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08-1258 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: �,O8=00001258Property Address: 8025-LAGO�DR APN: 658-270-013-13 -3941 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 200 Applicant: yf Architect or Engineer: a�p -------------------------------------------------- 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 ,�� icense No.: 8921 a �,.ontractor. —~ '� - r C� OWNER -BUILDER ECLA TION I hereby affirm under penalty of perjury that I am exempt from t Co ctor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: 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.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). ( ) 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: 1 ilk Lender's Address LQPERMIT Owner: AUBRAY DORIS 78025 LAGO DR LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/24/08 Contractor: PACIFIC EXPRESS INSTL INC P.O. BOX 2590 JUL 24 2009 CARLSBAD, CA 92018-25 0 (760) 720-1613 CI'IYOF LiC. No.: 878921 711��,�►QUINZA ------------------ 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. 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 PROP & CAS Policy Number 045083494 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 1 should become subject to the workers' compensation provisions of Section 3700 of th abor Cede I�forthwith y mply with t e provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATI CO AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI NES 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 applicationbecomes 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 nd state laws relating to building construction, and hereby prize representatives of t" '�ccounty to enter on the above-mentioned r `.toL inspecti, purposes. a" / 7 Signature (Applicant or Agent): Z7�1 LQPERMIT Application Number . . . . . 08-00001258 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation 0 Expiration Date 1/20/09 Qty Unit Charge Per Extension BASE'FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 t --------------------------'-------------------------------------------------= Special Notes and Comments WATER HEATER REPLACEMENT 40 GALLON GAS UNIT. 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 LQPERMIT CERTIFICATE OF -COMPLIANCE: RESIDENTIAL (Page I of 4) CF -1R -7- Project 7-Project Title � Date —� —7 � -- U Z� � G v� c �D� Project Address Building Permit # Documentation Author Telephone Plan Check Date Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification 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) ft2 Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ftz Maximum Allowed Total Fenestration ProductsPPee Table 151-B or 151-C ---- (20% X CFA) ✓ ❑ Building Type: (check one or more) _ Single Family Multifamily Addition Alteration (If adding fenestration 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: I Floor Construction Type:. Slab/Raised 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 41, 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 Installed Yes or No Location/Comments (attic, garage, 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 Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -IR 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 fl/Type/Pos. (Front, Left, Orien- Rear, Right, tation, Area U -factor Skylight) N, S, E, W1(ft') U-factor2 Source SHGC' Exterior Shading/Overhangs 6, 7 SHGC. ✓ box if WS -3R is Sources included Distribution Type and Location Duct or Piping Thermostat (ducts, attic, etc.) R -Value Type Configuration (split or package) ❑ 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction wheil the pitch is less than 1:12. See § 15 1(03C 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 I I6A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 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 (ducts, attic, etc.) R -Value Type Configuration (split or package) Cooling Equipment Type and Capacity (A/C, heat PLUnp, eva . coolie) Minimum Efficiency Duct Location Duct Thermostat Configuration (SEER or EER) (attic, etc.) R -Value Type (split orpackage) Residential Compliance Forms March 2005 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: r o C)Y— Owner's Name: nori.. Art, A. P. Number: Address: Legal Description: _ City, ST, Zip: Contractor: aGl X55 �i �' Telephone: Address: L --3 j P) W-C fjrt.tfi Project Description: City, ST, Zip: S\0Q4 C ZW3 ��• l/ �' t/ (. Telephon (� 2-0._ �� State Lic. # Z Arch., Engr., Designer: City Lic. #: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Name of Contact Person: --To G'd 1+ T Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: T#Uni; Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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 V 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