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BPLB2017-0116..78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Ti,ar4laQu&rw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2017-0116 Property Address: 52490 AVENIDA HERRERA APN: - 773264011 Application Description: RODRIGUES / NEW GAS PIPING FROM GAS METER Property Zoning: Application Valuation: $1,500.00 �0 Applicant: ® Ste`-'—La1 DESERT MIST MECHANICAL INC AUG 2 3 2017 71285 KEMPTON AVE RANCHO MIRAGE, CA 92270, CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of (commencing with Section 7000) of Division 3 of the Business and Professions my License is in full force and effect. License Class: C36. C20, C-4 License No.: 939172 t Date: Contractor: OWNER -BUILDER DECLARAyiON ( hereby affirm under penalty of perjury that I am ex pt 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 1, 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 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: 8/23/2017 Owner: GILBERT GOMEZ 10501 SAN DIEGO ST LAMONT, CA 92253 Contractor: DESERT MIST MECHANICAL INC 71285 KEMPTON AVE RANCHOMIRAGE, CA 92270 (760)777-7700 Llc. No.: 939172 P WORKER'S COMPENSATION DECLARATION I eby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' rpensation, as provided for by Section 3700 of the Labor Code, for the performance f 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: Car XEMPT Policy Number: _ Lt certify that in the performance of the work for which this permit is issued, I II 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 Secti 0 of the Labor Code, I shall forth comply with those provisions. Date: Applic WARNING: FAILURE TO SECUR ORKE COMPENSATION COVERAGE IS UNLP(WFUL, AND SHALL SUBJECT AN EMPL 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 law5 relating to building construction, and hereby authorize representatives of this ci o e er upon the above- mentioned property for inspection purposes. Date: Signature (Applicant or AiCe G Date: 8/23/2017 Application Number: BPLB2017-0116 Owner: Property Address: '•32490 AVENIDA HERRERA GILBERT GOMEZ APN: 773264011 10501 SAN DIEGO ST Application Description: RODRIGUES / NEW GAS PIPING FROM GAS METER LAMONT, CA'92253' i Property Zoning: Application Valuation: $1,500.00 o Applicant`. Contractor: DESERT MIST MECHANICAL INC DESERT MIST MECHANICAL INC 71285 KEMPTON AVE 71285 KEMPTON AVE RANCHO MIRAGE, CA 92270 RANCHO MIRAGE, -CA 92270 (760)777-7700. i ---------------------------------------------------- Llc. No.:.939172 Detail: NEW GAS LINE FROM METER, TO COOKTOP, WATER HEATER, FURN AND GAS LOG. FINANCIAL INFORMATION 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 Credit Card Fee 101-0000-43505 0 $2.89 Total Paid for Credit Card Fee: $2.89 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 I 0 $7.60 l Total Paid for PLUMBING FEES: $58.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE• 502-0000-43611 0 $5.00 Total Paid for TECH NOLOGY.ENHANCEM=NT FEE: $5.00 �TCITALS: $163.43 Bin# 141— • City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinto, CA 92253 - (760) 777-7012 0 t' JOBuilding Permit Application and Tracking Ki' et Permit# QPLO Project Addressj P� Yr P 7's Name:16 1 A.P. Number Address+-�i� vv, Legal Description:C'ty, S l;,Zig;O� /'1 C9 C Contractor / . /y I, Telephone: Address: - Project Description: City, ST, Zip• Telephone: State Lie. #: City Lie # Arch, Engr., Designer: ` Address: City, ST, Zip: Telephone: - Construction Type: Proj. Type New Add'n Occupancy: Alter Repair Demo State Lie. #: Name of Contact: / SgFt: #Stories # Units: Telephone of Contact: 7�Q 9 6 ! stimated V91se of�o; e) APPLICANT: DO NOT RTE 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 Ch(--k Deposit: Truss Calcs Called Contact Person Plan Ch(--k Balance: Title 24 Cales Plans Picked Up Construction: Flood Plain Plan . Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electricai: 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.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees 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 1 of 3 Project Name: 1 / _ 0, � f n `/_� ^ Date Prepared: 6 ^ 1 n 0/ - This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be registered with a HERS Provider Data Registry. I. Alterations to Space Conditioning Systems that are exem t rom HERS verification re uirements ma use the CF1R-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct P f Y leakage testing include: less than 40 ft 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 (tater. If space conditioning systems ore altered and are not exempt from HERS verification, then a CF1R-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.S. pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray Polyurethane Foam jocSPF) with a density of 0.4 to less 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 Do to Registry. If more than one person has responsibilityfor 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 responsibilityfor 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: /79® r j� l lfl h,�D p p.6_,& mel' `�' 02 Date Prepared: 03 Project Location: ' v e�� V 04 Building Front Orientation (deg or cardinal): OS CA City: r 06 Number of Altered Dwelling Units: 07 Zip Code: 08 Fuel Type: IT - 09 09 Climate Zone: 10 Total Conditioned Floor Area (ft): it Building Type: 12 Slab Area (ftZ) 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting datory eas s. ❑/ C. Roof Replacement ❑ D. & F. Fenestration/Glazing -REPLACE �ater Heating System ❑ (Incl Ude ManITA J t-0,ALUTAJf3 & SAFETY DEPT. f-VE__D vUNS j IsTION CA Building Energy Efficiency Standards 2016 Residential Compliance vt sem! _ April 2C O Ff vim' rop .. STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-OS-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: s 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 Ty a g of Water Heaters In System Water Heater Storage Volume (gal)l 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 -ft", NNW`x elet gSR C 7 OF I QUIRITA DING & SAFETY DEPT. AR5=�OV FOR .CQNS 6 I;CTION )ATE 2 CA Building Energy Efficiency Standards 2016 Residential Compliance 2016 Prescriptive Residential Alterations That Do Not Require HERS Field Verification `_ ;EC -CHR -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: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT - ' 1. I certify that this Certificate of Compliance documentation is accurate and complete. DocunAntation Author Name: Author Si ur ,Dqec6entation Com y:. Signatur� CEA/ HERS kation Identirica ' n (if applicable): T �— ✓n City/state/Zip: Phone: o 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 land 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. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with thebuilding 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. Res nsible Designer Name: PS-Pv AX/_5 •G�� Responsib esigner gnature: Company ate Sig Address: License: City/State/Zip: Phone: l For assistance or questions regarding the Energy Standards, contact the Energy Hotline at 18,�U '24300. QUd�TA BUILDING & SAFETY DEPT. FOR f, ¢�1,'a;Ti N CA Building Energy Efficiency Standards - 2016 Residential Compliance }ATE W4 ra u ®moi yc" r r -2d, j7� n L� D a .21 rl7d 4 -4 -yd dd��a�N