11-0982 (PLBG)r\
P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00000982
Property Address: 45435 DEERBROOK CIR
APN: 604-405-010-36 -23995 -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 150
Applicant:
Tjly� 4 4 Q"
Architect or EngineerY
IJ4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BABAO WILLIAM M
45435 DEERBROOK CIR
LA QUINTA, CA 92253
Contractor: '11D
STATE WIDE PLUMBING
70244 CATANIA COURT
INDIO, CA 92203-
(760)393-6115
Lia. No.: 731855
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/13/11
0
1 H
`Sp 13 2011
OF LA
---------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirmunder penalty of perjury that I amlicensed 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 siness and,Professionals Cade; end`my License is in full force and effect.
I have and will maintaime certificate of consent to self -insure for workers' compensation,. as provided
Lice Class:. C36 Lic o.: 731855
rr]��aL/�
_
for by Section 3700 of the Labor Code for the performance of the work for which this permit is
issued.
Date: ` (Comracfor. �
_ I have and will maintain workers' compensation insurance,, as required by Section 3700�ofthe Labor
Code; for the performance of.the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance.carrierand policy number are:
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT '
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certity�thst, 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 menne I 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 1 aid become subject to the workers' compensation provisions of Section
License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
700 of the Labor e, I stall fortkwith comply itl hose provisions.
that he or,she.is exempt therefrom, and the basis for the,alleged'exemption. Any violation of Section 7031.5,by
anyapplicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Dat .'
Applicant
f_) I, as owner of theproperty, 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 SECURE WORKERS" COMPENSATION COVERAGE IS:UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to amowner 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 ($1 00,000). 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.).
1 _ 1 1, as owner of the,property, am exclusivelycorttrecting with licensed contractors to construct the project (Sec.
764.8usiness and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts forthe projects w'ittva 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 perjurythat there is aconstruction lending agency for the performance ofthe
work for which this permit is issued (Sec. 3097, Civ. C.):
Lender's Name: _
Lender's Address:
LQPERMIT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for permit subject to the
conditions and restrictionsset forth on this application_
1. Each person upon whose behalfthis'application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a resuh,of this application,
the owner; and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City
of La Quints, its officers, agents and employees for any act or omission related to th&Lwork 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 suchpermit, or cessation of'work for 180 days will subject
permit to cancellation.
I certify that I:have read:this,applicat(on and state fhatrt above information is correct. I agree to comply with all
city's wunty ordinances'and state laws relating to i Ing construction, and hereby authorize representatives
Of tt nt to n r upon the above-mentioned 04 y for i'nspectiornpurpos§
Date:� / / Signature (Applicant or A m):
r
LQPRRMIT
Application Number . . . . . 11-00000982
Permit. . . . PLUMBING
Additional desc . .
Permit Fee . . . . 22.50 Plan Check Fee .
Issue Date . . . Valuation . . . .
Expiration Date . . 3/11/12
5.63
0
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 - 40GALLON/GAS
[2008 ENERGY] 2010 CALIFORNIA BUILDING
CODES.
September 13, 2011 10:26:07 AM AORTEGA
-----------------_-.------------- -------- ---------------------------------------
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
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Alteratlens-- -- --- - -- -- -- of_ -.
= Pieiect-M amA - iI /1 i I Climate Zone N N of Stories
Generallofo tion
Site Address:"eat Agency- Date:
BadiWTyW/,Single Family O Multi Family Circle the Front Orientation:E . W. or degrees
Conditioned Floor.AmiL(CFAy Project Type: ❑ Alterations ❑ Envelope O Fenestration E3 Roof O HVAC
Replacernwror Out- E3 -Duct Re laceme ater Heater
N . This form is not to be used for Newly Constructed Buildings of Addidons
Insulation Values For Opaque Surfaces (for Furring we the Mass and Furring Strips Constrwd on table below)
Assembly Alteration
Opening of framed cavity alone -Alterations thatinvolve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per f 1 S0 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column, H.
0 Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 131-C. Fill in Columns A - J.
Opaque Surface Details For the furred rtioned of Mass Walls see Furris S Construction Table below.
A B C D E F G H 1 J
Pro Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Ta$ Assembly Name Material Spacing, U JA4 Table Cavity insulation Assembly Assembiz
iD or T l and SizeorOtbe� factor Number! R value° R -Value Cell Values U -&Mr
Note. Forfrond asseaWies, accmwing for Commour /nsdation R-vatue. see Page JA4-3 and Equation 4=1. For catculating fumed wills ase the Atom std
Fwring Co twwrioe tablebelow.
1. For Tag.'ID indicate the identification name that matches the building plans.
1: Indicate the Assembly Name or type: RooflCeiltng, Walls, Floors. Slabs. Crawl Space. Doors.and etc ... Indicate the Frame type and Sce: For
Wood, .Metal, Metal Buildings, Mass, enter 2r4.2s6. or etc... see JA4 for other possible frame type assemblies.
3. Enter the thidvress for mass ire inches or Spacing between framing members enter. • 16 "or 24 "0C. or Other for all other assembly description
such as Concrete Sandwich Panel. Spandrel Panel, Logs, Shaw Bale Panel and etc...__
4. Based on the Climate Zone: enter the Standard Ujactor from Table 15 1-B. C or D for each different assembly Name or type.
S: Enter the Table number that closely resembles die pnoposedassembly_
6. Enter the R -value that is•being installed in the wall cavity or between the framing, otherwise. enter
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
9.71,E Proposed Assembly U factor, Column A must be equal to or less than the Standard U factor in Column E to comply.
Fun ina Strips Construction 'fable -for Mass Walls Oniv
A
B I C I D
E
F I
G I H I I 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 A
Ppendix Table 43.5 43.6 4.3.7
Joint Appendix Table 4.3.13
`>_ �v
Final
Mass
Assembly
Name or JA4 Table
�.-
e 3
S e
g a
c$ i'.
>
aAssemblyi
Thickness'
T Number'
< >
< >
U -factor Comment
Registration Number:
2008 Residential Compliance Forms
Registration Date, Time:
HERS Provider:
August 2005
P
rescriptive Certificate of Compliance: Residential CF -IR -ALT
Pa e 4 of 5i�aere:-- —1-=-- - �: 7,ti— - - ---- --- ---itte ire #--- - #.of stories_.: i
HVAC SYSTEMS - HEATING
List water heaters and boilers far both domestic hot water (DHIV) heaters and hydronic space heating. Individual dwelling DW heaters mutt be
Heating Equipment
Type -and Capacity"'
Minimum
Efficiency
(AFUE.or HSPF)
Distribution
Type and Location'
Duct or Piping _ Configuration
insulation Thermostat (Central. Split
R -Value Type Spam Package or H dronic)
Type, (Standard,Recirr;utatin 2 System C i • ( i Thermal Efficiency R-Veluei
4 CD
1. Indicate Heating Type (Central Furnace. ;Fall Furnace, Heat pump. Boiler, Electric Resistance, etc.)
1. Electric resistance heating is allowed -only in Component Package C. or except where.electric heating is supplemental (i.e.. if total capacity
2 KIV or 7.000 Btu•'hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §l Sl (b)3 exception.
3. Refer to the HERS I enfteation section on Page 4 of the CF -I R ALT Form for additional requirements and check applicable boxes:
4_ Indicate Type or Location (Ducts, Hydronic in Floor. Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
Cooling Equipment
'11%pe and Capacity r.z
Efficiency
(SEER/EER or
COP)
Distribution
Type and Location'
Duct or Piping
Insulation
R -Value
Thermostat
Type
Configuration
(Central. Split
Spam Package or H dronic
L Indicate Cooling Type (A -C. Heatpump. Evap. Cooling, etc)
1. Referto the HERS I erfcation section on Page 4 of the CF IR ALT Form for additional requirements and check applicable bates.
3. Indicate Type or Location (Ducts. Hydranic in Floor. Radiators, etc.
WATER HEATING
List water heaters and boilers far both domestic hot water (DHIV) heaters and hydronic space heating. Individual dwelling DW heaters mutt be
gas or propane fired and may not exceed SO gallons. Hot water pipe insulation from the DHW heater to the kitchens) and on all underground
hol-waterploes is required -in all omponentpackages in all climate =ones.
External Tank
Water Heater Type/Fuel Distribution Type Number in Tank Energy Factor or Insulation
Type, (Standard,Recirr;utatin 2 System C i • ( i Thermal Efficiency R-Veluei
4 CD
I. tnatcate r ype tatorage eras, treat Pump, Instantaneous, etc.)
1. Recirculating systems serving-mulriple dweiling-units shall meet the recirculation requirements of §I50(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 andpipes shall be insulated to meet the requirements of §IS0(j).
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items ma • require written. -usti tcation and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirementof § 151 2 does not. 1 • to roof alterations.
Slab Edge (Perimeter) Insulation 0 YES O NO
YES: In Climate Zone 16 in. Component Packages D. R-7 insulation is required-
Heated
equiredHeated iSlab Insulation O YES 0 NO
-YES: Slab edge insulation required for all heated slabs in all Climate Zones. Ser*Wls in Table 11 B -A of the standards.
Raised Slab Insulation 0 YES 0 NO
YES: In Climate Zones 1.2. 11. 13. 14 & 16. R-8 insulation, isrequired: in Climate Zones 12 & 15. R-4 isrequired under component Package D
Thermal Mass
To obtain Compliance Credit for the"installation of thermal mass.. use.the Performance Approach.
Registration Number_ Registration Date -Time: HERS Provider:
2008 Residential Compliance Forms August 21
Prescriptive Certificate of Com
Residential Alterations
CF -IR -ALT
Pa e S of 5
-....._ cies'-
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS tteasures specified in this
checklist below. A completed and signed CF4R 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 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
spaces the ducts are to be sealed per §I52(b)IDii and the newly installed ducts are to be insulated per §151(f)10.
El EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
0 YES 0 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)IDi.
13 YES 0 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 s) stem. 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.
13 EXCEPTIOW Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Sprit System HERS verification is required for this measure.
E3 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
exchanger) a refrigerant charge measutanent shall be verified per § 152(b)I F_
Central Fan Integrated (CFn Ventilation System and Fan Watt Draw
The ventilation uitements of § I 50(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 0 NO YES: In Climate. Zones l0 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) 1Ci to meet the requirements of § 151(f)7B.
rfecnmeetstinn AuthnOe r\arla"tinn-Cfutomant
• 1 certify that this Certificate of Compliance documentation is accurate Ad corn lets.
Si
r-
E -
!M:=_�'Lcl) yn�^ (` h Date
`,J
Adm-- - if Applicable O CEA or CEPS
Certification li);
City Prone:
R tasible Building Dees' i s Declaration Statement
• i.am'eligible under Division.3 of the California Business and Professions Code to accept responsibility forthe 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 eonfon
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 fortes. worksheets. calculations. plans and.specifications submitted to the enforcement
enc • for approval with this building unit lication-
igante:
Signature:
Company:
Date:
Address_
License:
X5, tate/Zip:
Phone:
For assistance or questions reg4rding the Energy &andfards, contact the Energy Hotline at. 1-800-772-3300.
Registration .Vumber. Registration Date Time: _ HERS Provider:
2008 Residential Compliance Forms
' #
City of La Quinta
Bidding 8r Safety MOM
P.O. Box 1504, 78-495 Cage Tampico
[a QLdnta, CA 92253 - (760) 777-.7012
Building Pennit Appiicadon and Tracidng Sheet
Perron #
11-o4'�L
Project Address:
Y Owner's Name.
A- P. Number.
Address:Deerill
Ly.
Legal: Description:
City, ST, Zip:nA-
Contractor.5�L
Telephon
Project Description: 0 O
Address: f
City, ST>M-
State.Lia.# . (
City tic. #; D
f�{�YA
Arch., Engr., Designer:
Address: ,
City., ST, Zip:
Telephone:
State,Lia #:
Name of Coact Person;
Construction Type: Occupancy:
Project type (circle one} New Add'n Alter Repair Demo.
Sq. FL:
Stories:
#units:
Telephone # of Contact Persons
(�
Estimated Value of Plvjcct:-
APPLICANT: DO NOT WRITE BELOW THIS LINE.
# Submtttat
Req-d
Bee'd
TRACKING
PERIMIIT FEES
Plan Seb
Plan Cheek sabmMed
Item
Amount
Straetornt Calm
Reviewed, ready for cu.. ow
Plan Check Deposit
Truss Cala.
Called- Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plana resubmitted
Mechanical
Grading pian
2'! Review, ready for correcdonaflssae
Electrical
Sabeonmetw List
Called Coofaet Person
Plumbing
Grant Deed
Plana pieked',up
S.MJL
H.O.A. Approval
Plans resat mined
Grading
IN KOM.-
iie Review, ready for tomcpomrtasae
Developer Impact Fee.
Planning Approval
Called Contact-Person
. A.LP�.
Pub. Wks. Appr
Date of.permit issue
School Feu
Total Permit Few