BRES2019-045878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
JERMAINE WRIGHT
399 TANA LN
PALM DESERT, CA
Titr4 1P494rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/ADDITION
BRES2019-0458
78645 CAR NES CIR
604223026
NGUYEN / THIRD CAR GARAGE CONVERSION TO BEDROOM
$3,500.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
Nguyen Quoc Lap
78645 CARNES CIRCLE
0 Contractor:
D J C DECIERDO CORPORATION
D74894 LENNON PLACE STE. D-1
FEB 0 4 2020 PALM DESERT, CA 92260
CITY OF LA QUINTA (760)219-2629
DESIGN & DEVELOPMENT DEPAR WENT Llc. No.: 817089
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., I License No.:
Date: v_ Contractor:
OW NE -BUILD RA
I hereby affirm under penalty of perjury that I am exem ro ontractor'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 Nam
Lender's Address:
Date: 2/4/2020
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 rk for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9099725
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 wi th se provisions.
Date: D Applicant: 1
WARNING: FAILURE TO SECURE W KERS' COMPEN N VERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER IESAND 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: Signature (Applicant or Agent):
Date: 2/4/2020
Application Number:
BRES2019-0458
Property Address:
78645 CARNES CIR
APN:
604223026
Application Description:
NGUYEN / THIRD CAR GARAGE CONVERSION TO BEDROOM
Property Zoning:
Application Valuation:
$3,500.00
Applicant:
JERMAINE WRIGHT
399 TANA LN
PALM DESERT, CA
Owner:
Nguyen Quoc Lap
78645 CARNES CIRCLE
Contractor:
J C DECIERDO CORPORATION
74894 LENNON PLACE STE. D-1
PALM DESERT, CA 92260
(760)219-2629
Llc. No.: 817089
Detail: 190 SF THIRD CAR GARAGE CONVERSION TO A BEDROOM. THIS PERMIT DOES NOT INCLUDE STRUCTURAL, MECHANICAL, ELECTRICAL, OR
PLUMBING ALTERATIONS TO OTHER AREAS OF DWELLING. 2016 CALIFORNIA BUILDING CODES.
REMODEL, FIRST 100SF
101-0000-42400
0
$54.74
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100SF PC
101-0000-42600
0
$84.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
REMODEL, FIRST 100SF PC
101-0000-42600
0
$65.48
Total Paid for REMODEL 2019: $163.69
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($0.50)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
ALTERATIONS/ADDITIONS - RESIDENTIAL
101-0000-42400
0
$81.00
Total Paid for ZONING CLEARANCE - PLANNING PLAN CHECK: $81.00
r"14M
tPERMIT
— GE,\I of eb� IEtiLiFif —
# d
PLAN LOCATION:
Project Address:
.r
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
O
Address
City, ST, Zip:
Telephone:
Email:
Valuation of Project $
Contractor Name: JG
New SFD Construction:
Address: '7t'
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers _ SF
City, St, Zip Y C� Z
Telephone: 7 .-Z
Email:
State Lie: tRI 709q City 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:
Address:
City, ST, Zip
Telephone:
Email:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
- (�f.N Jrlr Cll-SLfif -
PERMIT # / VaS25111-0�rg
-
PLAN LOCATION: ' olsj— I i r'
Project Address:-1964e7- (J ►
G�F✓1�C �R/'/D
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Ae;�Ul+tvy-)
Applicant Name:ril�l 2n�
Address: 3�'fl —1?N" L ,
City, ST, Zip: ?4yn tbc
Telephone: �(pp .�•�
Email: all � e ' (
� o�m�t,i .coYrl
Valuation of Project $
Contractor Name: JC. D consivvcii-N-,
New SFD Construction:
Address: �Grt� �� �l��'2 p_�
Conditioned Space SF
City, St, Zip
Garage SF
Patio/Porch SF
Telephone: Lr o30
Email: J U� I � — I CGC-CY)A%� i�
Fire Sprinklers SF
State Lic:_qt�City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: La*-r--Kl iJaJ\ie ,)
New Commercial / Tenant Improvements:
Address: C-Wv ej nv��c
Total Building SF
City, ST, Zip La C,�JwC�rl A el-?2)
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
b � Lt!5 lu�
STATE OF CALIFORNIA
Prescriptive Residential Additions That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions
Nguyen Residence
t Do Not Require HERS Field Verification
cxtl
&P4,6� 2-a \.q - U q6 t Ea.
CALIFORNIA ENERGY COMMISSION
CFIR-ADD-02-E
Page 1 of 7
pate Prepared: 12/4/2019
This compliance document is only applicable to additions 300 ft2 or less, or additions that do not require HERS field verification for compliance. When HERS verification is required, a CF1R-ADD-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 CFIR-ADD-02 and CF2R- ADD-02 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 CFI R-ADD-01 must be completed and registered with a HERS Provider Data Registry.
Additions or 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 on R-value of 3.6 per inch, shall complete and register a CFIR ADD-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 lobels shall not be removed before verification by the building inspector.
A. General Information
01 Project Name:
Nguyen Residence
02
Date Prepared:
12/4/2019
03
Project Location:
78645 Carnes Circle
04
Building Front Orientation (deg):
270
05
CA City:
La Quinta
06
Number of Dwelling Units with Additions:
1
07
Zip Code:
92253
08
Fuel Type:
Natural Gas
09
Climate Zone:
15
10
Total Conditioned Floor Area (ft) (Addition):
190
11
Building Type:
Single family
12
Slab Area (ft):
190
13
Project Scope:
300 ft2 or less
14
Addition Wall Type:
❑✓ Framed ❑ Non -framed
❑ Mass Walls
❑ None
15
Roof Type:
❑ Steep slope ✓❑ Low slope
❑✓ None
16
Roof/Ceiling insulation:
Must meet minimum mandatory insulation requ
L_ I V
re .
17
Windows being installed?
❑ Yes ❑ No
, I III n
�,; r
r e I�I�_9019
18
New water heater being installed? ❑ Yes ❑✓ No
L i
.71")
CO%D �: L41 T ur LA quin it%
r(MA ICI ^ ea DESIGN AND DEVELOPMENT DEPARTMENT
CA Building Energy Efficiency Standards - 2016 Residential CompliancePATE B
16
Ise
STATE OF CALIFORNIA
Prescriptive Residential Additions That Do Not Require HERS Field Verification Lo�
CFC-CF1R-ADD-02-E MevLsed D4I161 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions
Name: Nguyen Residence
UO Not Require H
Field vent rcauon
12/4/2019
CF1R-ADD-02-E
Page 2 of 7
B. Opaque Surface Details - Framed (Section 150.2(a))
01
02
03
04
05
06
07
08
09
10
11
Tag/ID
Assembly Type
Frame
Type
Wood
Frame
Depth (in)
Frame
Spacing (in)
Proposed
Required
Comments
Cavity
R-value
Continuous
Insulation
R-value
U-factor
Appendix JA4
Reference
U-Factor
Table
Cell
Wall
31/2
I
R-15
I 0.095
JA-4
4.3.1.A4
0.095
Roof
Wood
61/2
R-38
0.026
JA-4
4.2.1-A9
0.043
Add Row
Delete Row
E. Slab Insulation (Table 150.1-A)
01
02
03 04
05
06
i Floor Type
Proposed Required
Insulation
R-value
Insulation
U-factor I
Insulation
R-value
Insulation
U-factor
Comments
Add Row 1 Delete Row
Note: Heated slab floors require mandatory slab insulation (see Table 110.8-A).
CA Building Energy Efficiency Standards - 2016 Residentiai Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Additions That Do Not Require HERS Field Verification
CEC-CFIR-ADD-02-E (Revised 04116)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions That Do Not Require HERS Field Verification
P`°'ea Name: Nguyen Residence
MMISSION
CF1R-ADD-02-E
Page 3 of 7
F. Radiant Barrier (Section 1501.1(c)2)
01 — 02
Radiant Barrier installed below the roof deck and on all gable end walls Comments
Yes C No {:
Add Row Delete Row
Notes:
• Radiant barriers shall meet specific eligibility and installation criteria to receive energy credit for compliance with the Building Energy Efficiency Standards for low-rise residential buildings. Refer
to RA4.2.1
• The emittance of the radiant barrier shall be less than or equal to 0.05 as tested in accordance with ASTM C1371 or ASTM E408.
• For Prescriptive Compliance the attic shall be ventilated to provide a minimum free ventilation area of not less than one square foot of vent area for each 300 ft2 of attic ffoor area with no less
than 30 percent upper vents. Ridge vents or gable end vents are recommended to achieve the best performance. The material should be cut to allow for full airflow to the venting.
H. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(a)1)
01
02
03
04
05
06
07
08
09
10
Maximum Allowed
Maximum Allowed West -
Fenestration Area for All
Facing Fenestration Area Only
Orientations (ft2)
(ft2)
The Greater
The Greater
Maximum
Maximum
Maximum
Maximum
Calculated
Maximum
Calculated
Maximum
Allowed U-
Allowed U-
Maximum
Maximum
Addition Type
based on
Calculated
based on
Calculated
factor
factor
Allowed SHGC
Allowed SHGC
(ft2)
Allowed %
Allowed ft2
Allowed %
Allowed ft2
(Windows)
(Skylights)
(Windows)
0.25
(Skylights) Comments
5400 ft2
I
0.32
0.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Additions That Do Not Require HERS Field Verification
GEC-CFiR-ADD-02-E (Ne•.,secl 6.)!5) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-02-E
Prescriptive Residential Additions That Do Not Require HERS Field Verification Page 4 of 7
Pfaj�CTNa.e! Nguyen Residence QdtP Pmjwedi 12/4/2019
I. Fenestration Proposed Areas and Efficiencies
Note: If meeting Exception 1 to 150.1(c)3A, Installing _< 3ft7 glass in door or tubular skylight, it is not required to meet the minimum U-factor & SHGC requirements
Exception 2: For up to 16ftz of new skylight area, the U-factor can be 0.55 or less and the SHGC can be 0.30 or less.
Exception 3: If using dynamic glazing, use the lowest tested U-factor and SHGC in Columns 9 and 10.
01
02
03
04
05
06
07
08 I 09
10
11
12
13
14
Tag/ID
Fenestration Type
Frame
Type
Dynamic
Glazing
Orientation
{ (N,S,W,E or
Roof)
Number of
Panes
Proposed
Fenestration
Area (ft2)
Proposed West I
Facing
Fenestration Proposed
Area (ft2) U-factor
Source
Proposed
SHGC
Source
Exterior
Shading
Device
Combined
SHGC from
CF1R-ENV-03
Window
Metal
None
South
2
24
0
.32
NFRC
.25
NFRC
n/a
T Add Row
T Delete Row
i
15
Total Proposed Fenestration Area
24
16
Maximum Allowed Fenestration Area
75
17
Compliance Statement
Total Proposed Fenestration Area <_ Maximum Allowed Fenestration Area
4 Yes No
18
Total Proposed West -Facing Fenestration Area
0
19
Maximum Allowed West -Facing Fenestration Area
60
20
ompliance Statement
Total Proposed West -Facing Fenestration Area <_ Maximum Allowed West -Facing Fenestration Area
(0— Yes C� No
21
roposed Fenestration U-factor (Windows)
0.32
22
Required Fenestration U-factor (Windows)
0.32
23
ompliance Statement
Proposed Fenestration U-factor <_ Required Fenestration U-factor
(0- Yes (` No
24
roposed Fenestration SHGC (Windows)
0.25
25
Required Fenestration SHGC (Windows)
0.25
26
ompliance Statement
Proposed Fenestration SHGC <_ Required Fenestration SHGC
s• Yes i No
27
lProposed Fenestration U-factor (Skylights) -
0
28
Required Fenestration U-factor (Skylights)
0
29
Compliance Statement
Proposed Fenestration U-factor <_ Required Fenestration U-factor
X Yes (i No
30
Proposed Fenestration SHGC (Skylights)
0
31
Required Fenestration SHGC (Skylights)
0
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Additions That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE
I Prescriptive Residential Additions That Do Not Require HERS Field Verification
vro,ea Name: Nguyen Residence
CALIFORNIA ENERGY COMMISSION
CF1R-ADD-02-E
Date Prepared 12/4/2019
Page 5 of 7
32 Compliance Statement Proposed Fenestration SHGC <_ Required Fenestration SHGC (— Yes (' No
J. 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-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space
conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ADD-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 duds 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
Existing
Existing
Existing and addition
a. b. c. d.
a. ❑ b. ❑ c. d.
a. ❑ b. ❑ c. ❑ d.
❑
Add Row Delete Row
J. 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-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space
conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ADD-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
Existing
Existing
Existing
a. ❑✓ b. ❑ c. ❑ d.
a. ❑ b. ❑ c. ❑ d.
❑
a. ❑ b. I] c. ❑ d.
❑
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Additions That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions That
Nguyen Residence
Add Rrnv Delete Row
re HERS Fi
CF1R-ADD-02-E
Page 6 of 7
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Additions
CEC-CF1 R-ADD-02-E (Revised 04/16)
CERTIFICATE OF COMPLIANCE
That Do Not Require HERS Field Verification
Prescriptive Residential Additions That Do Not Require: HERS Field Verification
�roiectName: Nguyen Residence
CALIFORNIA
ty
MMISSION l — �
CF1R-ADD-02-E
Page 7 of 7
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Joan Hacker
Doco mematlun Author Signature:
Signal a Da
Company:
i �-
Address:
43585 Monterey Avenue, Suite 7
CEA/ HERS Certification IdentiFcatio (if applicaible):
City/Statetrip:.
Palm Desert, Ca 92260
Phone -
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California; j
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:
Responsible Designer Signature,.
Company:
Date Signed:
Address:
License:
phone -
Oty/State/2ip:
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
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
DESERT
SANDS
La Quinta, CA 92253
UNIFIED
Date: 1/17/z020
(760)771-8515
SCHOOL
No.: 20-01591-1
DISTRICT
Owner: Nguyen Quoc Lap Email:
Address: 78645 Carnes Circle Jurisdiction: La Quinta
City: La Quinta Tract #:
Type: New Residential Addition
Lot # Street No. Street Name Sq. Feet APN Permit No.
78645 Carnes Circle 190 604-223-026
RECEIVED
JAN 17 2020
CITY OF LA QUINTA
Comments: DESIGN AND DEVELOPMENT DEPARTMENT
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement
mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.79 X 190 S.F. or $720.10 have been paid for the property listed above and that building permits
and/or Certificates of Occupancy for this square footage in the proposed project may now be issued.
Fees Paid By: cre card I He' Ibis;
Bank Name/Recipient of Certificate
By Scott L. Bailey
Superintendent
Fee Collected/ Exempted by: Rodney Slagle
Check No.: Credit / Debit Card
Telephone:
Funding: Residential
Certificate Fees Due:
$720.10
Credit Card Fees Due:
$14.40
Original Payment(s) Rec'd:
$0.00
New Payment Rec'd:
$734.50
Ovey,/Ur,Ader_
$0 CIO
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.
Building Permit Number:
Project Description: I improvement/sml addition
Exempt: This projec
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
al Date I 1/17/2020
Job Site Address' 78645 Carnes Circle La Quinta Ca 92253
Owners Name
Number, Street, or PO Box
City, State, Postal Code
Owner's Phone Number
Owner's E-Mail Address
Project Manager's Name
Project Managers Phone Number
Project Manager's E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Code
Project Square Footage,
City Approval By
Date of City Approval
Quoc and Lanchi Nguyen
78645 Carnes Circle
Jermaine Wright
760-442-7799
leiaierrna ine(g7gnlail. com
JCDecierdo Corp
74894 Lennon PI suite D-1
Palm Desert Ca. 92260
190 sq ft
Renado Gouldlock-DEC/Burrtec Waste
01 /17/2020 -
Materials To Be Discarded:
Product
Tons
Trash
0.50
Not recyclable
Product
Tons
Asphalt
0.00
Recyclable
Masonry (broken)
0.00
Recyclable
Brick/Block
0.00
Recyclable
Plaster
0.00
Recyclable
Cardboard
0.00
Recyclable
Scrap Metal
0.00
Recyclable
Commingled
0.00
Recyclable
Tile (floor)
0.02
Recyclable
Concrete
0.60
Recyclable
Tile (roof)
0.00
Recyclable
Drywall
0.10
Recyclable
Wood
0.25
Recyclable
Donated !Reuse'
0.00
Recyclable
Landscape Debris
0.00
Recyclable
'Describe Items
Totals: Recycle Trash Projected Diversion:
1_70 6.5
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite waste is
diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining
materials generated from the first day of the project through the completion of the project in accordance with this plan. This
DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction and/or
demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still
issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the
DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through
bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer
station.
Jermaine Wright 1/17/2020
Owner / Developer ! Project Manager / Superintendant Date
Construction Debris Management Plan
Summary of Requirements
As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the construction
of most new structures in the State of California comply with sections 4.408 and 5.408 of the code in
accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be disposed of as
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under
certain conditions.
The City of La Quinta is committed to the highest level of environmental respect, to conserving our
precious natural resources and setting an example to provide for a better world for generations to come.
Recycling helps keep reusable resources out of landfills and will also reduce disposal costs.
IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise hauler. If you
choose to self -haul any recyclables or trash, you must provide copies of all weight tickets
and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-
up companies and other haulers are not permitted to haul waste or recyclables from the
City of La Quinta. Self -haul weight tickets should be submitted to: Mike Veto, Municipal
Services Director - mveto@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to:
41575 Eclectic Street, Palm Desert, CA. 92260.