BPLB2020-0011C&t!t D V Qu"l
78-495 CALLE TAM PICO 00
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number: BPLB2020-0011
Property Address: 78695 BOTTLEBRUSH DR
APN: 646312019
Application Description: MERAZ / WHOLE HOUSE GAS INSTALL
Property Zoning:
Application Valuation: $1,000.00
Applicant: ZA� 0
WILLIAM & ANGELA MERAZ
78695 BOTTLEBRUSH DR. FEB U / 2020
LA QUINTA, CA 92253 r
CITY Y s~jP LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Clas License No.:
Oa :, Zp2C� Contractor:
OWNER -BUILDER DECLARATION
I hereby of rm under penalty of perjury that I am exempt from the 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
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 owner -builder will have the burden of proving that
hefr she did not build or improve for the purpose of sale.).
,MI, 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
�th��e �Contractors' State License Law.).
w i a I am exempt under Sec. . B.&P.C. for this reason
Date: 1 '20 70 owner: W I L.LAN"4. 'm L
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/7/2020
Owner:
WILLIAM & ANGELA MERAZ
78695 BOTTLEBRUSH DR.
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
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.
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:
Carrf- Policy Number:
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 3700 of the Labor Code, I shall forthwith
comply with Ihose provisions. l>
Date: 1,/-+ ' Z W
Applicant: LL-AfA
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, 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 Building Official 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 hereby authorize representatives of this city to enter upon the
above -mentioned property for inspection purposes.
Date: '14 yjo Signature (Applicant or Agent):
Date::* 17.',/202Q:
Application Number: BPL82020-0011
Property Address: 78695 BOTTLEBRUSH DR
APN: 646312019
Application Description: MERAZ / WHOLE HOUSE GAS INSTALL
Property Zoning:
Application Valuation: $1,000.00
Applicant:
WILLIAM & ANGELA MERAZ
78695 BOTTLEBRUSH DR.
LA QUINTA, CA 92253
Owner:
WILLIAM & ANGELA MERAZ
78695 BOTTLEBRUSH DR.
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.
Detail: MERAZ WHOLE HOUSE GAS PIPING TO CHANGE FROM ELECTRIC TO NATURAL GAS. PER 2019 CALIFORNIA BUILDING CODES
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$40.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$26.83
Total Paid for PLUMBING 2019: $67.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
roject Address: W & 5 Ne 1 t-i- MPL✓s'1 �12
APN#: GL-16 -3 2, - Lek eA
Applicant Name: ,L.LiitM
Address: � 9 •- , S v 51 G4t
City, ST, Zip: (,A c{,n I YA . --LZ-rj �'S
Telephone: (
Email:
Contractor Name:
Address:
City, St, Zip
Telephone. -
Email:
State Lie: City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie: City Bus Lie:
PERMIT #
.15T
PLAN LOCATION: LA LIB+ W )l (A C1 - Z� 3
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
rrttiML LiiPSiALt-
1 o—,Au ,iiauS?;
Valuation of Projects_ IrtiLw
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: I Stories:
SF
SF
SF
SF
Occupancy: I
# Units:
Property Owner's Name: � ,L. ML � New Commercial / Tenant Improvements:
Address: 3"iJ 51 t li /A Total Building SF
City, ST, Zip Ln CZ -�
i �a ZZ S 3 Construction Type: Occupancy:
Telephone:
Email: k1�MMAt-
LA QUINTA, CA 92253
760-777-7000
0%—
/Jp4ff2,aLZ c;I I
CITY OF LA QUINTA
BUILDING & SAFE DEBT
FOR CONST ��N
DATE�Z�ts �b !
w
x
U
E
Cooktop and Oven.
3/4" line. 90,000
BTU/H R
�1/2" to supply line J
for fireplace. +j
40,000 BTU/HR
Meraz 2/5/2020
78695 Bottlebrush Dr Gas Line Install
So. Cal Gas Meter j
& line from Street
iP
GARAGE
I1 1/4" supply line
from the meter
BTU/H R
Gas furnace stubbed up for
future. Estimate 100,000 BTU/HR
Down size line to
1" furnace
after
IZZ
{
�
—sr 314" line to the gas dryer. 40,000
% HR
MASTER All lines will be run overhead and dropped
i1.1
BED into 2x4" walls and stubbed out and capped.
"'J1
All lines will be Schedule 40 black steel and
strapped and secured with pipe straps. q`
V
+�
Meraz - 2/5/2020
Gas Line Calculations
10
GAS
METER
00
A
Point A= Water Heater - 40,000 BTU/HR = 36 FT^3/HR
Point B = Furnace - 100,000 BTU/HR = 91 FT^3/HR
Point C = Clothes Dryer - 40,000 BTU/HR = 36 FT^3/HR
Point D = Fire Place - 40,000 BTU/HR = 36 FT^3/HR
Point E = Cooktop & Oven - 90,000 BTU/HR = 82 FT^3/HR
0E
.nt from meter is Point F @
)-ft from Table 1216.2(1)
Using the length in feet column row marked 80-ft in Table 1216.2(1) for Schedule 40 Pipe:
Point E @ 80-ft supplying 82 FT^3/HR = 3/4" pipe
Point D @ 80-ft supplying Point E & D (118 FT^3/HR) =3/4" pipe
Point C @ 80-ft supplying Point E & D & C (154 FT^3/HR) = 1" pipe
Point B @ 80-ft supplying Point E & D & C & B (245 FT^3/HR) = 1 1/4" pipe
46"Lazi: -00 ! I
CITY OF LA QUINTA
BUI,(/L�DING & S(/A�jjFM�f DEIT
FO�iR� G0NS T fiWT iJN
IATEv7 06,o. TA
W HOLE h(C"
CSJ sr acT
FUEL GAS PIPING
TABLE 1216.2(1)
SCHEDULE 40 METALLIC PIPE [NFPA 54: TABLE 6.2(b)]' 2
NOMINAL: I 'h 9/e 1 1 1'A 11h — 2 1 2%
ACTUAL ID: 0.622 0.824 1.049 1.380 117.170 2.067
2.469
GAS:1 NATURAL
INLET PRESSURE: LESS THAN 2 psi
PRESSURE DROP: 0.5 in. w.c, lc --
SPECIFIC GRAVITY: 0.60 Y�
PIPE SIZE (inch)
3 4-5
6 8
10 12
3.068 4.026
5.047
6.065 i 7.981
10.020 11.938
"ry" "' CAPACITY IN CUBIC FEET OF GAS PER HOUR
(feet) _ _
10 172 360 678 1390 2090 4020 6400 11 300 23 100 41 800 67 600 139 000 252 000 f 399 000
20 118 247 466 957 1430 2760 4400 7780 15 900 28 700 46 500 95 500 ] 73 000 275 000
30 95 199 374 768 1150 i 2220 3530 6250 ! 12700 23 000 37 300 76 700 139 000 220 000
40 81 170 320 657 985 ; 1900 3020 5350 10 900 19 700 31 900 65 600 119 000 189 000i
50 72 151 284 583 873 1 1680 2680 4740 9660 17 500 28 300 58 200 1 106 000 1 167 000
60 F 65 137 257 528 791 1520 2430T[ 4290 8760 15 800 : 25 600 52 700 95 700 1 1152 000
70 60 126 237 486 728 1400 2230 tl1 3950 I 8050 14 600 i 23 600 48 500 88 100 139 000 ;
80 56 117 . 220 452 677 1300 2080 j 3670 7490 13 600 22 000 45 100 81 900 130 000
90 52 110 207 424 635 1220 1950 J 3450 , 7030 12 700 20 600 j 42 300 76 900 122 000
100 50 104 195 400 600 1160 1840 I 3260 6640 12 000 19 500 40 000 72 600 115 000
125 44 92 173 355 1 532 1020 1630 2890 5890 10600 17 200 35 400 64 300 102 000
150 40 I 83 157 322 482 928 1480 2610 5330 9650 15 600 32 100 58 300 92 300
175 37 ` 77 144 296 443 854 1360 2410 4910 8880 14 400 29 500 53 600 84 900 I
200 34 71 134 275 412 ! 794 1270 2240 4560 8260 1340 27 500 49 900 79 000
250 30 63 119 244 366 ! 704 1120 f 1980 4050 7320 11900 24 300 44 200 70 000
300 27 57 108 221 331 638 J ] 020 1800 3670— 6630 10 700 22 100 40 100 63 400
350 25 53 99 203 4 305 { 587 935 1650 3370 6100 9880 20 300 36 900 58 400
400 I 23 49 92 189 ` 283 { 546 870 1540 j 3140 5680 9190 18 900 j 34 300 54 300
450 j 22 46 86 177 266 f 512 816 1440 ! 2940 5330 8620 17 700 32 200 50 900
500 21 43 82 I 168 251 484 771 t?60 2780 5030 8350 16 700 30 400 48100 f
550 I 20 41 78 159 239 459 732 1290 1 2640 4780 7740 15 900 28 900 45 70-0-I
600 19 39 74 152 228 438 i 699 1240 2520 4560 7380 15 200 i 27 500 43 600 .
650 18 38 71 145 218 1 420 669 1180 2410 4360 7070 14 500 G 26 400 41 800
700 17 36 68 140 209 [ 403 [ 643 1140 2320 4190 6790 ; 14 000 25 300 40 100
750 17 j 35 66 135 202 389 € 619 1090 2230 4040 6540 a 13 400 24 400 38 600
850 ' ]6 33 6l l2b 189 ' 363 579 1020 2090 3900 6320 13000 23 600 37 300
ii 3780 6110 12 600 22 800 36 100
900 15 32 59 122 183 352 561 992 2020 ! 3660 5930 12 200 22 100 35 000
950 15 31 58 118 178 342 545 963 1 1960 13550 5760 0 11 800 21 500 34 000
1000 14 30 56 115rl
173 333 530 937 1910 3460 5600 r 11 500 20 900 ' 33 100 i
1100 14 28— 53 109 _64I 316 503 f 890 — 1816 3280 5320 l0 900 19 800 31405
1200 13 27 51 104 156 301 i 480 [ 849 1730 3130 5070 10 400 18900 30 000
1300 12 26 49 100 150 289 460 [ 813 1660 3000 4860 9980 18 100 28 700
1400 12 25 47 96 144 277 442 781 1590 2880 4670 '' 9590 17 400 27 600
1500 11 24 45 93 139 267 426 752 1530 j 2780 4500 9240 16 800 26 600
1600 11 23 y 44 89 134 258 411 727 1480 2680 4340 8920 16 200 25 600
1700 11 22 42 ! 86 130 250 398 703 1430 2590 4200 8630 15 700 24 800 1
1800 10 22 41 84 126 242 386 682 1390 2520 4070 8370 15 200 24 100
1900 10 21 40 ` 81 122 235 375 662 1350 2440 3960 8130 i 14 800 23 400 I
2000 NA 20 39 '1 79 119 229 364 644 j 1310 , 2380 3850 7910 14 400 227
For S1 units: 1 inch = 25 mm, I foot = 304.8 mm, I cubic foot per hour= 0.0283 m31h, 1 pound -force per square inch = 6.8947 kPa, 1 inch water column = 0.249 kPa
Notes:
[ Table entries are rounded to 3 significant digits.
NA means a flow of less than 10 fl3/h (0.283 m3Ar).
2013 CALIFORNIA PLUMBING CODE 4 219
T44f 4 4 a(Arc4i
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verb this information.
Pfrl 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
4A 2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
0 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
W V ' 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
46 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
V46 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
W j 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
AIA 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
11�'Qr1 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
VOM 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to tlae V
required to be presented when the permit is issued to verify the property
owner's signature. Ahf
Signature of property owner :E�= f Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date: