BPLB2017-0021' 78-495 CALLE TAMPICO Twit
it 4 4 Qu!Kroj VOICE (760) 777-7125
0 D -` ,
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/3/2017
Application Number: BPLB2017-0021 Owner:
Property Address: 80707 CHERRY HILLS LARRY HUTCHINSON
APN: 775132012 Q 80707 CHERRY HILLS
Application Description: HUTCHINSON RESIDENCE ' LU IN ® LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $900.00
FEB 0 3 2017
Applicant: Contractor:
STATEWIDE SERVICES INC DBA STATE WIDE PL CITY OF LA QUINTA STATEWIDE SERVICES INC DBA STATE WIDE PL
73-700 DINAH SHORE DR STE 405 DESIGN AND DEVELOPhIENT DEPARTMENT PALM DINAR SHORE 11 STE 405
PALM DESERT, CA 92211 PALM DESERT, CA 92211
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: C�36. A. -C3�3."7C10r►�License No.: 936147
Date;. V 1 I TV tractor. _ e
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 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 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 Address:
(760)699-5434
Llc. No.: 936147
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: STATE COMPENSATION INSURANCE FUND Policy Number: 1948371
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.
cS�Z�
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 thiscityxo enter upon the
above-mentioned property for inspection purposes.
e
Et�`z T Signature_(Applicant-orAgent
Date: 2/3/2017
Application Number:
BPLB2017-0021
Owner:
Property Address:
80707 CHERRY HILLS
LARRY HUTCHINSON
APN: :
775132012
80707 CHERRY HILLS.
Application Description:
HUTCHINSON RESIDENCE / PLUMBING
LA QUINTA, CA 9253
Property Zoning:
Application Valuation:
$900.00
Applicant: Contractor:
STATEWIDE SERVICES INC DBA STATE WIDE PL STATEWIDE SERV -CES INC DBA STATE WIDE PL
73-700 DINAH SHORE DR STE 405. 73-700 DINAH SHDRE DR STE 405
PALM DESERT, CA 92211 PALM DESERT, CA 92211
(760)699-5434
Llc. No.: 936147
---------------------------------------------------------------------------------------------
Detail: WATER HEATER CHANGE OUT - 50 GALLON / GAS [2016 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
't1
t
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
BSAS S131473.FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
10170000-42404
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:
$20.27
't1
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Bin #i
Permit #
Project Address:
City of La C. ainta
Building 82- Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking P Pet.
Owner's Name:
LA
A. P- Number:
Address: -A97 11917
Legal Description:
City, ST, Zip: /
Contractor.
/
TeleAhon• c. �i
Address:
Project Description:
City, ST, Zip:
Telephone:
e h
Po .
U
State Lic. # :
'Z
City Lic. #':
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
:Construction Type:
Occupancy:
,
State Lic..
r Ject type
New Add'n Alter Repair-DemoP
(circle ne •
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:_
--^��
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE "
9
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaICS.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Revictiv, ready for corrections/issue
Electrical ,
Subcontactor List
Called Contact Person
Plutftbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN If0USE:-
Jrd Reyiew, ready for corrections/issue
Developer Impac: Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Pcrmit Fcc2
IPO L.0-
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
r CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
S Prescriptive Residential Alterations
Protect Name:
Date Prepared:
CFIR-ALT-01-E
(Page 1 of 4)
A. GENERAL INFORMATIO•rc�,
01
02
01
Project Name:
02
Date Prepared:;'. Ntl '15k
03
05
Project Location:. 11
CA Clry:.
04
06
Building Front_ di-rientatign'(deg-or cardinall:
Number of Altere!O elling Units: ,w+4
07
Zip Code:
08
Fuel Type. + .
Required
Climate Zone:
10
T,ot`al,Conditioned Floor�A'fea'(ft2).$
L13
BuildingType
12
Siab,A�ea"(ft2)Project
Deck
Scope:
Pitch
i.`h'; `` ;.,
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) �; f
01
02
03
04
05
06Z -b7 I 08 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
#Prppased
Required
Comments
CavityInsulation
R -value, �
,,,
Continuous
`s
R -value°" q 046ctor
;w Appendix 1A4
Reference
U -Factor
Table Cell
Deck
Compliance
Pitch
Exception
0MUmber
Product Type_
Insulation
Reflectance Reflectance Emittance
(Optional) Reflectance Emittance
(Optional)
C. ROOF REPLACEMENT (Prescriptive Alteration, Sect�o�n'j150.2(b)1H). ,'" °
01
02
03
04 Y }�
0%,
06
` `07, 08 09 10 11 12 F 13
0
R -value VN
Propos d Minimum Re uired
nitial Solar Aged Solar Thermal
SRI Aged Solar Thermal
SRI
Method of
Roof
P
CRR CPF�oduct ID.
Deck
Compliance
Pitch
Exception
0MUmber
Product Type_
Insulation
Reflectance Reflectance Emittance
(Optional) Reflectance Emittance
(Optional)
"..
%icp
•ORoof area covered by bildng'integrated photovol�taanels and solar thermal panels are exempt from the above Cool Roof requirements.
field stallation from 110.8(i)4.
• Liquid applied coatings must comply with criteria section
1%,
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E Revised 06114
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 4)
Project Name: !r1 Date Prepared:
F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) ki
Dwelling Unit Name Dwelling Unit CFA (Ft2) Comments' "b,.,, �%
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) '
01
02
03
04
05
06
07
08
09; ,
�10X11
41
12
13
14
15
Water Heating
,bklentlfication or Name
Conditioning System(s)?
# of
Water
sY
°
Back -Up
System
Water
Water
Heater
'�6Heating
4He� g
r
Water
Heaters
Storage
Rated
Rated
�4 �
;,y,,-�-
Exterior
Solar
Dwelling Unit DHW
g
Identification or
Heating
Heater
in
Volume
Fuel
Input 11
pout S
Efficiency
Effiency
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Typ
Type
; Value
TypgValue
Loss (%)
R -Value
Fraction
Distribution Type
Distribution Type
�1
V..
I ;
H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS INAM'ULTIFAMILY DWE'L-!LING UNITS
01 02 i z 03N , ° : 04' 05 06
Central N%ater,Heating
.I' `n
� Dwell'ing Unit
"
Dwelling Unit:
DwellingUnit�Total CFA
SysteIdentification o,r +.
WatdrMeatin System
g Y
Alteration to the Space
Dwelling Unit Name
(fY2)�
Name,
,bklentlfication or Name
Conditioning System(s)?
Comments
Registration Number: Registration Date/time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS .
CEC-CF1R-ALT-01-E Revised 06/14
r CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Proiect Name:
Date Prepared:
ENERGY COMMISSION
CF1R-ALT-01-E
(Page 4 of 4)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that t is Certificate of Compliance documentation is accurate and complete., V `
C'cawmsntetion ^ort r Merge: i ,^
Dec4mcn!a!?:4. ,,r!h 'pn- ro• " '` �`'
Co
.V;;;,,,��`���'FA. '. r
4',.
Address-
CEA/ HERS Certification Identificailori!lif applicable):
City/Sta a ip:
Phone:
n �.
RESPONSIBLE PERSON'S DECLARATION STATEMENTS �r
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,4 m
S.
2. 1
b'ill
am eligible under Division 3 of the Business and Professions Code to accept respons ty�for the building-des!g�'"�'tl or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, componen�tcs`Vid'manufactureii devices=for the Building design or system design identified on this Certificate of
�- �.1 �
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Co e of --R' 1111 tIons.
4. The building design features or design features identified are n h
system on this Ceertificate of Compliance consiste w ttie information provided on other applicable compliance documents,
enforcement
worksheets, calculations, plans and specifications submitted to the age ",c fo p'proval with this buil�ing permit application.
5. 1 will that 'copy this Certificate CoT�pllancestiall be
ensure a registered of of made a.vkllabl.e with the building permlt(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I that this Certificate Compliance is rei''to
understand a registered copy of of requ be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name:
Re3poltsible Designer Signature:
Company: '
Date Signed:
h
Address: s.v.
rN
License:
Cit /State/Zlp:
Y :
Phone:
11
For assista.n'ce.crr q estions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014