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PLBG (07-0427)6a, r,P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Ti'y/. " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:Q7="000004.27 Property Address: 51820 AVENIDA NAVARRO APN: 773-184-004-21 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 500 Applicant: Architect or Engineer: I -------------------------------------------------- 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 LicenseNo.: 828264 ate: ontractor:0001 Cool w�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 ($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, 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/07 Owner: FLEMING GREG 51820 AVENUE NAVARRO LA QUINTA, CA 92253 Contractor: I I FOY, SCOTT. A. FEB 21 200I7 43579 MAIN STREET INDIO, CA 92201 CITYO _LA QUI MTA (760.) 775-9405FINANCEDE". 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 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 ''771l3700 of the Labor Code, shall forthwith comply with those provisions. te: '�^1 plicant: / `A 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 city and county ordinances and state laws relating to buildin construction, and hereby authorize representatives of this c unty` to enter upon the above-mentioned properI inspection purposes. to (Signature (Applicant or Agent): v . Application Number . . . . . 07-00000427 ' ` Permit . . . . . . eLoMBzmo Additional deoo � Permit Fee . . . . 22.50 Plan Check Fee 5.63 zooue Date . . . . Valuation . . . . . O Expiration Date . . 8/06/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 Eu eLo WATER HEATER/VENT 7.50 --------------------------------- _________________________________________ i l Notes and Comments ' REPLACE WATER HEATER WITH sn GAL. GAS UNIT ' ` Fee summary Charged . Paid Credited Due --------------- --------- --------- Permit eez��� Fee Total 22.50 ---- .00 ---------- -------- .00 22'.50 Plan Check Total 5.63 .UO 'OO 5.63 Grand Total 28.13, .00 .00 28.13 ' LQPERNIIT e 5 Din H City of, !'6a QiI i to Blril&I.-usafetyDivFslon Project Address: 4 A. P. Number: P.O. Box Mt 78-495 Callp iampim La Quints, C: 92253 - (760) 777-7012 _Rullding 6Permit Application and Tracking Sheet P. Owners Nltzne:. } Addrei. c) x Jr10 DD 1 ---- s Cay, . Zip: ( %A t yAIIVNIL�nA . / >r�. G �7 Telephone: Stale Liu. T: Minto of Conten Person: Telclilsvne k DfConluct Peron: N Sulanittal I'lmn Sets Nlractordl Cnlc:. Tne-s Coles. Tide 24 Qlles. I -laud plain plum Grading plan Subcomacier Lbi ('Mnl Dccd 110.4. Approval IN HOUSE: 1'tanolog Approvll Pulr.lWhm. Appr School Pccs I iY` e€� eters-.r Construatinn Type v� Occupancy: 'rr5 ��''� �r�: `� Pzujtt i tyos (circle ones Ness Add'n FJter Reptu Sq. Ft.: I StBALS: U Unit,: -- Fslirnoted Value of Pmj APPLICANT: DO NOT WME BELOW TMS UME ReNd t Dano ' Telephoz:e:pffi PF.Rbtlr FEES AJJrccs: /. �/� C1 fMi /l .��Cf �Contracilir Proj=Dc9cription: — Cin ST, lip. lei(?` ) C G` –7 9' 2. !'L C) t ' Call' ed Contact Person 1 s . - ''s i' r FEin' RM Plass picked up ' state Mr- a : ��jcy � -'j � City Lic. 9: Plans resubmitted Arlt., Ergr., Designer: t . 2°d Review, reedy for eorrecliotLrUme Electrical t Called Contact Person Plumbing Plans picked up S.N.1. cit;': 9r, Zip: Peons resubsniated y` Telephone: Stale Liu. T: Minto of Conten Person: Telclilsvne k DfConluct Peron: N Sulanittal I'lmn Sets Nlractordl Cnlc:. Tne-s Coles. Tide 24 Qlles. I -laud plain plum Grading plan Subcomacier Lbi ('Mnl Dccd 110.4. Approval IN HOUSE: 1'tanolog Approvll Pulr.lWhm. Appr School Pccs I iY` e€� eters-.r Construatinn Type v� Occupancy: 'rr5 ��''� �r�: `� Pzujtt i tyos (circle ones Ness Add'n FJter Reptu Sq. Ft.: I StBALS: U Unit,: -- Fslirnoted Value of Pmj APPLICANT: DO NOT WME BELOW TMS UME ReNd t Dano Total Permit bees TItACJMG PF.Rbtlr FEES I� Plan Check submitted _ freer Amoum — I3ectatrHi, resdp for eerrectiors z Plan Check Detrosit Call' ed Contact Person Plan Check Salunce Plass picked up > Construction Plans resubmitted hgeclmoicn] 2°d Review, reedy for eorrecliotLrUme Electrical Called Contact Person Plumbing Plans picked up S.N.1. Peons resubsniated Grading P.eview. rmdy for — correcdotuY.svue Called Coafect Person }I !Developer Impaci Fee 1 —� Rite of permit issue AJ.P.P. #i I Total Permit bees CERTYPICATE OF COMPLIANCE: RESIDENTIAL ' (Page 3 of 4) CF -1R Project Tide UkDCA-` „ _ — ► t .. _ D ,J`(— Date SEALED DUCTS and TXVss (or Alternative Measures) A signed CFAR Form must be provided to the budding department for each home for which the following. are O Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for I Proiect 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 150(m) and duct insulation requirements of Package D. ur A Tru D till[, A TiNr Q g9r1WRAN urnxr. Rated En' Input'Tank Factor or Number tr Capacity Thermal in System &u/hr) (galtons Efficient Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per 0 Scaled Ducts all climate zones Installer testing and certification and HERS rater field verification required.) IInput' TXVs, readily accessible (climate zones 2 and 8-15 only) (7 nstaller testing and certification and HERS Rater field verification uircd ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verification "uired. O Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for I Proiect 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 150(m) and duct insulation requirements of Package D. ur A Tru D till[, A TiNr Q g9r1WRAN S terns selwin slo le dwellin units T. —g • � A a arra naa,�. a Rated En' Input'Tank Factor or Number tr Capacity Thermal in System &u/hr) (galtons Efficient 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 recirculation system is IInput' not allowed. Factor or 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. Capacity Cheek 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 Type in System Btu/hr) submittal. Efficient Check box to verify that a time control is req red for a recirculating system pump for a system serving multiple ❑ units S terns selwin slo le dwellin units T. —g Distribution Type_ Rated En' Input'Tank Factor or Number tr Capacity Thermal in System &u/hr) (galtons Efficient Energy Tank IInput' Tank Factor or External Water Heater Distribution Number (kW or Capacity Thermal Standby Insulation Type Type Type in System Btu/hr) tons Efficient Loss %o R -Value U U 0 L—j­ snnlfinla V Water Healer TyRe Distribution Type_ Rated En' Input'Tank Factor or Number tr Capacity Thermal in System &u/hr) (galtons Efficient Tank External Standby' Insulation Loss -(0/0 R -Value I _ For small gas storage water heaters (rated inputs of less man or equal to »,taw rsnunr), erectric resaw-oc, UIU 11M 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 >_ 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 6) 2 A or 150 0) 2 B. Rusiderttial Compliance Forms March 2005 J CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR 1{ Project Title '' ,' ' t - Date r ff}} s Project Address Documentation Author o Telephone Compliance Method (Prescriptive) Climate Zone Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ D 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) WAverage Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ft� Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (209/6 X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (if adding fenestration fill out WS -4R, 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). V ❑ RADIANT BARRIER (required in climate zones 2+4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) 3 Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation frame and mass R -Value R -Value assemblies Joint Appendix IV Reference CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR 1{ Project Title '' ,' ' t - Date r ff}} s Project Address Documentation Author o Telephone Compliance Method (Prescriptive) Climate Zone Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ D 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) WAverage Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ft� Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (209/6 X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (if adding fenestration fill out WS -4R, 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). V ❑ 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) 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 ty2ical etc. s 1) See Joint Appendix tv in section rv.L, Iv.3 ana /v.4, wmcn Is tnu UasIS IV[ VIC v-la"tut uu auu. v -.a. w.......• •.. exceed prescriptive value to show equivalence to R -values. Residential Compliance Fors 7 s March 2005 I 4 71 .' CERTIFICATE OYCOWLUNCE: RESIDENTIAL (Page 4 of 4) CF -IR Project Title Date Via.• s' SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) r Indicate which special features are part of this project. The list below only represents special features relevant to the nreserintive method_ SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add ext -a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verifim inn_ 1 Feature Required Fortes Cif a ° Iicable Description 0 Metal Flamed Walls CF -1R part 4 of 12 ❑ Radiant Barriers CF -1R part 5 of 12 ❑ Exterior Shades WS -4R part 6 of 12 ❑ Cool Roof N/A; Attach CRRC Label to Forms. C3 Dedicated Hydronic Heating Performance Calculation system R wired; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required, Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. 0 Buried Ducts N/A; Indicate on building laps. ❑ 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 0 Indirect Water Heater Performance Calculation and attach Ripn to Forms See Table 5-13 or use ❑ Instantaneous Lias 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 (add ext -a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verifim inn_ 1 Feature Required Forms if applicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Rcfri erant Chame CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -611 part 6 of 12 Residential Compliance Forms March 2005 2007-01-10 21:08 (760)-393-4062 0208 -INSTALLED SALES P 1/2 SSZR135A LOWE'S HIW, INC: ELQ 0208 PAGE: 1 DATE: 01/10/07 78-865 HIGHWAY 111 LA QUINTA CA ORDERED FOR: GREG FLEMING PHONE: (760)771-5566 ` ADDRESS: 51-820 NAVARRO AVENUE LA QUINTA CA 92253 PHONE: (760)564-2219 VENDOR NAME : - FOY , SCOTTX A CONTACT: ADDRESS: ATT_ PIIONE: (760)775-0911 INDIO CA 92201 FAX: (760)775-5222 PROJECT: 182723860 PERMIT FEE LOWES P0: 32770006 LOWES INVOICE: 75263 ASSOCIATE: GARY REAGLES EST DELIVERY: 01/10/07 AR NUMBER: QTY ITEM ITEM DESCRIPTION BIN VEND_PART* COST EXT -COST -------------------------------------------------------------------------------- 1 154374 PERMIT.E'8; 8-2250 22.50 22.50 CITY OF LA QUINTA CA FREIGHT $ 0.00 TOTAL $. 22.50