10-1281 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
'10=00001281
51-350 VIA.-SORRENTO
777-330-048- - -
PLUMBING "
LOW DENSITY RESIDENTIAL
185
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX .(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/22/10
Owner:
WILLILAM MOEL
51350 VIA SORRENTO
LA QUINTA, CA 92253 �' ^
11
NOVq tc
Contractor: i 2010"
Applicant: Architector Engineer: STATE WIDE PLUMBING
70244 CATANIA COURT�1,�c1liNY�iINDIO, CA 92203--0
I� (760)393-6115
Lic..No.: 731855
LICENSED CONTRACTOR'S DECLARATION WORK ER'S'COMPENSATION DECLARATION -
I hereby affirm under penalty ofperjury that I am licensed under. provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one ofthe'following declarations:
Section 7000) of Division 3 of the Business an rof e, -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 Clas : - C3 icense No.:: 731855 - for by Section 3700of the Labor Code, for the performance, of, the work for which this permit is
HH issued.
Date: v ntractor: _ - —.1 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:
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 artily 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 . - *:FA
nd agree that, if I 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 0 of the Lab PC ode, I ll fn i ose 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).: scant
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and qy lthe structure is not intendedoroffered for sale (Seo. 7044, Business and Professions Code: The . WAE 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, provided that the DOLLARS ($100,0001. 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 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 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 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 LawJ. whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 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
of La Quinta, its officers, agenfs.and employees for any act or omission related to the work being
performed under or following -issuance of this permit.
Date: Owner: 2. Any permit issued as a result of this application becomes null and void if. work isnot 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. - - -
I hereby affirm under penalty 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 ISec. 3097, Civ. C.). city andcou ordinances and state laws relating to building construction, and hereby authorize representatives
of this con to nter upon the abo ention y or ins e
Lender's Name:
e: f/-) /J Si ture (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number
10-00001281
Permit . . . PLUMBING
Additional desc .
Permit Fee 22.50
Plan Check'Fee
5.63
Issue Date
Valuation
0
Expiration Date 5/21/11
Qty Unit Charge Per,
Extension
BASE
FEE
15.00
1.00, 7.5000 EA PLB
WATER HEATER/VENT
7.50
- - -- --------------------------------------------
Special Notes and Comments
INSTALL NEW 5.0 GALLON GAS WATER
HEATER.
2007 CODES.
- --.------------
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 -IR -ALT
Residential Alterations
a e 1 of
Project Name: (A t r1 �/.1C ct'L
Climate ane #
. f
#of S4ories
/
General Information
Site Address: /A _5Ae6NT Enforcement Agency: Date:
Building Type Single Family O Multi Family Circle the Front Orien n: N, E, S, W, or degrees
Conditioned Floor Area (CFA): Project Type: MoXiterations O Envelope O Fenestration O Roof O HVAC
Replacement or Change Out O Duct Replacement O Water Heater
NO This form Is not to be used for Newo Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (/or 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 §I S0 for 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 ISI -C. Fill in Columns A -J
Paque Surface Details For the furred portioned of Mass Walls see Furring Stripa Construction Table below.
Proposed °s` Standard V Values From JA4 Table
Ta$/
iD
Assembly Name
or Type'
Framing
Material
and Size'
Thickness,
Spacing, U- JA4 Table
or Other' factor' Numbers
Framed
Cavity
R -value°
Continuous JA4 Proposed
insulation Assembly Assembl
R -Value' Cell Value U -factor
v
U
U
Assembly
Mass
Name or JA4 Table v -
Thickness'
Type2 Numbers Q > IT
w
Final
31
�.
Assemb�
Note: For furred assemblies, accounting jor Continuous Insulation R -value. see Page JA4-3 and Equation 4-1. For calculatinghared walls use the Mass and
Furring Construction table below.
- _o .- ..-- r»•� •••� •—timuslun rause rnar matenes the outiamg 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 15 1-8. C orD 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 and enter the Assembly UJactor in Column J
9. The Proposed Assembly tl.larYnr-'--
_ucring-Strips Construction Table for Mass Walls
A I
B C —FD—FE
Proposed Properties of Masonry and Concrete.
Walls From Reference
Joint Appendix
Table 43.5 4.3.6 4.3.7
v
U
U
Assembly
Mass
Name or JA4 Table v -
Thickness'
Type2 Numbers Q > IT
F I G I H I d I K L
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint-ADDendix Table 4.3.13
q
Registration Number: Registration Dateifime:
2008 Residential Compliance Forms
HERS Provider:
IM
August 2009
U
`o C C
.2
F-
1 --Final
w
Final
31
�.
Assemb�
< >
U -factor
Registration Number: Registration Dateifime:
2008 Residential Compliance Forms
HERS Provider:
IM
August 2009
Prescriptive Certificate of Compliance: Residential CF-IR=ALT
Residential Alterations Page 4 of 5
Project Name: Climate Zone It # of Stories
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
Heating Equipment
Type and Capacity '•Z;
Minimum
Efficiency -Distribution
AFUE or HSPF lype and Location
Duct or Piping
Insulation Thermostat
R -Value Type
'Configuration
.(Central, Split,
Space, Package or H dronic
Number In
Tank
Energy Factor or
External Tank
Insulation
Typel
Standard, Recirculatin Z
System
C aci(gal)Thermal
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 minutes). See §1 SI (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, Hydronic in Floor. Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
U
Cooling Equipment 2
T and Capacity
Efficiency
(SEER/EER or
COP
Distribution
T and Location3
Duct or Piping
Insulation
R -Value
Thermostat
Type
Configuration .
(Central, Split,
Space, Package or H dronic
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 healft tank and pipes shall be insulated to meet the requirements o ISO ' .
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 boxes. .
3. Indicate Type or Location Ducts, H dronic 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 omponent packages in all climate zones.
Water Heater Type/Fuel
Distribution Type
Number In
Tank
Energy Factor or
External Tank
Insulation
Typel
Standard, Recirculatin Z
System
C aci(gal)Thermal
Efficient
R -Value
U
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 healft tank and pipes shall be insulated to meet the requirements o ISO ' .
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written justification and documentation and special veri ication.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 15l 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation O YES O NO -
YES: In Climate Zone 16 in.Component Packages D, R-7 insulation is required.
Heated Slab Insulation . 0 YES O 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 0 YES 0 NO
YES: In Climate Zones I, 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 DateiTime:
2008 Residential Compliance Forms
HERS Provider:
August 2009
Prescriptive Certificate of
Residential Alterations
Project Name:
Residential CF -IR -ALT.
a e5of5)
Climate Zone # I # of Stories
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.
D YES D 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)1Dii and the newly installed ducts are to be insulated per §15l(f)10.
D EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
YES 13 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning rystem (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b) I Di. '
13 YES O 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) I E.
O 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 EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS'verification is required for this measure.
D YES O 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)IF.
Central Fan Integrated (CF1) Ventilation System and Fan Watt Draw
The ventilation requirements 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.
D YES 13 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) 1Ci 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:
Signature:
Company:
Date:
Address:
If Applicable O CEA or 13 CEPE
(Certification #):
City/State/Zip:
Phone:
Responsible Bi irding Designers 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.
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 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 ermit application.
Name: __J__Signature:
L/V�i � �-
Company: ///
Date:
Address: yon
License:
City/State/Zip:
%' X203
Phone:
(�q379_3 "z5`
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration DateiTime:
2008 Residential Compliance Forms
HERS Provider:
August 2009
Bin #
City of LAQuinta
Building 8r Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address: /� (� / _Tp
Owner's Name:
A. P. Number:
Address: asp O
Legal Description:
City, ST, Zip: /{
Contractor:
Telephone: /
Address: O�L�y ��T�,J j� -
Project Description:
i O .
City, ST, Zip:/ .
-
Telephone: (565J%�G/ /
>%
.<?: IW
State Lie. # :s`s City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
i ,:.� ;
zss:...
Construction Type: Occupancy:
State Lie. #:
Project type (circle one):. New Add'n Alter Repair Demo
Sq. Ft : #Stories: #Units:
Name of Contact Person:
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
Plan Check Deposit
Truss Calcs.
Called- Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood.plaln plan
Plans resubmitted
Mechanical
Grading plan
2°" 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:-
''a 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