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06-1495 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001495 Property Address: 55196 OAK TREE APN: 775-161-010- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: • 500 Applicant: T44t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT jj Owner: 1� (( LOLA EDMISTON 7 �FF,�n 55196 OAK TREELA QUINTA_CA 92253 2GOo Architect or Engineer: P I IPr ------------------ LICENSED CONTRACTOR'S DECLARATION I 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 i nseNo.: 828264 ate: ntractor: OV R -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 ($500).: ('_ 1 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 completipn, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 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.). ( ) I 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: LQPERMIT Contractor: FOY, SCOTT A. 43579 MAIN STREET INDIO, (7A 92201 (760)775-9405 Lic. No.: 828264 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 4/12/06 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 AN 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall foqWmidkcomply with those provisions. te. icant: 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 I have read this application and state that the above information is correct. I agree to comply with all c�tWh'ount unty ordinances and state laws relating to building construction, and hereby authorize representatives oto enter upo the above-mentioned property for inspection p esDatignature (Applicant or Agent): 1 .• L:: LQPERMn' Application Number . . . . . 06-00001495 Permit . . . PLUMBING - Additional desc . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ------------------------------------------------ Special Notes and Comments ---------------------------- REMOVE & REPLACE NATURAL GAS WATER HEATER.CF1-R APPROVED. 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 Bin # Permit N oe. tq0 �e Projeet Address: A. P. Number.. City of La QLdnta- Btfilding SrSafky Division P.O. Box 1504, 78-495 Calle Tampion La QW114, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheer l q b 011 k TYtP� Ownces Name: /-)/,,+ & dl;j I Sr0/1 Contractor. J .A Address: C�i C' r City, ST, Zip., n2 C Telephone: -7 ������ State Lia d : � (d Arch., Ergr.. Designer: Address: City; ST. Zip: Telephone. State Lia R: Name of Contact Person: Telephone At orC0111 t Person: Submittal Req -d P12a Sets Straetural Calc. Tnw cafes. rtt� 24 rhla. Flerod plain plan Grading plan Sobcontactor List Grant Deed 11.0_4. Approval IN HOUSE:- 1%autog Approval Pulr. Wits. Appr School Pees Add---- js 6 CA -AePS- City, sT, Trp L4 QUA jr to CA Aa1a.S3 ev rcaephone: •7 71-3 y0o n ProjectDescription: yoY.'.bty�^gas:.:• . "f Y Caty Lic. 4: Construction Type Occupancy: � v Projeq type file oft). Ne:•: Add'n Filter ep& Demo Sq. Fl.: Stories: tt Units. EsIimaled Value of APPUCANIT: DO NOT MYRITE BELOW THIS LINE Reed rRAt TwuVG PER611T FEES Plan Cheek sa6mitted Ire ,mei Rene". ready for corrections Plan Check DepoLit Called CoraacrPerson Plan Check Ralanoc Platys picked rap Construction Plans resubmitted Mechanical V Review, randy ror eorrectioYmissue Electrical Called Contact person PlomGmg Pians picked up 5 all. Plans resubmitted Grading . w Review. reads for eorreedaaslisvae Developer Impact Fee Called Contact Person Date of permit issue Total Permit Few Total Permit Few CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pace 1 of 4) CF -1R 4V/A -E don's >`on ' ateo lk&44,& 4&-e Project Title �Sj� Or(K 'Ile-, L,� Qu,i�tct Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone 0" 3 /K/o(, Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency 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-C 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-C — (5% X CFA) f Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C - (200/oX CFA) g ✓ O Building Type: (check one or more) Single FamilyMultifamily Addition Alteration (If adding fenestration fill out WS4R, 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: 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). ✓ El 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 -Value Assembly U - factor (for wood, metal frame and mass assemblies)' Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. 0 -factors; can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4 LO 1A Edrh t'st-0/1 00V�. Project Title Date CF -1R SEALED DUCTS and TXVs (or Alternative Measures) . A signed CF -4R Form must be provided to the building department for each home for which the following. are required. ❑ IAlternative to Sealed Ducts and Refrigerant Charge /IXXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, 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 procedures 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 Package D. Distribution TvVein ❑ Sealed' all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Standby' Loss nstaller testing and certification and HERS Rater field verificationrequired.) ❑ Refrigerant Charge (climate zones 2 and 8-15 onl y) (Installer testing and certification and HERS Rater field verification ' uired. nu ❑ IAlternative to Sealed Ducts and Refrigerant Charge /IXXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, 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 procedures 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 Package D. Water Heater Type/Fuel TviDe Distribution TvVein Number System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Energy Tank Tank Factor or External Capacity Thermal Standby' Insulation eons Efficienc Loss % R -Value 90 6-12. dwelling unit. If thewater 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 in the Residential Manual. No water heating calculations are r uir and the system complies 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 i CVctPMC CPrVinn oi.. trl...l.v .11:-. - --__ _ Water Heater Type/Fuel TviDe Distribution TvVein Number System Rated Input' (kW or Bul/hr L/D GLS Energy Tank Tank Factor or External Capacity Thermal Standby' Insulation eons Efficienc Loss % R -Value 90 6-12. Energy Factor' or Thermal Efficiency Standby' Loss Water Heater Type Distribution T e Number in Sstem Rated Input' (kW or Bn,mr Tank Capacity tons Energy Factor' or Thermal Efficiency Standby' Loss Tank External Insulation R -Value E�] - — ...b-ak=aacu wputs or less manor 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/a inches or greater in diameter shall be thermally insulated as specified by Section 150 6) 2-A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OYCOMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R Project Title Date SPECIAL FEATURES NOT REQUIRING ITERS 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 prescriptive method. ✓ Feature Required Forms if applicable) Description O Metal Framed Walls CF -1R 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. Hydronic Heating Performance Calculation System Required; Attach Run to Forms. rODedicated 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 ❑ 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 Run 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 ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION (add extra sheets if necessarx) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ 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