11-1318 (PLBG)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: 12/13/11
Application Number:11-0'0001318 -^'. Owner:
Property Address: 78945 VIA VENTANA LESLIE PEARSON
APN: 646-330-0257 - 78945 VIA VENTANA
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
-Application valuation: 150
Contractor:
-Applicant-. Architect or Engineer. STATE WIDE PLUMBING
' 40244 CCOURT
CA 922
`INDIO, CA 92203--0
(760)636-0315.
` Lic:°No:. 731855
7 - - ----`- -.-,-, - - - - -' -. ---------------- - - ------------ - - - - - - - - 7,---- ---
LICENSED CONTRACTOR'S DECLARATION f - WORKER'S COMPENSATION DECLARATION
1 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 Bu *pass 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: C36 - License No.: 731855 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ issued.
C Date{ Contract _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
7.44 LL Code, for the performance of the workfor which this permit is issued. My workers' compensation
P'
OWNER -BUILDER DECLARATION,: insurance carrier and policy number are: _ '
I hereby affirm under penalty of perjury that I am exempt fromtheContractor's State License Law for the - 'Carrier SOUTHER INS CO Policy Number WSI0047530-01 - -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires permit to: - _ - I certify that, in the performance of the work for which this permit isissued, '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 Is uld'.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 F,. 3700 of the tabor dem shall forthwith comply 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 1$500).: Date 1. ARplicdpt
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 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, provided that 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" -
(_ 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 fora 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 Law.)• whose benefit work is performed under or pursuant to any permitissued as a result of this, application, _ - -
. f. • 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, agents 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 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. '
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 (Sec. 3097, Civ. C.1. - • - city and county ordinances and state laws relating t building construction, and hereby authorize representatives --
` of thi c;", o enter upon the above -menti one party for inspection purposes. "
Lender's Name: _ // '
-D�t�a/ '� Signa turelApplicant,or- ,.
Lender's Address: - �•`'�
LQPERMIT
Application.Number . . . .
11-00001318
Permit PLUMBING
Additional desc ..
Permit Fee 22.50
Plan Check
Fee
5.63
Issue Date
Valuation
0
- Expiration Date 6/10/12
Qty Unit- Charge Per
'Extension
BASE
FEE
15.00
1.00 7.5000 EAS PLB
WATER HEATER/VENT
7.50
-----------------------
Special Notes 'and Comments
--
INSTALL NEW 50 GALLON GAS WATER
HEATER.
2010 CODES.
--------------------- ---- ---- - ----------------
Other Fees,''..
BLDG STDS ADMIN.(SB1413)
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,
Certificate of
Climate Zone #
CF -IR -ALT
# of Stries
General Information
Site Address: ilk Enforcement Agency: Date:
= Building Type Single Family 0 Multi Family Circle the Front Orientation: N,:E, S, W, or degrees
Conditioned Floor Area (CFA): Project Type;. O Alterations O Envelope 0 Fene tion O Roof O HVAC
1Re` lacement orfh a Out ❑ Duct Re lacement saes Heater
NOTE: This form is not to be used for Newly Construded 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 ofa wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table /51-C. Fill in Columns A - J.
Opaque Surface Details For the furred portioned of MassWalls see Furring Strips Construction Table below.
A B C D E F G" H 1 J
Proposed `' Standard Values From JA4 Table
Tag/
IDS
Assembly Name
or Type'
Framing
Material
and Size'
Thickness, Framed Continuous JA4 Proposed
Spacing, U- JA4 Table Cavityinsulation Assembly Assembly
or Other' factor' Numbers R -value° R -Value Cell Value' U -factor°
I G I H I 1• J I
K
L M
Proposed Properties of Masonry and Concrete
''
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5 43.6, 4.3.7
Note: For furred assemblies, accounting for Contiiurous insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring 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 15i -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 between theframing; ming; otherwise, enter
7. Enter the Continuous Insulation R -value jor 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 U factor in Column J
9. The 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 I B I C D_
E
F
I G I H I 1• J I
K
L M
Proposed Properties of Masonry and Concrete
''
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5 43.6, 4.3.7
u
Joint Appendix Table 4.3.13
Assembly'
-�
�-o.
j
o o
` c S .0
> ;
Final
Assemb
Mass
Thickness'
Name or JA4 Table
T Number`
v
< >
L
c X e
E E ?
< >
v
U -factor ? Comment
Registration Number:
2008 Residential Compliance Forms
Registration Dale -Time:
HERS Provider:
August 200!
Prescriptive Certificate of Compliance: Residential
Residential Alterations
a r�
CF -IR -ALT
(Page 4 of 5
# of $tories-
Ir
HVAC SYSTEMS - HEATING
Heating Equipment
and Capacity'- '
Minimum Duct or Piping _ Configuration
Efficiency Distribution Insulation ThermostatT (Central. Split.
(AFUE or HSPF) T and Location ° R -Value T � S ace. Pack a or H dronic)
_Type
Water.Heater Ty Fuel Distribution Type Number In Tank
Type i"
(Standard. Recirculatin )Z System Capacity (gal)
Energy Factor or Insulation
Thermal £fficienc • R-Valuej
1. Indicate Heating Type (Central Furnace. Wall Furnace, Heatpump, 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 Ktt° or 7.000 Btu;hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See 6151(6)3 exception.
3. Refer to the HERS herification section on Pug "e 3 of the CF -I R .4LT Form for additional requirements and check applicable boxes.
t. Indicate Type or Location (Ducts, Hydronic in'Floor. Radiators, etc.)
HVAC SYSTEMS- COOLING
Cooling Equipment
Tv and Capacity' -Z
Minimum
Efficiency Duct or Piping Configuration
(SEER/EER or Distribution Insulation Thermostat (Central. Split.
COP) T and Location R -Value T S ace. 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-,4LT Form for additional requirements and check applicable boxes.
3. Indicate TyN or Location (Ducts. H dronic in Floor. Radiators, etc.
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hvdronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may not exceed 50 gallons. iHot 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.
External Tank
Water.Heater Ty Fuel Distribution Type Number In Tank
Type i"
(Standard. Recirculatin )Z System Capacity (gal)
Energy Factor or Insulation
Thermal £fficienc • R-Valuej
1. Indicate type IJtorage Gas. Heat Pump, instantaneous, etc.) r:
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 nater heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the requirements of §150(.
SPECIAL FEATURES The enforcement agency should.pay special attention to the Special Features specified in this checklist below.
These items ma • require written 'usti tcation and documentation and special verifcation.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 151 f)2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation 0 YES 0 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 1 YES 0 NO
YES: In Climate Zones 1. 2. 11. 13. 14 & 16. R-8 insulation is required: in Climate Zones 12 & 15. R4 is required under component Package C
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass. use the`Peiforinance Approach.
Registration Number: Registration Date. Time: HERS Provider:
2008 Residential Compliance Forms. August 2
f,
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential.Alterat(ons _-. _ Wage S. of 5 .
_
mste-Zone=*— -- - -#_otories=
r-;- ._ f_
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 ducts are to be sealed per §152(b)lDii 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.
Q YES 17 NO YES: In Climate Zones 2 and 9-16; if the existing space -conditioning system (HVAC equipment and ducting) is replaced. the
ducts are to be sealed per § 152(b)1 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)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.
13 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
13 EXCEPTION: Existine duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
O YES 11 NO YES: In Climate Zones 2 and -,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
exchaneer) a'ref izerant charee measurement shall be verified per §152(b)IF.
Central Fan Integrated (CFI) Ventilation System and Fan Watt.Draw
The venti lation.itguirements of §I50(o) do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and. Heat Pumps: Airflow HERS verification is required for this measure.
OYES 1-3NOYES: 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)ICi to meet the requirements of § 151(f)7B.
Documentation Author's Declaration Statement
• 1 certify that this Certificate of Com "liance' documentation is accurate and covAlete.
Name:
Signature: n n
C� oma
(�jJ [- "
Com y: Date:
A.��� �� If Applicable ❑CEA or ❑ CEPE
`c: #):
n b (Certification
City/State/Zip, %� � Phon :
Responsible Building Desi er'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.
• t certM-- that the energy features and performance specifications for the building design identified on this Certificate of Compliance conforn
to the requirements of Title 24. Parts l 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: 1-800-772-3300.
Registration A"umber:
2008 Residential Compliance Forms
Registration Date Time:
HERS Provider:
August' 2
r
Bin #
Qty Of La Qut*nb
Building 8T 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:
Owner's Name: ' &--,2j
A. P. Number.
Address —(:� C(Q+45 (� GL
Legal Description:
City, ST, Zip:
Contractor. ` l�
Telephone:
Project Description:. (� l D
Address:6�OL
City, ST, Zip: - ',' � ��� -
� � . • •
Telephone fJ,`..:
State Lic. # 23 1 IST City Lie. #;
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
ConstructionType: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State
'-
Name of Contact Person'---V�- c _
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person: -1, -� to �� '
Estimated Value of Project: � VS _
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACWNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calces
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called- Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V 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
INHOUSE:-
''a Review, ready for corrections/'issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue'
School Fees
Total Permit Fees