09-1213 (PLBG)�. T.T 11. . :'
P..O: BOX 1504 ^' � VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011•
LA QUINTA; CALIFORNIA,92253 _ BUILDING & SAFETY DEPART'MENT_. INSPECTIONS (760) 777-7153
BUILDING PERMIT ; . .. ._.
_ Date: 11/24/09
Application Number. 09-00001213 Owner:'
Property Address: 49951 AVENIDA VISTA-•BONITA BARTIS BECKY
APN: 773-340-074-137 -14496'- 49951 AVENIDA VISTA BONITA
Application description: PLUMBING ' LA QUINTA, CA 92253 A
Property Zoning: LOW DENSITY RESIDENTIAL D
Application valuation:' 911- _
_ Contractor: DEC 012009
Applicant: Architect or Engineer: CALIFORNIA DELTA MECHNI AL INC
6052 E. BASELINE RD, #1 5 CITYAFLAQUINTA
_ MESA, AZ 85206 FINARCE S}FPT.
(480) 898-0007
LiC. No.: 811114
• LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION -
I 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 -C10-1236 License No.: 811114 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
9 L' A///( �j issued.
t ate:X / a tractor: G A T� • .!/�v �� 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 - _ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the peisun iii any manner so as to become 3ubjcct to tho 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 I should become subject to 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 hall 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 / //09 / ��' r � �j✓
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001: - ate: Plicant: !ll��� /'r _
(_ 1 I, as owner of the property, or my employees with wages as their sale compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the . DOLLARS '($ 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 ATTOnNEY'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
r (_ 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 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, 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 cessationof 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 havereadthis 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 herebyauthorize representatives.
of this ount to enter upon he above-mentioned property for inspection purposes.
Lender's Name:
_
_ - - ///y
• - - - te: /�/ "/0� nature (Applicant or Agent):
Lender's Address: - -
LQPERMIT
Application Number .
. . . .. >09-00001213
Permit ... . . ..
PLUMBING
Additional desc .
" Permit Fee . • .22.50
Plan Check
Fee
5.63
Issue Date
Valuation
0
Expiration Date
5/23/10
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 48 GALLON GAS
WATER HEATER. 2007
CODES.
------------------------------
Other.Fees .
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
Nov, 24. 2009 11; 28AM STEVE No. 6584 P. 11
CERTIFICATE OF COMPLIANCE:
. RESIDENTIAL e 3 of 4) CF -1R •
Project Title'
Datb
SEATED DUCTS and TXVs or Alternative Measures
A signed CF -4R Form must be provided to the building department for each horse for which the following, are
• re�uirui.
❑ Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Pro•ect Climate Zone in the RM Ap2endix B Table 151-0 Footnotes 7-14,
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procecures 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 Pac!:Je D.
VVis1nrL ZXVJ \121\lT bYJ2J&IVL-S
Distribution
❑
Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification ed.
11
TXVs, readily accessible (climate zones 2 and 8-15 only)
Standby'
Loss %
Installer testing and certification and HERS Rater field verification m uired_
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification r uirecl
�e
❑ Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Pro•ect Climate Zone in the RM Ap2endix B Table 151-0 Footnotes 7-14,
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procecures 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 Pac!:Je D.
VVis1nrL ZXVJ \121\lT bYJ2J&IVL-S
Water Heater
Distribution
Number
in System
Check -box if system meets criteria of a "Standard" system. Standard system is one gas -fined rater heater per
Tank
Capacity
Ions
dwelling unit. Ifthe water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
Loss %
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 iu the Residential
Manual. No water heating calculations are required, and the system complies automaticaliv.
Check box if system does not meet criteria of "Standard" system, and does not comply with thr Preapproved
❑
Alternative Water Heating table. 1n this case, the Performance Method must be used and must be included in the
submittal,
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Systems serving single dwellin2
units
Rated Energy Tank
Water Heater
Input' Tank Factor' or External
Distribution Number (W or Capacity Thermal Standby' Insulation
TVve/FueI Type
Type in System Bn1/hr) Ions) Eficienc Loss % R -Value
�E_?
yo 4S o.s8
Water Heater
Distribution
Number
in System
Imus
(w or
BUAr).
Tank
Capacity
Ions
Ener
Factorr
'Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
-- - ----•.---- a -- ---•-q- •....w ..vwv�o liaaw uIruu til. AWS U16U1 Ur Uqual TO /J,llW ileum/, electric resistance, and heat
pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of grcnter 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 %
inches or greater in diameter shall be thermally insulated as, specified by Section 150 (j) 2 A or 150 (j t 2 B.
Residential Compliance Forms March 2005
Nov -24. 2009 11:27AM STEVE
No. 6584 P. 10
Bin #
City of LQ QuIn t a
• Building ar Safety Mion
Pemik #
P.O. Box 1504, 76-495 Calle Tampico
0�
[a Quinta, CA 92253 - (760) 777-7012
ORO,
Building Permit Application and Tracking Sheet
Ptoj6dA.ddrsss: 7 5?
vowdo V $ - &Ai 6 Owner's Nome: QA�r`�i5
AL P. Number-
Address:
Legal Description:
City, ST. Zip:La aGi. V77
Contractor f' Lfpj
Telephone: — Z q o —3 R 6 S
Address: 6osb . 6txse,C,'mp, 1.515— �mject Aesetiption:
City. ST. zip: �74
Z g.SZO6
Telephone: �6 -6` 2 -
State Lic, # :
City Lie. #:10k00 y
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
f nnt4n,w�on Type peevpouvy,
State Lia #:
Project type (circle one): New Add'n Atter Repair Demo
Nana of Contact PersoA:
Sq. FL: # Stories: # Units:
Telephone # of Contactt Person
b 6 d - �q 2 ^ 5 Z �3
gstitnatcd Value of Project-JI1. f
APPLICANT. GO NOT WRITE BELOW THIS LINE
N Submittal
'd Reed TIRACIONG pgM,DT
Plan Sets
Plan Check submitted
Item
Amount
Structural Calm
Reviewed, ready for corrections
flan CheckDepesit
Trois Cales.
Called Contact Person
Plan Check Balance,
Vic 74 Calcs.
Plans picked tip
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready fir correctiona/irsue
Electrical
Subcontaotar List
Called Contact Person
Plumbing
INHOUM:•
*' REview, ready for correctlourime
Developer Impact Fee '
Plaaning Approval
Called Contact Person
A.I.P.P.
Pub. Wim A.ppr
Date of permit Woe
School Fees
Total Permit Pees
cs,