07-1887 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _07-00001887
Property Address: 53820 AVENIDA" VALLEJO
APN: 774-163-004-21 -000000-
Application description: PLUMBING
Property Zoning: COVE RESIDENTIAL
Application valuation: 500
Applicant:
Ta�v 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under p isions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals d and my License is in full force and effect.
License Class: C36 en No.: 778137
ate: .ractor:
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 o 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.). -
1 1 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
Owner:
ROSEMARY SANTIAGO
53820 AVENIDA VALLEJO
LA QUINTA, CA 92253
Contractor:
ALL PRO PLUMBING CORP
12023 ARROW ROUTE
RANCHO CUCAMONGA, CA 91730-
(888)615-3330
Lic. No.: 778137 -
VOICE (760), 777-7012
FAX.(760) 777-7011
INSPECTIONS (760),777-7153
Date: 6/28/07
--------------- - - -
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 STATE FUND Policy Number 046-0021092
_ 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 Oe workers' compensation laws of California,
and agree that, if I should become subject to t 'w rkers' compensation provisions of Section
700 of the Labor Co shat forthytith c p with those provisions.
ate:[L Z t/ plicant: Ci ✓ "/
WARNING: FA UR ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
If
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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 corre agree to comply with all
city and my or finances and state laws relating to building construction, and h y thorize representatives
of thi o ty to -ter upon t above-mentioned prop e sp tion p as.
/late • !Pnature (Applicant or Agent): f
y•
Application Number
07-00001887
Permit . . . PLUMBING
J
Additional desc .
Permit.Fee 22.50
Plan -Check -Fee ..
5.63
Issue.Date
Valuation . . .
.
0
Expiration Date 12/25/07
Qty Unit Charge Per
Extension
BASE
FEE
15:00
' 1.00 7.5000 EA PLB
WATER HEATER/VENT
I
7.50
------------------------------------------
Notes and Comments
--------------------Special
WATER HEATER CHANGE -OUT TO NEW
50 GAL.
ELECTRIC UNIT
Fee summary Charged
Paid Credited
Due
Permit Fee Total 22.50
.00 .00
22.50
Plan Check Total 5.63
.00 .00
5.63
Grand.Total, 28.13
.00 .00
2.8.13
' LQPERMIT
Jun 26,07* 09:00p RICHARD LaPAGE
(760) "951-7478'
p.3
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title
CF -IR
SPECIAL FEATURES NOT REOUMING HERS' VERIFICATION (add extra sheets if necessary)
Indicate which special -features are part of this project. The list . below only represents special features relevant to the
nre-mrintivP. md-thM
SPECIAL FEATURES REOUUUN G HERS RATER VERIFICATION
-(add extra sheets if necessary l Indicate to the HERS Ratdr which credits are part of this project andneed
verification.
vl'
Feature
_ieqaired Forms if applicable)
Description
11
Metal Framed Walls
CFA
Refrigerant Charge
0
Radiant Barriers
CFA
CF -6R part 6 of 12
D
Exterior Shades
WS -4R
11
Cool Roof
N/A; Attach CRRC Label to
Forms.
0
Dedicated Hydronic Heating
Performance Calculation
—
System
Required•. Attach Run to Forms.
13.
Combined Hydronic; System
Performance. Calculation
Ruired-.Attach Run to Forms.
eq.
1:1
-Gas Cooling
Performance Calculation
Required.
0
Buried Ducts
N/A; Indicate on building plans.
b.
Kitchen 'Pipe -Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
.0.
Dwelling Unit
Performance Calculation and
attach Run to'Forms.
0
Central Water Heating System
Performance Calculation and
—
S erving Multiple Dwellings
attach Run to Forms.
Non-NAECA Large Water
71
Heater
CF. -IR
See Table 5-13 or use -
0
Indirect Water Heater
Performance Calculation and
attach Run to Forms
'See Table 5-13 or use'
13
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
0
Solar Water Heating System
Performance Calculation and
attach Run to Forms
0
Wood Stove Boiler
-.Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUUUN G HERS RATER VERIFICATION
-(add extra sheets if necessary l Indicate to the HERS Ratdr which credits are part of this project andneed
verification.
vl'
Feature
Required Forms if applicable) -Description
0
Duct Sealing
CF -6R part 4 of 12
El
Refrigerant Charge
CF -6R part 5 of 12
0
Thermostatic Expansion Valve
CF -6R part 6 of 12
-March 2005
CERTIFICATE OF COMPLIANCE; RESID
�Lia 0
3 of 4) CF -IR
-Z7 Z `7
Date /
SEALED DUCTS and TXVs (or AlternativeMeasures)
A signed CF -4R Form must be provided to the building department for each home for which the following. are
reauired-
❑ Sealed Ducts all climate canes(Installer testing and certification and HERS rater field verification required.
.0 TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verificationrequired.)
❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification r uired.
OR
0 Alternative to Sealed Ducts and Refrigerant Charge /TXVs.(See Package D Alternative Package Features for
Pro'ect Climate Zone in the RMA endix B Table 151-0, 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
`ip aces shall meet the requirements of Section 150(m) and duct insulation requirements of Packaee D.
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 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
Manual. No water heating calculations are -r aired, and the stem corn lies automaticall .
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 includedin 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 dwellin units
Rated Enerp�y Tank
Tank Factor or External
Water Heater Distribution Number Cap ty Thermal Standby' Insulation
uel a (kw or act
e m S stem BwR,r )ons Effic' n R -Value
Svstem servina mnlNnlp ..Lon:.. .:.
::Water Heater
e
Distribution
e
Number
in stem
Rated
Input'
Btu/trcrIlons�
Tank
Energy
Factor or
Efficiencyt
l . Fnr small one etn—nn
Tank .
External
StandbyInsulation
Loss (%) R -Value
- - a- •• - • ••- <<" —Puu w less manor equal to 75,000 Btu/hr), electric resistance, and heat
pump water heaters, list Energy Factor. For large gas storageygater_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 3/
inches orgreater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms - -- March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project TAC i
. I�j3 jo
/ l
Project Address _
e`l of 4)
Date /
Building Permit V
Documen o thor " . elephone plan Check / Date .
G v D Field Check / Date
Compliance Method esariptive) Climate Zone Enforcement Agency Use only
✓ ❑ Alternative Component Package Method: (check one) C D 1 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.Altemative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION ;
--Total Conditioned Floor Area (CFA) fl? Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or: 151-C.— (5%X CFA) ft
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) g
✓ ❑ Building Type: (check one or more) Single FamilyMultifamily Addition Alteration
(If adding fenestration fill out WS4R, 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 (reguired'in climate zones 2 4 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge;
Doors)
Frame
Type Cavity
(Wood Insulation
or Metal) R. -Value
Assembly U -
factor (for
Continuous ' wood, metal
Insulation frame and mass
R -Value ; assemblies
Joint
Appendix
'IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No ical etc.
1\ Coo T..;..+ A.
-- -rr - --•- - • --- - -�••�„ , . A . -✓ n IU ■ v .-r, WILILM Is we oasts Ior Ule U-Iac[or criterion. U -tactors cannot
exceed prescriptive value to show.equivalence to R -values: .