08-1890 (PLBG)*:.
t'
P.O.. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
X08=0 8;90
Property Address:
54482 OAK TREE
APN:
775 -081 -050 -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
Owner:
STEVE WALKER
54482 OAK TREE
LA QUINTA, CA
9225;
Contractor:
FOY, SCOTT A. „
43579 MAIN -STREET
.INDIO., CA 92201
(760)775=9405
Lic. No.: 828264
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/24/08
LICENSED CONTRACTOR'S •DECLARATIONWORKER'S
---------------- - - - ---
j.
COMPENSATION. DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 70001 of'Divislon 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
1_7ice,Class: 036 License No.: 828264
_
for by Section 3700 of the Labor Code, for the performance of the work for which.this permit is
Date: I LCon actor. J
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
OW ER•SUI ER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the
�` Carrier FIRST COMP INS Policy Number •WS10.04457 '
following reason (Sec. 7031.5, Business and Professions Code: Any city. orcounty that requires a permit to
_ Pcertify.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 t 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 Stateand
agree that, if I should become subject to the workers' compensation provisions of Section
License_ Law (Chapter(commencing with Section 70601$f'Division 3 of the Business and Professions Code) or,.
3700 of,tlie Labor Code;1 shall forthwith comply with those provisions.
.9
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).:
I. -Date: , ,a "
I, as owner of the property, ormy employees with wages as their sole compensation, will do the work, and
��icant:
the structure isnot intended or. offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAIE TO SECURE WORKERS' CO PENSATION VERAGE 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 COMP ENSATION;'OAMAGES AS PROVIDED FOR IN -
improvements are not intended or offered for sale. 'If, however, the building or improvement is s618, 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 buifd or
improve for the purpose of sale.). ..
.APPLICANT ACKNOWLEDGEMENT,-
(_ 1 1, 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 contractorls) 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 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 agr o comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and c unty ordinances and state laws relating to building construction, and hereby orize r resentatives
Lender's Name:
of [hi oun y to enter upon the above-mentioned property for inspection urpa
ate/ nature (Applicant or Agent):
Lender's Address
i
LQPERMIT
V.
LQPERMIT
Application Number . . . . . 08-00001890
Permit . . . PLUMBING
Additional desc . .
Permit Fee 22.50
Plan Check
Fee
5.63
Issue Date . . . .
Valuation
. . .
.
0
Expiration Date . . 5/23/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 7.5000 EA PLB WATER
HEATER/VENT
7.50
----------------------------------------------------------------------------
Special Notes and Comments
CONVERT TO TANKLESS WATER HEATER
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
OF CO
iH1
3 of 4) CF -1R
v
Project Title Date
SEALED DUCTS `andTXVs (.or Alternative Mei sures)
A signed CF -4R Form must be provided to the building department for';each home for which the following. are
VK
0 Alternative to ;Sealed Ducts and Refrigerant Charge'/TXVs (See Package D Alternative Package Features.for
Proiect Climate Zone in the. RM Appendix B Table 151-0, Footnotes 7-14.
no
For additions and alterations, duct systems that are:not documented to Have been previously
O sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with mole than 40 linear feet in unconditioned
spkes shall meet the requirements of Section: 150 m and duct insulation requirements of Package D.
1W A'MD tt= AgMWd-_ QVQ'tr'FMQ
a.aa.w
Distribution:in
Type'
O
Sealed Ducts all climate zones(Installer testing and certification -and HERS rater field verificationrequired.)
O
TXVs, readily accessible (climate zones;2and 8-15 only).`
O
(Installer testing and certification andHERS Rater field verification` wired:
0
Refrigerant Charge (climate zones 2 -and 8-15'6nly) (Installer testing and certification and HERS Rater field
verificationrequired.)
VK
0 Alternative to ;Sealed Ducts and Refrigerant Charge'/TXVs (See Package D Alternative Package Features.for
Proiect Climate Zone in the. RM Appendix B Table 151-0, Footnotes 7-14.
no
For additions and alterations, duct systems that are:not documented to Have been previously
O sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with mole than 40 linear feet in unconditioned
spkes shall meet the requirements of Section: 150 m and duct insulation requirements of Package D.
1W A'MD tt= AgMWd-_ QVQ'tr'FMQ
U JiY1Yv
a.aa.w
Distribution:in
Type'
umber
S• stem.
Check box if system meets criteria oN "Standard" system. Standard system is one gas-fired water heater per
O
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
%
not allowed:
0
Check box when using Pr*proved Alternative Water -Heating table, Table. 54 in'Chapter 5 in the Residential
Manual. No water heating calculations are required, and the. system coin lies automatically.
dank
Check box if system does not meet criteria of "Standard" system, and does: nor;comply with the Preapproved
O
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
Water Heater
submittal.
Number
Check box to verify that a time control. is required for a recirculating system pump fora system serving multiple
Capacity
units
U JiY1Yv
a.aa.w
Distribution:in
Type'
umber
S• stem.
Rated
p ,
�kw or
Btulhr
'
Energy
Standby'
%
Tank
Rated
Input'
dank
Factor or (
I
External
Water Heater
Distribution
Number
(kw or
Capacity
Thermal
Standby
Insulation
T .
Type/Fuel T
T
in Sys tem
Bubo
Ions)
Efficiency
Loss (%)
R -Value
J SLOW W1 ♦ %aa{ua ac a+..
Water Heater
T
a.aa.w
Distribution:in
Type'
umber
S• stem.
Rated
p ,
�kw or
Btulhr
Tank
Capacity
ions
Enemy
Factor or
Thermal
EfficiencyLoss
Standby'
%
Tank
External
insulation
R -Value
I. For small gas storage water.nesters (rateo mputs or luzib Mair v, "y �w id,vvv ++�w...�, •.w .� .��.- -._ ..---
pump water heaters, liscEnergy Factor. For large gas storage water heaters (rated input of greater than 75,000
BnAr), list Rated Input,'Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous, gas water
heaters, list Rated Input.,and Thermal Efficiencies.
Pipe loulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms March 2005
Y-,
�N
City Of is Quints
BdMq at Safety DWdw
Pem* #,,,\,
P.O. Box 1504, 78-495 Cie Ta row
0 QidnU, CA 92253 - (760) 777-7012
t
BuH&W Pernft Application and Tracidng Sheet
Pmjed Address.
���
Owner's Name �
/
A. P. Number:'
Address:
�A_� •��
i.e�l
City, ST, Zip:1 '
Contracrots�'
;� �
O
Tel�on
Address
,
Project Description: C�/ ALA
city, ST, /
f
Telephone: -700+j,
Q '�
c�l�
State Lic G :
City Lic. #677
Andz., Eng., Designer:
Address:
F:i
T
ConsOpuxion Type: O=Pncy:
Sao Lac. �:
Project type (rude one): New Add'n Alta Repair Demo
Sq. FL:
# Stories: #Units:
Namc of Contact Person:
Telfphone F of Comm Person:
}a
Estnmatcd Value of Project
.,.;
1.
APPLtC�WT: DO; NOT WWM B80W THIS UNE
d
Sabmithd
Req'd
%[Beed
TRACKM
P>R'f FEES
Ptaa Seb
Ptah Check submitted
item
Amoant
Shvstmal Coles.
B:evtcwed, ready for corrections
Ptan Check Beposrt
TYess C:la
'�
x-:
Cat w CoatadiPtxsoa
Plan CDedk Balance
Tithe 24 Cake:E
piaaa picked up
Construction
Flood plain pin
t
Pians resubmitted
Mechanical
Grading plan
2'' Review, ready for corrationwIssue
Electrical
Subcoatactor LAM
.
Called ContactTasoa
Plumbing
Grant Deed
.^ 1
Plans probed up
11.0-k Approval
Pham rt bmltted
Grading
QV HOUSE -
ti
'^' Review, ready for eorratloe
Developer Impact Fee
Ptaneteg Approval
Caned Coutactiperson
A U -P.
Pub. Wb. Aper
Daft of permit issue
School Fed
j
-
IF
Total Permit Fees
�N