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10-0197 (PLBG)a • ® `. P.O. BOX 1504: VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 "LA QUINTA; CALIFORNIA 92253.. BUILDING`& SAFETY. DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT • Date: 3/15/10 Application Number:'r 10-00000197 Owner: Property Address: '78575 VIA' CORRIDO_ SPOLARICH.'JOHN C APN: 646-290-038-._ - 78575 VIA CORRIDO _ Application description: PLUMBING LA QUINTA, CA 922.53 Property Zoning: LOW DENSITY RESIDENTIAL < Application valuation: 976 ,--_—(�—qq —.Contractor:.. Applicant: Architect or Engineer: MAR 2 ZU1� •CALIFORNIA DELTA MECHNICAL INC 6052 E. BASELINE RD, 4155 MESA, AZ 85206 CITY OF LA(AUHTA (480)898-0007 Lic . No.. -'811114' o.:'811114 -------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION 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 License Class: B -C10 -C3§ License N/o.:: 811114 for by Section 3700 of the Labor Code, for•the performance of the work for which this permit is ate: ontractor: K 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 DECLARATION - 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 STATE FUND Policy Number 1697823 following reason (Sec. 7031 .5, Business and Professions. Code: Any city or county that requires a permit to _ 1 certify that, 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 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.Labor Code, I shall forthwith CoRply with 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 ($500).: ate: plicant: l/` ✓ - ( 1 1, 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 COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License.Law does not apply to an owner 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, providedthat the DOLLARS ($100,000). 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 - (_ I. l,.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 and Professions 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 acontractor(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, (_ 1 I am exempt under Sec. , BAP.C. for this reason ' 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 forany act or omission related to the work being performed under or following issuance of this permit. - .Date: Owner:.. 2. Any permit issuedas 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 CONSTRUCTION LENDING AGENCY - permit to cancellation. hereby affirm underpenalty of perjury that there,is a construction lending agency for the performance of the _ I certify that I have read this application and state that the above information is correct..I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - • _ city and county ordinances and state laws relating to building construction, and hereby authorize representatives - - - - - - - ;�te: s county to enter upo he above-mentioned property for inspectjon purposes. - Lender's Name: �e,�!o9nature (Applicant or Agent): Lender's Address: ' LQPERMIT - - Application Number, 10-00000197 . Permit . . PLUMBING Additional desc . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date . . .. Valuation' . . 0' _ Expiration Date 9/11/10 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 40 GALLON GAS WATER HEATER, 2007 --------------------------------------------------- -- ------------------------------------------ Other 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 Mar, 15.. 2010 11: 42AM STEVE No, 9974. K 2 Bin # City 0f L2 Quints Building at Safety El tslon P.O. Box 1504, 78.495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet pin# nn ' ProjectAddtess �)►� 85 5 Vi Owner's Name: =(�%,jti ,S A. P- Number. Address I-00 Legal Description: Contractor. CZ41`W1 GQ Address: 05-6 . ba"iv— J j�� City, ST, Zip � U�I.Cd�r w vl (-fit � Z Z �•3 Telephone: ���� , � Project Description: City, ST, Zip 4tO Telephone:. 366 -0i —.�2�3 mciLic. �r State Lic. # : Arch., Engr., Designcs Address: City., ST, Zip: Telephone: ConstructionType: Occupancy: State Lir. #: Name of ContaeEPorson: �Q � yv Project typo (circle one): New Add'n Alter ' `,epair Demo Sq. ; # StoiieS: # Units: Telephone # of Contact Person: 06 6-6 q 7, Z-- 3 Estimated Value of Project , /3 APPLICANT: 00 NOT WRITE BELOW THIS LINE: # Submittal Req'd Recd TRACKING pEI F FEF$ Plau Seta Plan Check submitted Item Amouat ' Structural Calm Reviewed, ready for rorrectloaa Plan Check Deposit Tracts Calcs. Called Contact Person Plan Check Balance. 'title 24 Cates. Plans picked up Constmcdon Flood plain plan Plans resubmitted Mechanical Grading plae 2� Review, ready for eorreetionstissue 1;[cctrlcal Subcontactor List Called Contact Person Plumbing GrantDeed PIans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 4d Revlew, ready fbr correellons/issue Developer Impact Fee Planning Approval Called ContaetPerson A.1LP,P, Pub. Wka- Appr Date of permit Issue School Fees Total Permit pees r STALLATION CERTIFICATE mestic Hot Water Address: rT 5-SV.i_ ON I Eufnrcement AeeuCv: Lct Q,cct'vl� CF-6R-MECH-01 (Page 1 of 2) it Number: /011_ Note 1:For small gas storage (rated input less than or equal to 75, 000 BtuAr), electric resistance and heat pump water heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75, 000 Btulhr), list Recovery Efficiency (RE), Thermal -Efficiency, `Standby Loss and Rated Input. For instantaneous gas water heaters, list the Thermal Efficiency and Rated Input. 2. Mandatory Measures TO COMPLY - ALL BOXES MUST BE CHECKED low § 110-§ 113: Water heaters, showerhead and faucets are certified by the California Energy Commission. § 1500): Water System Pipe and Tank Insulation. And Cooling Line Insulation > I- Storage tank insulation 0.1 A. Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater; and B. Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank: 2. Water piping and cooling system line insulation thickness and conductivity t - First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire f length of recirculating sections of hot water pipes are insulated per Standards Table 150-B; and Pipe insulation for steam hydropic heating systems or hot water systems > 15 psi, meets the requirements of Standards Table' 123-A. r Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.' ., § 151(f)8D: If indicated on the CF -1R, all hot water piping -that runs from the hot water source to the kitchen fixtures is insulated per Standards Table 150-B. 2008 Residential Compliance Forms August 2009 • Y •fit /. i i. _ - .i - ', e- INSTALLA'T'ION CERTIFICATE ,. CF-6R-MECH-01 -� Domestic Hot Water (Page 2of2 Site Address: . ' n Enforcement Aeencv: Permit Nu/mb/7er`: Z_a 3. Central Water Heating in Buildings with Multiple Dwelling Units (reg6ired for prescriptive) TO COMPLY - ALL BOXES MUST BE CHECKED f 4 ® ♦ All hot water piping in main circulating loop is insulated to requirements of § 1500) ♦� Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping ' �.+ outdoors; (2) zero distributionpiping underground; (3).no recirculation pump; and (4) insulation on distribution{ ' piping that meets the requirements of Section 1500) ❑, Central hot water systems serving more than 6 dwelling units - presence of either a time control or a " n i 1 time/temperature control DECLARATION STATEMENT • Icertify under penalty of perjury, under the laws of the State of California, the information' provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized F - representative of the person responsible for construction (responsible person). r I certify that the installed features, materials, components, -or manufactured devices identified on this certificate (the installation)' conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. ' • Lreviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that.identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand • that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contactor or Builder/Owner) Responsible Pers s Name: Responsible Person's Signatu e: �,PiY1-Gig ��ht NS rail/ , • CSLB License: :{ Date Signed: Position With Company (Title): 2008 Residential Compliance Forms, August 2009 Mar.15. 2010 11:43AM STEVE Certificate o- Froiect lfame; No. 9974 P. 3 CF -1R -AI a e 1 of zoae # # oY5`forfes /S General Information Site Address.5 11 B>rildln g5 r�^7 LaforcemeatAgency: � This: g Type Single Family ❑ Multi Family Circle the Trtev>t driadatf an: N. $ 3, W, or depm Conditioned Floor Area (CFA): f---2 SQ ^` 1't°)ect TYPO: Q Alterations Q Envelope q Feant atios ❑ hoof 0 i VAC en! or UU199013f q Duct R ?lir form iv net to U used for Newly Cons'brtcted,�rdld#iigs orAddtYions Beater Ltsula8oa Palues F'or Opagrae S'tafaees �fovFwrbrg we the 1� and Assembly Alteration'T°rg Corubuctfon ruble below) ZI Opening of trend ad cavity alone—�Ilt tions that invotye the op g of the ed Ory ` ° man valatepex¢ISO for the altered asre»rb .fes Cava ofa wall' aealurg, orfloormust ftdall the ❑ Replacement of entire aasemb tY Fill Coltorprs.4 —C and elder mandctory dlswldian vahrs in Column K Pec D bnrulattatr �^ °fan e/4 wall, ceiling or floor assembly regr�as the ihsfallmton eCompare rt values in Table 1S1 -C. Fall Dy Columnssl—J. Dane gar&ce De{.aBB For the furrad ad po; Boned of Mese Walla see gyrrjn ��g�,�on xaBIe below A B C D• y .. Prn need N°�` S`tandar'd F G ii I J Framing T'hiclmese, Values From JA4 Tabie Ass�ly Naln0 mod Sly& ll` JA Table Framed Cmthiuous JA4 pznp� ype and � or Other factor' Nymbers &vvity Rlmistm Asses * Aesmrtbly Cell Values ufae� Note: Far fwad atm -blies, aaora,thrg Cm roar b, adtdto►r R Cmnvtrucifox table betaw vahrg srra J'aP JA4-J mad Bg&wan 4-1. Far arleel Bu Meor wallr + dna bfars mad 1. For TagJID rtrcheate the identfreatfon name that aches tke bra' 1. Indicm'e the Assembly Name p� . �Ced fYalls Floors, Subs, Crawl Sj Dears artd ete...hrdtrata the Frarxe type turd Stw Far T�ood Mead MEW Buildings, Mass, enter &A, 2d or etc... ,tee J44 for od wrparsible fr mne 3. !sem the thickness jbr. m4,4s iyi t>tches oP Swing betlVeen gyp aysemb/fes. such as Cana -old Sartdwit:h P f aned Miter; 16"or 24"00 or Other for all other a:sernbly descrtptlan � 51 Pawl Lags, Straw Balee PPetrell and art.... 4. Based an the Climate Zoxe; """ the Standard I'Jiictar from Table 151-B, C or D far each 5. Farmr #a Table number that clasaly raerrrblas the ossembly Natrre or typc f. hider tfra R -value rhtrt iv be �°pased assembly. ntB ' led in the wall tautly or between the framirt&• otherwise, enter "o°, & lire Continuous fwtdcton R -value for the proposed assemblj ath Lqp� ender "p" . Ener the row and colwnn of the Ullactor value bored on Colwnn F Table Number and enter the Assarnbly U factor in Column J _The Proposed Asserabty U -factor, Column J, lnust ba equal to or less ehmr the ,S Ufactor n Column E to comply, ::T,tMR Strias COr-t;uct;un Table PorRfa`s -Nalis CaI3,�-�—�— A $ C I B ) F °r000sed Preoer#ins of Nlasor�ry and Concrete r ti I r I J I x L 1V21:9 From Reference kdded Interior or Rrericr insulation Joint A endia Table 4.3.3, 4.3.6, 4.3.7 'n Furring Soace from Reference I JoiatA endia Table 4,3.13 .4ssembfy Mars' Name Or IA4 Table ° '� y y a v ? a Final =nizcss T ez Number' d ? 4 0 ' Asscuily7 1 I I .0 tectal° Mar.15. 2010 11:43AM STEVE. Prescriptive Certificate of Compimce• Residetttial ,Red7dential14lterad ons Fra jest Name: Climate Zone # /5— No, 9974 P. 4 CF -IR -Al AI 'Pam ge 4 off' # of Stories wATEI<t HEATING List water heaters and boilers for both domestic hot water ( HIF) hsatet s acrd hydronic apace he hwivitbrat gas or propowArced; and may not exceed 50 dwelli�rgDHW treaters must be gallons. fiat water pipe insrd�lovt from the DHW hsater to the kkehen(s) acrd on all widergrorard hot w� ie r din all co onetrt jM in all climate sones Water Heater Typeffluel Distnbution Type Number In TankExternal Tank EaeW Factor ar e Stan Recn �t SYstem Ca Insulation Thermal Effiam R -Value 1. lndicate 7jpe PYorage Gas, Heot Pump, lnstontaneous, etc.) 3. Recirculating systema serving multlPle dwelling units shall meet the recirculation requirements of§150(4). The Prescriptive requirements do not allow the instaQatton of a recfrcrdating water heatingsystern for single dwelling writs. I 73te external water heatin tank and t es shall be insulated to meet the rea&memenas of d i snn) 'PEC L 1?E x MS The enforcement agency,ehould pay special attention to the Special Features soecifled in the cAectdist below. -hese items me re,tire written irstf�cah'on and documen4�.-,'c,r acrd s ectal vert aha;t. YEW ROOF ASSEMY - Radiant Barrier :'he radiant barrier requiremeat of "1� 1(f)2 does not ap 1 to roof alterations. Slab Edge (Perimater) Iasulation ❑ YES ❑ NO YIDS: In Climate Zone 16 in Component Packages D, R-7 insulation is rcquized. 14eated Slab Insulation ❑ YES ❑ NO 'CU: Slab ed insulation rc uired for 4 heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation D I(ES 0 NO SFS: In Climate Zones 1, 2, 11 13, 14 & 16, R-8 insulation is re . in Climate Zones 12 & 15, R-4 is required under coca onont Package D. Choanal Mass .'o obtain Compliance Credit for the installation of thermal mass, use the Performance Atmroarh ' �'.stratio» Nrnrrber: Regis(ration Aate115me: tr>± ac v.�.,ra Mar. 15. 2010 11: 44AM Certificate of Com STEVE �esidentiQlAlferatian� - - . Project Name: _V(& Corfqdz Climate Zone g , No'. 9974 P. 5 CMR -ALT (Page 5 of 5) MIS S TCA noN suAntu Y Ths enforcement agency should poy special atteMtcn to the iIAM Measires spec*d in thin chiraMst below. A completed mrd signed CF ¢R Form for all the meames apecifted shall be submiusd to the W&%,, before final ctian Duct Sealing & Testing lEu verttflec on is r squired for this msasYrre 0 YES 0 NO YEs; In Climate Zones 2 and 9-16, if more than 40 Unear feat of new or replacement ducts are itLianed in =con&dcnM space, the ducts am to be sealed per § 152(b)IM and the newly bstalled duds are to be ins aced per §151(f)10. Cl )MCEMONt Existing duct systems that are extended, which are constructed, iwulatd or sealed with asbastos, 13 YE3 0 NO YES: In Climate Zones 2 and 9-16, ff the existing slmco-cenditiomng system (HVAC equipment aad ducting) is rcpbred, the ducts are to be sealed per §152(b)IDL ❑ YES C( NO YE& IA Climate Zones 2 and 9-16, if the ecdsting HVAC equipment is replaced (inducing the m?Lwement of the air bandler, outdoor condensing unit of a split system, cooling or heating cdil, or the famace heat exchanger) the ducts are to be scaled per §152(b)II ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS veri&atlon in accordance with procedures in the;1e.ereaee RfAdential Appendix RAs. ❑ EXCEl?'►' OM Duct systems with less than 40 Unear feet in unconditioned space. 0 EYCEP110N: Mating duct ems eonstrueted insulated or sealed with asbestas. ReftrjgelrUt Charge - Splft ffipsteln HEkSveri,'Zcadon is ?'&ptred for ddt meosum. © YES ONO YES; In Climate Zones 2 and 8-15, when the edsang HVAC equipment is replaced (including the . eplaeemaut of the air handler, outdoor condensing unit of a split system A/C or heat pomp, cooling or heating coil, of the fh mace host Wwhanger) a r'�ilt tBZrt charge mwamm mt shall beyezifiad per $152(b)1F. Ceutral Fan Integrated (CFn Venfdation System and Fan Watt Draw The vauhlation requires of §150(0) do not appy to Wdsting residential homes Daeted Split SYBtenls -Air Conditioners and Heat Pumps: A.ir law BFMvert kdAon is rag4,edfor this meaawe. O YES 0 NO YES: In Climate Zcmes 10 thmugh 15, when the exspace-conditioning system (HVAC ogtupat and dating) is the shflow and fan watt draw isdng shall be verified per § 152(b)ICI to moot the requfimmeats of $151ff17B. Domteniation Author's Deelarat#on Statement • 'LaMthtthis CerUcate Of Com fiance documentation is accurate and con tete. Name: /. a _ n/dy/comp Signainre: Dale; Address.k.—` a /567 r If Applicable 0 MA or ��cry�arareiarp: hu _ Q Poe• Responsible Building Designer's Declaration Statement I am eligible under Division 3 ofthc California Business and Professions Code to accept res000sibilitfor the buldiesi�Ns Certificate of Comcliance. ni+fed a' • I certify that the cnersW features and performance speerfications for the building design idcadfled .m this Cartif catc of-Compliaicc conform to the requizements of Title 24, Parts 1 and 6 of the California Code of Reo lations. • The building design features identified on this CcrtMicate 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 amnroval with this buildine nennif nnnI;rnti.,., Signature: mpany: �� ate; '3 _I ddress: p License; Q 1 f ,. .��..Y. l � A � X 5 W ll one:v 6t7"O Z -�Z . r assfatMed or gUFJfions t'egording th¢,Eytergy Stanft dr, cmniact the BnvVHotltne at, 1-8000772-3300. 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