BMCH2015-0379Applicant:
JOHN MONAHAN
52333 AVENIDA MARTINEZ
LA QUINTA, CA 92253
50
4 4P
VOICE
.(760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
�1 BUILDING -PERMIT
U Date: 10/2/2015
0C 0:2 2015 Owner:
JOHN MONAHAN
52333 AVENIDA MARTINEZ
✓QhCmINSiiiNCINA
RAGE.__ LA QUINTA, CA 92253
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: B License No.: 1007149
Date:
Contractor:
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 cr improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
r she did not build or improve for the purpose of sale.).
as owner of the property, am exclusively contracting wirh 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: /0-7- Z0 t5'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
Lender's Address:
Contractor:
PACIFIC LIFESTYLE HOMES
PO BOX 12523
PALM DESERT, CA 92255
(760)880-3150
Llc. No.: 1007149
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: 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. _ „
DateRyy
Z Z0/5 Signature (Applicant or Agent/)
l
78-495 CALLE AMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O15-0379
Property Address:
52333 AVENIDA M.
APN:
773271028
Application Description:
MONAHAN RESIDE
Property Zoning:
Application Valuation:
$9,000.00
Applicant:
JOHN MONAHAN
52333 AVENIDA MARTINEZ
LA QUINTA, CA 92253
50
4 4P
VOICE
.(760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
�1 BUILDING -PERMIT
U Date: 10/2/2015
0C 0:2 2015 Owner:
JOHN MONAHAN
52333 AVENIDA MARTINEZ
✓QhCmINSiiiNCINA
RAGE.__ LA QUINTA, CA 92253
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: B License No.: 1007149
Date:
Contractor:
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 cr improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
r she did not build or improve for the purpose of sale.).
as owner of the property, am exclusively contracting wirh 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: /0-7- Z0 t5'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
Lender's Address:
Contractor:
PACIFIC LIFESTYLE HOMES
PO BOX 12523
PALM DESERT, CA 92255
(760)880-3150
Llc. No.: 1007149
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: 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. _ „
DateRyy
Z Z0/5 Signature (Applicant or Agent/)
l
FINANCIALINF0RMAf,101\1',�
C JNT MG'i
IJESt,'RIPTIONIT� cot PAIW
EAMOUN' 'R
m V Z"
B,SAS SB1473 FEE 101-0000-20306
0 $1.00, $1.00. 10/2/15
x,:p
PAID: 5,41_N�*R,, HOW,.!p�
2 Te m g
N: tek""stmi.
W'&
RECEIPT if ORR CLTDxBY
T
JOHN MONAHAN CHECK
R9740 5927 SGU
Total.Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00'. $1.06,
W,
ACCOUNT Rv
'CC
?A=
]NE, RN
OR
V
'V N!<N,..N, PAID n
m;.,A.DESCRIPTI
i4 , :Il , " .. ;.' 4
?, N *-
R_ R� ,�.
44 ig
YPAID,DATE7
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$72.52
$72.52
10/2/15--
PAID<BYx�WET
q 'qw,
W,
T
"D-1-v V
I'M 11�;�:,(
JOHN MONAHAN
CHECK
R9740,
9927
SGU
DESC"Tib W!,
H�, -icbulq;T mi,�
gQTY0
A
IOUWR,,��
raq,
PAIDjAfd�DATEJ�
XWAM,'_
imwElc
y ,Y
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600.
.0
$36.26
$36.26
10/2/15
RA METHOb'
A.XHECW#,1
i-.CLTD"SYZ1-
i.
'I
v
JOHN MONAHAN
CHECK
R9740,
5927
SGU
Total Paid for CHANGEOUT:,
.$108.78 $108.78
m
R!
O�AVOUNT t
3 .PAID �>
PMOMATVVj`
PERMIT ISSUANCE
'101-0000-42404
0
$91.85
$91.85
10/2/15
Y
PAID BY
bg trx
;&�:'�M -
m ET
--!R?,,,RECEI PTXN4J,,1g,
.41
BY
,
Is;
JOHN MONAHAN
CHECK
R9740
5927
SGU
Total Paid for PERMIT ISSUANCE:: $91.85 $91.85
TOTALS:
Description: MONAHAN RESIDENCE / HVAC INSTALL IN GARAGE
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 10/2/2015 MFA
Approved: 10/2/2015 MFA
Parcel No: 773271028 Site Address: 52333 AVENIDA MARTINEZ LA QUINTA,CA 92253
Subdivision: PM 32377 Block: Lot: 2
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC INSTALL IN GARAGE -14 SEER MINI SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
,-,_j Applied to Approved
FINANCIAL INFORMATION
Printed: Friday, October 02, 2015 3:52:01 PM 1 of 2
SYSTEMS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
JOHN MONAHAN
52333 AVENIDA
MARTINEZ
LA QUINTA
CA
92253
(760)771-1470
CONTRACTOR
PACIFIC LIFESTYLE HOMES
PO BOX 12523
PALM DESERT
CA
92255
(760)771-1470
OWNER
JOHN MONAHAN
52333 AVENIDA
MARTINEZ
LA QUINTA
CA
92253
(760)771-1470
FINANCIAL INFORMATION
Printed: Friday, October 02, 2015 3:52:01 PM 1 of 2
SYSTEMS
ATTACHMENTS
Printed:. Friday, October 02, 2015 3:52:01 PM 2 of 2 Or
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
10/2/15
R9740
5927
CHECK
JOHN MONAHAN
SGU "
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
10/2/15
R9740
5927
CHECK
JOHN MONAHAN
SGU
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
10/2/15
119740
5927
CHECK
JOHN MONAHAN
SGU
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
10/2/15
1 R9740
5927
CHECK
JOHN MONAHAN
SGU
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:i
ATTACHMENTS
Printed:. Friday, October 02, 2015 3:52:01 PM 2 of 2 Or
SYSTEMS
STATE OF CALIFORNIA
ADDITIONS 1000 FT'OR LESS
�A
CEC-CFIR-ADD-01-E (Revised 03/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ADD-01-E
Prescriptive Residential Additions 1,000 ft or less (Page 6 of 6)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentatio Aut r Name: /n oy a 1 —
Docume 'on thor Sign u L V /
Company:
' '
Signatur D e:AW
Address:
sz333 av�z
CEA/ HERS Certification Identif.cil:ion((if•ijipli26ble):
City/State/7,ip:
C �(
Phone:
-7, v
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.
21,11cling
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility f desigArotl,ss, st design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and mahufactured dev:iee'35fbr 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 GallfornlwaCode of Regulation ,
4. The building design features or system design features identified on this Certlffi-cat- of Compliance.. arr consistt'ent with the information provided on other applicable compliance documents,
to the agency�for. ova with bu�ilding3pi?,,mit
worksheets, calculations, plans and specifications submitted enforcement app this application.
5. 1 will ensure that a registered copy of this Certificate of Compliance,sh Il be made availAle�W4�th t o building*permif(s) ("ssued for the building, and made available to the enforcement agency.
for all applicabe inpections. I understand that a registered dopy is Certificate of<Co�mpliance is requ ed= be included with the documentation the builder provides to the building
owner at occupancy. s
Responsible Designer Name: '
Responsible`Oes'Igiier Signature:
Company:
_Date Signed:
Address:
i
License:
16
City/State/Zip:'`'"?"
Phone: '
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number:
2013 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
March 2015
STATE OF.CALIFORNIA
ADDITIONS 1000 FT OR LESS
CEC-CFIR-ADD-01-E Revised 03/15 CALIFORNIA ENERGY COMMISSION 70'
CERTIFICATE OF COMPLIANCE CF1R-ADD-01'E
Prescriptive Residential Additions 1,000 ftZ or less (Page 5 of 6)
Project Name: Date Prepared:
J. Space Conditioning (SC) Systems — Heating/Cooling -Single Family Dwelling (Prescriptive section 150.2(b) or (Section 150.1(c)7)
01
02
03
Dwelling Unit Name
Dwelling Unit Total CFA =
Sum of Existing + Addition (ft2)
0
Comments .
06
07
ter. �►. is �
�;�►�:, ''':moi
K. Water Heating Systems (Section 150.1(c)8)
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating.
01
02
03
04
05
06
07
08
QqK,
10
11
12
13
14.
15
,
Hof
water
qvrHeater
(�
Back -Up
Water Heating
Water
Water
Water
Rated
Ra -.d
Heating
6Hed'bng _
}
Exterior
Solar
Dwelling Unit DHW
System ID or
Heating
Heater
Heaters
in•
Storage
Volume
Fuel
Input
In
Efficiency
fflcfe
$wSlue
Standby
Insul.
Savings
Central DHW System
System
Name.
System Type .
Type
system
I (gal)
I Type
Type
`Value
Type
Loss (%)
R -Value
Fraction
Distribution Type
Distribution Type
L. Space Conditioning Systems and Water Heating SystemsiMultifamily DuV'v-.Ilirignits
01
02
03
04;y
05
06
Dwelling Unit Name
Dwelling Unit Total CFA ''
Sum of Existing + Addiiiori
(ft2)
,Central Water He5ting
System. Id9ht,'f1c tions'
gName
Dw.e(Ilnitnit
Water F eat ng System
I en-ficatio'n or Name
Dwelling Unit:
Installing a New Space
Conditioning System?
Comments
'I lam'
0 K` kO-
LA-
Registration Number: Registration Date/Time: HERS Provider:
2013 Residential Compliance Forms March 2015
Bin#
City of La Quin to
Building 8F Safety Division
rn 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #f
J
Project Address: SZ %) -33 1�!! ��,, j hQ
Owner's Name: J
A. P. Number:
Address: SZ ?j 7> 6 U 1 d0
Legal Description:
City, ST, Zip: o,— (,(i
Co ntract or . C G
Telephone: 766,-2 71-1 U
Address:
Project Description: (^
City, ST, Zip:
; c
ne•
Telephone:
P 0
f
1 �
L
State Lie. # : 1 0 o l
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: one:
f>
Con tructi n Type: e• O cc u aneY:
State Lie. .
Project hP (circlele one): New Add'n Alter Repairair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: T 0 0 U
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rce'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
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/issueElectrical
SubcontactorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
IT.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
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