BPLB2019-002678-495 CALLE TAMPICO D a(fro
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number:
BPLB2019-0026
Property Address:
51380 CALLE HUENEME
APN:
770164008
Application Description:
JACOBSON / CHANGE OUT (1)50 GALLON GAS WATER HEATER
Property Zoning:
Application Valuation:
$1,347.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20, C36 License No.:1022645
Date: ZIZ �i 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/12/2019
Owner:
CHRIS JACOBSON
, 92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
INDIO, CA 92201
(760)863-0832
Llc. No.: 1022645
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.
1 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: WESCO INSURANCE COMPANY Policy Number: WWC3342930
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 agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: L IZ 1 9 Applicant:�W�
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 ($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 laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above -mentioned property for inspection purposes.
Date: I'Z I ''t Signature (Applicant or Agent):
Application Number:
BPLB2019-0026
Property Address:
51380 CALLE HUENEME
APN:
770164008
Application Description:
JACOBSON / CHANGE OUT (1)50 GALLON GAS WATER HEATER
Property Zoning:
Application Valuation:
$1,347.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 2/12/2019
Owner:
CHRIS JACOBSON
92253
Contractor:
PREFERRED AIR CONDITIONING HEATING & PLU
45-311 GOLF CENTER PKWY STE A
INDIO, CA 92201
(760)863-0832
Llc. No.: 1022645
Detail: CHANGE OUT (1)50 GALLON [GAS] WATER HEATER. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
DESCRIPTION
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
Total Paid for PERMIT ISSUANCE:
$101.40
DESCRIPTION
ACCOUNT QTY
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 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
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
s
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 8)
Project Name: JI�'^ C e—me— Date Prepared: 12J1C4
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 exemptfrom 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 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 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:
02 Date Prepared:
03
Project Location:)
�� C`�� Ytv e r$1v� G
04
Building Front Orientation (deg or cardinal):
05
CA City:
L� P �� _
06
Number of Altered Dwelling Units:
07
Zip Code:
C:A ZZ S3
08
Fuel Type:
C' c�
09
Climate Zone:
10
Total Conditioned Floor Area (ft):
11
Building Type:
12
Slab Area (ft):
13
Project Scope:
I i
CA Building Energy Efficiency Standards - 2016 Residential Compliance
July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
GEC-CF1 R-ALT-05-E (ReyEsed 07117) CALIFORMA ENERGY COMMISSION '411P'
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 2 of 8)
Project Name:
Date Prepared:
B. Building Insulation Details (Section 150.2(b)1)
01
02
03
04
05
06 07 08 1 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Proposed
Required
Comments
Cavity
R-value
Continuous
Insulation
R-value
U-factor
AppendixJA4
Reference
U-Factor
Table
Cell
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
�.
CEC-CFIR-ALT-05-E Revised 07/17 CALIFORNIA ENERGY COMMISSION —4Wlr-
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 3 of 8)
Project Name: Date Prepared:
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)IH)
01
02
03
04
05
06
07 08 09 10
11 12 13
Method of
Compliance
Roof
Pitch
Exception
CRRC Product ID
Number
Product Type
R-value
Deck
Insulation
Proposed
Minimum Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
NOTES:
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01
02
03
04
05
06
07
Maximum
Maximum
Allowed
Allowed West-
Existing
Existing West -
Fenestration
Facing
Fenestration
Facing
Maximum
Maximum
Maximum
Maximum
Area For All
Fenestration
Area for All
Fenestration
Allowed
Allowed
Allowed
Allowed
Alteration
Orientations
Area Only
Orientations
Area
U-factor
U-factor
SHGC
SHGC
Type
(ftZ)
(ftZ)
(ftZ)
(ftZ)
(Windows)
(Skylights)
(Windows)
1 (Skylights)
Comments
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
A
CEC-CF1 R-ALT-05-E (Revised 07117) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 4 of 8)
Project Name: Date Prepared:
E. Fenestration Proposed Areas and Efficiencies — Add (Section 150.2(b)1A)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Tag/ID
Fenestration
Type
Frame
Type
Dynamic
Glazing
Orientation
N, S, W, E
Number
of
Panes
Proposed
Fenestration
z
Area ft
Proposed West
Facing
Fenestration
Area ftZ
Proposed
U-factor
Source
Proposed
SHGC
Source
Exterior
Shading
Device
Combined
SHGC from
CF1R-ENV-03
15
Total Proposed Fenestration Area
16
Maximum Allowed Fenestration Area
17
Compliance Statement
Existing + Proposed Fenestration Area <_ Maximum Allowed Fenestration Area ❑ Yes ❑ No
18
Total Proposed West -Facing Fenestration Area
19
Maximum Allowed West -Facing Fenestration Area
20
Compliance Statement
Existing + Proposed West -Facing Fenestration Area 5 Maximum Allowed West -Facing Fenestration Area []Yes ❑ No
21
Proposed Fenestration U-factor (Windows)
22
Required Fenestration U-factor (Windows)
23
Compliance Statement Proposed Fenestration U-factor <_ Required Fenestration U-factor ❑ Yes ❑ No
24
Proposed Fenestration SHGC (Windows)
25
Required Fenestration SHGC (Windows)
26
Compliance Statement
Proposed Fenestration SHGC <_ Required Fenestration SHGC ❑ Yes ❑ No
27
Proposed Fenestration U-factor (Skylights)
28
Required Fenestration U-factor (Skylights)
29
Compliance Statement
Proposed Fenestration U-factor <_ Required Fenestration U-factor ❑ Yes ❑ No
30
Proposed Fenestration SHGC (Skylights)
31
Required Fenestration SHGC (Skylights)
32
Compliance Statement
Proposed Fenestration SHGC <_ Required Fenestration SHGC ❑ Yes ❑ No
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 07117) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
CF 1 R-ALT-05-E
(Page 5 of 8)
F. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2(b)113)
01 02 03 04 05 06 07 08 9 10 11 12 13 14
Area Area Net Exterior Combined SHGC
Tag/ Fenestration Frame Dynamic Orientation Removed Added Added Shading from
ID Type Type Glazing N, S, W, E (ft) (ft) Area (ft) U-factor Source SHGC Source Device CF1R-ENV-03
15
Net Added West -facing Fenestration Area
16
Is Net Added Fenestration Area <_ for west -facing fenestration?
❑ Yes
❑ No
17
Net Added Fenestration Area (all orientations)
18
Is Net Added Fenestration Area <_ 0 for all orientations?
❑ Yes
❑ No
19
Proposed Fenestration U-factor (Windows)
20
Required Fenestration U-factor (Windows)
21
Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor?
❑Yes
❑ No
22
Proposed Fenestration SHGC (Windows)
23
Required Fenestration SHGC (Windows)
24
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
❑ Yes
❑ No
25
Proposed Fenestration U-factor (Skylights)
26
Required Fenestration U-factor (Skylights)
27
Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor?
❑ Yes
❑ No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
❑ Yes
❑ No
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
El
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 6 of 8)
Project Name: Date Prepared:
G. Space Conditioning (SC) Systems — Heating/Cooling (Prescriptive Section 150.2(b))
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ALT-05 and CF2R- ALT-05 Compliance Documents. If new space
conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ALT-01 shall be completed and registered with a HERS Provider Data
Registry. In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification compliance:
❑ a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos;
❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater.
01 02
03
04
Dwelling Unit Name
SC System Identification or Name
SC System Location or Area Served
Exemption from HERS Verification
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
El El ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
❑a ❑b ❑c ❑d
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
n
CEC-CFIR-ALT-05-E [Revised G7/171 _ CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 7 of 8)
Project Name: 1 Date Prepared: � iz
SQ520 Cc-lte. uv�hzrn� _ _ P 1 1
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
Identification or
Name
Water Heating
System Location
or Area Served
Water
Heating
System
Type
Water
Heater
Type
of
# ter
Water
Heaters
in System
Water
Heater
Storage
Volume
(gal)
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
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-05-E : Revs�d 07/17) _
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: '51 azo C _ 1 l e- I� V �,hG�'�r�� r Date Prepared: 1z� .� ram.
0
CF1R-ALT-05-E
(Page 8 of 8)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Docum tation Author Na
-Ve
Docum tion Author Sig
��h\�aiCY
V
z
Company.
�Ye kCV-V �Grv�[rG
Signa
ure D te:
lZ,
e-8
t
Address:
14S- 31) Gpl P av4e4-
CEA/ HERS Certification Identification (if applicable):
t7d.rkw
City/State/Zip:
Phone:
Tl d :. CA
" 7(aO 3-- O Z 3-2
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 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:
Respnnsib a Designe r Signature:
Company:
?re QcnV �r=i1i,GG�C+
Date SfPed:
—24 12A i �
Address:
License:
—!Js' *-5I1 C0 i �ti'�e� �� tJ�i
I C)-z
Phone:
City/State/Zip:
T— 'N,o , C'A g 22-C>I
-?(0o"8(o-3-OE�3Z
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
July 2017
Za
62ai4traPERMIT # azt? C9)0
- (;FM
PLAN LOCATION:
Project Address: S1320 Cn% `ie u�� lenlc Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
• �� 1 G:C� '_�L3 C�c'+�L � ra � wca'�e_r � c?.�•� e-�
ApplicantName:
Address: 3 l �3 1b.. r - Z I
City, ST, Zip:
r.
Telephone: 31 a-73- 8 Teo
Email:
Contractor Name:
Address: q5 :31 1
City, St, Zip ; �L\;. C- cl ZZo N
Telephone: 7(�.p,_
Email:
State Lic: 1 b ZZ.(d�5 City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
Property Owner's Name: Ci. •• ���--
r�5 dJGi
Address: S) 3 gd
cY, ,
City, ST, Zip
Telephone: -7t
Valuation of Project $
New SFD Construction:
p� Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: Stories:
SF
SF
SF
SF
Occupancy:
# Units:
5�►-� New Commercial / Tenant Improvements:
Total Building SF
qZ2 5 Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000