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08-1938 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: 08-00001938 Property Address: 49685 AVENIDA VISTA BONITA APN: 773-350-058-58 -14496 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL . Application valuation: _Q 7 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner. DALRYMPLE JOHN E 49685 AVENIDA VISTA BONITA LA QUINTA, CA 92253 (760)771-4620 Contractor: l Applicant, " Architect orEngigeer: PACIFIC EXPRESS INSTLL/SVC P.O. BOX 2590 CARLSBAD, CA 92018-2590 (760)720-1613 Lic. No.: 878921 --------------------------------------------- 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: C36 Licen o.: 878921 Date: cJ-� .Contractor: OWNER -BUIL ECLARATION I hereby affirm under penalty of perjury that I am exempt frol he Contractor's State License Law for the following reason (Sec. 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 ($500).: 1 _ I 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 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 6wrier-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). - (_) 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 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/09:/08 r 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 Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ACE PROP & CAS Policy Number 045083494 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 p 3700 of the Labor Code, Ishall fforth- th comply with those provisions. C — _Date /��Applicant: -p WARNING: FAILURE TO SECURE WORKERS' COMPENS TION OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIV FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COSTO PENSATION, 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 agree to comply with all city and county ordinances and state laws relating to building construction, and here4o.%thorize representatives of this county to enter upon the above-mentioned pro er inspectio purpose C --Date: Signature (Applicant or Agent): Application Number . . . 08-00001938 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . 22.50 Plan Check Fee 5.63 Issue Date. . Valuation 0 Expiration Date ". 6/07/09 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 -- - -- special iveres and Commenus WATER HEATER CHANGE OUT WITH NEW 40 . GALLON GAS UNIT. Fee summary. Charged Paid Credited Due - Permit Fee Total 22.50 -00 00 22.50 Plan Check Total 5.63 .00 .00 5.63 Grand Total 28.13 .00 .00 28.13 LQPERMIT - - - CERTIFICATE OF COMPLIANCE: RESIDENTIAL- . (Page 1 of 4) CF -IR q v a�tv vl'(• 12 cam Project Title t Date �1 a t�-Q Project A Building Pen -nit # — ��•� _ (� (� Pian Check /Date - • Documentation Author TPlPnhnnv l_ompuance ivlemoa krrescrlpUve) - Climate Lone .Enforcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D �:, :D (ABterri.�tive). ... .; Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -I R page 3) For Package D Alternative.see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ftz Average Ceiling Height: ft ' Maximum Allowed West Facing Fenestration Products Per Table 1517B or 151 'C ---- (5% X CFA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) ✓ ❑ Building Type (checkbone of more) �ngle Family Multifamily Addixion Alteration (1f adding fel estration `flll'`ou WS`4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories:_ Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor (circle one or both) Firont` f' ntation: North/ South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ❑ RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS:'". Component Type (Wall, Roof, Floor, Slab Edge, •- Doors) Frame Type (Wood or Metal) Assembly U - factor (for Cavity Continuous wood, metal "Insulation Insulation frame and mass R -Value R -Value ' assemblies)' Joint Appendix IV Reference Roof Radiant Barrier Location/Comments lastalled - (attic, garage, Yes or No typical, etc. I) dee joint Appenaix IV in lection I V.2, 1 V.3 and I V A, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Paye 3 of 4) CF -IR U)--1ty l 2 _S Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided, to the building department for each home for which the following. are required. OR 17 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Distribution Type Q; Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) Tank Capacity (gallons) TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) Tank I External Standby Insulation Loss % R. -Value Refrigerant Charge (climate zones 2 and.8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR 17 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Tank Capacity (gallons) dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Tank I External Standby Insulation Loss % R. -Value not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system com lies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. 0 Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input (kW or Btu/hr) Tank Capacity (gallons) Energy Factor or Thermal Efficiency Tank I External Standby Insulation Loss % R. -Value Tank External Insulation R -Value .(%) .Q System serving multiple d. elling units Water Heater Type Distribution Type Number in S stem Rated Input (kW or Btu/hr) Tank Capacity (gallons) Energy Factor' or Thermal Efficiency Standby Loss Tank External Insulation R -Value .(%) I. For small gas.storage water heaters (rated inputs of less thati or equal to 75,000 Btu/Ilr), electric resistance, and hcat pump water heaters, Iist.Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are '/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (j) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -IR Project Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -411 —must be included for New Construction, Additions and Alterations. . Fenestration P/Type/Pos.. (Front, Left, Orien- Rear, Right, tation, Area U -factor Sk li ht . N, S, E, W1 (ft') U -factor' Source; SHGC°.. Exterior Shad ing/Overhangs6.7 SHGC ✓ box if WS -3R is Souice5 included El I ) �,tcyugnts are now included to West-tacing tenestration area if the skylights are tilted to the west or tilted to any direction when the pitch is less than 1:12. See § 15l(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116+. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -311 to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Minimum Distribution Type and Capacity Efficiency Type and Location Duct or Piping Thermcstat Configuration (furnace, heat pump, boiler, etc.) (AFUE or HSPF ducts, attic, etc.) R -Value T ? (split orackaae) 1 Cooling Equipment Minimum Type and Capacity Efficiency Duct Location Duct Therm -)stat Configuration (A/C, heat PUrnp, eva . cooling) (SEER or EER) (attic, etc.) R -Value Tyr -le (split or package) r 3 Residential Compliance Forms March 2005 ✓ ❑ 1 1<eature Duct Sealin ' r CERTIFICATE OF COMPLIANCE: RESIDENTIAL {Page4 of 4) CF -1R . ❑ Project Title 'Date. SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project:. The list below only represents special features' relevant to the rescri otivemethod. . �! Feature. Required -Forms ita licable Desciition O Metal Framed Walls CF -1R ❑ Radiant Barriers CF -1R . ❑ ' Exterior ShadesWS-4R ❑ Cool Roof N/A; Attach CRRC Label to Forms.' 0 Dedicated Ilydroni , Heating Performance Calculation stem R uired; Attach Run to Forms. ". ❑ Combined Hydionic System ' Performance Calculation. R uired•. Attach Run to Fors. ❑ Gas Cooling Performance Calculation ' ❑ Buried'Ducts Required. '-N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation. See Section 5.62 Distribution ^ Systems in Residential Manual., Multiple Water Heaters Per ❑ See Table 5-13 or use Dwelling Unit Performance Calculation and attach Run to Fors. Central. Water .Heating- System ❑ Performance Calculation and _ ......._. _ Servin Multi le Dwellings �' attach Run to Forms. ---- -.::.Non-NAECA LargeWater Heater CF -IR-- - - . .... . ❑ Indirect Water Heater . See Table 5-13 or use' Performance Calculation and attach Run to Forms ❑ Instantaneous Gas Water Heater -.See Table 5-13. or use Performance Calculation and attach Run to Forms ' ❑ Solar Water Heating System See Table 5-13 oruse _ Performance Calculation and ' attach Run to Forms ❑ Wood Stove Boiler -.Performance Calculation and attach Run to Forms SPECIAL FEATURES RE('!nR G HERS RATER VERIFICATIOW Ladd extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification.. ✓ ❑ 1 1<eature Duct Sealin R uired Forms if a livable Descri tion CF -6R part 4 of12 ❑ Refrigerant Char a CF -6R part 5 of 12 ❑ Thermostatic Ex ion Valve CF_6R part 6 of 12 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampicc La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking Sheet Permit # �n Project Address: q (rz b , 41, V ISt� i Owner's Name: - A yl ( r A. P. Number: Address: Legal Description: Contractor: --P.Ci $t v �� V't-4S City, ST, Zip: »9 Telephone: �7LPU —7'1 / Address:. 3 1 ,Pt Lke, Project Description: UJ a v A�Lv , (� City, ST, Zip: , v("6 Telephone: 72-o _ t W3 . State Lic. # : �5 _709Z 1 CityLic. #: 'v t) Arch., Engr., Designer: Address: City, ST, Zip: Telephone: A - Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person-7 Sq. Ft.: # Stories: # Units: Telephone # of Contact Person )-2,4— Z Estimated Value of Project: *4_5_6) APPLICANT: DO NOT WRITE BELOW THIS LINE q Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d 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 Grad:ng INHOUSE:- ''" 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