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07-0420 (PLBG)} . d , P.O. BOX 1504 78-495 CALLE TAMPICO LA,QUINTA, CALIFORNIA 92253 Application Number: r _ 7-foo-000420?V. Property Address: 54914 OAK TREE APN: 775-081-059- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 500 Applicant: .` • TAt!t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: pip LICENSED CONTRACTOR'S DECLARATION 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 _ License No.: 828264 /te,2QkDntractor. �� F OWNER-BUILDER DECLARATION I hereby affirm 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$500).: ' 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 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 he or she did not build or improve for the purpose of sale.). 1 _ 1 1, 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.). (_) I am exempt under Sec. , B.&P.C. for this reason 1 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 Owner: PAUL SEVERIN 54-14 OAK TREE LA QUINTA, CA 92253 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: 2/07/07 FEB 2 12007 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 ENDR INS ' Policy Number WEN000882301 _ 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 abor CoAl shall forthwith comply wit those provisions. ate: : plicant:.IN, 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 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 180daysfrom 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 an�oun y ordinance and state laws relating t0 building onstruction, and hereby authorize representatives of th' to enter on the above-mentioned property for nsp purposes. ate: 1� ignature (Applicant or Agent): LQPERMIT r Application Number . . . . . 07-00000420 Permit . . . PLUMBING Additional desc ... Permit Fee ;. . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/06/07 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 WATER HEATER WITH 50 GAL. 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 Dill x city of La Quinta Building a Safety Division P_O. Box 1504, 78-495 Calle Tampico Pr-rttrft !1 � `�J, La Quinta, CA 92253 - (760) 777-7012 �{ 2_ jbilding Permit Application and Tracking Sheet Project Address: p• L A. P. Numbcr. Address t� qCf L_1 GaV_�-P_ � 1_cgxl Description: a City, ST, Zip: a, -h.-& co- et,.? Z Conimmur = Plan Cbeek Deposit City ST, z�(&o C.��— Ci ZZ Cr 2 Telephone. -7 1 .72Fl_L`CLC j Plan Cbcck saluncic j Smle IJQ tl : �� City I-ic.4:1c ArtJi., Engr., Designer: h Coomuetion i AAdd`rcss�: Cir it o: ST, Zip: Telephone:: Stalc Lit;. m: Nanta of Conlan Person: Tcleldione 9 ufConluct petscm: .L N Submitral �I' �- 1'iso Sets tilroctoral Colc-. Tnu3 Coles. Trda24 t`.. cs. Flood plain pilin F:rnding pian Subcontactor Ust Grine Deed II.0 4. Approval IN HOUSE: i'lanolag Apprm-ol Pub. \Wfm Appr School Fecs I i Telephoxe: ; J iV �� - 00-7' ProjcaDc=ip ion: an r i �t Otcupsrtcy: (circle o>h): New Add'n Ajterepair Dcmo g? Sq. FL: 5t4ries: N Unit: Estimated lialue of Projec't�:3(r) t !� APPLICANT: DO NOT t€i ME BELOW INS LINE ItersTRAC MG ___ Pi Ri►1t1 LEFS _ Plan Check submitted Ireei .iminrni �{ rlmietre� ready for ecrrectioas = Plan Cbeek Deposit Caned Coatacr Person Plan Cbcck saluncic Visas picked up h Coomuetion Plain resubmitted Matt goinl 2' Review, ready for eorrectioTL-jUme Electrical e Called Cownct Person Plumbing, Pinns picked up S.M.I. Plans resa11mi9led ReAciv, readg for correctlnuviisvue Crading Developer Impact Pee Called Coa2act Person A.MP. () hate of Fermis issue i i Tolal Permit Ftp i r CERTIFICATE OF CO E• RESIDENTIAL (Page'3 of 4) CF -1R Date Project Tide �� - Q SEALED DUCTS and TXVs (or Alternative Measures) A signed CF4R Form must be provided to the building department for each home for which the following. are ❑ IAlternative to Sealed Duds and Refrigerant Charge fMs (See Package D Alternative Package Features for I Project Climate Zone in the RM Appendix B Table 151-0 Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ scaled 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 aces shall meet the requirements of Section 15 m and duct insulation requirements of Package D. uinxr. ri Scaled Ducts all climate zones Installer testing and certification and HERS rater field verification required. En Tank Factor' or Capacity Thal tons Efficiency.Loss TXVs, readily accessible (climate zones 2 and 8-15 only) O (installer testing and certification and HERS Rater field verification required.) Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verification ' ' uired. ❑ IAlternative to Sealed Duds and Refrigerant Charge fMs (See Package D Alternative Package Features for I Project Climate Zone in the RM Appendix B Table 151-0 Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ scaled 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 aces shall meet the requirements of Section 15 m and duct insulation requirements of Package D. o-..�..�.... w.i.aa. oinnln dmalltner units p ,.cava aa.a . uaa. Water Heater Type/Fuel T ♦I Cl1 L`1 Number in System Rated (kW or BhVhr En Tank Factor' or Capacity Thal tons Efficiency.Loss Check box if system meets criteria of a "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 not allowed. 0 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 complies automatically. Number Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapptoved ❑ Alternative Water Heating table, in this case, the Performance Method must be used and must be included in the Tyee submittal. in System Check box to verify that a time control is req red for a recirculating system pump for a system serving multiple ❑ units o-..�..�.... w.i.aa. oinnln dmalltner units p ,.cava aa.a . uaa. Water Heater Type/Fuel T Distribution T Number in System Rated (kW or BhVhr En Tank Factor' or Capacity Thal tons Efficiency.Loss Tank External Standby' Insulation % R -Value 6T0 Rated i 0 External Water Heater Distribution Number Input' Capacity Thermal Standby' Insulation Tyee Type in System Btu/hr) ions Efficiency Loss %o R -Value s t.m s multi to 5 .ruin En Tank Rated i Tank Factory or External Water Heater Distribution Number Input' Capacity Thermal Standby' Insulation Tyee Type in System Btu/hr) ions Efficiency Loss %o R -Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bnt/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 2:3/4 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 (j) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL odL Project Address 1VA`�\n Y U lel l�''� n�...^ Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone 1 of 4) CF -1R Date Building Permit N Plan Check / Date . Field Check / Date Enforcertrcnt Agency Use Only ✓ 0 Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fe Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) f Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) R ❑ Building Type: (check one, or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WSAR, 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: Stab/Raised Floor (circle one or both) Front Orientation: 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 I 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 t Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No tyj2ical, etc. 1) Sec Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -tactor criterion. U-ractors call nvl exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 l/v CERTIFICATE OF-COMPLUNCE: RESYDENTIAL (Page 4 of 4) CF -1R �. Pro eet Title Date K�i�l OGS k -l�-low t. z . SPECIAL FEATURES NOT REOUHUNG HERS VERIFICATION (add extra sheets if necessary) i f ' Indicate which special features are part of this project. The list below only represents special features relevant to the rri tive method. r, SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add exiha sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need Verification - v" Feature Required Fotmffi d applicable) Description 17 Metal Framed Walls CF -IR Refri cram Charge ❑ Radiant Barriers CF -IR CF -611 part 6 of 12 ❑ Exterior Shades WS -4R N/A, Attach CRRC Label to ❑ Cool Roof Forms. Dedicated Hydronic Heating Performance Calculation system Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required;- Attach Run to Forms. O Gas Cooling Performance Calculation R uired. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Nun-NAECA Large Water CF -IR Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Rim to Forms See Table 5-13 or use ❑ Instantaneous Oas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms 101 Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add exiha sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need Verification - v" Feature Required Forms if applicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Refri cram Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -611 part 6 of 12 Residential Compliance Forms March 2005 01/13/07 01:4.1 AM PST via VSI-FAX Page 1 of 2 #34987 B DETAIL STARTS HERE FAX PURCHASE ORDERS Date: 01/13/2007 Page: 2 i FROM:.THE HOME DEPOT FAX: (760) 775-2687 STORE 6630: LA QUINTA PHONE: (760) 347-8722 Ext. 382 79900 HIGHWAY 111 ; LA QUINTA, CA 92253. ====___=====(Use this number to invoice The Home Depot) P.O. Nbr 30462313======= For customer: SEVERIN, PAUL` ===== , 293-867 WATER HEATER INSTALLATION INSTALLATION SITE: SEVERIN, PUAL PHONE: (370) 309-0078 Ext. 54-914 OAK TREE DR. -PGA WEST - LA QUINTA, CA 92253 TRIP CHARGE: $0.00 CUSTOMER NAME: PAUL SEVERIN PHONE: (310) 802-1737 WORK (310) 282-2059 Ext i ORDER: 210297 REF #: I04 i No merchandise selected. i MERCHANDISE WILL ARRIVE AT SITE VIA THE FOLLOWING: WATER HEATER INSTALLATION OPTIONAL LABOR PURCHASED: i 15 ...PERMIT AS REQUIRED'(SEE PRICE LIST) LA QUINTA Quantity: 1.00 UM: EA Price Ea.: $22.00 Extension: $22.00( SPECIAL INSTRUCTIONS: • LAQUINTA PERMIT ---HEATER SKU # 627-909 GAS INSTALLATION LABOR SUB -TOTAL: $22.00 INSTALLATION LABOR TOTAL: $22.00 00002200 __________________________End P.O. Nbr 30462313=======