07-0989 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
x07=00000989
Property Address:
`44790 -SEELEY DR
APN:
604-224-009-121 -23268 -
Application description:
PLUMBING
Property Zoning:.
LOW DENSITY RESIDENTIAL
Application valuation:
500
Applicant: Architect or Engineer:
Pilo
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
LicensW��:��LTION
eClas C36 License No: 828264
0e`
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 ($500).:
(_) 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, 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—) 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: Lp--
i
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/29/07
Owner:
SUE LABERGE
44790 SEELEY DRIVE '
LA QUINTA, CA 92253
Contractor: APR 0 5 2007
FOY, SCOTT A.
43579 MAIN STREET CITY()PLA UINTA
INDIO; CA 92201 FINANCE DEPT.
(760)775-9405
Lic. No.: 828264
------------------
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
v"l issued.
1 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, 1 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 those provisions.
/Llicant: (' (/
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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
city and county ordinances and state laws relating to building construction, and here uthorize representatives
of'this count o e ter upon the above-mentioned property for insp tion rpos
i ure (Applicant or Agentl:
Application Number . . . 07-00000989
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 22.50
Plan Check Fee
5.63
Issue Date . . . .
Valuation
0
Expiration Date 9/25/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 7.5000 EA PLB
WATER HEATER/VENT
7.50
-----------7----------------------------------------------------------------
Special Notes and Comments
REPLACE WATER WITH NEW 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
Pcrnat /! (,,,
a�
' Project Address:
A. P. Number.
Conuaculr.
Addren: 4
City, S'r,L
SIGI�_l.ic.
Arch.. Erg.. Designer.
AJJrc-t..:
C:i;v, ST. Lip:
Tdcpbona;
state Lic. c:
!Janac: -ItC'oularI PM -01):
1 depUonc # of Conoid Petsvn;
Ii Submittal L%N.d
Pisa Sets
81roctoral Calo.
Trus3 Cnks_
Tritla 24 C`.tim
I-10011 plain pine
Gruaing plan
Salta ntst for List
Grant Used
11.() !L Approval
IN HOUSE.-
Nlnnnlnp Appro�t71
Pub. W6. Appr
Sebool Fees 1
i
i
city of La Quirt.
Building er Safety Division
P.O. Box 1504, 76-495 Q11P Tampim
La Ql irlta, CA 92253 - (760) 777-7012
Building Pemit Application and Traddng Sheet
C Ownes Nwne•.
F
Addre ucio
C-ty. ST. 7Uih %17
.4f Ptoj=DtsesiPtion:
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VW
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•'?- �4"?%�t€6 .{µ'6A yl' �GJ vee
�:_ Caaisbttc2tonTy Occupuicy
hg
Ptojecl tws (circle ones New Add•n /aller
s Sq. PL: T Stories:
_ Esdnmttd Value
c.
APPLiCAM : DO MOT t4i ME 13ELOW TIMS ME
o Unit,:
Demo
IieNd
TRACitMG PMITr T?M
Ptah Cheek submitted � tntm dmovni
ideciatre�r,
t
i ready For cerrectioas
Plan Cteek Deposit
Called Ca.-t=Person
plan Check t ahncc
i 9 PL, as picked up
,. Coastructian
n
'
Plans resubmitted
Medwairal
2' Review, ready for eorrectionsilssee
clerical
. Called Contnd Person
Plumbing
Minns pidted ap
Pions resabmiated
Gradin):
Review. rrtsd,- for correctinwfissue
3 Developer Impact Fee
URILd Contact Person
A.Y.P.P.
�1
2Ddte of permit issue
j
1
Total Permit rrc�
Eo
f
TE OF COMPLIANCE: RES
IDENT�L (Page 3 of a
Q CF -IR
SEALED DUCTS and �� `" Date
A sibned CF -4R Fonn must be s or Alternative Measures
aired• Provided to the building department for each home for which the following, are
Sealed Ducts all climate zones
TXVs, readily accessible (climate zotallenes 2 testi and certification and HERS
nstaller testin • andi6cation and 5-15 only) rater field verification aired.
Refrige�t Char and HERS hater field verification
ge (climate zones 2 and g_ l5 onl erred
verification uired Y) (installer test' and
OR g certification and HERS Rater field
Alternative to Scaled Ducts and Refri
Pro* Climate Zone in the RM getant Charge fMs (See Package
OR dix B Table 151-0, Footnotes7-14.Alternative Package Features for
For additions and altcratio
sealed as confi, duct systems that are
need through field v not documented to have been
Residential ACM A4anua! and duct system n and ditesting
in Previously
N ccs shall meet the y more dear► 40 liinear f accordance with Procedures in the
VATS O1�cnts of Section 15 m and duct in.iia feet m unconditioned
>�ATING evc►rry .`..
Check box if system rrreets criteri�astora�ge=qlx,
dwelling unitIf the water heater system Standardnot allowed. SO syste��isom��
red water heater per
Check box when gallons is the maximum Capacity and recirculation
Manual. No water hea PPrc Alternative Water system is
Check box if system calculations Heating table, Table 5-4 in
sY em docs not meet cri ars air and the s stem Chapter 5 in the RGsid�►tial
Alternative Water feria of "Standard., co lies a►rtonraticall .
er Heating table. In this system, and does not co
submittal. case, the Performance Method m comp with the Preapproved
Chcck box to veri est be used and must be
units fY Wal a time control is included in the
u'rr;d
rrgi for a recirculating system
3 servin sin le dwe lin Pump for a system serving multiple
units
Water Heater Rated Energy
WO/Fuel T Distribution Number , (kw� Tank Factor' or T�
c T External
in S stem Bir Capacity Thermal Standby' Insulation
loft Effictan Loss °� R - Value
units
Water Heater Rated Encr-
1_ Distribution Number input Tank Fa or Tank
T e in S stem (kW or Capacity Thermal External
'r
tonsCapacity Efl'ermacicnc Standby Insulation
LOSS �0 R -Value
mna►r gas Siorjgc
Pump water heaters, list En (►meted inputs of Less
Bn►/hr rgY Factor. For lar a than or equal to 75,000 Btu/hr
), list Rated Input, Recoveryl; gas storage water heaters ) electric resistance
beaten, list Rated Input Efficiency, Thermal Efiic1enc (rated input Of greater than 75,000d 1'cat
Pi a Insulation (kitchen lines d Thermal
EB'eiencies. Y and Standby Loss. For in
inehc� yr 3/4 incites instantaneous gas water
grcr+trr in diametershall be /4 ) All hot water pipes from the heating
�mally insulated as spedficd b g source to the kitchen fixture s s
11�idential Compliance Fornrs Y Section 150 that are (j) 2 A or 150 (j) 2 B.
March 2005
/ CERTIFICATE OF COMPLIANCE: RESIDENTUL
�-
,r
Project Title Date
5
Project Address Building Permit #
Documentation Author Telephone Phu Cmc / Date
` Field Check / Date
Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use only
$ .� ❑ Alternative Component Package Method: (check one) C D D (Alternative)
r 0 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) fta Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA)_� fte
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) ft
✓ 13 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
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).
/ ❑ RADUNT BARRIER (required in climate zones 2.4.8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Typc (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)
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
T i C ...
1) See Joint Appendix I in Nectton 1 V.L, 1 V..3 ano 1v.9, wrllGn Is utti udsts tv1 UM v-aa...va wuv...... v ........ --- ----
exceed prescriptive value to show equivalence to R -values.
nmidentinl Compliance Forms
March 2005
P .
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
Date
SPECIAL FEATURES NOT REOUHUNG HERS VERIFICATION (add extra sheets if neccssary)
Indicate which special features are part of this project. The list below only repmsents special features relevant to the
prescriptive method.
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CFAR
part 4 of 12
❑
Radiant Barriers
CF -IR
part 5 of 12
O
Exterior Shades
WS -4R
part 6 of 12
0
Cool Roof
N/A; Attach CRRC Label to
_
Forms.
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
O
Combined Hydronic System
Performance Calculation
Required, Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ductc
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
Heater
CF -IR
See Table 5-13 oruse
LI
Indirect Water Heater
Performance Calculation and
attach RVn to Fors
See Table 5-13 or use
❑
Instantaneow% 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 REQUIRING HERS RATER VERIFICATION
Gadd exina sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
`r
Feature
R uimd
Forms da licable Description
❑
Duct Scaling
CF -6R
part 4 of 12
❑
Rcfri ycrdnt Charge
CF -6R
part 5 of 12
❑
Thermostatic Expansion Valve
CF -611
part 6 of 12
Rmidential Compliance Forms
March 2005
v
SS7.R135A
LOWE'S HIW, INC.
ELQ- 0208'
-PAGE: 2
DATE: 03/21/07
78-865 HIONWAY 111
_
LA QUINTA CA
ORDERED FOR:
SUR LABERGE
PHONE: (760)771-5566
ADDRESS:
44-790 SEELEY DR.
LA QUINTA
CA 92253 PHONE: (760)200-1271 ao.
VENDOR NAME:
FOY, SCOTTY A
CONTACT:
ADDRESS:
ATT
PHONE: 1760775-097.1
INDIO
CA 92201 RAX': (.760)775-5222 Y
PROJFCT:
191703298 WATER. HEATER INSTALL
LOWES PO--
36077511 LOWES INVOICE:
79870 ASSOCIATE: MANUELA TERRAZAS
EST DELIVERY:
03/19/07
AR NUMBER:
QTY ITEM ITEM DESCRTPTION �
BIN VEND_PART# COST EXT -COST
-------.-------------------------------------------.
1. 154374 PERMIT FEE FOR GAS WATER H.
PERMIT FEE 22.50 22.50
EATER
FRF..T.GJiT $ 0.00
TOTAL $; 2 2.5 0.
Z/Z d
S3ldS 031ldiSNI-80Z0
Z901-E6E-(09L) zz; ZI U:E.Q=LOOZ