08-0459 (PLBG)4.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/14/08
Application Number: 08-00000459 Owner:
Property Address: 48280 CASITAS DR MARTIN FELDMAN
APN: 649-382-033- - - 48280 CASITAS DRIVE
Application description:. PLUMBING LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL ( /
.Application valuation: 500
Applicant: Architect or Engineer:
C
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. Cade, and my License is in full'forcwand effect.
License Class: C3'6 License No.`. 828264
Date Contractor:
O NER-1 ER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
followingrreason (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, alsoyequires the applicant for the
permit to file a signed statement that he or sheds licensed pursuant.tothe provisions of the Contractor's State
License,Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Anyviolationof Section 7031.5,by
any applicant for a:permit subjects -the applicant to a civil penalty of not more than five hundred dollars; 15500).:
(_ ) 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' Stater License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself orherself'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.).
(_) 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.).
1 _ 1 1 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:
I ►rispt "�ll�u
Contractor: U
SCOTT MAK
43579 MAIN STREE [r e
INDIO, CA 92201 C1 OF
(760) 775-9405 F1�.4Q
Lie. No.: 828264 Fpr
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following: declarations:
I have and will maintain acertificate 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 ACE INC Policy Number C45040239
Icertify that,.in the performanceofithe work for which this permit is issued, I shall not employ any
person in any manner so as -to becomesubject 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 Co<de,II shall forthwith comply with those provisions.
Date—s—^/ Applicant: -- V77'11 ` ofly
WARNING: FAILURE TO SECURE WORKERS' COMPENSA BION 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 Otiinta, 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 suchpermit„ or cessation of wor for 180 days will subject
permit to cancellation.
I cenifythat I have read this application and state that the above information is corre I agree to comply with all
city and county ordinanoes and state laws relating to building construction, and here authorize representatives
of this county ttoo�enter upon the above-mentioned property for ins - cti pur
Date: ou/ 7 Signature (Applicant. or Agent):
Application Number . . . . . 08-00000459
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . 22.50
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 0
Expiration Date 9/10/08
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 WATER HEATER WITH 50 GALLON
GAS
UNIT
.Fee summary Charged
Paid Credited
Due
Permit Fee Total 22.50
.00
.00
22.50
Plan Check Total_ .00
..00
.00
.00
Grand Total 22.50
.00
.00
22..50
a In#
City of La Quinta
Btu a Safety Mpidw
P.O. Box 1504, 78495 Cele Tampico
La Qtdrffa, CA 92253 - (760) 777-7012
Butl&W Permit App/tcadon and Traddng Sheet
Penrilt;Al
ProjecaAd&=: Z*Q
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Owner's Name: MGr., f rn ✓\
A P. Number:
Address: 44ao
Deception:
Citi, ST, zip: Y.
Comrac'or: 5
Addams:
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Tdophone:
Pmje d Desmipiioa:
city, ST, Zip:
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TdgAww: S -09
State Lia # ;
City Lie. C OW;:W76
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Addireas:
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Tdgrtwne:
State Lic. #:
Name of Contact Person:
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Conouaroa Type; OCCUPMey:
Project type (cudc one): New Add'n Aloes Rgreir Demo
Sq. Ft;
#Stories:
#Units
Tdepbm # of conim Person:
53 V
EWni mad Vsloc of Pmjcct 4590 �'
APPLICANT.: DO NOT WWM MWW THIS UNE
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TRACKIM
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Plansm
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Plan Cbe& Deposit
'I m= Cala.
Called Cashel Person
Pfau (bak Balance.
Title u Cake.
Plain piciced up
ON . M cfjoa
Flood plain plan
Plass readmitted
Webaaleal
Grading pias
2w Review, reedy for awrectloss4npe
Bleehieal
Sskeostaetor IM
Calkd Contact Person
Phm bbg
Grant
Plans pbdmd up
slu
H.O.A. Approval
Pfau resubmitted
Grading
IN HoM:-
34 Review. ratdy for MTeedwsftm
Developer impact Fee
Planning Approval
Caued Contact Person
A".P.
t -ab. Wks. Appy
Date of permit ince
Sebool Fen
Total Pauftieea
CERTIFICATE OF COMPLIANCE: RESEDENTIAL (Page 3 of 4) CF -IR
Project Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF4R Form must be provided to the building -department for each home for which the following. are
required.
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in ihe.RM Appendix B Table 151-C, Footnotes. 7-14.
LIRI
For additions and alterations, duct systems that ane not documented to have been previously
0 sealed as confirmed through field verification and diagnostic testing in accordance°with procedures in due
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 ieguirements of Package D.
WATKR AF.ATiNV. CVSTF.MS
Distribution Number
Type
❑
Sealed Ducts all climate zones ler testing and certification and HERS rater field verificationrequired.)
❑
TXVs, readily, accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Raterfield verificationrequired.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verificationrequired.)
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in ihe.RM Appendix B Table 151-C, Footnotes. 7-14.
LIRI
For additions and alterations, duct systems that ane not documented to have been previously
0 sealed as confirmed through field verification and diagnostic testing in accordance°with procedures in due
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 ieguirements of Package D.
WATKR AF.ATiNV. CVSTF.MS
Systems serving single dwelling units
Water Heater
T uel Type
Distribution Number
Type
lt'ut'
(kW or
BUOY)
Check box if system meets criteria of a "Standard" system. Standard system is one gas -fined water heater per .
Energy
Factor or
Thermal
Efficient
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Tank
External
Insulation
R -Value
not allowed.
❑
Check box when using Preapproved Alternative WaterHeating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the system corn lies automaticall .
I
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method'.must be used and must be included in the
submittal.
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
T uel Type
Distribution Number
Type
lt'ut'
(kW or
BUOY)
Tank
Capacity
(gwtons
Energy
Factor or
Thermal
Efficient
Standby'
Loss %
Tank
External
Insulation
R -Value
W
'Gr
I
System serving mnWele dweUine units
Water Heater
Type .
Distribution
T
Number
in S stem
Rated
Inp�
(kW or
BUAV)
Enemy
Tank Factor or
Capacity Thermal
(WIons Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
1. 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 waterheaters (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.
Pine 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 (j) 2 A or 150 (j) 2 B.
Residential Compliance Forms March 2005