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10-0200 (PLBG)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT .�� Date: 3/15/10 Application Number:T0.=0A0002 Owner: Property Address: 50750 SANTA ROSA PLAZA BLD 2 230. HILLMAN SEAN C .TRUST APN: 770-021-007- - - PO BOX 1970 Application description: PLUMBING LA QUINTA, CA 92247 Property Zoning: VILLAGE COMMERCIAL Application valuation: 292 Contractor: Applicant: Architect or Engineer: D CALIFORNIA DELTA MECHNICAL INC d a 6052,'E. BASELINE RD, .#155 MESA, AZ 85206 '• �rAll �1 007 Lic0 . No.: 81:1114 52010 C1 yOP L- -A 01e10, . -- ---.------------------------------ -" LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under. proJisions' f -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 -C36 ' Q License No.: •811114 �10 ntractor:• G/7. /� L%/ ✓%EGffi�/�/l:�L /�/ C� -OWNER-.BUILDER DECLARATION ' Lhereby 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 aligned -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 thathe`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 dollars1$5001.: (_ 1 I, as owner of the'property, or my employees with wages astheir 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.). (_ 1 I, as owner ofthe 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. fon 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: a=r----- --------- LQPERMIT ------------------------------- WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: 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. Ihave and will maintain workers'. compensation insurance, as required by Section 3700 of the. Labor Code, for theperformanceof 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. 33700 of the Labor CodeIIsshall forthwith coply-with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGEIS 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�co jnt to enter upon the above-mentioned propertWeinspection pur oses. D; w�/C✓��Sig ure (Applicant or Agent): `��% Application Number . . . . . 10-0000020.0 - 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..0'0 7.5000 EA PLB WATER HEATER/VENT 7.50. Special -Notes' Ari&,Comine'nts REPLACE 38 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 LQPEPMIT Mar,15, 2010 11:46AM STEVE No. 9914 P. 10 Bin # , r.^ , Cit 0f iL;�i Quln Buildin .9 Safety Division ox 1504; 78-495 Calle Tampico 4ta,•CA92253' - (760) 777-7012 D ✓ Bull�n . , � Permrt Applrcatron and TraclUnSheet Permityo 1 S0'7 ProjedAddress: — Owner's Name: A. P. Nwnbcr. 2 3 Address: J Legal Description: Contractor.Lq (,�.. city. ST, zip: 1-a— Telephone: Address: �Q j9) _ Ned Description: City, Sr, zip: f (fig Z S,�ZP� �,: GY.C� 3$ gas Telephone: 66 _02 .. 2 3 State Lia # : I City Lir.,#. JD i0� Arch„ Engn, Designer Address: City, SC, Zip: Telephone: State Lia #: Construction Type: p�ppanCy FtgjectWe (circle one): New Add'n Alter :'xpair Demo Sq. Ft: # Stories #, Units: Name of Contact Person: Telephone # of Contact Person: 866 Bnated Value of Projectff APPLICANT: DO NOT-WWTE BELOW THIS LINE # Submittal Reed TTtACICIIVG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calls. Reviewed, ready for corrections Plan Check Deposlt Truss Calll. Called Contgct rersan Plan Check $alaace IWO Zd Calw. Puna piked up Construction Flood plain plan Plans resubmitted Mechanical Grradiog plan 2 Review, ready for correetiowAs'sue Electrical Subcontactor Mst Called Contact Person Plumbing Grant lDeed Plains, picked up S.Md. H.O.A. Approval Plans�'re$4bmitted Grading IN HOUSE:- '^' Review, ready for correctlonsIssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr bate of permit issue School Feu Total Permit Fees Mar.15. 2010 11:47AM STEVE Certificate of Com Project Name: No, 9974 P. 11 4/ Climate Zoge ff 23D �S CF' -]R ALT j o a e i of # of stories General Wormation ,J0. 10 DA Site Address: EnfoieemeatA e` XIt lt'� Yi �Atate: 3 ��S" Building Typo 3inglc Family Multi Family Circio the Front Orientation: NF, S, W, or degrees Conditioned Floor Arra (CFA): -Project Type: ❑ Alteraxions ❑Envelope C3 Fenestration Q Roof Q HVAC R cut oY a Out ❑ Dud lacemeat Water Heifer N0 _ z7tts form is not to be Used for Newly Cmnstrucied Buddings ori4ddidaorep huuwon va&es .For Opaque SWaeeS (for Furring use the Mass and Fu ,hl ,. Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity alone—Alterar/ons that &wolva fire opening ofthe framed cavity of a wall; ceiling,. orj<loar must install the 0 Replacement minimum insulationtiresse value pen ¢150 far the altered assembly. P17 in Cohmm A —C and enter mandatory tmulatiot value to Cohann $ ❑ 12ego- ment t entire assembly—Be of an enure wolf, catling, or floor assembly requires the installation of Component Pc>�Zrge- D frrsulation values ih Table 151-C .Fill in Columns.4 — J. a ue Surface Defy A $ Assembly Name D or Tvnci :tor the furred nortioued of Mass Walls see F'urriu C D E F osed ca ok Standard Construction Table G _ g I I s From JA4 Table , :o . ous JA4 Insulation Assembly Framing Thickness, �TableCavjty Material Spacing, U aid Sim or Other' factor4 Assembly U racto� Not¢ FerfiQredassemblies, aacouru�igfor Conn}ruoars lnsultaton R-v,,:T* sae Pavve JA4-3 and Equation 4-L For rel Canvauctien table below, mlatbig- u d walls use the bliss and 1. For Ta&o indicate the identff '*Gn name that matches the b,4,gp1ans. Z. Indicate the Assembly None or type: RoafyCeiling, aPalls, Floors, Stabs, Crawl Space, Doors and etc,., Indicate the Frame type and &=:.For lFaod Metal, Metal Buildings; Mass, enter .44 2x6, or etc., ,pee J,14 for other possible frame type assemblies. 3. Enter the t&cknes's for muss in inches or Spacing between fr aming members enter; 16"6r 24"GC; or other for all other assembly dasayipiion such as Concrete Sandwich Pane4 SPandrel Panel Logs, Sbaw Bale Panel aril etc.... i 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. Birder the R -value that is being installed in the wall cavity or between the fanning,• otherwise, enter "0" 7. Eimer the Continuous Insulation R -value for tha proposed assembly; otherwise, enter "0". 3. Enter the row and column of the Ufaetor value based on Column F Table -Number and enter she Assembly Ufacior in Column J 9. The P; oposed.4mmbly Ufactor, Column J, must be equal to or less than the Smndaad U -factor in Column E to comply. Sin:)S Ceustctior Tab]-. for Mus Walls Oaly- A 3 D .J I —�---r Proposed Properties of iYfasonr y and Concrete I L 7 Added .nterior or �xter,cr insul»ton Wells From Reference in Furring Space from Reference Joint A endia Table 4.3.5, 4.3.5 4.3 .7 T -M I A eIIdix Table 4.3.13 assembly I ° o'I" Final I 1FPss Name or JA4 Ta' I icicnessl I 'N.umbe� d 1 -2 � I 9 m o I— ? I ° Aasambly C { '� 2v, C _ C ' E✓ C ? U-factOr6.1 Comment ?strationNumber: Ran:ehnN... n,... fm -. Mar.15. 2010 11:47AM STEVE Prescriptive Certificate of Compliance: Reside)aiial AC SYSTEMS - REATAVG M inimum L7c ing nd C 111natx zone # 2 -3O I /— e I Duct or Piping L}iMibution 11 Insulation Thermostat e and Location R Valuc 7%MA No. 9974 P. 12 Pie 4 of # of Stories Configuration (Central, Split. 1. brdicate Heatfr{g 7j pe (Central Frp�tace, yyall.Fta7uree, Heat pwr, Boiler, Electric Resistance, .etc ) 2, Electric resistance heatMg is allowed only In Component Packtge C or except where electric heating is < 2 A'W or 7, 000 .tali" electric heating is controlled by a ttme-limiting device not exceeding 30 minwe e l supplemental 3eexc total capacity 3. Refer to the hTRS Verification sectio" on Page 4 of the CF -1R -A1 T Fortrr for a&6tion d reg>�remexts and check opp ayle � 4 Indicate Type or Location (Ducts, Ix 6,ohic in i�7oor, Radiators, etc.) EFVAC S'XMMS - C®OLdNG „"mourn Efficiency I Duct or Piping CoolingEtluipmeriY (SEERIBER or Distribution ConEguration and C aci '� COP Insulation Thermostat p� e and Location' R Value a 'Space, Fackam or Hv 1. hr cafe Coolittg7jpe (AIC Heatpaanp, Evr:n. Coolt etc) 2. Refer to the PIERS Vm*ation section an Page 4 of the CF -IR --ALT Form for additional ragitirements and check appNcable boxes, 3. Indicate Type or Lacatiari (Ducts — - - , Xyt�ottiC inl�laar. 17oih'�.,-o Ar., 1 .List water Beaters and boilers for both domestic hot water heaters and hydrarete 47ace head In&W,&al — gd4 �ProP�1�4 and may not exceed 50 gallons act water e ' a'welfingDHYP heaters msrst be hot. water es iss re ed in al! c arena ac sin ald climate zanetnsrdatfori(rom the D1iY,r heater to the Itchen(s) and on all underground ;WalaHeater TypwTvei Distribution Type Number In Tank Bxte<nal Tan e Reeircdletin a Energy Factor or. Insulation 'nem achy ) TheruwEfficiency R -Value' 1. I7ldicate 7j�pe (5korgge Gas, HeatPatrnp, Inremtaneous, etcJ d. Recirt•ulating systems so-ving msdtiple dwelling units shall meet the recirculation requiremera�r of i50(nJ. The prescriptive reaairemerrk da not allow the i"stallation of a recirculating water heatfag system for single dwelling urwu. <. The external water he a tank turd i es AWI be 4-wulaied to meet the Peau,rama„ rr �r c r ;nfn :?EC L A -L., FEATURES -'F%-a, •I, Jt12C�C.a 'i'IBA:iGil ?0 :/7g�tleCiat ^ecrtres �cacinad in chis c vC. 'CSB .11emS 17?C7TSr!ii � ::•'i^u:£12'i�ic�7CQii0Yt -i -. 1t_ �l[8j �o/ni.p. Q7!a �7p;itlftenf�7,, p17 Qi7.7 S �fCi011'e; ?,,^iCalidii '?.W ROOF ASSIrMBLX - Rsdiant Barri2r :c radiant barrier rc uiremeot of l� 1(� docs not app! to roof alterations. :ab Edge (Perimeter) Insulation 0 n6 Q NO ' e,S: In Climate Zone ?6 in Componcut ?ackages D, A-7 insulatioct is roquired, !eated Slab Insulatiop L7 YTS d N0 :.^'S: Slab edge insulation. re aired for all heated slabs in all Ciimate Zones, See details in Table 118-A of the stndards. ;iced Slab Insulation L XZS ❑ NO IS. In Climate Zones 1 2, 11, 13, 14 & 16, R 8 insulation i; _et -ma! Masa ' re e • in Climate zones 12 & 15, R-4 is re ander cam orient,P a D. obtain Coln lianee Credit for the installation- of thermal mass, use the perfortnaucc Appromb, strationNumber: . .. - Ma r, 15. 2010 11; 47AM STEVE No. 9914 P. 13 Presc ' tive Certificate of Com liaztce, Residelztiai "- .btesidentftalAltePallons - ProjectNaimc: (Pa e5of CIitnate Zone # /4 it of Stories R,9 VERIFICATION 91JAIMARY The enforcement agency shmddpay special aaerean to the MMMiranns spe4ted in this checklist below. s! eomplemd and signed CF -4R Formfor all the measraes eef ed ohall be submit[ed to fha buildirt ! eetpt b are i ectlon sp � g �p . of � Duct Sealing & Testing REIdSvertflcatian is,syujr d jvr this Measure. - O YL5 ❑ NO YFR In Climate Zones 2 and 9-16, if more thin 40 liarm feet of new ar replacement duets installed is tmcanditiosud Space, the ducts art to be sealed per §152(b)II5B and the newly installed ducts are to be i umlated per §151010. © EXCZMON: Existing duct syatamstbAt are extended, which are constructed, insuieted or sealed with asbestos. ❑ YES ❑ NO YF9: du Climate be sal and r 15 if tits postipg Space•conditioning system (1 VAC equipmeent aad ducting) is replaced, the ducts arc to be sealed per ¢152(6)IDi. 0 YES ❑ NO YM In Climatc Zones 2 and 9-16, if the eldstuig HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the f=ace heat e=c gct) the duds ate to be sealed per §152(b)IE, 0 EXCEMON: Duet systems that are documented to have been pravloasly seated coofirnted through BE1RS .18r10";Catirm In accorddance with procedures in t'a Reference Raddential Appendix fRAa". MXCEPTxOM Duct systems with less than 4t1 heU feet in unconditioned space. ,EXCEF'1'1(ON: Existing duct ffstenis constmeed, insulated or sealed with 'asbestos. Refrigerant Charge Split Uystem HW ver j4carton is regadred for this measure. . 17 YES C NO Yw: In Climate Zones 2 and 8-15, when the mdskg HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system AIC or beat pump, cooling or heating coil, or the fiunace heat Central ]Ran lutegxated (CF1) VeStt'lation est and ran Watt Draw The ventilation of 6150(a) do not apply to alstiug residential hdmes. Ducted Split Systeme -Aar Condiflionera suxd Heat }?amps: Airflow EER4ver�eation iQ required far tin's measia•Q 13 YES L7 NO YFB: in Climate Zones 10 through 15, when the existing space-conditioamg system (RVAC egnipmem and ducting) is replaced, the airflow and ftin watt draw shall be verified "er 1 1 Ci to meet the rcgt>zrements of 8151 ft17B. Documentation Author's Declaratiou.%atemimt • I cerfifi that this Certificate of Compliance docu: Name. Gv �� � �_ a auwl� 1'1.i address: / 10 �-5•6 F ' 6 n J ,fty/ t &lZip: A/„ 6? i iZ_ gate and Signature: •� hate: 3—/5- _ l D 153- � j.1f Applicable p CEA or q C l (Cjjer}}tific�on #): f66 -647Z —S" I '.tesponsible Building Aesigner's Declaration Statement a !aim eligible under Division 3 of the Cal fo _ie. 3eslaess acd proftssions Corso to accent responsibility for the building dcsi,-q ;deutifled ca ibis Certificate of Comoiiance. 1 certify that the energy features and pctformanee specifications for Lk building design identified on this Certificate of Compliance sonfrnn to thc'requirements of Title 24, Pars 1 and 6 of the.Califot:piaCnde 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, workshects, calculations, plans and specifications submitted to the enforcement agency for approval with this buildinc nan-nit onnlie i -i - ,me: �/� NY1Jy(9 M oarpaay: idi esu:� 0 _�_6 tGi.$ ?r(�'G> e_ . S.-�,� T'S z =istance or grcesrtarrs regarding rhe Energy 2andards, co rtf4ct the Energy Hotline af,- 180(a -77?. -33170.