10-0251 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000251
Property Address:
52770 AVENIDA CARRANZA
APN:
773-3'22-001-26 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
700
Tiht 4 4 Q"
Applicant:. Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: C36 cense No.: 878921
ate: 'Z C Tactor:
OWNER-BUILDIthCo
ECLA TION
I hereby affirm under penalty of perjury that I am exempt from ctor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Codey 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).:
(_) 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 ) 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: w1
Lender's Address: 1_
LQPERMIT
Owner:
LYNN CHERRY
52770 AVENIDA CARRANZA
LA _QUINTA, CA 92253
Contractor:
PACIFIC EXPRESS
P.O. BOX 2590
INSTLL/S
CARLSBAD, CA 92018-2590
(760)720-1613
Lic. No.: 878921
WORKER'S COMPENSAT
I hereby affirm under penalty of perjury one of the following decla
I have and will maintain a certificate of consent.to sE
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 TOWER SELECT Policy Number WD933103531
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 com ly with those provisions.
pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAG IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE UP 0 ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENS , DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/25/10
APPLICANT ACKNOWLEDGEMENT
JT Application is hereby made to the Director of Building and Safety for a permit subject to the
and restrictions set forth on this application.
Each person upon whose behalf this application is made, each person at whose request and for
hose benefit work is performed under or pursuant to any permit issued as a result of this application,
th owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of uinta, its officers, agents and employees for any act or omission related to the work being
dab under or following issuance of this permit.
ermi ' sued as a result of this application becomes null and void if work is not commenced
wi in 180 _ s from date of issuance of such permit, or cessation of work for 180 days will subject
on and state that the above information is correct. II
reto comply with all
laws relating to building constructiondand here uthon representatives
or Agent):
Application Number . . ... 10-00000251
Permit . . .
PLUMBING
'
Additional desc .
Permit Fee . . . .
22.50
Plan Check
Fee
5.63
Issue Date . . . .
Valuation
0
Expiration Date
9/21/10
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 7.5000
EA PLB
WATER HEATER/VENT
7.50
--------------------------------------------------------
Special Notes and Comments
--------------------
INSTALL.NEW 75 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
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Pae 1 of 5
Project Name: �lN Climate Zone # # ofStories
u
l� N
General Information
Site Address: S�—�Oq
Enforcement Agency: Date: 3_
#
Framing Thickness, Framed . Continuous JA4 Proposed
Building Type ❑ Single Family ❑ Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Floor Area (CFA):
Project Type: ❑ Alterations ❑ Envelope ❑ Fene t n ❑ Roof ❑ HVAC
Walls From Reference
Replacement or Change Out ❑ Duct Replacement AWater Heater
NO This form is not to be used for Newly Constructed Buildings or Additions
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 ofa wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-0 Fill in Columns A —J.
Opaque Surface Details For the furred rtioned of Mass Walls see Furring Strips Construction Table below.
A B C D E F G I H I I J.
Proposed See°t° Standard Values From JA4 Table
L
Framing Thickness, Framed . Continuous JA4 Proposed
Tap Assembly Name
ID or Type'
Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
and Size' or Other' factor° Numbers R-valueb R -Value' Cell Value' U -factor'
Walls From Reference
in Furring Space from Reference
Joint A pendix Table 4.3.5 43.6 4.3.7
Joint Appendix Table 4.3.13
/Vote: For furred assemblies, accounting for Continuous InsulationR-value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below.
1. For Tag/ID 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 JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter, 16"or 24 "OC; or Other for 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 type.
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 "0 ".
7. Enter the Continuous Insulation R -value for 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 Jaclor 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 I D I E
F I G I H I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A pendix Table 4.3.5 43.6 4.3.7
Joint Appendix Table 4.3.13
Assembly v
o g° t>—' o m^?
_ > a
Final
Mass
Name or JA4 Table d
W
X E o t
'
,��,
Assemb�
Thickness
T Number' Q>
e c t° 7
a>
U -factor
Comment
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 4 of 5
Project Name: Climate Zone # # of Stories
11nW
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
Efficiency.
Distribution Insulation Thermostat
(Central, Split,
Type and Capacity ',2•'
AFUE or HSPF
Type and Location R -Value Type
Space, Package or H dronic
Energy Factor or
Insulation
Ty l
(Standard, Recirculating)a
S stem
C aci (gal)
Thermal Efficiency
R-Value3
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 -/R -ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
Efficiency
Duct or Piping
Configuration
Cooling Equipment
(SEER/EER or Distribution
Insulation Thermostat
(Central, Split,
Type and C acit '�2
COP) Type and Location
R -Value Type
Space, Package or H dronic
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF -IR -AL TForm for additional requirements and check applicable boxes.
3. Indicate Type or Location Ducts, H ronic 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 mponeni packages in all climate zones.
External Tank
Water Heater Type/Fuel =
Distribution Type
Number In
Tank
Energy Factor or
Insulation
Ty l
(Standard, Recirculating)a
S stem
C aci (gal)
Thermal Efficiency
R-Value3
A
1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The requirements do
_Prescriptive
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank andpipes shall be insulated to meet the requirements o 150 ' .
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 0 YES E3 NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation 0 YES O NO
YES: Slab edge 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, R-4 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
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 5 of 5
Project Nam : n n Climate Zone # # of Stories
u✓i. - SZ -Z-70 AUevj jc &j(, n2e
HERS VERIFICATION SUMMARY 73te 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 §152(b)1Dii 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 § I52(b)1 Di.
❑ 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 system, cooling 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 sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with le nditioned space.
❑ EXCEPTION: Existing ducts stems constructed,. insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS verification is required for this measure.
❑ YES ❑ 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 § t 52(b) I F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 15 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES ❑ 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 1Ci to meet the requirements of §151(07B.
Documentation Author's Declaration Statement
• I certif
v that this Certificate of Compliance documentation is accurate and complete.
Nam
Signa. - e „
y
Company: ?
?act
Date 2 2S
� �S
J
Address:Q
3/ j -k
If Applicable ❑ CEA or 13CEPE
r .
(Certification #):
City%State/Zip:( 1
0-vlS
one:
—r C .Zzl(— 922
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 1 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 document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August.2009
Bin #
City of La Quinta -
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760).777-7012
Building Permit Application and Tracking Sheet
Permit # l
JW
Project Address: • , . Z`- 2'1 tt CJ -q
Owner's Name:
A. P. Number:
Address: '
Legal Description:
City, ST, Zip: Ir0K4-.e Ca '727—K3t?i
Contractor: i.
Address: Pl k ei
4 ".
Telephone %� (' — % z > yam:<ati c:y> Mt>
Project Description: L
City, ST, Zip:
C111 .
Telephone: � (p
MrN
>:<•.«:.�:.>:>� `�."rs:�zr%<~
�l
State Lie. # :
City Lie. C ( 0
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P;..,
�z::ks;::.;• ,•;..
.
' :r ,:�J
;�''R ��. �:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person: (QG ZZ L( Z Estimated Value of Project: 760
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates..
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plaits resubmitted
Mechanical
Grading plan
2. Review, ready for corrections/issue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees