10-0199 (PLBG)54030 Avenida Martinez
10-0199
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Annlirant-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
10-00000199 Owner:
54030 AVENIDA MARTINEZ GREG REESE
774-222-002-23 -000000- 54030 AVENIDA MARTINEZ
PLUMBING LA QUINTA, CA 92253
COVE RESIDENTIAL
976 D d
Contractor:
Architect `or Engineer: MAR CALIFORNIA DELTA MECHNICAL INC
1, ` O 6052 E. BASELINE RD, 4155
MESA, AZ 85206
ciiYr P (480)898-0007
\U1 -r LiC. No.: 811114
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 Professionals Code, and my License is in full force and effect.
License Class: B -C10-1236 License
NNo.: 811114
ate: 0 ntractor: e/¢ C/GliTi>R / i f` C/IG /IVC.
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 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.).
1 _ 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:
LQPERMIT
Date: 3/15/10
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.
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 1697823
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 those provisions.
bate: D, f 19 scant:y i/T/ l/i i 0i✓
WARNING: FAIL E 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. 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 a above-mentioned property for
' inspection purposes.
nature
f7ateG ✓r nature (Applicant or Agent): 1 L Iyl
Application Number .
. . . . 10-00000199
Permit . . . . .
PLUMBING
Additional desc .
Permit Fee
22.50 Plan Check Fee
5.63
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
9/11/10
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 40 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
Mar,15, 2010 11:48AM STEVE
Certificate of
.Resade7Wa1 A&arta&0Rs
PraJcctilame:
Sk o30-I!2na cCiz- i(Gir
No, 9974 P. 15
C+ -LR UIx
a e X of
r ClLaate 7 -one # i # of Stories
General Information -
BMWs ddres8:5 Lf Q
"4VD'A I (—CL HCU, ,7 LnforcemeJrtAgeney::Mk
Building TypeXX Single Family D Muni Pamil
Y Circle the Frond orientation: N -
, $ 8, W. or degrees
Conditioned Floor Area (CPA : I 6 $ Project Type: ❑'e'rudons O ]3nvel a Q Fen
R !--cut or o Out Dnct g laccment on ❑Raaf Q HVAC
FYO?B:17ids ferns ¬ to be atsed forNervly Ca asiraat ed Duidr x Heater
Insarlan'on F/ahres For E9 orAdtwarre
OPa4Ua d`rtrfae ob, Furring use the Mass and Purr
Amembly Alteration g fR4 Catstructlon table halow)
❑ OPening of kamed eaviiy alone•-
'atiorts Thor ihvolve the operrfng of tine framed cavi
memdatol'1' minimum bnrrelotlon valua pex ¢150,16r• the altered assembly Fi11 fn Cohmms,4 and enterZ osmandnt of floor must install the
Q Replacement of antis assembly—Replacement my k7datfon value in Cohonrt H
Lac - D insulation vahm fn Table 151 C °f enure w41f, ceflir{ or loar assembly regarues thv fnshr(Imten of Ccr apor ext
FYI! in Cohvnns t _
tSL ce Eta For the trz. pcjdoned of r"ass 4ralls see Furrin
fi C
Stri
Construction Tahle beiow
Pro osed s "
a`
--i
i
Standard
H I
s !
Or I:terior insalatioo
Refers. -Ice
.TOintA endia Table 45 4.3.6,4.3.7
.3.
F g
Mamesa,
in Furring
Values Prom JA4 Table
Assembly Name Maul
or of and Size?
4
U 1A4 T$blc
ptamed Co nnous JA4
Cavity Insulation
Proposed
I a
f
or
a
Nmnbets
Assembl
R -value° It Valuer
A==bly
Y
I g
e o
Cell Woe'
,-t,,o
NOW For furred ossernblfes,
M PvtJ44j f
I. For- -- - - ...... a wrr4 wauT use m= w1d
g/TA rnrlfcaAs the tdenttftcatton nartte iftpt matches fire build g p(pyrq .
1, fn cate theflssen¢blyNane or type: PD9fiUllft Walls, Flaars, Slabs, Cfawd
3Pond Metal, Metal Buflchhtg, Mass,-er4 Doors mrd ete._Irrdicate the Fraena type acid Size; For
1. Is}tter the thiclarsss ' or "L.,, see J44 for otherparsfble a type assemblim.
for mass t>t inches or S raefng befween fi=img members ear; 16"or 24'OC,, or ptr for a!l other assembly desc ptfon
such as Cohere SoPrdwieh p=Z Sp gl Pww4 Logs Shaw Bats Panel and etc._.
B=ed on the Climate
numb Zone; closely
y r ,gt m„d u fetor from Table 151-B, C or D for each di3Orent assembly Name or type;
Fna>3r the Table number that closeljJ leY proposed assem6ly,
l=ater• the R -value that fs being brstalled in the wall cavity or between the framing otherwise enter "0
rsiuer the Cemti>auous lnsulatton R -value j6r the proposed assembly; otherwrse, e-9
ntr- the row and colurzn of t1w U -factor vahre based on Column F Table Number and enter Me ksembly U factor In Column J
7te.Proposed.4ssembly Jfaetor, Column.!, must be P
.dual to or lesCo.<
s th z ;lm Stmtdara tr_ ^ator <
f n umn l: to co,7obA
.{ blas$ '!1tgLJ' !_J`U
I D
I
noosed °rcpS .: ;lam 1 and Concrete
YVells F7gm
a`
--i
'
3clr3ed
H I
s !
Or I:terior insalatioo
Refers. -Ice
.TOintA endia Table 45 4.3.6,4.3.7
.3.
in Furring
;
30ace from Reference '
_
JointA
end' I
Table x,3.13
I a
f
c
fl
j
? l y I j
assemol
"fem_or 14? tabic
Y
I g
e o
proal I
Aussr J.
Nualbe
j d
x
Assembly
Comment
Mar,15. 2010 11:49AM STEVE
Yrescripfaye Certificate of CorepiiatLce: Resideatial
R srdenttal. Ite arJ.ons '
PrajectName: -
A.(; d YSTENES -HEATING —
Hearin B iV tnum
B #pm Efficiency
e and C wLIE arHS,
Duct or Piping
Distribution Insulation
e and Loeatian4 I R.vah,a
Climate Zone I /_?
Thermostat
No. 9914 P. 16
CF -IR -ALS"
a e4of5
# of Stortes
(Central, Split;
Paebae or Hy
1.15rdicate Heating Type (Central Furture Wa11 Furnace, Heat pump, Boiler, Electric RasWanca, etc.)
2. BlecMa rest stance heating is allowed only M Component Package C, or except where eIecblc heating is supplemental (ie., if toW capacity
2 KW or 7'000 BWr r eleeb'ic heating is canta'olled by a time -limiting device not exceeding 30 minutes). See f 151(b)3 exception.
3. Refer to the HERS Yanflc4hon section an page 4 of th, CFVR-ALTForm for additional requrrements and check applicable braes.
4. Inraaate Y pe or Location (Due4s,'4,,h ante in Flour, Radiators, etc.)
IVAC Frz9TE,,?4S - Cn!37,TTT
Efficiency Duct or Piping Cooling Eq pmen (SEER/EERor Distabution nsulslon Configurat+on
Noe and C achy COP ermoshat (Central, Split,
e audLomdont R -Value T e S ace, Pac
loagc or HYD
1. Indicate Cooling7ype (A<HeatpwnA Evap Coolin etc)
2. Relhr to the HERS drvffltatian section an Page 4 of the CF-1RALT Form for additional requtrwwnrp and check W11cable boxes.
33. lh or Locavan (butts, Hydronk in Floor. Radlatt" Y 1
WATER BEATING
List water heaters and boilers for both domestic hot water (DiIF heaters and hydronte ace hPatin , Individual dwell D
9w ar propane feted, and may not exceed 50 gaff".Hot water g H> heaters must
hot water_pipar 49 required in all c anent F brsukttiarrfrom the Dlywheatet to the ku'chen(s) and on all underground
._. mages In all climate zones.
Water Healer Type/Fuel Distdbutioa Tx pc Nambcr In Tank External Ta
G1 Standar Rec' 1 Zwncrgy Factor or Insula n
S d' System Ca ( Thermal Efficien R -V Inez
0 5
!, indicate Type (Storage Gas Heat Pump, rnrtantarreays, etc.)
"s. Recirculating systems servinRg nrulnple dwelling units shall meet the recircul
notation requirement of ¢I50(nJ. The Prescriptive remrirgments do
a11awe r; -uta
thL/ation ofa rectrculattngwatee ,heat gsystern for single dwelling Units.
Tire external water heatin tank and i es shall be inrulated to meet the reoua ell&zg of st snr,
.7T n l T TT 1 l••. .•' . J
:eSe Ii^ frtS /Titin' r3 tilt:- }cl?f7En j', ,' C u1 i7!ti i
ROOF h,SSEMBL i' - Radiant Barrier
.: S radiant b=icr to uu cmeni of 15 i . 2 does o
:--b Edge (Perimeter) Insulation ❑ yn
?S: In Climate Zone !6,—,, Compoacnt Packages
;sled Slab Insutatio.1 C7 YES Q No
:-3! Slab edge insulation re tired t'or all heated sl
::sed Slab Insulad6o. DYES ❑ NO
.3: In Climafe Zones 1, 2 11 13, 1,i 16 P 8 v
al -Mal Mays
Credit for
encur,s '•
SCECi-24" %ri ihe5 r;hP..CktiSt •?E[CTr'J.
!(teiltOrCi1 .7eciol Y-P;`catrr,;z
❑ NO
D, R-% imulation is
in all Clima:e Zones. See details in Table I L&A of the
is reuue ' in Climate Zones 12 & 15, R-4 is
the ,Performance
I
Mar, 15. 2010 11; 49AM
$esZdentralAlteradons
Project Name:
--
STEVE
n liance: Residetttaa!
v yado
Climate Zone # /
No, 9974 P. 17
Pa e5of
# of Stories
HERS VMMCATION SIJIVMMW M enforcement agency shou
checklist below_ ld pay special attexR'on to rhe HEERS Measrares specified in rh/s
Acompleted and signed CF 9R Farm for all the measures
iectfox specified shall be submftted to the building Wpector befom frnal
Duct Sealing &Testing I;Mverrftcarion is required for this measure.
E3 M 17 NO l'>ys: In Climate Zones 2 and 9-I6, Vmore thsn 40 Haear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per § 152(b)IDii and the newly installed ducts arc to be insulated ger §151(f)10.
EJ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES l7 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HV'AC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b)IDi.
❑ YES ❑ 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 austere, coaling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §152(b)IE,
❑ EXCEPTION: Duct systems that are documented to have been previously sealedDuct systems with lesconfirmed through $ERS
verification in accordance with procedures in the Reference Residential Appendix R4 3,
Elf CEPTION: s thea 40 linear Let 1n uncond."Joned space.
FaCEPTION: ExistinK duct systems constructed, iAsuiated or sealed with asbestos,
Re igerant Charge - Split System HEWYerilcation is regrared for this measure.
Q YES ONO M: 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
ex an er)a refry erant char a measurement shall ba verified er 15 1F.
Centra] Fan Integrated (CF1) VeRWR600 b7stenl and Fan Watt Draw
The ventilation M9ajEMeWS OfflWol do not atmly to existin residential homes
butcted Split Systems -Air Conditioners and Heat Pumps: Airflow HW verificaftan is
e.
13 YES 13 NO us: In Climate ?.ones 10 through 15, when the exlstrng aec-condidenin dthis the and
r the airIIow and fan watt draw g (QACC cgmpment and dueling) is .
shall be verified per 152 iCi to meet the requirements of 8151(f)7FR.
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, Pwts l and 6 of the California Code of Regulations.
The building design features identified on this Certificate of Compliance are consistent with the information provided to doetunent this
building design on the ocher applicable complianec forms, WOrk&hcats_ calclitatinna ___ .. -
'or assistance or questions regarding the Enogy Standards, contact the Energy Hotline at.. 1-806L.772_3300. u ✓ r r
'gisirafion Number: RegLstration AateJTime:
it78,Residendal ComvlianrP Z'nrm.e HERSProvider:
Mar -15. 2010 11:48AM STEVE
No, 9974 P. 14
Bin l
City 0f La Quints
Building &, Safety Divislon
P.O. Box 1504, 78-495 Calle Tampico
La Quinn, CA 92253 - (760) 777.7012
Building Permit .Application and Tracking Sheet
Permitv\v`
Project Address: 0,3 0 ia&, • M
64 shame:
A. P. Number.
{, __//
Addrem: J l 03 AV44U 0 4, Gli Z
Legsl Description:
contractor: 4 F•rl i A ba 'Ca
City, ST, Zip: 'M ( ZJ J
Telephane:
Addrrss: 6'OS . ba" ISS-
Project Description:
City, ST, zip: Z JrZ®{
IX.CQ L q GLt&:PL
Telephone:
lir
State Lie. N: ( City Lic. #, /0 100 {
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone:Coustrttetion
Typc: Occupancy;
State Lie #:
Projocttype (circle one): 2 eW Add'n Alter ' repair Demo
Name of Contact Person: 'y "io— i9 k4t, omm
Sq. Ft.:
# Stories: #Units
Telephone # of contact Person: 966-01-5-Z-' 3
Estimated Value of Project 11, 13
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACKNG
PP I
Plan Sets
Plan Check submitted
Item
Amount
Structural Comics.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Calc9.
Called Contact person
Plan Check Balance,
15110 24 Gales,
Plans picked up
Construction
Mood plain plan
Plans resubmitted
Mechanical
Grading plan
3'! Review, ready for eorrectious/49ue
Mectrical
Subeontactor List
Called Contact Person
ptombiug
GrsntDeed
Plans picked up
S -KL
F.O.A. Approval
Plans resubmitted
Grading
IN ROV$$;-
'"' Review, ready for correctionarinue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wits. Appr
Date of permit issue
School Fees
Total Permit Fen
t
INSTALLATION CERTIFICATE
Domestic Hot Water (DHW) CF- -MECH-01
Site Address (Page 1 of 21
I E/ nrce/m ent Aeencv: Permit Number:
1. WATER HEATING SYSTEMS:
Note 1: For small gas storage (rated input less than or equal to 75,000 Btz r), electric resistance and heat pump water heaters, list
Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75, 000 Btulhr), list Recovery Efficiency (RE),
Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list the Thermal Efficiency and Rated Input.
2. Mandatory Measures
TO COMPLY - ALL BOXES MUST BE CHECKED
`P § 110-§ 113: Water heaters, showerhead and faucets are certified by the California Energy Commission.
§ 1500): Water System Pipe and Tank Insulation. And Cooling Line Insulation
1. Storage tank insulation
rz
A. Storage gas water heaters rated with.an Energy Factor no greater than the federal minimal standard are
externally wrapped with insulation having an installed thermal resistance of R-12 or greater; and
B. Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-16 internal
insulation where the internal insulation R -value is indicated on the exterior of the tank.
2. Water piping and cooling system line insulation thickness and conductivity
First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire
length of recirculating sections of hot water pipes are insulated per Standards Table 150-B; and
Pipe insulation for steam hydronic heating systems or hot water systems > 15 psi, meets the requirements of
Standards Table 123-A.
Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and
wind.
§ 151(f)8D: If indicated on the CF -1R, all hot water piping -that runs from the hot water source to the kitchen fixtures is
insulated per Standards Table 150-B.
2008 Residential Compliance Forms
August 2009
ti
INSTALLATION CERTIFICATE
Domestic Hot Water (DHW)
Site Address:
5-y0 )0 -4 VP LUG C 2
Enforcement Aizencv:
Z 4q Qt; &' '
CF-6R-MECH-01
(Page 2 of 21
Permit Number:
/,,1_ 1012
3. Central Water Heating in Buildings with Multiple Dwelling Units (required for prescriptive)
TO COMPLY - ALL BOXES MUST BE CHECKED
❑ All hot water piping in main circulating loop is insulated to requirements of § 1500)
❑ Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping
outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution
piping that meets the requirements of Section 1500)
❑ Central hot water systems serving more than 6 dwelling units - presence of either a time control or a
time/temperature control
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• 1 reviewed a copy of the Certificate of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
Company
Name: (Installing Subcontractor or General Contractor or Builder/Owner) 00 a
Responsible Perso'n's Name:
Responsible Person's Signature:
CSLB License: Date Signed: Position With Company (Title):
2008 Residential Compliance Forms
August 2009