N, S, W, E Number of Panes Proposed Fenestration Area (ft Proposed`"'' West Facing Fenestration Area (ft2) Propos d U-fac o'ri Source �� Prpposedr F1 Source Exterior Shading Device Combined, SHGC from CF1R-ENV-03 1 4� 15 Existing + Proposed. Fenestration Area ^ I 16 Maximum Allowed Fenestration Area q?, 17 Compliance Statement'"" Ce 18 Existing+ Proposed West -Facing Fenestration Area 19 Maximum Allowed West Fenestration Area q> 20 Compliance Statement &OP q 21 Proposed Fenestration U -factor (Windows) 4 ire 22 Required Fenestration 1.1 -factor (Windows) 23 Compliance Statement { N AR' 24 Proposed Fenestration SHGC (Windows) 25 Required Fenestration SHGC (Windows), rA.. 26 Compliance Statement h: 27 Proposed Fenestration U -factory VAk. ) 28 1 Required Fenestration U!w%'o A(S'ylights) _ 29 Compliance Statemeaa." 30 Proposed Feestti " SHGC (Skylight'' 31 Required Fen $ration SHGC (aylights) ' 32- Compliance Statement Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS FOR CERTIFICATE OF COMPLIANCE CF1R-ALT=01-E Prescriptive Residential Alterations (Page 4 of 6) Project Name: Date Prepared: F. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2(b)1B) mAK Ol 02 03 04 OS 06 07 08 9 10 X1!1 { ' 12 13 14 Tag/ ID Fenestration Type Frame Type Dynamic Glazing Orientation N, S, W, E Area Removed Wft Area Added (ft) Net� Added Area (ft)U-factor Proposed SoO,Ece Prfioposed SHGC c Exterior Shading Device Combined SHGC from CF1R-ENV-03 A i. y 15 Net Added West -facing Fenestration Area 4 4 16 Is Net Added Fenestration Area S 0 for west -facing fenestration?yE 17 Net Added Fenestration Area (all orientations)' 18 Is Net Added Fenestration Area <_ 0 for all orientations? 19 Proposed Fenestration U -factor (Windows) y� 20 Required Fenestration U -factor (Windows) 21 Compliance Statement 22 Proposed Fenestration SHGC (Windows)_A' •. 23 Required Fenestration SHGC (Windows) 24 Compliance Statement's 25 Proposed Fenestration U -factor (Skylights) 26 Required Fenestration U -factor (Skylights) qv i1 4i 27 Compliance Statement 28 Proposed Fenestration SHGC (Skyligt5 ;. f ea 9 29 Required Fenestration U -fa( o S lights) RP� 30 Compliance Statement �4`3 V14 Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS �,T CEC-CFIR-ALT-01-E Revised 99/15 CALIFORNIA ENERGY COMMISSION 'wry CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 5 of 6) Project Name: SS114 ire done- Date Prepared: Ip 2,ro G. Space Conditioning (SC) Systems - Heating/Cooling (Section 150.2(b)). 01 02 03 ,. ��,,,0 Dwelling Unit Name Dwelling Unit Total CFA (ft') Commei4t ti as 41l ff5p �1 ". _ **NL 'fir H. Water Heating Systems (Section 1S0.2(b)1G) w Systems K.Mitltlfamfly�D Ijng nit 01 02 03 04 05 06 07 08 09 ro ' °; 11 +Gy 12.; 13 14 15 Water #of Water Heating Water Water Heater Back -Up Central DHW Dwelling Unit System Heating Water Heaters Storage Rated RatedHet)r�� Heating!kf� Exterior Solar System DHW System Identification System Heater }n Volume Fuel Input Input fificie`ncy Efficiep y' artandby Insul. Savings Distribution Distribution or Name Tye Type system (gal) T e Type Vale pe C) VSTU Loss (%) R -Value Fraction Tye Type �411,J I b'tu , E ) -` .. N I A. R8 N A 1 r4l A St-c—naa I. Space Conditioning Systems and Water Heating. Systems K.Mitltlfamfly�D Ijng nit 01 02, 3 . ,, 04 QA's , 05 06 Dwelling Unit Name Dwelling Unit Total CFAysvtm (ftZ) Gent l Water Heatir Ident' icati Na t Dwell! ''i_`t'. Dwelling Unit: Water In -System Alteration to the Space Ide�ti,fcatioTn or Name Conditioning System(s)? Comments ei 1 01 A, NNOW O P"o Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 0911 CALIFORNIA ENERGY COMMISSION -'%W- CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 6 of 6) Project Name: _cSJ1L1s Date Prepared: to 2to IS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. , x Documentation Author Name: SyGI. Documentation Author Signature: o rtr h1\ �t �i<Zf , ' Company:' . 'Gerece.l Arc Co\,,A,�o�n�h Signature Date: /d2b % LS � NN . Address: -3ll? O�Sesti 1�c-iv CEA/ HERS Certi ication Identi i.uo ff'Sppllcable): - " Clty� /Zip: i4.ovS0.ha 17A�wnS CSA C(Z2'1 Phone: '2-L13 498 n°r 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, lam eligible:under Division 3 of the Business and Professions Code to accept responsib'lity ford a building design • r m design Identified on this Certificate of Compliance (responsible designer). the pmanufacturecidn'a'3, That the energy features and performance specifications, materials, component ar`fbrr building design or system design identified on.this Certificate of Compliance conform to. the requirements of Title 24, Part 1and Part 6 of thg�alifotniaCodeofRe,{� 4, The building design features or system design features identified on this,Certifj�aYe of Com�p�lian aFe ons eqt wl h �pformation provided on other applicable compliance documents, >- . worksheets, calculations, plans and specifications submitted to the erffo' r�ement agency>f. r' proval with this b ildingermit application. 5; 1 will ensure that a registered copy of this Certificate of CompiiancAhafill e made ava iith the buildi g' e (s) issued for the building, and made available to the enforcement agency for inspections. I Wis Certificat is included the documentation the builder to the building all applicable understand that a registere o Co1ance Is req e with provides l'C41 m �, ' owner at occu ancy. tL�. i Responsible Designer Name: Res posit le esigner Signature: Alf Company: Zt3 bate Signed: Address: License: City/State/Zip: - Phone: If'hA.r o iassistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1 800-772-3300 Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: September 2015 sin.# �O . h City. Of La Quinta Building 8t Safety Divlsion ,l)D; f .�v P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Pemtit # Project Address: 55114 Firestone Owner's Name:. Okhui Plummer A. P. Number. Address: 55114 Firestone Legal Description: Contractor: General Air Conditioning.951-255-4020 City, ST, Zip: La Quinta, CA 92253 �ssat. nv:.s. Telephone: ,. '�.::a :.;... Address: 31170 Reserve Drive Project Description: Replace 40 Gallon Gas Water Heater. City, ST, Zip: Thousand Palms, CA 92276 Telephone: 760-343-7488 �1 State Lic. # : 686310 City Lie. # Arch., Engr., Designer. Address: City., ST, Zip: Telephone: ;'. " State Lia #:� a j 7 ` . Name of Contact Person: Steven Schnierer Construction Type: Occupancy: Project type (circle one): Nlew Add'n Alter Repair Demo Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: 818-735=7876 X 1 Estimated Value of Project: $2,000.00 APPLICANT: DO NOT WRITE BELOW THIS UNE ff Submittal Plan Sets Req'd Reed TRACKNG Plan Check submitted PERMIT FEES Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance Title 24 Calas. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mecharileal Grading plan 2" Review, ready for correctiouMmue Electrical Subcostattor 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 correctionsfissue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees