06-2048 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002048
Property Address:
55184 OAK TREE
APN:
775-161-011- - -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
Applicant:
Tilhf 4
uiti�v
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professional r^de, and my License is in full force and effect.
6� s Licenseclas: C36 L' tfseNo.: 828264
Dat Contractor:
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 ($5001.: "
(_ 11, 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.).
( _) 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 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:
LQPERMTT
Owner:
CHAD SMITH
55184 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
Da_t� 5/16/06
O
r C
>- a
Q
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. STATE FUND Policy Number 1576840
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 subjecLte a workers' compensation provisions of Section
� of the Labor Code, I s P with mply with those provisions.
Date: Applicant:
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 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that [.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 ielating to building construction, an reby authorize representatives
of this coun y to enter upon the above-mentioned property for ins ec ' purposes.
Date Signature (Applicant or Agent):
Application Number . . . 06-00002048
Permit ... . PLUMBING
Additional desc .
Permit Fee .. . . . 22.50
Plan Check
Fee
5.63
Issue Date . . . .
Valuation
. . .
.
0
Expiration Date.. 11/12/06
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 EXISTING HOT WATER HEATER WITH
40 GAL GAS APPLIANCE(0.59 THERMAL
EFFICIENCY) .
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
Perritt' N / C�
Project Address:
A. P. Ntnnbcr.
Legal Denriptian:
Contmcurr.
Address: 1
T
Telephone:
Stott Lit N : $DRa (0
Arch., Ergr.. Designer:
Address.:
Ckn- S[; Zip:
T.:lephon�
Statc.Lic. �:
Nance of Contact Person:
Tcicrhonct; of Contact, Person:
Stdrmltmt Req'd
Pfau Sets
Ntreetara) Cates.
Tnea Cates.
True 24 0 Its.
I•load plain plan
Grading plan
Sabmimctor List
Grant Deed
IN HOUSE:-
Yhnaiug Approval
Pole W(m Appr
School Fees
City of L2 Quinta
MOW ar Safety Die dm
P.O. Box 1504, 78-495 Caf/P Tampico
La Quitlta, CA 92253 - (760) 777-7012
Building Permit AppJcadon and Tracking Sheer
r Oweees Nmne:_ Ala
Adam I��dA
i City. sr. 7� r. (hl r to
Proj=Desxdon:
zzcj i
Lir- 4:
Capon T). Ckcnpancy:
Pmjxt type (circle one). New Add'n filter epair D=o
SQ. FL: I Stories: @ UmLL
Fsti>irelel Value of P k ij s
APPUCMT: DO NOT WRITE BELOW TMS LMM
Reed
TSG
Plan C sabnitted
P£<2�Ii— FEFS
Jrem
Amotma
ready for emections
pian Cheek Dcpo_sit
Caped Cont apetson
Plan Check Balance
Pians picked up
Construction
Plans resubmitted
mfechaatnl
"d Reim, ready for MrrlttialWlSfat 1
Eledricai
GaAed CoakinM Person
Plumibimg
Plans picked up
s alJ.
Pines resubmitted
Grit%
Review, ready for correedmnoissue
Developer lugmct Fee
CZEW Com Pusan
A,jp p
Date ofpera it issue
Tow Permit Fees
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R
1 n. A % - ^s _ _
Project TitleDate Cq2 x� -may
Project Addressild'n .Pe t#
sl C`k r ��-u�a� Bu
e -�-a
Documentation Author Telephone Plan Check / Date
FieldCheck / Datc
Compliance Method (Prescriptive) Climate Zone Enforcement Agcncy Usc only
✓ ❑ 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 A'rea(CFA)_fe Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C—(50/.* X CFA) _ fl
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) g�
✓ ❑ Building.Type: (check one or. more) ----:._Single Family Multifamily Addition Alteration
(If adding fenestration fill ot WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
or 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).
✓ Q 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
Cavity. Continuous
. Insulation Insulation
R -Value R-Valueassemblies
Assembly U-
factor (for
wood, metal
Same and mass
t
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No ical, etc.
F'
-� - -�•••� • �rY• ••••u... - VVVL1VLl A Y -i 1 Y.J Anlu n Y.•*, wmcn is me oasts ror me u-ractor criterion. u -tactors can not
exceed prescriptive value to show equivalence to R -values.
G
C
Residential Compliance Forms
March 2005
i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project
Date
3 of 4) CF -1R
SEALED DUCTS and TXVs (or Alternative Measures) .
A signed CF -411 Foran must be provided to the building department for each home for which the following. are
rnnnirvvi
O Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verificationrequired.)
Refrigerant Charge (climate zones 2 and 8-15 only)verification (Installer testing and certification and HERS. Rater field
i uired.
OR
❑ Alternative toSealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for
Project Climate Zone in the RMA radix B Table
OR 15I-9, Footnotes 7-14.
For additions and alterations, duct systems that are not documented to have been previously
sealed as confirmed through field verification and diagnostic besting in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
s aces shall meet the Tguirements of Section 15 m and duct insulation requirements of Package D.
•1/ ♦ TTY i�r • .���-�. �__�__
Check box if system meets criteria of a "Standard" system Standard system is one gas-fired water heater per
❑ dwelling unit. If the water heater is a storage type, 50 gallons is the'maximum capacity and
not allowed. recirculation system is
❑ Check box when using Preapp roved Altemative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are req tiredand the stem corn 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.
❑ Check box to verify that a time control is required for a recirculating system pump fora system serving multiple
units
Systems serving sinule dwelling ■.nit.
Water Heater
T e/Fuel Type
I
Distribution
Type
Number
in S stem
Rated
Input'
(kW or
Tank
Capacity
lops
External
Thermal
Standby'
Insulation
I
Efficien
Lost (%)
R Value
Water Heater
units
Distribution I Number
__ Type in Svsten
Rab
Energy
'rte
Capacity
tons
Tank
Factor' or
Tank
External
Insulation
R -Value
External
Thermal
Standby'
Insulation
I
Efficien
Lost (%)
R Value
ed
rt'
or
1
'rte
Capacity
tons
Energy
Factor' or
Thermal
Effienc
Standby'
Loss %o
Tank
External
Insulation
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
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 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
CERTIFICATE OF
MPLIANCE: RESIDENTIAL (Page 4 of 4
Date
CF -IR
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
nrescrintive method .
✓
Feature
Required Forms if a livable
Description
❑
Metal Framed Walls
CF -IR
Refrigerant Charge
❑
Radiant Barriers
CF -IR
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
Gas�Cooling
Performance Calculation
Required.
❑
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
11
Dwelling Unit
Performance Calculation.and
attach Run to Forms.
❑
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
Heater
CF -1R
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Ryn to Forms
See Table 5-13 or use
❑
Instantaneous Gas 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
13
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
'(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verifi"tinn
✓
Feature,
Required Forms if applicable) Description
❑
Duct Sealing
CF -6R part 4 of 12
❑
Refrigerant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page i of 4) CF -IR
Project Title
rrolect AaorCss Ss mQ 1 r , � � j �,�
Documentat- --ion Author K Teleellphone l+ `
Compliance Method (Prescriptive) .
Climate Zone
Enforecn=t Agcney Use Only
✓ ❑ 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 151-0 Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) 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 151-0 — (20% X CFA) g
✓ ❑ Building Type: (check one or more) Single Family Multifamily - Addition Alteration
If
adding fenestration fill out WS -411, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
fior Additions and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Slab/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 2.4,8-15i.
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component'
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
" " ""••` ' `YY�'.u.e� a
Frame
Type
(Wood
or Metal)
Assembly U-
factor (for
Cavity Continuous wood, metal
Insulation Insulation frame and mass
R -Value R -Value assemblies 1
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Lomdon/Comments
Installed (attic, garage,
Yes or No ical, etc.
F
is V Wii i v .t,, IV .J ARU 1 v .,+, wiucn is me Oasts Ior the U-Iactor criterion. U -tactors can not
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms March 2005
l
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
Project Title
X n. Date
SEALED DUCTS and TXVs (or Alternative Measures) .
A signed CF -411 Form must be provided to the building department for each home for which the following. are
rennired
❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification uired.
❑ . Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification i•4uired.
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Ap ondix 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 besting 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 15 m) and duct insulation requirements of Package D.
•I7 1 Tll�� iii .�.�-�.. �._ __--_ - - _
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑ dwelling unit. If the water heater is a storage type, 50 gallons is the'maximurrr capacity and recirculation system is
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 iired,and the system corn lies automatically.
Check box if system does not meet criteria of "Standard" systein, and does not comply ith the Preapproved
❑ Alternative Water Heating Performance table. In this case, the Perfoance Method must be used andwmust be included in the
submittal.
❑ Chetsck box to verify that a time control is required for a recirculating system pump for a system serving multiple
Rated Energy Tank
(put' Tank Factor or External
Water Heater Distribution Number tkInw or Capacity Thermal f Standby' Insulation
e/Fuel T e T e in S stem BkAr Ions Efficient Loss (%) I R Value
Rated Energy Tank
Water Heater Input' Tank Factor' or External
Distribution Number (kW or Capacity Thermal Standby' Insulation
T e T e in S stem Btu/hr Ions Efficient Loss (%) 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
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'/a
inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2-A or 150 (j) 2 B.
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE.: RESIDENTIAL (Page 4 of
CF -IR
Et Title f . 0,\ „ n Date
l(ji(—� lJ�
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
nrescrintive method_
✓
Feature
Required Forms if applicable)
Description .
❑
Metal Framed Walls
CF -1R.
Refrigerant Charge
❑
Radiant Barriers
CF -1R
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label.to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System'
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
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
13
Dwelling Unit
Performance Calculation and
attach Run to Forms. .
❑
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
CF -1R
Heater
See Table 5-13 or use
❑ .
Indirect Water Heater
Performance Calculation and
attach to Forms
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forts
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
--[attach
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
Run to Forms
SPECIAI
add ez a s
verification_
MOUHUNG HERS RATER VERIFICATION
Indicate to the HERS Rater which credits are part of this project and need
✓
Feature
Required Forms if applicable) Description
❑
Duct Scaling
CF -6R part 4 of 12
❑
Refrigerant Charge
CF -6R vart 5 of 12
❑
Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Corimpliance Forms
March 2005