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10-0252 (PLBG)_,, P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000252 Property Address: 52100 AVENIDA HERRERA APN: 773-224-004-19 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 600 Tu�/ 4 4 Qu&& Architect or Engineer: 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, and my License is in full force and effect. License Class: �C13�61 Lic se No.: 8 1 Date: :: ` Q ontractor: OWNER -BUILDER ECLAR ON I hereby affirm under penalty of perjury that I am exempt from the ctor's State License Law for the following reason ISec. 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 (5500).: 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 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 i Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for work for which this permit is issued (Sec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERI111T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/25/10 Owner: STERLING DAVID 52100 AVENIDA HERRERA LA QUINTA, CA 92253 Contractor: PACIFIC EXPRESS INSTLL/SVC INC P.O. BOX 2590 CARLSBAD, CA 92018-2590 (760)720-1613 Lic. No.: 878921 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 j Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: - Carrier TOWER SELECT Policy Number WD933103531 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 bor Code, I hall forthwith c mply with a provisions. aEr te:� pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERAGE 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 a e comply with all hand county ordinances and state laws relating to building construction, and hereby oriz representatives 05Z�above-mentioned propert9-ferip`spection p oses. Applicant or Agent): \ Application Number. . . . . . 10-00000252 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . Valuation . . . . 0 Expiration Date•. 9/21/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL 75 GALLON GAS WATER HEATER. 2007 CODES -------7-------------------------------------------------------------------- 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 LQPERMIT Prescriptive Certificate of Compliance: Residential CF -111 -ALT Residential Alterations Pae 1 of 5 Project Name: �R�, J ,rre ­ �i is -fi/5 Climate Zone ## of tones 1 General Information Site Address; Enforcement Agency: ( Date: Building Type ❑ Single Family ❑ Multi Family Circle the Front Orientation: N, E, S, W, or degrees Conditioned Floor Area (CFA): Project Type: Iterations ❑ Envelope ❑ Fene ❑ Roof ❑ HVAC Replacement or Change Out ❑ Duct Replacement Water Heater NO This form is 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 ❑ Opening of framed cavity alone -Alterations that involve the opening of the famed cavity of a wall, ceiling, or floor 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 N. ❑ Replacement of entire assembly- Replacement of an entire wall, ceiling, orJloor 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 C D E F G H I J Proposed bw Note Standard Values From JA4 Table L M Framing Thicimess, Framed. Continuous JA4 Proposed Tag/ ID Assembly Name Material Spacing, U- JA4 Table Cavity or T t and Size' or Othe? factor° Numbers R-value6 Insulation R -Value' Assembly Assembly Cell Value? U•factor" Joint Apendix Table 43.5.4.33.6 4.3.7 Joint Appendix Table 43.13 Assembly `o `o �° [- ° >_ ; Final Note: For fivred assemblies, accounting for Continuous Insulation'R-value, see Page JA4-3 and Equation 4-1. For calculating fired walls —the Mau and Furs' Construction table below. 1. For Tag/ID indicate 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 Wood, 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 andenter the Assembly U factor in Column J 9. lite Proposed Assembly 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 Onl A B C D E F G H 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 Apendix Table 43.5.4.33.6 4.3.7 Joint Appendix Table 43.13 Assembly `o `o �° [- ° >_ ; Final Nameor JA4 Table Assemb ly Thickness' U-faCorMass Comment G 7 Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 4 of 5 Project Name:(� �. Ven, .- �u,� &'-ev In Climate Zone # q of Stories 1i 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 Efficiency. Distribution Insulation Thermostat (Central, Split, Type and Capacity 1,2•' AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic Energy Factor or Insulation T Standard, Recirculatingy System C aci Thermal Efficiency R -Value' 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 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minwes). See §151(6)3 exception.. 3. Refer to the HERS Verification section on Page 4 of the CF -1 R -ALT Form for additional requirements and check applicable bares. 4. Indicate Type or Location (Ducts, Hy%*onic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING Minimum 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 Efficiency 3. Tire external water heating tank andp4pes shall be insulated to meet the requirements o 150. . Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Capacity 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 -IR -ALT Form for additional requirements and check applicable bores. 3. Indicate Type or Location Ducts, H ontc 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 nent packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation T Standard, Recirculatingy System C aci Thermal Efficiency R -Value' ZS G 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. Tire external water heating tank andp4pes shall be insulated to meet the requirements o 150. . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this'checklist below. These items may require written "usti ncation 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 0 NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab insulation O YES 0 NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation O YES 0 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: 2008 Residential Compliance Forms HERS Provider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name:c Climate Zone # # of Stories &vcl f V 2 vq �Ut r I 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 ❑ 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 duds are to be sealed per § 152(b)l Dii and the newly installed ducts are to be insulated per §15l(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, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the duds are to be sealed per §152(b)lDi. ❑ 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 duds are to be sealed per §152(b)IE. ❑ 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 weth lam than dO lineaF feet in unconditioned space. ❑ EXCEPTION: Existing duct systems constructed .insulated or seated with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. 0 YES ❑ NO YES: In Climate Zoites 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 exc Jra refrigerant charge measurement shall be verified per §152(b)IF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of § I Wo) 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 Zoites 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)ICi to meet the requirements of 151 7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: o c Company:Alwd Address: If Applicable t3 CEA or O CEPE (Certifi on #): City%StatelZip: 6d Phon b)zZi — V( p16 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 infomtation 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 buildi emit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Bin # Qy of LA Qurnto Building a Safety Division - P.O. Box 1504, 78495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: rj-2-1 brD Owner's Name: D Qu [ 4 V �h A. P. Number: Address:' Sq yk Q Legal Description: City, ST, Zi : S..(co Ave vxr-eVc�, Contractor: Telephone — — Address: ' i K-9— Project Description: ( �l%a-KV v . 'q . City, ST, Zip: ' �. r• ha Telephone:�Ac)j%ZO — [ State Lic. # : CityLie. #; c V1c?VtG41/l Arch., Engr., Designer: Address: City., ST, Zip: y Telephone:<i State Lic. #: :.'•h ; y, Name of Contact Person:'--T-u- Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACKNG Plan Check submitted PERMIT FEES Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cales. 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 correctionstissue 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 correctionvissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees