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08-1893 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001893 Property Address: 54680 AVENIDA OBREGON• APN: 774-274-009-9 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 500 Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION •4 �W 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. License Class: C36 License No.: 880103 ate: / /" Zontracto . li 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).: (_ 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.). (. _) 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 _) 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: to LQPERMIT Owner: JOHN ALBRITTON 54680 AVENIDA OBREGON LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/25/08 Contractor: ALVAREZ, JORGE A. @F5 PO BOX 984THERMAL, CA 92274p(760)777-3613 Lic..No.: 880103 V �O`� 2oUv ,R O NSA ------------'�" WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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: - Carrier EXEMPT Policy Number EXEMPT 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.theLa or C/ shall forthwith mply with those provisions. ate: / �"ZS'V� plicar / WARNING: FAIL RE 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 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. 1 agree to comply with all city and c my ordinances and st laws relating to building construction, a�����RRRnnd hereby authorize representatives of this unty to eniter upon t above-mentioned prop r inspecti�ses. Pete: /� Z G o S' ature (Applicant or Age 1: / rte__ LQPERAIIT Application Number. . . . . . 08-00001893 Permit PLUMBING Additional desc . - Permit Fee 22.50 Plan Check Fee 5.63 Issue Date •. . . . Valuation 0 Expiration Date 5/24/09_' Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 - --------------------- Special Notes and Comments ------------------------- INSTALL NEW 40 GALLON GAS WATER HEATER Fee summary Charged Paid' Credited Due Permit Fee Total 22.50 .00. .00 22.50 Plan Check Total 5.63 .00 .00 5.63 Grand Total 28.13 .00 .00 28.13 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF -1R Project Title -��0 Axte ��c-eQOo (r, &"--mc Project Address . Documentation Author Compliance Method (Prescriptive) ✓ ❑ Alternative Component Package Method: (check one) Telephone Climate Zone Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only C D ' D(Alternative),v Package C and Package D choices require HERS.rater_fie.ld ver_ificati.on-and/or diagnostic testing (see CF -I R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ftz Average Ceiling. Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ftZ Maximurn Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) ft ✓ ❑Building Typ''e:3(aFieekton'e)or snore) Single Family Multifamily Addition Alteration (If adding fenestratibn fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) :_Number of Stories: Number of Dwelling Units: Floor Construction Type: la aised Floor (circle one or both) Front Orientation: North /South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation frame and mass R -Value R -Value assemblies Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Fonns March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R . Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -411 Form must be provided to the building department for each home for which the following. are required. OR 0 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C Footnotes 7-14. OR 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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Distribution T e 17 Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) 01 TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) 0 Refrigerant Charge (climate zones 2 and.8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR 0 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C Footnotes 7-14. OR 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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type Distribution T e Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Tank Capacity (gallons) dwelling unit. If the water heater is a storage I�Qe, 59 _gallQns_is_the maxmurn.cacity._and _recirculation system is Standby' %) not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the -system com lies automatically. SIO Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved 0 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. 0 Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution T e Number in System Rated Input' (kW or Btu/hr) Tank Capacity (gallons) Energy Factor' orExternal Thermal Standby' %) Tank Insulation R -Value roo SIO _Efficiency.Loss .,-,92- So'Jbl e System serving multiple dwelling units Water Heater Type Distribution Type Number in S stem Rated Input (kw or Btu/hr) Tank Capacity (gallons) Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulation R -Value I . For small gas storage water heaters (rated inputs of 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 Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (j) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R Project Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. . Fenestration P/Type/Pos. (Front, Left, Orien- Rear, Right, tation, Area U -factor Skylight) N, S, E, W'(ft 2 U-factor2 Source Exterior Shading/Overhangs6.7 SHGC ✓ box if WS -3R is SHGC°. Sources included Distribution Type and Location Duct or Piping Thermostat Configuration (ducts, attic, etc.) R -Value Type (split or package) d 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table I I6A, 4) Enter values in this column from NFRC or from Standards Default Table I I 6 or adjusted SHGC from WS -3 R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity (furnace, heat puinp, boiler, etc.) Minimum Efficiency (AFUE or HSPF Distribution Type and Location Duct or Piping Thermostat Configuration (ducts, attic, etc.) R -Value Type (split or package) Cooling Equipment Type and Capacity (A/C, heat pump, eva . cooling) Minimum Efficiency Duct Location Duct Thermostat Configuration (SEER or EER) (attic, etc.) R -Value Typ e (split or package) Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESYDENTiAL (Page 4 of 4) CF -1R Project Title Date SPECIAL FEATURES NOT REQUIRING IIERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the rescri tive method. �! Feature O Metal Framed Walls Re uired Forms if a livable Descri tion ❑ .Radiant Barriers CF -IR CF -1R ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to ❑ D edicated Hydronic Heating Forms. Performance Calculation stem R uired- Attach Run to Forms. O Combined Hydronic System Performance Calculation RequiredAttach Run to Forms. ❑ Gas Cooling Performance Calculation ❑ Buried Ducts R uired. N/A; Indicate on buildin Ions. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual.. ❑ Multiple Water Heaters Per See Table 5-13 or use Dwelling Unit Performance Calculation and :. ❑ . .Central.Water.Heating.System, attach Run to Forms. Performance Calculation and )l Servin Multi le Dwellin attach Run to Fors. Non-NAECA Large Water Neater... _ _.... -C-F.-IR- F-1R❑ 0Indirect Water Heater, See Table 5-13 or-use- ruse- Performance Performance Calculation and attach Run to Forms ❑ Instantaneous Gas Water Heater .See Table 5-13 or use Performance Calculation and attach Run to Forms ❑ Solar Water Heatin g System See Table 5-13 or use Performance Calculation and attach Run to Forms • ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES RE00113 G HERS RATER VERIFICATION -Ladd extra sheets it necessary) Indicate to the HERS Rater which credits are part of this verification.. project and need Duct Sealin uiredForms da livable FE3FeatureR Refri erant Char aThermostatic CF -6R art4of'12 Ex anion Valve CF bR part 6 of 12 Residential Compliance -forms March 2005 Bin # City of La Quinta Building U Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # v\JP.O. l� l !Pr'ojetddFe*s: �y �� ve �b� Ownerrs-Name:� A. P. Number. �,-Add—ress: slE (0 90 Awe VLLfP—O Legal Description: City, ST, Zip: Contractor: �- Telephone: Address: �O �X (4 Project Description: , vice City, ST, Zip: ,-crcA C -a `n�'" 1 ZZ -7 Telephone: 1 00 State Lic. # : ((j3 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: `__ �� Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated. Value of Project: �O 0 o 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Rec'd TRACKING . PERMU FEES Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2w° Review, ready. for correctionslssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees