The URL can be used to link to this page

BPLB2019-012178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Tiha,41wQ" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT PLUMBING/ BPLB2019-0121 54599 AVENIDA MADERO 774261005 LEE / 50GAL WATER HEATER CHANGEOUT $1,650.00 Applicant: JOHNSON DIVERSIFIED INC DBA PLUMBING SOL 29802 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 D i SEP 10 2019 'I CITY of LA QUINTA DESIGN & 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: C36 License No.: 7 Date: t l� Contractor: 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).: (_) 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: _ VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/10/2019 Owner: DAVID CHRISTOPHER AND GLORIA LEE 54599 AVENIDA MADERO LA QUINTA, CA 92253 Contractor: JOHNSON DIVERSIFIED INC DBA PLUMBING SOL 29802 AVENIDA DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 (949)713-1100 Llc. No.: 970139 WORKER'S COMPENSATION DECLARATION 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' :ompensation, as provided for by Section 3700 of the Labor Code, for the performance )f the vygrk for which this permit is issued. t/ I have and will maintain workers' compensation insurance, as required by iection 3700 of the Labor Code, for the performance of the work for which this permit is ssued. My workers' compensation insurance carrier and policy number are: :arrier: TWIN CITY FIRE INSURANCE COMPANY _ Policy Number: 72WECAC7LT5 I certify that in the performance of the work for which this permit is issued, I ;hall not employ any person in any manner so as to become subject to the workers' :ompensation laws of California, and agree that, if I should become subject to the vorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith :omplyy with those provisions. I )ate: ` 1 Applicant�-� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 1ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO )NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, NTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT MPORTANT: Application is hereby made to the Building Official for a permit subject to he conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose equest and for whose benefit work is performed under or pursuant to any permit issued is a result of this application , the owner, and the applicant, each agrees to, and shall lefend, indemnify and hold harmless the City of La Quinta, its officers, agents, and !mployees for any act or omission related to the work being performed under or ollowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not ommenced within 180 days from date of issuance of such permit, or cessation of work or 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building onstruction, and hereby authorize representatives of this city to enter upon the above- nentioned property for inspection purposes. )ate: I- l6 ( _ ` Signature (Applicant or Agent) DESCRIPTION FINANCIAL INFORMATION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Iozai Palo Tor rtKMII IbbUANLU ')1U1.4U 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 I ACCOUNT I CITY I AMOUNT TECHNOLOGY ENHANCEMENT FEE 1502-0000-43611 10 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 —�AI11Ok\'l:k— PERMIT .# J6 PLAN LOCATION: � Project Address: V>ovl, %GV01�(CV Project Description: S b!� APN #: TO cLVk,e W Applicant Name: 1A/t c�60 Address: �{ VP,� �� Il�L`�&W& �i �" City, ST, Zip:V� "6 �qh Nhcl G� als Telephone: 0Lgq- &v(0- v7-zb Email: �/VvuVVWL �6�V� wV� I Valuation of Project $�1c7 _— Contractor Name: �C, Vj New SFD Construction: Address: ��1/Vvl e �� It �. Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Architect/Engineer Name: Construction Occupancy: i Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: LJ py w�, Le-e New Commercial / Tenant Improvements: Address: ��j�� v_CnJA VACJtV0 Total Building SF City, ST, Zip 1 Cll%?- Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1 R-ALT-05-E (Revised 04116) CERTIFICATE OF COMPLIANCE -- -- - - - - Prescriptive Residential Alterations That Do Not Require HERS Field Verification P"Cl Name: MMISSION CF 1 R-ALT-05-E Page 1 of 3 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 steal! first be registered with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-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 insuloted with asbestos-, or the existing duct system was previously tested and passed by a HERS Rater. lfspace 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 Foom (ccSPF) with a density of I.5 to less than 2.5 pounds per cubic foot having an R-volue 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-volue of 3. & per inch, Registry. shall complete and register a CF1 R-ALT-01 with o HERS Provider Data 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: 03 Project Location: 05 CA City: 07 Zip Code: 09 Climate Zone: 11 Building Type: 50 CJQ,l WI "DA Jt'l ay 13 Project Scope (Select all that apply): 02 Date Prepared: 04 Building Front Orientation (deg or cardinal): 06 Number of Altered Dwelling Units: — 08 Fuel Type: 10 Total Conditioned Floor Area 12 Slab Area (ft) ❑ 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 CEC-CFIR-ALT-05-E (Revised 04116) CERTIFICATE OF COMPLIANCE — - -- — — CALIFORNIA ENERGY COMMi$SION Prescriptive Residential! Alterations That Do Not Require HERS Field Verification MR-ALT-05-E Pr°iecr Name: _ Page 3 of 3 ❑ite Prepared. DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documen atlon is accurate and complete. DMImentation Author Name: ZA - uacumentatign +aut[tor Signature. Signature Date o� Vl,0®� V t�� } � _I �� CEAI HERSCertii[ation ldentlf lino fif PAIE[a61 — - t /► ]y r j Q uPhone: ps (' f V i[J r`�,V L L 9�b ' L- L l 6 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the fallowing under penalty of periury, under the laws -of State of California: I. 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. 5. 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. r �k V1 �4050 �ww�Vltn `-fib � ova ' A JZ4 At C"J/:6 znr- � Kay: CA- L-1,2(0c6Y Signature: i �- ��- 0 -01"t� - � 0 6 - (`5�b 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 w0f Verizon LTE 3:36 PM mil 13% i1 X Invoice l� � �ICF #544 �1v1 ICF FiATF Sep 05, 2019 PLUMBING SOLUTIONS -i1 F AMCJIT DUF Upon receipt $1,600.00 Plumbing Solutions Gloria Lee CGrJTACT U, 54599 Avenida Madero 29802 Avenida De Las Banderas La Quinta, CA 92253 Rancho Santa Margarita, CA 92688 e , (760) 899-0733 t (949) 713-1100 gloria.lee233@gmail.com donna.plumbingsolutions@gmail,co Service completed by. Kyle Bookin INVOICE i rvi.ces - rlty unit price amour - •y 50 Gallon Water Heater 1.0 $2,200.00 $2,200.0 To install 50 gallon Bradford White propane water heater in outside closet fully up to code with permit and inspection. 6 year parts warranty. We also cover cost of permit Subtotal $2,200.0( 2