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BRES2017-029478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype:. Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: GABRIEL RIOS 49901 CINNABAR LN COACHELLA, CA 92236-5395 cei 14V 4 4 Qumro DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/REMODEL BRES2617-0294 51983 AVENIDA CORTEZ 773152024 MEDBERY / KITCHEN REMODEL + REPLACE WINDOWS/DOORS $15,000.00 U [IDEEC 20 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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.: 431792 ///,+, Date: F 2- 2WC'�on�tor. & Y � . OWNER-BUI ER 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 19 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/20/2017 Owner: HOLLY MEDBERY. 51983 AVENIDA CORTEZ LA QUINTA, CA 92253 Contractor: T R CONSTRUCTION 77224 CALLE POTRERO LA QUINTA, CA 92253 (760)831-1863 Llc. No.: 431792 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjuryone 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. if 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: EXEMPT 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 agreethat, ifijshould become subject to the workers' compensation provisions of Section 3 00 f he La r Code, I shall forthwith comply with those provisions. Dafe: 26 ' Z App cant: WARNING:.FAILURE TO SECURE WORKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECT'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 ormation is correct. I agree to comply with all city and county ordinances and state w relating to building construction, and hereby authorize representatives of this ci to me upon the above- mentioned property for inspection purposes. Oate: Z '�� Signadre (Applicant or Agent) Dater 12/20/2017 Application Number: BRES2017-0294 Owner: Property Address: 51983 AVENIDA COR TEZ HOLLY MEDBERY APN: 773152024. 51983 AVENIDA CORTEZ Application Description: MEDBERY / KITCHEN REMODEL+ REPLACE WINDOWS/DOORS LA QUINTA, CA 92253 Property Zoning: Application Valuation: $15,000.00 Applicant: Contractor: GABRIEL RIOS T R CONSTRUCTION 49901 CINNABAR LN 77224 CALLE POTRERO COACHELLA, CA 92236-5395 LA QUINTA, CA 92253 (760)831-1863 ---------- --------------------------------------------------------------------------------- Llc. No.: 431752 Detail: MEDBERY / 190 S.F. KITCHEN REMODEL. REPLACE (8) WINDOWS/DOORS THROUGHOUT HOME. THIS PERMIT DOES NOT INCLUDE ALTERATIONS TO THE MECHANICAL SYSTEM OR ANY ELECTRICAL -OR PLUMBING ALTERATIONS OUTSIDE OF THE KITCHEN. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 1 $120.00 Total Paid for BLDG CITY STAFF - PER HOUR: $120.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $2.70 Total Paid for Credit Card Fee: $2,70 DESCRIPTION ACCOUNT QTY. AMOUNT 101-0000-42600 ($4.09) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($3.90) DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT. DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $4.09 DESCRIPTION ACCOUNT QTY AMOUNT- DEVICES/FIXTURES, ADDITIONAL 101-0000-42403 0 $11.51 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES/FIXTURES, ADDITIONAL PC 101-0000-42600 0 $3.90 Total Paid for ELECTRICAL: $63.53 DESCRIPTION ACCOUNT QTY AMOUNT PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00 Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00 DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($26.00) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($26.00) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($26.01) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600. ($13.00) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($13.00) DESCRIPTION ACCOUNT QTY AMOUNT 101-0000-42600 ($13.00) DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 10170000-42401 0 $26.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 .0. $26.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $13.00 Total Paid for PLUMBING FEES: $0.00 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00 Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20.00 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $23.41 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, EA ADDITIONAL 500 SF PC 101-0000-42600 0 $18.72 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 100 SF 101-0000-42400 0 $53.05 DESCRIPTION ACCOUNT QTY AMOUNT REMODEL, FIRST 500 SF PC 101-0000-42600 0 $145.12 Total Paid for REMODEL: $240.30 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT.FEE: $5.00 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $65.54 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $63.98 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52 • VMESG1 A SAFEWWCompany DATE: December 15, 2017 : JURISDICTION: La Quinta PLAN CHECK #.: BRES2017-0294 PROJECT ADDRESS: 51983 Avenida Cortez PROJECT NAME: Medbery Residence Remodel SET: I 0 APPLICANT va--JURIS. ® The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ❑ The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. ❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ❑ The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. ❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ❑ The applicant's copy of the check list has been sent to: ® EsGil staff did not advise the applicant that the plan check has been completed. ❑ EsGil staff did advise the applicant that the plan check has been completed. Person contactedTelephone #: Date contacted: Email: Mail Telephone Fax In Person ® REMARKS: "Structural Only" review: By: Kurt Culver EsGil 12/12/17 Enclosures: 9320 Chesapeake Drive, Suite 208. ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax(858)560-1576 4 BUILDING ENERGY ANALYSIS REPORT PROJECT: Medbery Residence 51-983 Avenida Cortez La Quinta, CA 92210 Project Designer: Rios Designs 49-901 Cinnabar Lane CITY OF LA QUINTA Coachella, Ca 92236 BUILDING & SAFETY DEPT. 760-485-7431 APPROVED FOR CONSTRUCTION DATE Z �� BY Report Prepared by: Joan Hacker OFFIte Insu-form, Inc. 72875 Fred Waring Drive, Suite C Palm Desert, Ca 92260 760-345-1352 DEC 13 2017 Job Number: CITY OF LA QUINTA COMMUNITY DEVELOPMENT Date: 10/11/2017 ; The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2016 Building Energy Efficiency Standards. This program developed by EnergySoft Software — www.energysoft.com. 5d I TABLE OF CONTENTS I Cover Page 1 Table of Contents 2 Form CF -1 R -PRF -01 -E Certificate of Compliance 3 Form RMS -1 Residential Measures Summary 10 Form MF -1 R Mandatory Measures Summary 11 HVAC System Heating and Cooling Loads Summary 15 M EnergyPro 7.1 by EnergySoft Job Number: ID: User Number: 2655