09-1252 (PLBG),r.
P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
�---
Application Number: �09-0-0.--0.0.12.
Property Address: 79695 STAR FLOWER TR
APN: 604-251-016-16 -24208
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 650
Applicant/:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Mff
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 License No.: 880103
4M-Date_Z2--' 17:jConiractor:
OWNER -BUILDER DECLARATION
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 1$5001:
(_ 1 1, 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 _ 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.).
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
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 ISec. 3097, Civ. C.I.
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777 -7012 -
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/08/09
Owner:
HARTMAN RES
79695 STAR
LA QUINTA,
(760)360-73
253
IL
Contractor: `.�
ALVAREZ, JORGEL
PO BOX
THERMAL, CA 92i%4.:1 r QLa�j
(760)777-3613 �'-•r.L��
Lic. No.: 880103
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 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 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
3700 of the Labor Code, I shall forthwith comply with those provisions.
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 ($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 county to enter upon the above-mentioned proppol-4W inspectionyyLrposes.
LQPERMIT
Application Number
09-00001252
Permit . . . . PLUMBING
Additional desc .
Permit Fee- 22.50
Plan Check
Fee
5.63
Issue Date
Valuation
0 .
Expiration Date 6/06/10
Qty Unit Charge Per
Extension
BASE
FEE.
15.00
1.00 7.5000 EA PLB
WATER HEATER/VENT
-7.50
--=-----------------------------------------------------------------=-------
Special Notes and Comments
REPLACE (1)GAS WATER HEATER -40
GALLON.
------------------------------------------------
Other Fees . . . . .
-------------------=--------
BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
------'---------------------
Paid Credited
------------------------------
Due
Total,
Permit Fee Total 22.50
.00
.00
22.50
Plan Check Tota. 5.63
.00
.00
5.63
Other Fee Total 1.,00
.00
.00
1.00
Grand Total 29.13
.00
.00
29.13
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title
Project Address
Documentation Author
Telephone.
Compliance Method (Prescriptive) Climate Zone
I of 41 CF -IR
Date
Buildine Permit 9
Plan Check / Date
Field Check / Date
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 - IR page 3)
For Package D Attemative see Appendix B Table t 51-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 Products Per Table 151-B or 151-C ---- (20% X CFA) ft
✓ Building Type:: (check one or more)_X Single Family Multifamily Addition Alteration
(If adding fenestration fill out WS -4i , 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:
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 2.4.8-151
OPAQUE SURFACES INCLUDING OPAQUE DOORS'
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood
or Metal
Cavity
Insulation
R -Value
Continuous
Insulation
R -Value
Assembly U -
factor (for
wood, metal
frame and mass
assemblies)
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
n_
"-- —, ' FF", '^ `' X11 �Vl U&I �-, I v •-) diiu• t v .`+, wntcn IS the DaSls Tor the u -tactor Criterion. U -tactors can not
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Form March 200
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) ' CF -IR
I�)7
Project TitleBate
q & 9s- -�C� F (ower T P__L L c,_ C3_w ✓ * C,t
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.
OR
Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM ADpendix B Table 151-C. Footnotes 7-14.
OR
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 and 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 SEATING SYSTEMS
Distribution
Type
❑:
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
Project Climate Zone in the RM ADpendix B Table 151-C. Footnotes 7-14.
OR
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 and 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 SEATING SYSTEMS
Systems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type,.50 gallons is the.maximuw..capacity..and .recirculation system is
Standby'
Loss M
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the system complies' automatically.
p 6.
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.
❑
I.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
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'
(kw or
r)
Tank
Capacity
Mons
ner y
orExternal
Thermal
Efiiciencv
Standby'
Loss M
Tank
Insulation
R -Value
L-10 oo
p 6.
(QZ
System serving multiple dwelling units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btwlhr)
Tank
Capacity
allow
Energy.
Factor' or
Thermal
Efficiency
. Standby
Loss %
Tank
External
Insulation
R -Value
I . 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 '/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 March 2005
Permit # l�
A. P. Number:
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Addres
Citv;S
#
Submittal
Plan Sets
Telephone: -7 UO
Ree'd
Address:::`
p
Project;�Desci7ption:
City, ST, "Lip.
Reviewed, ready for corrections Plan Check Deposit
Telephone:
'3 t
* '°
State Lic. # :51FS0 I 03
City Lic.
Arch., Engr., Designer:
Flood plain plan
Address:
Plans resubmitted Mechanical
City, ST, Zip:
Grading plan
Telephone:
p
-; � ,. �w • - '
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:# Stories: To Units:
Telephone ff of Contact Person:
Estimated Value of Project: A L050
APPI ICAPJT• nn NAT WRITC acl nuv 'r lc , ia,c
#
Submittal
Plan Sets
Req'd
Ree'd
TRACKING , PERMIT FEES
Plan Check submitted Item Amount
Structural Cales.
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.
II.O.A. Approval
Plans resubmitted Grading
IN IIOUSE:-
'"' Review, ready for correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees