09-1306 (PLBG)4;Y,;+ , . 0, r.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA;: CALIFORNIA 92253.
/Application Number: 09=00001306"
Property Address:- 78423 TERRA COTTA .CT
APN: 604 -022 -063 -
Application description: PLUMBING
.Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 650
. : , , . '(F
BUILDING & SAFETY DEPARTMENT.
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING. PERMIT
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 my License is in full force and effect.
License Class: C36 Licens o. 878921
Date: 2�ZId; Contractor:
J
L
OWNER-BUILEVi ECLARATION -
I hereby 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 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 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.).
(_ 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 or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) 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:
LQPER IIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/28/09
Owner: L7
REA JANICE M & RONALD
78423 TERRA COTTA CT
LA QUINTA, CA 92253
_ 2cc9
Contractor: C`rgq i'�� A ,tq
1��
PACIFIC EXPRESS INSTLL/SVC INC
..P.O. BOX 2590
CARLSBAD, CA 92018-2590
(760)720-1613
LiC. No.: 878921
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I 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.
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 TOWER SELECT Policy Number WD9-3310353-09
_ 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 wo�krs compensation provisions of Section
3700 of the Labor Code, I shall forthwi comply nth t se provisions.
Date:. Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N 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 PROVIDEDFORIN
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. ee to comply with all
city and county ordinances and state laws relating to building const ction, and here autho ize representatives
of this county to enter upon the above-mentioned property for ins tion purpose
Date: Z (/ /Signature (Applicant or Agent):
. I
Application Number . . . . . 09-00001306
Permit . . PLUMBING
Additional des -6 .
Permit Fee 22.50 Plan Check Fee
5.63
Issue.Date. . Valuation
0
Expiration Date 6/26/10
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 [ELECTRIC] -.
2007 CALIFORNIA CODES.
December 28, 2009 2-:00:36 PM AORTEGA
:
------------------------------
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
SPECIAL FEATURES REQUIRING BUILDING OFFICAL or HERS RATER VERIFICATION
Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method.
(Check Annlicahle hnxes)
Category
Building Official
Verification of
Special Features
-
HERS Rater
Verification
HERS Rater
Diagnostic
Testing
Measure
Ducts
❑
Y .,
100% of ducts in crawlspace/basement
❑
Y
Buried ducts
❑
Y
Diagnostic supply duct location, surface area, and R -value
❑
r Y
Duct increased R -value
❑
Y
Duct leakage
❑
Y "
Ducts in attic with radiant barriers
❑
Y
Less than 12 ft. of duct outside conditioned space
❑
Y
Non-standard duct location
❑
Y
Supply registers within two ft of floor
Envelope
❑
Y ..
Air retarding wrap
❑
Y
Cool roof
❑
Y:
Exterior shades
❑
Y
High thermal mass
❑
Y
Inter -zone ventilation
❑i
Y
Metal framed walls
❑
Y. '
Non -default vent heights �
❑
t. Y
Quality insulation installation
❑
Y . ,
Radiant barrier
❑
Y
Reduced infiltration (blower door). May also require mechanical ventilation.
❑
Y" ,
Solar gain targeting (for sunspaces)
❑
Y%-
Sunspace with interzone surfaces
❑
Y' y
, Vent area greater than 10%
HVAC Equipment
❑
Y
Adequate air flow
❑
Y
Air conditioner size
❑
Y
Air handler fan power
❑
Y
High EER
❑
Y h;°
Hydronic heating systems
❑ ` .
Y
Mechanical ventilation .
❑
Y
Refrigerant charge
❑
Y
Thermostatic expansion valve (TXV)
❑
Y
Zonal control
Water Heater
'
Y
Combined hydronic
mcol
High EF for existing water heaters
Y
Non-NAECA water heater
Non-standard water heaters (wh/unit)
❑
1 ' ) Y
Water heater distribution credits
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R
Project Title Date
Special Remarks
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title 24,
Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This
certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that
compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation
quality, and building envelope sealing require installer testing and certification and field verification by an
approved HERS rater.
Desi ner or Owner (per Business and Professions Code) Documentation Author
Name:
V►ti¢ 4
Name:a.
Title/Firm:,
Title/Firm:V
Gl (/Z-
Address:
Address:
Ave
Telephone:
Telephone:.
7-
License #:
License #: (if applicable)
(signature)
(date)
(signature)
71(date)
Enforcement Agency
Name:
Title
Agency:
Telephone:
Comments:
M
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R
Project Title `yit(.¢, Date 12_2S-09
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -4R Form must be provided to the building department for each home for which the following are required.
❑ 1 Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification required.)
❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Proiect Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
❑ No ducts installed.
❑ New ducts from existing space conditioning equipment, not exceeding 40ft. in length.
For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed
❑ through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m)
and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
F77
❑
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling
Number
in System
unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Standby'
Loss %
Manual. No water heating calculations are required, and the system complies automatically.
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 (See RM Table 5-4, Alternative Water Heating Systems for recirculation requirements)
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
ut'
kw
Btu/hr
Tank
Capacity
(gallons)
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
p17
System serving multiple dwelling units (See Residential Manual Section 5.3.3)
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kw or
Btu/hr(gallons)
Tank
Capacity
Energy
Factor' orExternal
Thermal
Efficiency
Standby'
Loss %
Tank
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 water heaters (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.
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are 1/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 5) CF -1R
Project Title "'z V PLO-
Date
Building Permit #
Project Addressj-7r l C
� 'eV LcY1- -q
Roof Radiant
Barrier
Installed
Yes or No
Plan Check / Date
Documentatio Author
el hone 3�- Cwt
��
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 -1 R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 8-14 in the Residential Compliance Manual (RCM)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) ft2
Average Ceiling Height: ft
Check Applicable Boxes
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 in the RCM.)
• Maximum Allowed Total Fenestration Area ftZ (from WS -4R)
• Maximum Allowed West Facing Fenestration Area ft (from WS -4R)
• Number of Stories: Number of Dwelling Units:
• 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 (check box if required in climate zones 2, 4, 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood or
Metal)
Cavity
Insulation
R -Value
Assembly U -
factor (for wood,
Continuous metal frame and
Insulation mass
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, :[V.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.
2) This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms December 2005
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
0 Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0q—
Project Address: -78423 �QVI/q
Owner's Name: ph 1Cq—
A. P. Number:
Address: c�9
Legal Description:
City, ST, Zip:
Contractor: Q C c liTelephone:
Address: I ?j (s kk
Project Description:.
City, ST, Zip:
Telephone: 1.s7 U (o t'
State Lic. # :
City Lic. #; D 8
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Per on:
on stru ti n ane
Type: Occupancy:
P Y:
Demo tYPa circle one): New Add'nAlter Repair
Sq. Ft.: #y�S/tories: # Units:
Telephone # of Contact Person: � — CWZZ
Estimated Value of Projecf°
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted 12,12
Item
Amount
Structural Calcs.
Reviewed, ready for corrections.
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cates.
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
.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees