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09-1210 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001210 Property Address: 54.109—OAK HILL AP N: 775 -061 -031 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 954 sf 1 I 'tS" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JODI EVANS 54109 OAK HILL LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: CALIFORNIA DELTA MECHNICAL 6052 E. BASELINE -RD, #155 MESA, AZ 85206 (480)898-0007 / Lic.. No.- 811114 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/24/09 DEC 012009 ID LA LICENSED CONTRACTOR'SDECLARATION - WORKER'S COMPENSATION DECLARATION', I hereby affirm under penalty of perjury that I am licensed under provisions of'Chapter 9 (commencing with .. - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code; arid my'License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class ]B:7' -C10 -C36• 4 License No.: 811114 _ for by.Section 3700 of the Labor Cobe, for the performance of the work for which this permit is ntractor: '• �!/-� _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number^are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE - FUND Policy Number 1697823 following' reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to — I certify that, in the,performance of the work for which this permit is issued, I shall not employ any construct,, alter, improve, demolish, or repair any structure, prior.to its issuance, also requires the applicant for the -person in any manner so as to become subject to the workers' compensation laws of California, permit to file a.signed statement that he or she is licensed pursuant to the provisions of the Contractor's State Ad;agree that, if I should'become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing. with Section 7,000) -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 7031.5 by 3700 of the Labor Cod I shall fohwith com ly with those provisions. of.Section any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.: 'as , s/�,�/�p V r/. te: scant: III"' (_ 1 1, 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 . WARNING: FAILURE'TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' state'License Law does not apply town owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP.TO ONE HUNDRED THOUSAND and who does th'e work himself or herself through his or. her own employees, provided that the DOLLARS, ($100,000). IN ADDITION,TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.). - APPLICANT ACKNOWLEDGEMENT ( 1 I, as owner of the property, am exclusively contracting with -licensed contractors to construct the project (Sec: IMPORTANT Application is hereby made to the Director of Building and Safety,for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' propertywho' builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 : Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State license Law.). whose benefit work is performed under or pursuant to any permit issued as a result'of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees.to, and shall defend, indemnify and hold harmless the City 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.I. Lender's Name: Lender's Address: LQPERMIT of La 06inta, 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 county to enter upon the above-mentioned property floor/r)nspectionpurposes. D'V Signatu Applicant or Agent): :V' E Application Number . . . . . 09-00001210 Permit PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 5/23/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ------------------------------------------ Special Notes and Comments ---------------------------------- REPLACE 50 GALLON GAS WATER HEATER. 2007 CODES. ------------------------------------ Other Fees . . . ---------------------------------------- . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary -------=--------- Charged Paid :Credited Due Permit Fee Total -------------------- 22.50 ---------- .00 ---------- .00 22.50 Plan Check Total 5.63 .00 .00 5.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total .29.13 .00 .00 29.13 LQPERMIT NOV.L4. LUVY 11:ZJAM SItvt No.6�64 V. 5 CERTIFICATE'.OF'COMPLIANCEi-RESIDEN' ?AL e3 of4 CF -IR Project Title bath � SEALED.DUCTS-and TXVs or Alternative Measures A signed CF -4R Form must be provided to the building department for each home for which the following. are required, I t7 I Alternative to Sealed Ducts.and Refrigerant Charge fMs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0. Footnotes` 7-14. For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field'verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear, feet in unconditioned s ees sfuall meet the requirements of Section 150(m) and duct insulation requirements of Packaee D. Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling unit. Ifthe water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. 0 Check box when using Preapproved Alternative. Water Heating table, Table 5-4 is Chapter 5 in the Residential Manual. No water heating calculations are required, and thestem complies lies automatical . Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. -In this case, the Performance Method must be used:and must be included in the submittal. © Check box to verify that a time control is required,for a recirculating system pump for a system serving multiple units Systems serving sinzle dwelUne unite ❑ Seated -Ducts alI climate zones(Installer testing and.certification and HERS rater.field verification required,) ❑ TXVs, readily accessible (climate zones 2'and'&15 only) Tank (Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and'g-15 only) (Installer testing and certification and HERS Rater field Input' (kw br. . verification ed) Standby' AD I t7 I Alternative to Sealed Ducts.and Refrigerant Charge fMs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0. Footnotes` 7-14. For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field'verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear, feet in unconditioned s ees sfuall meet the requirements of Section 150(m) and duct insulation requirements of Packaee D. Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling unit. Ifthe water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. 0 Check box when using Preapproved Alternative. Water Heating table, Table 5-4 is Chapter 5 in the Residential Manual. No water heating calculations are required, and thestem complies lies automatical . Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. -In this case, the Performance Method must be used:and must be included in the submittal. © Check box to verify that a time control is required,for a recirculating system pump for a system serving multiple units Systems serving sinzle dwelUne unite ►.V-V&WAU owl ♦LaK muluDiC OWCUMI? nnim Rated Rated Energy Water Heater Type Tank Water Heater Disfibution Number Input' (kw br. . Tank Factor' or Capacity Thal Standby' External Insulation Type/Fuel a in S stem Bhdhr) long) Efficien -0 Loss % R -Value GE ra,c(t 36 Z ►.V-V&WAU owl ♦LaK muluDiC OWCUMI? nnim . ..x u.la.. s►.,,tee water ueaiels (rales inputs oz less than or equal to 75,000 Btu/hr); electric resistance, and heat pump water heaters, list Energy Factor:" For large gas storage water heaters. (rated input of greater than 75,000 Btu/hr), list Ratted Input, Recovery Efficiency, Thermal Efficiency and Standby Lass. For instantaneous gas water heaters, fist Rated Input and Thermal Efficiencies. Pine InStllatiOla (kitchen lines > 3/4 inches) Alf hot water pipes-frotn the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 0).2 A or 150 6) 2 B. Residential Compliance Forms March 2005 Rated Energy Tank Water Heater Type Distribution Number Type in System Input, Tank W or Capacity . BwAir ions Factor or Thermal Standby' Efficiency Loss % External Insulation R -Value 1 C.. ..It .... _ . ..x u.la.. s►.,,tee water ueaiels (rales inputs oz less than or equal to 75,000 Btu/hr); electric resistance, and heat pump water heaters, list Energy Factor:" For large gas storage water heaters. (rated input of greater than 75,000 Btu/hr), list Ratted Input, Recovery Efficiency, Thermal Efficiency and Standby Lass. For instantaneous gas water heaters, fist Rated Input and Thermal Efficiencies. Pine InStllatiOla (kitchen lines > 3/4 inches) Alf hot water pipes-frotn the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 0).2 A or 150 6) 2 B. Residential Compliance Forms March 2005 Nov,24. 2009 11:25AM STEVE Bin # Permit # \/vO�. Project Address: 511 D A. P. Number. Contractor. W4, 2 r -M c W Addre=s ,psi � C*, ST, Zip: Telephone: State Lia # : ((( Arch., Engt., Designer. Addrew: City. ST, Zip: No. 6584 P. 4 City `Of >a Qulnta Bullding St Sarety D11Worl P.O. Box 4504, 78-495;Ca11e Tampico la Qtdnti, CA 9225.E •:,(760) 777--7012 Building Permit Application and Tracking.Sheet Owner'S Name, Addreax54 /D q Oa�'C l'lI city, ST. Zip: L' txu'rl q,' C4 Cl 2 Z -5-S Tel6phone;;7Y0-56 3So q 1-5� Project T�escription: (,�('��. 50 Lic. M iU IVU If Telephone: ` Congtnu pn TYpe. CrxuPancY: Sfate Lia #: Project type (circle nae): New Add'n Aker Repair Demo Name of Contact Person: r ..Sq. FL: # stories: Telephone # of Can= Person 6 6 -6q7 J Z q'3 E maiod Val f Pro �� neo jecC � APPLICANT: DONOT.WRITE 131a,O,W THIS LINE !! Sobtolttal 'd Recd TRAC)WIG .1 rEIihIITFEEa Plan Seta Plan Cheek Submitted Item Amount Straecl Calfs Reviewed, ready for corrections Plao Check Deposit Tram Cala. Called Contact Person Plen Check Balance Title 2d Calcs. Ptans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for correetionsAssue rleep•Ical Subcontactor List Called Contact Perron Plumbing Grant Deed Pians picked up g,My H.OA Approval Plans resubmitted Grading IN HOUSE:- ''' Raview, ready for torrecdowAsm Developer Impact Fee Planning Approval Called Cotltaet Person A.LP.P. Pub. Wks. Appr Date of ptrmft Issue Schodl.Fees n Total permit Fees 9