11-0003 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
11-00000003
Property Address:
52940 AVENIDA DIAZ
APN:
773-312-010-17 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
750
Ti&t
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
�f
Owner:
JEFF BERKOWITZ
52940 AVENIDA DIAZ
LA QUINTA, CA 92253
Contractor:
ALVAREZ, JORGE0
P.O. BOX 984
THERMAL, CA 922
(760)777-3613
Lic. No.: 88013
VOICE (760) 777.7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/03/11
JQi® .
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G►�' �F q,A q N
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed 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 Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
kens o.: 880103
Lice Class: C36 I
for by Section.3700 of the Labor Code, for the performance of the work for which this permit is
9 ) r
Date:- " -f / Contractor:
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
OWNER -BUILDER DE ARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier E�EMPT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, 1 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 manner so 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 should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the LabojeTde-_,-rt1jaII forthwith co om m those provisions.
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 155001.:
ate: 1-3-//- plicant:
(_) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CDV@RV EIS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT ANEMPLOYER 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 (5100,000). 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.).
APPLICANT ACKNOWLEDGEMENT
1_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
. 7044, Business andProfessions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( ) I am exempt under Sec. , B.&P.C. for this reason
- the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
LQPER119IT
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 issuedasa 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 buildin construction, and hereby authorize representatives
of this county to enter upon the above-mentioned _ ty for nspectionrpe S. -
Date:/ S' ature (Applicant or Agent):
r
LQPERMIT
Application Number
. . . . . 11-00000003
Permit . .
. PLUMBING
Additional desc .
Permit Fee . . .
. 22..50 Plan Check
Fee
5.63
Issue Date . . .
. Valuation
. . .
. 0
Expiration Date
7/02/11
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.
2010 CODES.
----------------------------------------7-----------------------------------
Other Fees . . .
. . . . . BLDG STDS ADMIN (SB1473)
1.00
Fe -e 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 -MALT
Residential Alterations Pae 1 of 5
Project Name- Climate Zone t} 0 torles
General Information
Site Address:
Enforcement Agency: LGA. Dater O
Building Type �14ingie Family O Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Floot Area (CFA):
Project Type: O Alterations O Envelope O Fenestrate 'n O Roof O HVAC
Tap! Assembly Name
iD or T er
Replacement or Change Out O Duct Re lacement ater Heater
NO Tris fornris not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
O Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150for 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 Component
Package- D insulation values in Table 151-C. Fill in Columns A — J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B 1 C D E F G H I I J
Proposed See Note Standard Values From JA4 Table
L
Framing
Thickness, Framed Continuous JA4
Proposed
Tap! Assembly Name
iD or T er
Material
and Size2
Spacing, U- JA4 Table Cavity insulation Assembly
or Other3 factor° Numbers R-valuee R -Value Cell ValueA
Assembly
U -factory
L O
U.
u
o
¢ >
b
o
o .� ' v
a @
c x LU c �°U. �"
'i_
a
V
>
v—°,
Q >
Note: For furred assemblies, accounting for Continuous Insulation R -valve, see Page JA4-3 and Equation 4-1. For calculating firn ed walls use the Mass and
Furring Constnrction table below.
1. For Tag/ID indicate the identification name Thal rnalches the building plans.
2. Indicate the Assembly Name a• type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4for other possible frame type assemblies.
3. Enter the thickness for mass In inches or Spacing between fr•anring 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 Ufactor from Table 151-B, C or D for each different assembly Name or type.
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or behveen the,T •aming; otherwise, enter "0 ".
7. Enter the Continuous Insulation R-value.for lite 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 A.ssentbly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls C+nl
A I B I C I D I E
F G H I J I K
L
M
Proposed Properties of Masonryand Concrete
Walls From Reference
Joint A Ppeadix Table 4.3.5 4.3.6 4.3.7
Added interior or Exterior Insulation
in Furring Space from Reference
Joint Appendix Table 4.3.13
Final
Assembl
U -factor 'r
Comment
Mass
Thickness'
Assembly
Name or JA4 Table
e= Number'
L O
U.
u
o
¢ >
b
o
o .� ' v
a @
c x LU c �°U. �"
'i_
a
V
>
v—°,
Q >
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
liquil z0gy
it
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 4 of 5
Project Name: Climate Zone # # of Stories
k Z
HVAC SYSTEMS - 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
Minimum Duct or Piping
-
Configuration
Heating Equipment
Type and Capacity 1.2.3
Efficiency Distribution insulation'
AFUE or HSPF Type and Location R -Value
Thermostat
Type
(Central, Split,
Space, Package or H dronic
Water Heater Type/Fuel
Distribution Type
Number in
Tank
Energy Factor or
insulation
Type'
Standard, Recirculatin )2
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, a• except where electric heating is supplemental (i.e., if total capacity
< 2 KW or 7,000 Btdhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(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, Hvdronic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
Ca Z
— t
Efficiency
Duct or Piping
Configuration
Cooling Equipment
(SEER/EER or
Distribution
Insulation
Thermostat (Central, Split,
Type and Capacity 1.2
COP)
Type and Location
R -Value
Type Space, Package or H dronic
1. Indicate Cooling Type (A/C Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF -I R -ALT Form for additional requirements and check applicable boxes.
3. Indicate Type 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 cont anent packages in all climate zones.
External Tank
Water Heater Type/Fuel
Distribution Type
Number in
Tank
Energy Factor or
insulation
Type'
Standard, Recirculatin )2
System
Capacity (gal)
Thermal Efficiency
R -Value
4
C--
Ca Z
— t
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 i es shall be insulated to meet the requirements of §1506).
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written jusification and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 151 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation O YES ❑ NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation 0 YES ❑ NO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table I l8 -A of the standards.
Raised Slab Insulation ❑ YES O 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 Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
August 2009
1P
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 5 of 5
Project Name: Climate Zone # # of Stories
F i fZ
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.
❑ YES 0 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) l Dii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16,.ifthe existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b) I Di.
❑ YES ❑ 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)1 E.
❑ 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.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verfcation is requiredfor this measure.
❑ YES ❑ 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 measurement shall be verified per 152(b)1 F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 150 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 ❑ 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 per 152 b 1 Ci to meet the requirements of §151(07B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and corn le .
Name:
Signature:
Company
Date:
- 03-26!
Address:("�
If Applicable ❑ CEA or ❑ CEPE
• 0
(Certification #):
City/State/Zip:
Phone:
Responsible Building Designer's Declaration Statement
• I 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.
• I 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 1 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 building permit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3500.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
P.
Bin #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # /j,
j
Project Address:5Z9
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Owner's Name: k 4 I Z
A. P. Number:
Address: 5 Z 0 kj e rA Iac.-
Legal Description:
City, ST, Zip: L_C4� C C ''
Contractor:,
Address: P .
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Telephone: :i::i<:>:;::.:;:;.;:;:;:;;:•::�:: <i:.v.>:
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Project Description:
City, ST, Zip:
tt.. 2
-t
State Lic. # :
Q 3
City Lie. #;' OS73 Bs -
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lie. #:
Name of Contact Person:
Sq. Ft.:
# Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Pian 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
r'. 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,