10-0067 (PLBG)a
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10'0A -0.O_
Property Address:
54108 OAK TREE
APN:
775 -081 -019 -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
App' nt: Architect or En in er:
6.4
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
LicenseClass: C36, 'License N 828264
Dater Contractor: ��J y
NER-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).:
(_ 1 1, 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.l.
1 _ 1 1, 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 1 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 Address:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/10
Owner:
SEVE LAWRENCE
54108 OAK TREE
LA QUINTA, CA 92253_ Z
(760)564-0904 1 tt
V
Contractor:
FOY, SCOTT A.
81824 TRADER P C r �>,t?,�ffli6L
INDIO, CA 92202 C'
(760)775-0911
Lic. No.: 828264
-----------------------------------------------
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 sejf-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 STATE FUND Policy Number 1946079
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
3..790 of the Labor Code, I shall forthwith co y w't�h%those provisions.
Date: "4�tY" % Applicant: (/
WARNING: FAILURE TO SECURE WORKERS' COM ENSATION COV AGE 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 Director of Building and Safety 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 hereb�.aulN 'ze representatives
of this county to enter upon the above-mentioned property for inspecti ur se
Date:l�ignature (Applicant or Agent):
0
LQPERMIT
Application Number . . . . . 10-00000067
Permit . . .
PLUMBING
Additional desc .. .
Permit Fee . . . .
22.50
Plan Check Fee
5.63
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
7/25/10
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 7.5000
EA PLB
WATER HEATER/VENT
7.50
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE AND REPLACE 50
GALLON GAS
WATER
HEATER.
----------------------------------------------------------------------------
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
Bin
f City oCf La Uinta
BIAlem8 8r Safety Division
"
P.O. 'Box'..iSO4;;78-495 Calle'Tampico
P #
.
� Qfdrita; CA 92253 (760) 777 7012
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State T # : 0
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Address:
city ST. Zip:
¢mon Type Occupancy.
Telephone:
'
;project type (circle one): -I1cw Add'n Alter Repair Demo
StaW UP #:
# Units:
Name of Contact Person:
Esau Value of PTojcct _ .
Teleof Contact Person: -Phone
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BELOW UNE t
,T.HIS ...
CA{Yf:
gppUi30 NOT WRITE.
PERMIT FEES
TRACKIiIG'
# ttgl Rc4'd. '
Rye d -
Reim Amount
plan chea iubmitted
M" Stu
Plan Check Deposit
Stt l C"
Rtviewed,"'nad7 for corrections
Ptan Check Balance
Truss ��
Caikd CoaiseoPeraon
Couatroctioa
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pinna picked up
Mechanlca!
Flood plain Plan
Plans resubmitted _ w
Electrical
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Grad* Pin
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Subconoctor List
Called CoatsstPcrsoa
Great Deed
Plans Pbdcsd np
Grading
H.O.A. Apt��
plans �timitted .
.- Developer Impact Fee
rmdy for corrcctta°C
IN HOUSE:
A.1.P.P.
Plaaa*
Called Contact Person`
Date of pertoit Barre
Pab, Wks. Appr
School Fen
TOtaI-Ptrtnit Fees
Prescriptive Certificate of -Compliance: Residential. CF -IR -ALT
Residential Alterations Page 5 of 5
Project Nam Sate �&s Jaep �1�4,y- C ' mate Zone # # of Storyes (
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per §I52(b)IDii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b)1 Di.
❑ YES 13 NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per § 152(b) I E.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS verification is required for this measure.
OYES 13 NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per. I52(b)IF.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of §I5 o do not apply to existingresidential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
E3 YES O NO YES: In Climate Zones'10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and, fan watt draw shall be verified per § 152 b 1Ci to meet the. requirements of § 151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate.and com tete.
Name:OA
Signature:
Compan
Date:
r
(�
Address:
if Applicable ❑ CEA or ❑ CEPE
(Certification #):
City/State/Zip:
Z�j
Phone:
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts I and 6 of the California Code of Regulations.
• The building design features identified on this Certificate.of Compliance are consistent with the info tion provided to document this
building design on the other applicable compliance forms, worksheets. calculations, plans and specificah ns submitted to the enforcement
agency fora roval with this building permit application.
Nam '
rn
Signature:.
Compan
D e:
Addres • _
i�jvy tr
License:
City/State/Zi�
Z6
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number: Registration Date%Time: HERS Provider:
2008 Residential Compliance Forms
August 2009
k
Prescriptive Certificate of Cohn fiance: Residential CF -IR -ALT
Residential Alterations
Projec ame: L Climate Zone N
0.
a e 1 of
N of Stories
General Information
Site Address: oak-Trc
Enforcement Agency:. ,��a
Date:
Building Type 6<49le Family O Multi Family
Circle the Front Orieno : S, W, or degrees
tati
Conditioned Floor Area (CFA):
Project Type:- as ❑ Envelope ❑ Fenestration ❑ Roof ❑ HVAC
Framed
Cavity
R-value6
e lacement or C e Out ; Duct Replacement _ .Water Heater
NOTE: Thu form.ls not to be used jor Newly Construded
Proposed
Assembl
U -factor
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone -Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly -Replacement ofan entire wall, ceiling,.orJloorassembly requires the installation ojComponeni
Package- D insulation values in Table 151-C. Fill-in Columns A - J.
Opaque Surface Details For the furred 22rtioned of Mass Walls see Furringtrips Construction. Table below.
A B C D E F G. H I J
ProPosed bft Note Standard Values From JA4
Table
Ta�
iD
Assembly Name
or Typel
Framing
Material
and Size'
Thiclmess,
Spacing, U- JA4 Table
or Other factor Numbers
Framed
Cavity
R-value6
Continuous
Insulation
R -Value?
JA4
Assembly
Cell Valuer
Proposed
Assembl
U -factor
TL
pAssembly
g .� F o"v
b �' t
e X 2
> d
+
Q>
Note: For jarred assemblies, accountingfor Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating fia-red walls use the Mau and
Furring Construction table below.
1. For Tagl1D indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4for other possible frame type assemblies.
3. Enter the thicknessfor mass in inches or Spacing between framing members enter; 16 "or 24 "OC: or Otherfor all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor from Table 151-B, C or D for each different assembly Name or W.
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter
7. Enter the Continuous Insulation R -value jor the proposed assembly; otherwise, enter "0 ".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A I . B I C D, E
F I G I H I J K
L
M
Proposed Properties of Masonry and Concrete
Walls From Reference
Joint Appendix Table 4.3.5 4.3.6, 4.3.7
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint Appendix Table 4.3.13
Final
Assembly
U -factor '
Comment
Mass
Thickness
u
Nameor JA4 Table v
T Number' Q>
j
TL
pAssembly
g .� F o"v
b �' t
e X 2
> d
+
Q>
Registration Number: Registration Date.?ime: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations a e 4 of 5
Pro'ect Name: Climate Zone # # of Stories
ca
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground
Minimum Duct or Piping Configuration
Heating Equipment
Type and Capacity z1
Efficiency Distribution Insulation Thermostat (Central, Split,
AFUE or HSPF) Type and Location R -Value Type Space, Package or H dronic
External Tank
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e.. if total capacity
< 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception.
3. Refer to the HERS Verification section on Page 4 of the CF- IR -AL T Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, H),dronic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Type'
Standard, Reci ulatin 2
Minimum
Capacity al)
Thermal Efficiency
Efficiency Duct or Piping
Configuration
Cooling Equipment
(SEER/EER or Distribution Insulation Thermostat
(Central, Split,
Type and Cap aci l•Z
COP) Type and Location' R -Value Type
Space, Package or H dronic
1. Indicate Type (Storage Gas, Hept Pump, Instantaneous, etc.)
/. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF -I R -ALT Form for additional requirements and check applicable boxes.
3. Indicate Type or Location (Ducts, H dronic in Floor, Radiators, etc)
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground
hot water pipes is required in all omponent packages in all climate zones.
External Tank
Water Heater Type/Fuel
Distribution Type
Number In
Tank
Energy Factor or
Insulation
Type'
Standard, Reci ulatin 2
S stem
Capacity al)
Thermal Efficiency
R -Value'
o /111
1. Indicate Type (Storage Gas, Hept Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §1 50(n). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the requirements of§ I506f).
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written 'usti tcation and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 151 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation O YES 0 NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation O YES 0 NO
YES: Slab edRe insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation 0 YES 0 NO
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R4 is required under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach.
Registration Number: Registration Date;Time: HERS Provider:
2008 Residential Compliance Forms
Augus2009