08-1457 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001457
Property Address: 45060 DESERT HILLS CT
APN: 604-280-006-11 -23935
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 250
Applicant:
Til`�v 4 4 Q"
Architect or Engineer:
PIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 nd my License is in full force and effect.
License Class: C36 Li se No.: 878921
Daterf
� 2_�� ont,actor: J
OWNER�IfUILIIILARATION
I hereby affirm under penalty of perjury that I am exem tractor's State License Law for the
following reason (Sec. 7031.5, Business and Professionsity 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 _ 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 uffered for sale. If, however, the building or improvement is cold 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 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.).
(_ 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: IV V
LQPERMIT
Owner:
GRACE ROY E
45060 DESERT HILLS COURT
LA QUINTA, CA 92253
Contractor:
PACIFIC EXPRESS INSTLL/
P.O. BOX 2590
CARLSBAD, CA 92018-2590
(760)720-1613
Lic. No.: 878921
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/22/08
AUG z z zoos ID
CITY OF LA QUINTA
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 ACE PROP & CAS Policy Number 045083494
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
flg 3700 of the La or Cod.g,LWjakUorthAmply with those provisions.
ares`) L2�� plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N C ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND I ES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF C ENSATION, 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 th t I have read this application and state that the above information is torr I agree t comply with all
City
a county ordinances and state laws relating to building constructio , and h by authorize epresentatives
of is county to enter upon abo - n wne pr perty for inspec 'o urpos s.
Dater Z2'Ganature (Applicant or Agerit
Application Number . . . . .
08-00001457
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 22.50
Plan Check
Fee
5.63
Issue Date . . . .
Valuation
. . .
.
0
Expiration Date -. 2/18/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 7.5000 EA PLB
WATER HEATER/VENT
7.50'
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW 40 GALLON GAS WATER
HEATER,
PER APPROVED ENERGY FORMS
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
28.13
2
LQPERMIT
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page I of 2) MF -IR
Project Title Date
Jell
Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More
stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (') below. When this
checklist is incorporated into the permit documents, the features noted shall be considered by.all parties as minimum component
performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
Instructions: Check or initial applicable boxes or check NA if not applicable and included with the permit application
documentation.
DESCRIPTION
NA
,
Designer
Eotor - A
wmenu
Building Envelope Measures:
✓
✓
✓at `4
s § 150(a): Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling.
❑
❑ ;;,"
❑
§150(b): Loose fill insulation manufacturer's labeled R -Value:
❑
❑ ,Q<'r
s § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply
to exterior mass walls).
❑
❑'�
§ I50(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor.
❑
❑❑
liy .
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. closeable metal or glass door covering the entire opening of the firebox
❑
❑
� Fl
V! ❑ 97.
b. outside air intake with damper and control, flue damper and control
❑
❑'
❑'x� 2
2. No continuous burning gas pilot lights allowed.
❑
❑❑'.,
�f
§ 150(f): Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual.
❑
❑❑;S
x,
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
❑
0r,0'
§150(1): Slab edge insulation -water absorption rate for the insulation material alone without facings no greater than 0.3%,
water vapor permeance rate no greater than 2.0 pernitinch.
❑
❑
f%'i, �*Q t;
§l 18: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R
Form:
❑
❑
ek, tom,
❑, ,
§116-§117: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls.
I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑
❑
❑ %'t::
2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration certification.
❑
❑*40"?
3. Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed.
❑
❑
45 "Q 81'1
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission.
❑
4 ❑! s;
§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
❑
a"n; _t
§ I50(i): Setback thermostat on all applicable heating and/or cooling systems.
❑
kv:„.”.
§ 1500): Water system pipe and tank insulation and cooling systems line insulation.
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externallywrappedwith insulation
havingan installed thermal resistance of R-12 or greater.
rY
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or
R-16 internal insulation and indicated on the exterior of the tank showing the R -value.
❑0
i�`;.
3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length
of recirculating sections of hot water pipes shall be insulated to Table I50B.
❑
?taQ;i=;^
2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and❑j
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.
❑,''S
",� - • ,
4. Steam hydronic heating systems or hot water systems >tS psi, meet requirements of Table 123-A.
❑
Residential Compliance Forms December 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL Page 2 of 2) MF
-IR
,
DESCRIPTION
aEnforce-;
NA
Desi er1'
n✓en
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
✓
✓n
..%t
5. Insulation must be protected from damage, including that due to sunlight moisture, equipment maintenance, and wind.
❑
_
'
� a`❑ ��,.,�
6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
❑
conditioned s ce.
i'❑�,::'`s
7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation.
• §150(m): Ductsand Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605
�„ r;•
and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed:%
entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
❑
applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If
mastic or tape is used to seal openings ter than 1/4 inch, the combination of mastic and either mesh or tape shall be used.
2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
s
sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and
❑
Dr<
support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause,
>
reductions in the cross-sectional area of the ducts.
3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
❑
§ r q j;
unless such tape is used in combination with mastic and draw bands."
. -
4. Exhaust fan systems have back draft or automatic dampers.
❑
D�a�.`.
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
❑,
M ❑
dampers.
'`
6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment;
maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water
❑
t,^h jtnY
retardant and provides shielding from solar radiation that can cause degradation of the material.
7. Flexible ducts cannot have porous inner cores.
❑❑_,
§ 114: Pool and Spa Heating Systems and Equipment.
1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
❑
❑
tj
heater, weatherproof operating instructions, no electric resistance heating and no pilot light.
t... `�
2. System is installed with:
a. at least 36" of pipe between filter and heater for future solar heating ❑ ❑ 4%5.❑ ">
b. cover for outdoor pools or outdoor spas ❑ ❑ ti ❑ ;k ::
3. Pool system has directional inlets and a circulation pump time switch. ❑ ❑ ❑ n„-
§ 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ ❑sC
burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
§ 118(i): Cool Roof material meets specified criteria ❑ ❑',❑_
Residential Lighting Measures:
§I50(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as
L' outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater
❑
❑
❑ ; i
are electronic and have an output frequency no less than 20 kHz
§ I50(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table
❑
❑��
❑`
150-C, luminaire has factory installed HID ballast
§150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as
_
determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy
❑
❑
s �' `&
luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy
; •�, ,>,
luminaires.'Ar;
150(k)3: Permanenti installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high efficacy
i r -,q
luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on
❑
❑Y,
•,� -�t
automatically or have an always ono tion.
§150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy luminaires (except closets less than 7082): OR are controlled by a dimmer switch OR are
❑
❑
.;
(-"rn
controlled by an occupant sensor that complies with Section 119(d) that does not tum on automatically or have an always
�F ._�.:� .� .
ono tion.
§150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are
❑
❑a'^'"
certified airtight to ASTM E283 and labeled as air tight AT to less than 2.0 CFM at 75 Pascals.
§150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on
the same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other
❑
❑"'
r”
` ''
Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
1? ;xr.;,q�;• .
119(d).
§ I50(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147.
❑
❑"'
Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131 and 146.
•�
§ I50(k)8: Permanently installed Iighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or
.more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with
❑
❑
,.r.,;�,
Section 119(d).
Residential Compliance Forms December 2005
CERTMXCA TE OF COMPLIANCE:. IDENTIA L (Pagel of 4) Cr-�R
Project Title Date
�S�coa �.47
project Address Bolding PaMit f
Documentation Author Telephone PtaaCheck/�atc
Compliance Method (Prescriptive) City ate Zone r f==c tt Agavy Ux Only
1 D Alternative Cvmponent Package Method: (dirk one) C- . D (Alternative).
Package C and Package D choices iegUire I iP.RS rater riold vaifiration and/or diagnostic testing (sec CF -IR page 3). '
For Pacimge D Ahanativc seo APSpcWix.B Tabk'15l-C Footnotes 7=14
GRNERALINFORMAITON .
Tota) Conditioned Flooc Azra (CFA) ;T� Ayrrage ()-"ling Height; ii
Maxiruym Allowbd West Facing Fencstiation' Products Per Table 15143 or 131-C---- (5% X CFA)
Maximum Allowed Total Fenestration ProductAs Peer/r Table 151-B or 151-C (2M°% X CFA)
r D Building Type (check orae or more) ✓S'uigle FarnrTy MulGfanu'ly Addidoa Alteration
(if addiog fu>estrWM filt.out WS4R.Ter=tration Maximum Allowed Arra: Waizhed and sec Section 8.32 .
for Additions and $33 for Alterations.)
' • Number of Stories: - . Number of Dwelling Unity
door CotrstiOW Ofi Type: - siab�/Raised Floor (curie one or both)
Front Qcietitation ' Noah / South /Bast/ West /All 66=tations.('mpat &+oar ocieata . in degrocs from Tries
North and cifelc•one).
❑ RAIIU—w BARRIER (rcguhvd in climate Hones 2,4, 8-I5)
OPAQUE SURFACES INCLUDING OPAOUE DOORS°
Componagt
TYPc (WAFrame
F1604 Floor,. Type' Cavity Continuous
Scab -Edge, (Wood Insulation Insulation
-• .Doors orM is -Value :R -Value.
Assembly U-
f4ctor (for Mat
mood, metal- Appardix
f ww and mass IV
assemblies).' Refarnce
Roof Radiant
l3acrier
Installed
Yes or No
Location/Conutents'
(atti%zftragc,
Vdical, eic.
I
CERTIT+'ICATE OF 'COMP'LIANCE: RESIDEN UL (Page 3 of 4)
ProjectTitle Date
SEALEDDUCTS and TXVs (or Alternative Measures)
A signed E;F-41K Form must be provided to the building department for each home -for which the following. are
OR .
b Alternative to Sealed Duds and Refrigerant Qiarge lI�CVs.(See Padcago D Alternative Package Features for
Proied Climate Zone in the RM Appendix B Table 151=0, Footnotes 7-14
For additions and alterations, dud systems that are not documented to.have been previously
scaled as confirmed through field verification and diagnostic testing in accordance with procedures in the
E3 Residential ACM Manual and duet systems with more than 40 linear feet M unconditioned
aces shall meet the re0mments of Section 154 m and dud insulation iremeats of pac1cage D.
WATER HEATING SYSTEMS
Distribution
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater.field verification ed:
TXVs, readily accessible (climate, zones 2.and 8-1 5only) .
.
dwelling unit If the water heater is a storage type, SO -gallons is the maximum :capacity and. recirculation system is
(Installertestin-and certification and HERS Rater field verification . ired.... .
❑ .
Refrigerant Charge (climate zones 2 and $-15 only).(Instalier testing and certification and HERS Rater field
Check box when using Preapproved -A tenaative Water Heating table, Table 5-4 in Chapter 5 in the.Residential .
verification ired.
OR .
b Alternative to Sealed Duds and Refrigerant Qiarge lI�CVs.(See Padcago D Alternative Package Features for
Proied Climate Zone in the RM Appendix B Table 151=0, Footnotes 7-14
For additions and alterations, dud systems that are not documented to.have been previously
scaled as confirmed through field verification and diagnostic testing in accordance with procedures in the
E3 Residential ACM Manual and duet systems with more than 40 linear feet M unconditioned
aces shall meet the re0mments of Section 154 m and dud insulation iremeats of pac1cage D.
WATER HEATING SYSTEMS
Check boxrf system meets criteria of a "Standard" system.. Standard System rS One •gas-fired water heater per
Svttemt vervino sinulp dwAlinv nnitt
Water Heater
uel
Distribution
Rated
Number" �� Tank
in, �g�t Mty.
Facto?
Thermal
Efficien
0-
dwelling unit If the water heater is a storage type, SO -gallons is the maximum :capacity and. recirculation system is
not allowed
❑
Check box when using Preapproved -A tenaative Water Heating table, Table 5-4 in Chapter 5 in the.Residential .
Manual. No water h calculations are and the complies sutomatieall .
Check box if system does not aced criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used end must be included in the
.submittal:
Check box to verify thata time control is required for a recirculating system Pump for a system serving multiple
units
Check boxrf system meets criteria of a "Standard" system.. Standard System rS One •gas-fired water heater per
Svttemt vervino sinulp dwAlinv nnitt
Water Heater
uel
Distribution
Rated
Number" �� Tank
in, �g�t Mty.
Facto?
Thermal
Efficien
Standby'
Doss %
Tank.
External
Insulation
R -Value .
b
System servingmulti le.dwellin units �..
En Tank
Rated
lnptW Tank Factory or External
Water Heater Distribution Number Input TherrtW ' ' Standby' Insulation
txw.or Capacity
e in .Stent. Blulhr togs Effici 'Loss % 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, Reeovery Efficiency, Thermal Efficiency and Standby.l;oss. For instantaneous gas water
heaters; list Rated Input and Theimal Eff'iciencigs.
Pipexnsulation,Qdtchen 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 ISO (i) 2 B.
Residential Compliance Forms ' . March 2005
Bin #
City of La QUinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
l
Project Address: 5 (D0 DeSc vt I (5
Owner's Name: Q
A. P. Number:
Address: SC 1ticQ
Legal Description:
City, ST, Zip:
Contractor: (�
Piet_ �'t � �Jc �S'
Telephone(
Address: 1-31y A 13�e �.W �
Project Description:
((
City, ST, Zip: 0,2, v151Q 4 Z�%
�/l� 4 ✓ �1-PQ ie(/ (GC2lMQh
Telephon :Tft -2 o _ (Lpt
V
State Lie. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: t U
Sq. Ft.:
#Stories: # Units:
Telephone # of Contact Person: ( Estimated Value of Project: g 2- 5-6
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING PERMIT FEES
Plan Sets :
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Q
''d Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees