BPLB2018-013878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
c&tit 4 stP Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2018-0138
50710 SANTA ROSA PLAZA 4
770021041
KLEIN / HOT WATER HEATER CHANGEOUT
Applicant: D) U ID
LUA CONSTRUCTION GENERAL CONTRACTORS INC
P 0 BOX 361
INDIO, CA 92202 _ NOV 0 8 2018
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DE ION
I hereby affirm under penalty of perjury that I am lic sed nder provisions of Chapter 9
{commencing with Section 7000) of Division 3 of th Busi ss and Professions Code, and
my License is in full force and effect.
License Class: B License No.: 999955 _ i
Date: v Contractor
OWNER -BUILDER DqC fARATION
I hereby affirm under penalty of perjury that I a xempt 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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/8/2018
Owner:
FREDERICK KLEIN
50710 SANTA ROSA #4
LA QUINTA, CA 92253
Contractor:
LUA CONSTRUCTION GENERAL CONTRACTORS INC
P 0 BOX 361
INDIO, CA 92202
(760)698-2749
Lic. No.: 999955
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.
Z-L-f 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 olicy number are:
Carrier: NORGUARD INSURANCE COMPANY Poll N tuber: LUWC939320
I certify that in the performance of the wor for hich this permit is issued, I
shall not employ any person in any manner so as to co subject to the workers'
compensation laws of California, and agree that, i shou become subject to the
workers' compensation provisions of Section 370 oft abor Code, I shall forthwith
comply with t oZZ6
rovisions.
Date: �' Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TOCRIMIN LPENALTIESANDCIVILFINESUPTO
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 abo e if formation is correct.
I agree to comply with all city and county ordinances and sta la relating to building
construction, and hereby authorize representatives o*tpon the above -
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen_
Date: 11/8/2018
Application Number:
BPLB2018-0138
Property Address:
50710 SANTA ROSA PLAZA 4
APN:
770021041
Application Description:
KLEIN / HOT WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation:
Applicant:
LUA CONSTRUCTION GENERAL CONTRACTORS INC
P 0 BOX 361
INDIO, CA 92202
Owner:
FREDERICK KLEIN
50710 SANTA ROSA #4
LA QUINTA, CA 92253
Contractor:
LUA CONSTRUCTION GENERAL CONTRACTORS INC
P 0 BOX 361
INDIO, CA 92202
(760)698-2749
Llc. No.: 999955
Detail: 38 GALLON WATER HEATER CHANGE OUT [GAS] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
A A NFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
PERMIT ISSUANCE
101-0000-42404 0 $101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$8.00
Total Paid for PLUMBING FEES: $21.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta awixta
--- GEM ofdm DESERT_ -
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Codes
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works
improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
DATE: 11/8/2018
LOCATION OF CONSTRUCTION(Street address or Description): NE CORNER OF AVE 48 AND ADAMS
PURPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR TREE TRIMMING
DESCRIPTION OF CONSTRUCTION: DESERT COVE; TRAFFIC CONTROL FOR TREE TRIMMING / MAINTENANCE
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN: 11/9/2018 TIME OF COMPLETION: 11/30/2018
ESTIMATED CONSTRUCTION COST: $2,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and
placing permanent resurfacing and/or replacing improvements)
COMMENTS:
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-7097. To
submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24)
hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of and to
pay for any additional replacement necessary as the result of this work.
DISCOUNT TREE SERVICE -1AMES
ELENES
Name of Applicant (please print)
DISCOUNT TREE SERVICE
79687 COUNTRY CLUB #204 BERMUDA DUNES, CA 92203
Business Address
P 0 BOX 3587 PALM DESERT, CA 92261
Name of Contractor and Job Foreman Business Address
963830
Contractor's License No.
OHIO SECURITY INSURANCE COMPANY
Applicant's Insurance Company
Finance Revenue Code
PERMIT INSPECTION
TRAFFIC CONTROL $320.00
TECHNOLOGY ENHANCEMENT FEE $5.00
TOTAL: $325.00
111603
City Business License No.
BKS55750192
'Policy Number
Signature of Applicant or, Agent
(909)720-0145
Telephone No.
(909)720-0145
Telephone No.
PERMIT NO- N 0-1.8-007
DATE ISSUED:
EXPIRATION DATE:
BY:
WORK .INSPECTED BY*:
PERMIT COMPLETION DATE*:
*If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.
X& Qaiw&
PERMIT # PL620 0 -0d
PLAN LOCATION:
Project Address: J U7':? `` `
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
W c. 2J �A cc- Pd`,
Applicant Name:
Address: � (,-� �0
City, ST, Zip: Lc,U; r-�� L�� cl 2.L53
Telephone:
Email: �� LV�\ ` C,�17 CO �...�
Valuation of Project $ �� , c) • U v
Contractor Name: LAG
New SFD Construction:
Address: 16�900 A\) v 45 < OLt!�C, / li
Conditioned Space SF
City, St, Zip -{ n �� L4
Garage SF
Telephone: � l 6 c� _ Z� cl
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: 9 cl �y55City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: {��le
New Commercial / Tenant Improvements:
Address: v-1�� ,G L�`�
Total Building SF
City, ST, Zip �C �LLS�
Construction Type: Occupancy:
Telephone:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Dn Nnt PPrIi iirn NI=Rc ci„1A
.....,I v... v . ..��v '61%A Y GI II ItrQIIUI I `:..
CEC-CF1R-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION o-
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF1R-ALT-05-E
Project Name: Pagel of 3
- Date Prepared:
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.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct
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 Rater. If space conditioning systems are 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 2.5 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 less than 1.5 pounds per cubic foot having an R-value of 3.5 per inch, shall complete and register a CF1R-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: -{
Ylt-
.�
� �K � ®L(s I jU `�{S S 1 m
02
Date Prepared:
03
Project Location:6-1
'3" 1 t�'fSp4
Y
04
Building Front Orientation (deg or cardinal):
05
CA City:
�—t� � 1� � A �
06
Number of Altered Dwelling Units:
07
09
Zip Code:
Climate Zone:
'L 2 5
S
08
10
Fuel Type:
Total Conditioned Floor Area (ft):
��
11
Building Type:
` M L
12
Slab Area (W)
13
Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD
❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing
❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
- 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
CEC-CF1R-ALT-05-E (Revised 04/16) CALM-UKNIA LNLRUY CUMMISSI-
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
# of
Water
Water
Water
Water
Back -Up
Heating
Heating System
Heaters
Heater
Rated
Heating
Heating
Exterior
Solar
Dwelling
System
Location or
Water Heating
Water
in
Storage
Fuel
Rated
Input
Efficiency
Efficiency
Standby
Insulation
Savings
Unit Name
ID or Name
Area Served
System Type
Heater Type
System
Volume (gal)
Type
Input Type
Value
Type
Value
Loss (%)
R-Value
Fraction
Add Raw
Delete Row
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 04/16) ,a
CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 CF 1 R-ALT05-E -3
Project Name:of
Date
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
T? -1 G AALY-) Q
Documentation Author Signature:
Company:
� v� G®N S�nv c- N•
Signature Date:
Address:
��
j ��++ //�� CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Ph e:
� • � ZZO2- ° "� G o 69 9. 2:� 9 9,
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 the California
of 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 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 this Certificate
of 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 Energy Efficiency Standards - 2016 Residential Compliance
April 2016