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11-0981 (PLBG)r, - i P.O. BOX 1504 78-495-CALLE TAMPICO, LA Q.UINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: . �.et�'$AAItA1dVl- 11-00000981 78730.SANITA DR 604-172-003-98 -23269 - PLUMBING LOW DENSITY RESIDENTIAL 150 Architect or Engineer: LICENSED CONTRACTOR'S'. DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/13/11 Owner: ELLIOTT JAMES ROBERT 78730 SANITA DR. LA QUINTA, CA 92253 I hereby affirm under penalty of, perjury that I am licensed under provisions of -Chapter 9 (commencing with Section 7000)of Division of the siness and Professionals -Code, and my License is in full force and effect. License C6ss: 'C3 6 ' - license No.: 731855' K Date'.[-.( /. 1 / Contra tori TT�T� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 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 itslissuance, also requiresthe 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 employeeswithwages 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 propertyrwho builds or improves thereon, and who does the work himself or herself through his or her own employees,.provided that the, improvementsare 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 burdenof proving that he or she did not build or improve for the purpose of sale.). (_ 1 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 of improves thereon, and who contracts for the projects with a contractor(s) 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: _ Lender's Address: LQPERMIT • Contractor: STATE`'WIDE. PLUMBING ,7.0244 CATANIA COURT INDIO, SCA,`922;03°--0 (760')393-6115 LiC,,,No.: 731855 ;p WORKER'SCOMPENSATION 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 EXEMPT Policy Number EXEMPT I certify, that, in the performance of. the work for which this permit is issued, I shall not employ any person imany man r so as to. become subject to the workers' compensation laws of-Calilornia, and agree that, if I s could become subject to the workers' compensation provisions of Section (A 3700 of the Lab ode, I shaIrforthwith comply with those'! provisions. Date: `-13� I'I 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 1$100,0001.. 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned /perfy for i�nsptection purposes *ate Signature (Applicant or entl li' V7 fes/ r , Application Number . . . . . 11-00000981 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/11/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------=------ Special Notes and Comments WATER HEATER CHANGE OUT - 50GALLON/GAS (2008 ENERGY] 2010 CALIFORNIA BUILDING CODES. September 13, 2011 10:24:40 AM AORTEGA --=---------------------------------------------------------.---------------- 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 Residential -Alterations------ -------- --- -- Proiect'Name: i CF -IR -ALT -- ----_ (P -a a -oL5 .. ' ... Climate Zone It 'o of Stories General Information Site Addres . '7 0 n J Enforcement Agency: Date: Building Ty ingle Family O Multi Family Circle the Front Orientation: N, E, S, W, or degrees 'Conditioned Floor Area (CFA): Project Type: O Alterations O Envelope O Fene tion O Roof O HVAC C I H I J Re cement-orCtieElirt—O-Duct-Re lacemen Mer Heater NOTE: 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 O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a 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 ofan entire wall, ceiling, or floor assembly requires the installation of Componenl Package- D insulation values in Table 151-C. Fill in Columns A -J. Opaque Sur'face Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A BC D E F C H I J Proposed Sm Note Standard Values From !A4 Table Framing Thickness, Framed Continuous JA4 Proposed Ta� Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly iD or'Typel and Size' or Othe? factor' Numbers R -value° R -Value? Cell Value U- facto r° Note: For furred assemblies, accounting for Continuous insulation R -value, see Page JA4-3 and Equation 4-1. For calculating fwred walls use the Mass and Furring Construction table below. 1. For Tag:11) 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, !Ketal. 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 151-8, C or D for each different assembly Name or W. 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 factor in Column J 9. The Proposed Assembly Ufactor, 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 1 D 1 E F C I H I J K LEComment Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint A ndix Table 4.3.5 4.3.6, 4.3.7 Joint Appendix Table 4.3.13 r U O Y yy v - U Mass Assembly - Name JA4 Table ' j o`_ ° t0 U- d e, ° c g ? - E E a - v Final Assemb Thickness' or e T - Number` < > c X W ' < > U-factor Registration Number: Registration Date Time: 2008 Residential Compliance Forms HERS Provider: August 200! Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations. Page 4 of 5 �ProjeM=N itre:-- _--=--... — - ------ - -- - --= -Climate Zone #-- - - *of oriel- - - H VAC SYSTEMS - HEATING Heating Equipment TN:pe and Capacity'-:-' Minimum Efficiency Distribution (AFUE or HSPF) Type and Location Duct or Piping Configuration insulation Thermostat (Central. Split- R -Value T Space. Packare or H ydronic) 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 Kit` or 7.000 Btw'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 -I R -ALT Form for additional requirements and check applicable bares. a. indicate Type or Location (Ducts, Hydronic in Floor, Radiators. etc-) HVAC SYSTEMS - COOLING Cooling Equipment T% and C acit\''- Minimum Efficiency Duct or Piping Configuration (SEER/EER or Distribution Insulation Thermostat (Central. Split. COP) T and Location' R -Value T S ace. Pac a or H •dronic 1. Indicate Cooling Type (A 1C. Heat pump. Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF- IR -ALT Form for additional requirements and check applicable bales. 3. Indicate Type or Location (Ducts. H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hvdronic space heating. Individual dwelling DHl4' 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 omponew packages in all climate =ones. External Tank Water Heater Tv Fuel Dirnibution Type Number In Tank Energy Factor or Insulation (Standard. Recirculatin )Z System Capacity ( al) Thermal Efficiency R -Value' I. Indicate Type (Storage Gas. Hear Pump. Instantaneous, etc.) 1. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of §150(). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items ma • require written justi tcation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of §1 51(f)2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation O YES O NO YES: In Climate Zone 16 in Component Packages D. R-7 insulation is required. Heated Slab Insulation 17 YES O NO YES: Slab ed a insulation required for all heated slabs in all Climate Zones. See details in Table 1 18-A of the standards. Raised Slab Insulation 0 YES O NO YES: In Climate Zones 1. 2. 11. 13. 14 & 16. R-8 insulation is required: in Climate Zones 12 & 15. R4 is required under component Package C Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: _ _ Registration Date Time: 2008 Residential Compliance Forms HERS Provider: .4ugust 2 Prescriptive Certificate of Com t Residential Alterations _( -Project Na: -1 Jtrn 1/ Residential CF -IR -ALT Page 5 of 5 -- x#_ofSt cles -_-..- HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS.%leasures 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)IDii and the newly installed ducts are to be insulated per §15l(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 § 152(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) I E. ❑ 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. O EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. 17 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 152(b)l F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of § I 50(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 0 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(b)lCi to meet the requirements of 151(f)7B. Documentation Author's Declaration Statement • 1 certify that this Certificate of Compliance documentation is accurst a d complete. ,N e- i Si at r ► c..0 c` ,� or C ftDate:Address: O CEA or ❑ CEPE n #): City/p_ Phone: t 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. • 1 certiA- that the energy features and performance specifications for the building design identified on this Certificate of Compliance confon 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 a enc • for approval with this building permit application. Name: Signature: Company: Date: Address: License: yCity/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date Time. 2008 Residential Compliance Forms HERS Provider: August Bin # City of La Quinta Building 8T 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: ��- ""� 1 Owner's Name:, 7i► = j- - A_ P. Number. Address:Ioo Legal Description: City, ST, Zip: -" Contractor:- � �" � _ _l: _ ._ �I-�= , � � i Telephone: - Address: i - ' --- fl Project Description: ` Y n-' g' �--`�� -- City, ST, "�jr�-�`` (�-��i*�= 1. _Zip: Telephone:= _ si ' �' . State Lic. ty Lic —J Arch., Engr., Designer. Address: City., ST, Zip: Telephone: , : �. Construction Type: Occupancy: Project circle one New Add'n Alter Repair Demo StaWteic. #:` N� 'f X Name of Contact Person: ; _ ,� - — _ _ _ Sq. Ft.: #Stories: #Units: Telephone # of Contact Person - : -1- Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calces Revicwed, ready for corrections Plan Chcck Deposlt Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain pian Plans 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.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees