BPLB2017-0163G
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
PLUMBING/
BPLB2017-0163
55269 RIVIERA
Twyl 4lwRu!Kz
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
775153010
JAY AGOADA / 50 GAL WATER HEATER REPLACEMENT
$1,965.00
Applicant:
CARLOSJAIME
43100 PALM ROYALE DRIVE 1023
LA QUINTA, CA 92253
DEC 0 6 2017
CITYOFLAQUINTA _'
COMMUNITY DEVELOPMENT DEPARTMEW
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.: 1020486
Date: �Z. b 2D contra or:
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).:
( 11, 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 11, 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.).
(_J 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/6/2017
Owner:
JAY AGOADA
55269 RIVIERA
LA QUINTA, Ca 92253
Contractor:
CARLOS JAIME
43100 PALM ROYALE DRIVE 1023
LA QUINTA; CA 92253
(760)409-2549
Llc. No.: 1020486
WORKER'S.COMPENISATION 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 k 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 per'ormance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: EXEMPT . Polity Number: _
_ I certify that in the performance if the work for which this permit is issued, I
shall not employ any person in any mannerso 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 Secticn 3700 of the Labor Code, I shall forthwith
comply wit tho provisions. ►gyp
D to e: ,Z Z � 4Apphccant:
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 ($10Q;,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED =0R 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 apolication 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 cancella-Jon.
I certify that I have read this application an -8 state that the above information is correct.
I agree to comply with all city and county o-dinances and state laws relating.to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioneiprolrrty for inspection purpose.
Date Mk 6 AI1 +.Sig (AppIican' t or Agent): .
0
Date: 12/6/2017
Application Number:
BPLB2017-0163
Owner:
Property Address:
55269 RIVIERA
JAY AGOADA
APN:
775153010
55269 RIVIERA
Application Description:
JAY AGOADA / 50 GAL WATER HEATER REPLACEMENT
LA QUINTA, C4 92253
Property Zoning:
Application Valuation:
$1,965.00
Applicant:
Contractor:
CARLOSJAIME
—
CARLOSJAIME
43100 PALM ROYALE DRIVE
1023
43100 PALM ROYALE DRIVE 1023
LA QUINTA, CA 92253
LA QUINTA, (A 92253
(760)409-2549
--------------------------------------------------------------------------------------------
LIc. No.: 1020486
Detail: REPLACEMENT OF 50 GAL WATER HEATER. WITH RECIRCULATION PUMP
0
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
$2.44
Total Paid for Credit Card Fee: $2.44
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.80
Total Paid for PLUMBING FEES: $20.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
I
�+- •
PERMIT #
PLAN LOCATION:
Project Address:55W 9 � v ��LR •
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
.APN #:
City, St,.Zipui.
Q`%L�`-i eLZ
#_J
Applicant Name:
Email:
�Y
Address:
Email: Q
City, ST, Zip: 1
Fire Sprinklers SF
Telephone:.
City Bus Lic: •
Email:
Valuation of Project $
Contractor Name:
`
New SFD Construction: ,
Address: 3�
L `
Conditioned Space SF .
City, St,.Zipui.
Q`%L�`-i eLZ
Garage SF.
Telephone:_C.t�
Email:
�Y
Patio/Porch SF
Email: Q
Q VW S �.�
Fire Sprinklers SF
c:
Fsatet LiPx
City Bus Lic: •
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
�Y
State Lic: City Bus Lic:
Property Owner's,Name: A506V-Prov
New Commercial / Tenant.Improvemcnts:
Address: SS'q k v
Total Building SF
City, ST, Zip QjA 1.%3
Construction Type: Occupancy:
Telephone: s1�`O _ C)�.I5
Email: �,QVi4" 1rA610ADro
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
1,. ,.
} +� t•
'
#�
1
Submittals
'Req'd
-Rec'd
Plan Sets
Structural Calcs _ ;•
r
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
'.
HOA Approval
-
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
.Fire approval
City Business License
STATE OF�CALIFORNIA
Piescriptive Residential Alterations That Do Not Require HERS Field Verification
EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project Name: AGOADA RESIDENCE 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 CFIR-ALT- 01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that ore exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R-ALT-OS Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 f t of ducts were added or repldced; 6F Me EXISrIng 6ucr sysrem was insulated with usbesius; ur the exlsilhy duct system wus prevluusly tested uttd Nu.S.Setl Ly U
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-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 3.6 per inch, shall complete and register a CFIR-ALT-01 with o HERS Provider Data
Registry.
If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign o 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:
AGOADA RESIDENCE
02
Date Prepared:
03
Project Location:
GARAGE
04
Building Front Orientation (deg or cardinal):
05
CA City:
LA QUINTA
06
Number of Altered Dwelling Units:
07
Zip Code:
92253
08
Fuel Type:
Natural Gas
09
Climate Zone:
15
10
Total Conditioned Floor Area (ft):
11
Building Type:
Single Family
12
Slab Area (ft)
13
Project Scope (Select all that apply): .
❑ 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,PALIFORNIA
Irescriptive Residential Alterations That Do Not Require HERS Field Verification
Al
CEC-CF1RtALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-057E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
Project Name: AGOADA RESIDENCE 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
tt 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)l
Type
Input Type
Value.
Type
Value
Loss (%)
R -Value
Fraction
AGOADA
HOME
DHW
GAS
1
50
Gas
Btuh
40000
AFUE
�Q
80
Add Row_
Delete Row:,
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
• a
STATE OF, CALIFORNIA
reeschptive Residential Alterations That Do Not Require HERS Field Verification
r1
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION'S
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3
ProlectNarne: AGOADA RESIDENCE Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Company:
Signature Date:
Address:
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Phone:
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. I 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. 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 of this Certificate 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