BPLB2019-013078-495 CALLE TAMPICO U �" VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/19/2019
Permit Type/Subtype: PLUMBING/ Owner:
Application Number: BPLB2019-0130 WEST TETON INVESTMENTS LLC
Property Address: 76972 CALLE MAZATLAN 76972 CALLE MAZATLAN
APN: 658161039 LA QUINTA, CA 92253
Application Description: VOGELESANG / WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation: $1,675.00 n
Applicant: L� Contractor:
CARLOS JAIME DBA LA QUINTA PLUMBING SOLU D CARLOS JAIME DBA LA QUINTA PLUMBING SOLU
43100 PALM ROYALE DRIVE 1023 43100 PALM ROYALE DRIVE 1023
LA QUINTA, CA 92253 SEP 19 2019 LA QUINTA, CA 92253
CITY OF LA QUINTA (760)409-2549
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1020486
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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:CM License No.: 1020486
Date: 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 Addre!
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.
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:
Cirri EXEMPT„ Policy Number: _
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, se provisions. t
Date: l L 70, Applicant: 13�
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 behalfthis 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,
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 pr erty for inspection purposes.
)ate: Signature (Applicant or Agent):
Date: 9/19/2019
Application Number:
BPLB2019-0130
Property Address:
76972 CALLE MAZATLAN
APN:
658161039
Application Description:
VOGELESANG / WATER HEATER CHANGEOUT
Property Zoning:
Application Valuation:
$1,675.00
Applicant:
CARLOS JAIME DBA LA QUINTA PLUMBING SOLU
43100 PALM ROYALE DRIVE 1023
LA QUINTA, CA 92253
Owner:
WEST TETON INVESTMENTS LLC
76972 CALLE MAZATLAN
LA QUINTA, CA 92253
Contractor:
CARLOS JAIME DBA LA QUINTA PLUMBING SOLU
43100 PALM ROYALE DRIVE 1023
LA QUINTA, CA 92253
(760)409-2549
Llc. No.: 1020486
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Detail: 50 GALLON GAS WATER HEATER REPLACEMENT ON SECOND FLOOR. CARBON MONOXIDE DETECTORS TO BE INSTALLED PRIOR TO FINAL
INSPECTION PER 2016 CALIFORNIA BUILDING CODES.
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
PERMIT ISSUANCE
101-0000-42404 0
$101.97
Total Paid for PERMIT ISSUANCE:
$101.97
DESCRIPTION
ACCOUNT QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401 0
$13.42
DESCRIPTION
ACCOUNT CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600 0 L
$8.05
Total Paid for PLUMBING 2019:
$21.47
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
W
ta
CALIFORNIA
PERMIT #
PLAN LOCATION:
Project Address: �',��2
Project Description:
APN #:
,-
Applicant Name:
Address:
City, ST, Zip:
Tel �bn.
Email:
Project Valuation $�
Contractor Name:
New Construction:
Address: I-A,2,An
Conditioned Space SF
City, St, Zip to22� � QA-22!�
Garage SF
Telephone:
Patio/Porch _ SF
Email: �,o C�[�vU,, �L v�
Fire Sprinklers SF
State Lic: tC) 2iDqT( City Bus Lic:
Architect/Engineer Name:
Construction Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: L
Pfk)
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip L V) (�)h 2
Construction Type: Occupancy:
Telephone: q
�S
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Required
Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
CVWD Fire Flow Letter
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
.f
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-C F 1 R-AL T-05- E (Revised 04116)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require �HERSield Verification —
proaee[Name: 7 /�
MR-ALT-05-E
Pagel of 3
Rate Prepa r[d•
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance, en HERS verification is required, a CF1R-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 CF1R-ALT-05 and CF2R- ALT-05 Compliancewas insulated with asbestos; or the existinduct Documents. Possible exemptions from duct
leakage testing include. less than 40 ft of ducts were added or replaced; or the existing duct system g system was previously tested and passed by o
HERS Rater- If spore conditioning systems are altered and pre 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 o density of 0.4 to less than 1.5 pounds per cubic foot having on R-value of 3.6 per inch, shall complete and register a CFIR ALT-01 with a HER5 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,
Cr �� 04 Building Front Orientation (deg or cardinal):
05 CA City:
06 Number of Altered Dwelling Units:
07 Zip Code: �y -
L--�� �, 08 Fuel Type:
09 Climate Zone: /� 7C:r
/ 10 Total Conditioned Floor Area (ft�):
11 Building Type: tr.i-, -
T' 12 1 Slab Area (ft)
13 Project Scope (Select all that apply):
--L—
.0 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 CALIFORNIA ENERGY CDtIkiNISSION
CEC-CF1R-ALT-05-E Revised04M) CF111-ALT-05-E
CERTIFICATE OF COMPLIANCE Page 2 of 3
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Date Prrparsd=
Project Name.
H. Water Heating Systems (Section 150.2(b)1G)
O1 02 03 04 05 06 07 08 09 10 11 12 13 14 15
# of Back -Up
Water Water Water Water
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 ra
Unit Name ID oreName Area Served System Type Heater Type System Volume (gal) Type Input Type Value Type Value Loss (%) R Value Fraction
I.Add Row Qeiete Row
April 2016
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFI R-ALT-05-E (Rplrised 04116)
CERTIFICATE OF COMPLIANCE — CRL#FD}iNIA ENERGY COMMIssIONi
Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF1R-ALT-05-E
Proles[ Home•
Page 3 of 3
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and
lk �- , Lei nkll
Date:
Author
7 - aciiunLaupn {e appnCame)r
C23
ityIState 1p: _
RESPONSIBLE PERSON'S DECLARATION STATEMENT�O Q `
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- '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 shaif 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-
Responsittle Design@r Name: -
Resppnskhie Designer 5i9rrat111e;
Company — —
Date Signed -
Address: _
License: _
I
7ry�5tate/2ip: — —
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