13-0806 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000806
Property Address: 78690 NAPLES DR
APN: 609-512-007-21 -28457 -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 943
Apply
Tay/ 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or
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 CI ss/ 1z0 C20 C3 License No.: '811114
Date: f7 J Contractor:
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 ISec. 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 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.). APPLICANT ACKNOWLEDGEMENT
(_ 1 1, 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.
property who 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,
(_) 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
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.
1 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 co my enter upon the above-mentioned property fgec�tio/n �purposes. '
Date:7Signature (Applicant or Agent): ^IRNA
Owner:
FERSTENFIELD WILLIAM
78690 NAPLES
LA QUINTA, CA 9225r#155 (760)834-8088
Contractor:
CALIFORNIA DELTA M
6056 E. BASELINE R
MESA, AZ 85206
(866)692-5273
LiC. No.: 811114
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/28/13
JUL 16 2013 UI
LA
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 workfor 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 STATE FUND Policy Number 1697823-11
_ 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
700 of the Labor Code,orth ith comply with those provisions.
ate: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Application Number . . . . 13-00000806
Permit PLUMBING 2013
Additional desc . .
Permit Fee . . . 11.92 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/25/13
Qty Unit Charge Per Extension
1.00 11.9200 EA PLBG.WATER HEATER/VENT 11.92
-------------------------- -------------------------------------------------
Special Notes and Comments
WATER HEATER CHANGE OUT 50 GALLONGAS
WATER HEATER [2008 ENERGY) CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2010 CALIFORNIA
BUILDING CODES.
------------------------------------------------------------7---------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, PLUMBING 7.15
Fee summary Charged
Permit Fee Total 11.92
Plan Check Total .00
Other Fee -Total- 98.72
Grand Total 110.64
LQPERMIT
Paid Credited Due
.00 .00 11.92
.00 .00 .00
.00 .00 98.72
.00 .00 110.64
JUN/2$/2013/FRI 09:41 AM DELTA MECHANICAL -NV FAn No.702-369-9571 P,002
Bin #
Qty df La Qui to
Bullding &r Safety Division
P.O. Box 1504,78-495 Calle ramplco
La,Qulnta, CA 92253 -:(760) 777-7012
BuIIding Permit'Application'and Tracking Sheet•
Permit # j\
U
Zj
Projeet Add[ess: b N �� s
Owtter's Name:.
A. P. Number.
Address:
Legal ]Des tion_
City, ST, Zip; La qaj a6- CA q -?o253
Contractor.
Tolcphone: Ipp- $3y Q
ProjeotDeaoription: kutSoalba
Address:
City, ST, Zip: A
gas WC -40 C.
^zs
Telephone Z 4 = k
State Lic. 9 : City Lte N:
Arch.., Eagn, Designer:
Address:
Citi, ST, Zip:
Telephone:Construction
y fV t
-•'
Type:. C No Ooeupmkcy:
State Lic. #:x
Project type (circle one): Nccv Add'n !niterAir Demo
Name of Content Pte n: a
Sq- )=t.: t1 Stories: tF Units:
Tcltphone # of Contac Pet�on
Esrimatcd vahre of Project: 4 y3,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Sobiznittal
ReTd
Reed
TRACMG
PIvRWr FEES
Plaet Sets
PIan Check submitted.
Item Amount
Structural Calcs.
Reviewed, ready for corrections
PIRn Check Deposit. .
Truss Cala.
Called Contact Person
Plan Check Balance
fEtle 24 Calcg.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Ivlecbmilcal
Grading plan
2"' Rcvicx, ready for corrmtionsf svue
Electrical
SobcontactorLlst
CAl1e0ContactPerson
Plumbing
Grunt Deed
Plans picked up
5.111.1
ILO.A. Approval
Plans reaubmitted
Grading
IN IiOM -
'^' Review; ready for correctionsAssue
Developer Impact Fee
Ylenning Approval.
Called ConUct Person
AJ-P.P.
Pub. Wks. Appr
Date of permit issue
School. Fees
Total Permit Fees
JUN/28/21013/FFI 19:41 AM DELTA MECHANICAL -NV FRO No• 7u2-3`16'9-9578 P on -41
Prescriptive Certificate of Compliance: Residential. Water lleadju-, CF -IR -ALT -BVH
General In.F•ormadgn
SiteAddress: '7$(Date: VIO i�ap�eg Climate Z.on.e: bl, j;v,I 13..
ROTC: This form is only used fir ulteration or athlition of wutrr heating systems.
WATER HEATING
List wwer heaters and boilers,%or both tlumes•tic• but water /OHGYj heaters tend h'vdronic .Spac•c• heating. In(lividual d - welling DKFY
heatev nuc•;t be gas or propane fired, and mite not exceed 50 galhNt,i. ,Kot tater pipe insulatiutt fivin the DHTV heater to the
hitchentsl and on all ttneler-roand hot water pipe.y is required in all c,•omponent pack -ages in all climate :annus.
this Certificate of Compliance.
• I certify that the enerszy features a.nd performance Specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24. Parts 1 and 6 of the California C6de of Reguladons.
• The buddinS design feavr s identified on this Certificate of Compliance are consistent pith the inform n provided. to document this
building design or the crher applicable compliance forms, worksheets• calculations, plans and S - ti . ti ns submitted to the
enforcement agencv f6r gnurnvil with thin buildine ocnnit application.
lumh��
Energy Factor or
WzLta Heater Tvrr
k 'hittio Tv tl
i
Date:
Fuei Tv e
(Standard)-
Sv tem gal
Ocie ry Insulation R-Value3
AS
37b
1 50
40.(10 'M 'T
a r-,.,: n 71RC,04
!. Indicate rope (Storage Gus. Heat Pump. Instantaneous. ete:)
Z. R�rirruhn[ing;vsren�s servin; multiple duelling twits 517(111 meet the recirculation requ[rements of lS!1tnl. The Prescriptive requirements do nu►
allow the installation of recirculatint water heatinesystenl forsinlele dwelhit<^ units.
Cou.tractor (Documentation. Au.thor's /Responsible Designer's Dee laration Statemea.t) .
• 1 certify.that this Certificate of Compliance documentation is accurate and complete.
• 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 enerszy features a.nd performance Specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24. Parts 1 and 6 of the California C6de of Reguladons.
• The buddinS design feavr s identified on this Certificate of Compliance are consistent pith the inform n provided. to document this
building design or the crher applicable compliance forms, worksheets• calculations, plans and S - ti . ti ns submitted to the
enforcement agencv f6r gnurnvil with thin buildine ocnnit application.
Namc:
S igna[ttre:
John 'Saiatoq
CO) pan.y:
Date:
Delta 'kfec anical t:
,address:
License' 8 L l l t 4
6056 E Baseline Rd - 155
City•Srate:Zip:
Phonr:600- 2-52 3
a r-,.,: n 71RC,04
JUN/28/l0-13/FFI iFj9:41 AM DELTA 11ECHANICAL-W FA'X N_t. 702-369-9578 P. 0ii4
NSTAI.LAT[or CERTIFICATE CF-6R-Nf1ECI-1-01
Domestic Hot Water (D11") (Page I of Z)
Site ,address: En.forct:ment agency: I Permit `umber:
-M&46 NlgQ kn 1.La Qyi n ka.
xv t rr o U r--i'rtx;r- cVe'rr. Xxc-
!
Neuter
Type
CEC
CCertitj,:J.Nl li• Name & MuJel
Mumbrr
Ui�trihudon
Tvpc
I Std. Ppini-.)f.
lase. ctcl
II'
Recirculation,
COMO!. T �
=of
Wenlie;d
Systems
Pt`d
Input (kw
(,d i
btu htt
'1'.tnk
��ulUttlr
(gallons)
!
I Efficiency
t
I EF. REl
Standby
Loss
I
f'&I
GAS
SGSb 712TX K
Standard
50
0.(S
o
Vote:.[: For small oats storage Crated input less that or equal to 7S,O(i) Bttr, hr), electric resistance imd lreut ptunp (nater heaters, list
Ener- , Factor /EF). ror large gas stor•aoe water heaters (rated input o(,greoter than 75.000 Bntilirl. list Recover: E_tllciencv (PE,.
I hermal Edtcieat:v. Standby Loss and Rated Input. For instarrtatteous gas water heaters, list the Thermal Ejficiencv and Rated Input.
�. Mandatory "Measures
TO COMPLY -ALL BOXES MUST BE CHECKED
D 3110- 11-: Nater hwaters, showerhead and faucets are certified by the California Energy Commission.
3150(j): Water Systcrn Pipe and Tank Insulation. And Cooling Line Im--elation
I. Storage tank insulation
D A. Storage gas eater heaters rated with an. Fner?y Factor no greater than the federal minimal standard are
externally ,i,Tapped with insulatiou having an installed thdr-mal resistance of R-12 or greater; and
D B. Unfired storage tanks or other indirect hot water tanks ha-ve R-12 external insulation or R-16 internal
insulatioa ,-here the internal insulation R -value is indicated on the exterior of the tank.
3. Water pipuig and cooling system line insulation tlTickness and conductic•iry
D First 5 feet of hot and cold -, atcr pipes closest to Tater beater tank non-r-teirculatiln.'g systems_ and entire
length of recirculating sectiow, of hot water pipes are ilnstttated per Standards Table l i0 -B: and
D Pipe insulation for steam hydronic hearing systenns or hot Mater s, stems > 15 psi, nleets the requirements of
Standard: Table 123-A.
D Insulation is protected frum dama_>e, including that due t,.1 ;unliS�llt. moi>atre. equipment mainterance. and
,rind.
D 115 U 0,RD: If indicated on the CF -1R. all hot tl•ater pipin!z that run, from the hot cater source to the kitclnetn fixtures is
insulated per Standards Table 150-B.
0MRcsiderltiul Curnplicvice�Forntc Au usr!)09
JUN/281/20-13MI X19:41 AIS DELTA MECHANICAL -NU FAY N -l. 7C.i2-369-95,73
F. 006
INS ALL ATI0N Ct:it•.l IFICATF, ClF-6R-3IEC.JJ-l)I
Vurnestic Hot Water J)H1.1) (Pa<;c 3 of r)
�itl' \tl(L•ey,: F;ni+)recnlent •\',encs: ° Permit \vlliber:
?%b90 a k
3. Centrul Water ill Luikliv.2s %pith Multiple Dt,clling, L nits (mluired for pr(s4:ri.plite)
F0 COMPL1•' - ALL BOXES MUST BE CHECKED
D AR Iauc water piping in main Circula6112 loop iS ut:ulatcd to rcCjUlJ ,'lncnf: 01'.§ 150(j)
D Centred hot �r-111`Z ;ix '.tr fe.vvr d'-VClllrn2. uni(, l 1 less thah. 25' ut di;tribuoun piping
di1 iribuwm plpul'i Waller Lm-und. ( Z 1 no pump: and (-t) ill
sUlatinn on dtS(CIb ILIIU❑
pipin`, that clutta c1w rdquiremen(s +)f S_ction 131)(,1)
D Central aqt .v;Ircr s, stcm.� Scr: inur tmlr' (hall i) unit.; - sir:'.iencc of either a time conlrol or a
time temperalllr curllrr,i
DECLARATION STATENIEN'T
I ;er!;", (1ndcl' pen;!;;.. cfpeijur, llnd- blit Lia: o Ehc: ji,lit,)[ h]Iti'_•!'lia. ihC int(,nnation pr!,•.i4.ed on this Corm ij mte -illi! :or z:c:.
lint, of chz: Bu incsi ,'inj tt+ :K�cC[ .'_:p'-`nilhlll'�_' r0l' c':11:iC'acCt�R.'�f il1'. aUfii!`f"�.�Ll
re re,enra[i`: c ot� dic rc. ion rc, iponi iblc for ti')nsIrl:c[h)n i T_ il`t jtblC per ot? ).
r' r, r I I , 1 lr , .=;1 ! •ae ned or, ii:15 i:�:i(tlil[� I dw 1nm-,I}I.IClllll l
' I �cr : '• :d till :aii_ll c�t,. i.a[:11"C�. G1�.lCCIIJ�>, i!%I:.l,'Ilcl i. il" ;11,1r:L'„ ;1�i1' L'. ��� i nt;,
c!%n ii:rlllS :J ail apCli,ai?le cokles _I;i l _(ail J[l:.l
• I v 1 i o !) ,,: ' > �r,t etc That itiCnti<ic5 ('.t spcci'i�
rC•.:•1\:, JCl?p': �`fCG••2C2:�IilcaTeJtL,�na?I!T.?ec( F-,. t'r!?1..:.)'1'a`.'cd i)t�ill.+:r•:c::; .
;C4Ulremen!s tOr [lie C!Ie requir.nlcnt; dcwiict! All dw CF-'( R [:Im apok (0 dic illctalli(ion Gate been n1C(.
• 1 trill ensure thst a colllpleted, signed cop_• of this lnsrallarion Cerriticara shat! bt posted, or made atail:,ble lti[h the buildin•,
permir(s) issued for the bui.ldir[•�, and made Mailable to the enforcemear a_enct for all applicable iaspecrions" i understa.rtd
that a signed cop} of rhis Installation Certiliclre (s require(i to he inctu(lid %tirh the documentario(i the builder pr -)tides to
the building u,tner a[ occupanc%.
C I;1F:n C. t7 D..:fl..,
IT z
JUN/28/22013/FF.I 09:41 AM DELTA MECHANICAL—NU FAX No. 702-369-9578 F. Gill
California Delta Mechanical
6056 E Baseline Rd. #155
Mesa, AZ 85206
Facsimile Transmittal.
TO: City Of La Ouinta DATE 06/28/13
FAX NUMBER: 760-777-7011
NUMBER OF PAGES -5 (including this page)
ur
❑
URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE
Thank you,
John Santos
California Delta Mechanical, Inc.
Nevada Delta Mechanical, Inc.
Permit Dept.
johns@deltamechanical.com
(866)692-5273, Ext. 236