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BPLB2017-013078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&�t 4 lwQ" DESIGN & DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDiNGMERMI Permit Type/Subtype: PLUMBING/ Owner: Application Number: BPLB2017-0130 c Q CARONLYN BppOLTHOUSE Property Address: 78770 CABRILLO WAY SEP 28 201]7877b0 kCApBRII�LO rVY APN: 646410027 LA QUINTA CA 92253 Application Description: BOLTHOUSE RESIDENCE / HOT WATER HEATER CITY OF LA QUINTA Property Zoning: Application Valuation: $2,000.00 DESIGN AND DEVELOPMENT Applicant:' , FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI 78886.AVENUE 41 BERMUDA DUNES, CA 92203 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: C36 License No.: 273088 Date: Z v Contractor: v0. ti;, Y 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, after, 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, 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 contractors) 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 Lender's Date:. 9/28/2017 Contractor: FERRAUD INDUS -RIES INC DBA VALLEY PLUM BI 78886 AVENUE 4-1 BERMUDA DUNEa, CA 92203 (760)347-3629 Llc. No.: 273088 WORKER'S COMPENSA-ION DECLARATION I hereby affirm under penalty of perjury one dthe following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 370] of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' ompensation 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: ACE AMERICAN INSURANCE COMPAW Policy Number: RWCC48830353 I certify that in the performance o8 the work for which this permit is issued, I shall not employ any person in any manner sc 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 ;700 of the Labor Code, I shall forthwith comply with those provisions. �. Date: 9_ aQ� '' � � Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI VAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FCR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNCWLEDGEMENT IMPORTANT: Application is hereby made to tie Building Official for a permit subject to the conditions and restrictions set forth on tNs 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 ":he work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appl-.cation becomes null and void if work is not commenced within 180 days from.date o- 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 Sate that the above information is correct. I. I agree to comply with all city and county orcinances and state laws relating to building construction, and hereby authorize representlatives of this city to enter upon the I above-mentioned property for inspection purposes. Date: �� "� 7 Signature (Applicant or Agent),J'k ` ,-- - Date: 9/28/2017 Application Number: BPLB2017-0130 Owner: Property Address: 78770 CABRILLO WAY CAROLYN BOLTHO'USE APN: 646410027 78770 CABRILLO NY Application Description: BOLTHOUSE RESIDENCE / HOT WATER HEATER LA QUINTA, CA 92253 Property. Zoning: Application Valuation: $2,000.00 Applicant: Contractor: FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI FERRAUD INDUSTRIES INC DBA VALLEY PLUMBI 78886 AVENUE 41 78886 AVENUE 41 BERMUDA DUNES, CA 92203 BERMUDA DUNES, CA 92203 (760)347-3629 -----------------------------=--------------------------------------------------------------- Llc. No.: 273088 Detail: 40 GALLON WATER HEATER CHANGE OUT [TANKLESS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 20f6 CALIFORNIA BUILDING CODES. FINANCIAL •• • 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 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00 c r y Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address:. O 83 i' E7 Owner' e: d A.P. Number Address: -7(6'7 '? 0 Legal Description: City, S , z� : i ContractoG: j& � Telephon Address: iQQ q Project De City, ST, Z/ip�:J�j�J2T(V`l.)t�`ICjZol-- Teleph e; bob State Lica #: i D City Lic #: nt7Q0 to Arch, Engr., Designer- esignerAddress: Address: City, ST, Zip: Telephone: Construction Type: Proj. Type I Nr Add'n Occupancy: Alt r Repair Demo. State Lic. #: Name of Contact: MY' eQS o SgFt: #Stories # Units: Telephone of Contact: !Estimated Value of Project: DU O O `•'•— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Constarction: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrcal: Subcontractor List Called Contact Person Plumbing: Grant Deed Plans Picked Up S.M.I- HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact. Person A.I.P.?. .Pub. Wks. Apps Date of permit issue School Fees Total ?ermit Fees STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification :EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-057-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 with a HERS Provider Data Registry. not S verification is required, a CFIR-ALT- 01 shall first be Alterations to Space Conditioning Systems that are exemptfrom HERS verification requirements may use the CFIR-ALT-05 and CF2R-ALT-05 Complionce.Documenfs. Possible exemptions from duct leakage testing include: less than 401f 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 a 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 lets than 1.5 pounds per cubic foot having an R -value of 3.6 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 are 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 01 Project Name: ; G V--\, QS 02 Date Prepared: q f 03 Project Location: �p _ g ; � '170 \rjv d �,�f -` L—,Q Qaa 04 Building Front Orientation (deg or cardinal): 05 CA City: (-A a� 57r Q J / ` �p ,,� 92.0- 06 Number of Altered Dwelling Units: Zip Code: 08 FuelType:AJ /l r07 Climate Zone: / $ ! 10 Total Conditioned Floor Area (ft):v7 Building Type: .� 12 Slab Area (ftp)©� 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 m4tal-I&I". C EC -C F 1 R -ALT -05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3. Project Name: Date Prepared: H. Water Heating Systems (Section 150.2(b)1G) 01 02 03, 04 05 06 07 08 09 10 11 12 13 14. 15 ' Dwelling Unit Name Water Heating System ID or Name Water Heating System Location or Area Served Water Heating System Type Water Heater Type t# of Water Heaters In System Water Heater Storage Volume (gal) Fuel Type Rated Input Type Rated Input Value Heating Efficiency Type Heating Efficiency 'Value Standby Loss (%) Exterior Insulation R -Value Back -Up Solar Savings Fraction 4 i (�� �]� � � �^�- 4tcr lcC.c S ITR `I p i l 2 Gtr • iV64.N� �AtlafRdW C�eleteS CA Building Energy Efficiency Standards - 2016 Residential Compliance STATE OF CALIFORNIA ' Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT 05 E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3 Project Name: n.. - ------- DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: Signature Date:^ Address: CEA HERS Certification Identification If applicable): City/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. 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: Date Signed: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building E ergy Efficiency Sta - Lu iu kesiaentfal LOmpiiance April 2016