14-0074 (PLBG)1.,.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT '
BUILDING PERMIT - _
Owner:
COTTERILL
79395 TORONJA
LA QUINTA, CA 92253
(760)698-8326
R
Contractor: �I
RESCUE ROOTER
1520 W. LINDEN STREET
RIVERSIDE, CA 92507
(951)341-9371 "
Lic. No.: 765155
•� VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/27/14
r
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F W C�ISINTA
244 RSP r.
LICENSED CONTRACTOR'S DECLARATION - - -
- WORKER'S COMPENSATION DECLARATION, ,
Application Number: 14-00000074
Property Address: 79395 TORONJA
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
APN: 772-340-043-
- -
Application description: PLUMBING
Property Zoning: _ LOW DENSITY RESIDENTIAL
valuation: 1800
.Application
Applicant:
Architect or Engineer:
'
r �w
J _ .
_A4__ Ay
BUILDING & SAFETY DEPARTMENT '
BUILDING PERMIT - _
Owner:
COTTERILL
79395 TORONJA
LA QUINTA, CA 92253
(760)698-8326
R
Contractor: �I
RESCUE ROOTER
1520 W. LINDEN STREET
RIVERSIDE, CA 92507
(951)341-9371 "
Lic. No.: 765155
•� VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/27/14
r
E
F W C�ISINTA
244 RSP r.
LICENSED CONTRACTOR'S DECLARATION - - -
- WORKER'S COMPENSATION DECLARATION, ,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: A C36 C42 License No.: 765155 -
for by Section 3700 of the Labor Cade, for the performance of the work for which'thispermit is
,t
Date: �rZ ILA Contractor: A..ni
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
Thereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier LIBERTY INS Policy Number WC7631508631
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
" permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) ofDivision3 of the Business and Professions Code) or
3700 of the Labor Cod , I shall to hwith comply with those provisions.
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).:
Date: 1=� Applicant:
(_) 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 -
WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the.building-or improvement is sold within
-
- -SECTION 3706 OF THE LABOR CODE, INTEREST, AND -ATTORNEY'S FEES.. - - - --
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.). -
APPLICANT ACKNOWLEDGEMENT
- (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec:
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. .
propertywho builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
i . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). - -
.. whose benefit work is performed under or pursuant to any permit issued as a result of this application,
- (_) I am exempt under Sec. , B.&P.C. for this reason
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.
Date: Owner:
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within' 180 days from dateofissuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY
permit to cancellation. -
-
_ I hereby affirm under penalty ofperjurythat there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). -
city and county ordinances and state laws relating to building construction, and I),qlreby authorize representatives
of this county to enter upon the above-mentioned property f r inspectiori purposes.
Lender's Name:_
Date: \" 1t�
� Signature (Applicant-
" Lender's Address: - -
-
LQPER.Mh.�
Application Number . . . 14700000074
Permit- PLUMBING 2013
Additional desc .
-Permit- Fee 11:92 _ Plan -Check Fee
-. ^ - .06
Issue Date Valuation . . .
. 0
Expiration Date 7/26/14
Qty Unit Charge Per
Extension
1.00 11.9200 -EA PLBG WATER HEATER/VENT
11.92
'Special Notes and Comments
WATER HEATER REPLACEMENT 75 GALLON GAS
2008. ENERGY] CARBON MONOXIDE ALARM(S) TO
BE INSTALLED PRIOR TO FINAL INSPECTION.
2010 CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other.Fees . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT. ISSUANCE M/P/E
90.57
PLAN CHECK, PLUMBING
7:15
. Fee summary Charged Paid Credited
.Due
Permit Fee Total 11.92 .00 .00
11.92
Plan Check.Total 00 00 :00
00
Other Fee Total. 98.72 .00 .00'
98.72
Grand Total 110.64 00 00
110.64
' LQPERMIT
Bin #
Submittal
City of. La Quinta
4
Building 8t Safety Qivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
l ^
1
Project Address:
PERMIT FEES
Owner's Name:
A. P. Number:
Address: -I9 q
Legal Description: 13
City, ST, Zip: LCA ZZ
Contractor:p
Tele hone:
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Address: W
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Project Description: w a
City, ST, Zip: y4u t
A,
Telephone: 1_ 3 �_ '�
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S''i'�i}i':i''%ii:>.::it:iiii~:v�i: S'i�ii� !::O:�ii: �•ii: 4:
<>ss::;::<.•.•.r;:-: :::;;:<:r r;a: >,,•;:;:>.:::;::<,
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-
State Lie. # : —
Plan Check Balance
City Lie. #:
Arch., Engr., Designer:
Address:
Construction
City., ST, Zip:
f
Flood plain plan
Telephone:
::::>"::;: :#;
:±:iitf:i:4';�{ii:•iyi,>;}+. iri,�;y; i:t�ii}yi: }ii iii9"
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Construction type: Occupancy:
State Lie. #:>::::::•:>%::>;:.:<>::•::::•»;<
Project type (circle one) New Add'n Alter Repair Demo
'Name of Contact Person:GEO;:�
����
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
�— 3 (k
Estimated Value of Project: J
APPLICANT: DO NOT.WRITF RFI nw 7NIR I IMF
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Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.'
Plans picked up
Construction
Flood plain plan
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.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 4 of 5
Project Name: Climate Zone# # of Stories
HVAC SYSTEMS - HEATING
List water healers 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,
T e and Capacity 1•2•3(AFUE
or HSPF)
Type and Location" R -Value Type Space, Package or H dronic)
Distribution Type
Number In
Tank
Energy Factor or
Insulation
Type'
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 healing is supplemental (i.e., if total capacity
< 2 KW or 7,000 Blu/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 -IR -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 Capacity 1•2 COP) Type and Location R -Value Type Space, Package or H dronic)
1. Indicate Cooling Type (A/C, Heat pump, Evop. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes.
3. Indicate Type or Location (Ducts, H dronic in Floor, Radiators, etc.)
WATER HEATING
List water healers 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 com onent packages in all climate zones.
External Tank
Water Heater Type/Fuel
Distribution Type
Number In
Tank
Energy Factor or
Insulation
Type'
(Standard, Recirculating)Z
System
Capacity (gal)
Thermal Efficiency
R-Value3
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13TU
l�
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 Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units. .
3. The external water heating tank and i es 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 justification 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 ❑ YES 0 NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation ❑ YES (A 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 ❑ YES 60 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:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page I of 5
Project Name-1
Zone # # of Stories
� � s 1
General Information
Site Address:
Enforcement Agency:
Date:
Building Type tl Single Family ❑ Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Floor Area (CFA):
Project Type: ❑ Alterations ❑ Envelope ❑ Fenestration ❑ Roof ❑ HVAC
Table
Replacement or Change Out ❑ Duct Replacement5d ReplacementWater 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
❑ 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 Component
Package- D insulation values in Table 151-C. Fill in Columns A —J
Opaque Surface Details For the furred portioned of Mass
Walls see Furring Strips Construction Table below.
A B C D
E
F G I H I I J
Proposed See Note
Standard
Values From JA4
Table
Framing Thickness,
in Furring Space from Reference
Framed Continuous
JA4 Proposed
Tag/ Assembly Name Material Spacing,
U-
JA4 Table- Cavity Insulation
Assembly Assembly
ID' or Type' and Size or Other3
factor°
Numbers R-value6 R -Value?
Cell Values U-factor9
o o .� ' e� > ;
Final
Mass Name or JA4 Table v —a'
�`Q
�, X H c 7 >
ASSembIY
i
Thickness Type' Number' ¢ >
¢ >
U -factor
Comment
Note: For f trred assemblies, accounting for Continuous Insulation R -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 factor 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 Only
A B C D I E
F I G I H I J K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5, 4.3.6, 4.3.7
Joint Appendix Table 4.3.13
U
N
N
d H
�Nr
• u Q G l0 N
Assembly
o o .� ' e� > ;
Final
Mass Name or JA4 Table v —a'
�`Q
�, X H c 7 >
ASSembIY
i
Thickness Type' Number' ¢ >
¢ >
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 5 of 5
Project Name:•s t'\\ � ��\" Climite5 # # of5 tones
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -41? 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 §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)IDi.
❑ 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)1 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.
❑ 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.
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)IF.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of §150(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(b) l Ci to meet the requirements of 151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name:
Ist�.�✓t/✓(/t
Company:
Date:
Address: ( 570 W
(f Applicable ❑ CEA or ❑ CEPE
Certification #):
City/ tate/Zip:
viz.
P one:
3k�-G13�1
v \&
5\-
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: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009