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10-0348 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000348 Property Address: 78201 INDIGO DR APN: 604-021-030- - - Application description: PLUMBING Property Zoning: MEDIUM DENSITY RES, Application valuation: 600 Applicant Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT 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, and my License is in full force and effect. License Class: C36 'cense No.: 880103 Date: 2-/-/ `Contractor:_ OWNER -BUILD CLARATION 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 t 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, 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/21/10 Owner: BOCKELMANN DAN 78201 INDIGO DRIVE LA QUINTA, CA 92253 ( D d Contractor: APR 1 ALVAREZ, JORGE A. APR 1 ZOO PO BOX 984 THERMAL, CA 92274 C1Ty0FlAQUINT (760)777-3613 FlN,4ly�E pEPT. 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. 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 forthw' comply with those provisions. Date: Applican . WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO ERAGE 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 /eriter upon the above-mentioned pro for inspection es. Date: -z -/V Signature (Applicant or Agent): is Application Number . . . . . 10-00000348 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/18/10 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 50 GALLON ELECTRIC WATER HEATER. - --------------------------- 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 LQPERM[T General Information Site Address: _7S, d % Enforcement Agency: , � � .rte, Date: L1 _ 2 _ to Building Type'VSingle Family dMulti Family ircle the Front Orientation: N, E, S& or degrees Conditioned Floor Area (CFA): Project Type: 4 Alterations ❑ Envelope O Fenestration ❑ Roof O HVAC Ta�/ ID Replacement or Change Out ❑ Duct Replacement Water Heater NOTE: This form Is not to be used jos NewtConstructed Bull din or Additions Insulation Values For Opaque Surfaca (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 f amed cavity of a wall, ceiling or f oor must install the mandatory minimum insulation value per §1 S0 for the altered assembly. Fill, in Columns A -C and enter mandatory insulation value in Column H. O Replacement of entire assembly- Replacement of an entire wall, ceiling or floor assembly requires the installation of Coqvnent Package- D insulation values in Table 131-C. Fill in Columns A - J 9 - Opaque Surface Details For the furred A B C ertioued of Mass Walls see Furring Ships Construction Table below. D E F C H I I Pro bft Note Standard Values From JA4 Table A Ta�/ ID Assembly Name or Type' Framing Material and Size' Thickness, Spacing, U- JA4 Table or Others factor° Numbers Framed Continuous JA4 Cavity Insulation Assembly R-value6 R -Value Cell Valuer Rand L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Aradix Table 4.3.5 43,6 4.3.7 Joint Appendix Table 4.3.13 Note: Forfurntd assemblies, accounting for Continuous Insulation R -value, see Page JM -3 and Egaanon 4-1. For calculating fiored walls —the M Furring Construction table below. t. ror 1 0911 tnatcate 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 W0094 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. S. 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 -tactor in Column E to comply. Fut-ring Stri4 Construction Table for Mass Walls Onl A B T C I D I E F I G I H I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Aradix Table 4.3.5 43,6 4.3.7 Joint Appendix Table 4.3.13 Assembly c c ? FL- F u ^ _ 0 > Final Mass Name or JA4 Table ' < H E ° ' 9 ' Assembly Thictmess' Type Number' > , e @ Q > U -factor' Comment Registration Number: Registration Date/Time: HERS Provider: J008 R¢sid¢nUa/ Comp/ionc¢ Folmar Agusl Mo HVAC SYSTEMS - HEATING Minimum Duct or Piping Configuration 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 Heating Equipment Type and Capacity" 3 Efficiency Distribution Insulation Thermostat (Central, Split, (AFUE or HSPF Type and Location° R -Value Type Space, Package or H dronic External Tank Water Heater Type/Fuel Distribution Type Number In 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 KW or 7,000 Btulhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See f151(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 C aci(gal) Thermal Efficiency Minimum Cooling Equipment Type and Capacity V2 Efficiency Duct or Piping (SEER/EER or Distribution Insulation COP) Type and Location R -Value Configuration Thermostat (Central, Split, Type Space, Package or H dronic 1. indicate Cooling Type WC, Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF- IR -ALT Farm for additional requirements and check applicable boxes. 3. /ndicate T or Location (Ducts, Hydronic in Floor, Radiators, etc. WATER HEATING List water heaters 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 co onent packages in all climate =ones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation • Type,— 4 Standar ecirculatin 2 System C aci(gal) Thermal Efficiency R-Value3 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 pipes shall be insulated to meet the requirements of §1506f). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti kation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of t;151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation O YES 0 NO YES: In Climate Zone 16 in Component Packages D. R-7 insulation is required. Heated Slab insulation G YES 0 NO YES: Slab ed a insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation O YES E3 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 ;N umber: Registration Date. -Time: 2008 Residential Compliance Forms HtRSProvider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT l A Residentialterations a e 5 of 5 Project erne: Climate Zone # # of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures 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. O YES 13 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)1Dii and the newly installed ducts are to be insulated per §151(f)10. O EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. 17 YES O 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) I Di. 0 YES O 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. 13 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. 13 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. 0 EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. 0 YES 0 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 exchange a refii Brant char a measurement shall be verified per § 152(b) IF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation mquirements of § 15 o do not apply to existing residential homes. Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. 13 YES E3 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 r 152 b 1Ci to meet the requirements of 151 7B. Documentation Author's Declaration Statement l • I certify that this Certificate of Compliance documentation is accurate and complete. Name -..-., _ % t . _ Signature: 0 n V U Date: /� Add s: -` 2�^ O If Applicable 0 CEA or 0 CEPE (Certification #): Ci �/State2ip: Phone: 2-� 0- 7 ? 7-,3Yo Responsible Building Designer's Declaration Statement • 1 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 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 I 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 buildingpermit application. Namey s rn P �\\ �, r P� Signature t1 Phon e: i Bin # City of La Quinta Building &r 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:g ;. ®� Owner's Name: —A--b—f\ A. P. Number: Address: ZC)t� Legal Description: Contractor: ,- 2 �'��c 1 mb � City, ST, Zip: ����� �� Q 2253 Tele — - Y':, `'`` • } phone: �- Address: ..:.::::::..... 1 Project Description: . ccCe 6 City, ST, Zip: Q_�, q22 Telephone:CoO 73 13 CQ ' State Lic. # City Lic. #.:. 05733 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: $�:4:ji.i vtY::i::sS'ri,.;kv:::,v„lj�:C;:}i•:ii:•:•f �,. `•`>•.•.;•,:.,«::»>::?::v;<.w >r:•.>:> >:« y :.>.N :; YP Construction Type: Occupancy: `U MIDI R State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: oon APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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